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RecruitingNCT07218081Updated Jan 7, 2026

A Trial to Test Intermittent Deep Brain Stimulation of Nucleus Basalis of Meynert to Treat Alzheimers.

A Phase 1 interventional study of Intermittent deep brain stimulation of the nucleus basalis of Meynert in Alzheimer Dementia (AD), sponsored by Augusta University. Recruiting at 1 site in United States. Open to participants aged 65 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-01-07.

Sponsored by Augusta University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
65 Years to 85 Years
Sex
All
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Study summary

The purpose of this study is to test a new procedure to treat Alzheimer's disease. The procedure is called intermittent Deep Brain Stimulation (DBS) of the nucleus basalis of Meynert. There will be up to six participants enrolled at Wellstar MCG Memory Clinic. There will be another six participants similarly enrolled to act as a control group that does not receive DBS. This second group will document the course of progression of Alzheimer's disease under the normal standard of care. The main goal of the study is to determine if DBS can sustain or improve cognition in Alzheimer's disease for at least two years. Participant data, with identifying information removed, may be shared with online repositories for comparison with trials with similar subjects.

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Conditions studied

  • Alzheimer Dementia (AD)

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Keywords

  • deep brain stimulation
  • alzheimer's
  • nucleus basalis of Meynert
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In context

Alzheimer Disease

3,965 studies on the registry are indexed under Alzheimer Disease; 926 are open to participants now.

This study's planned enrollment of 12 is below the median of 70 across 3,019 interventional studies indexed under Alzheimer Disease.

Browse Alzheimer Disease studies →

Lead sponsor

Augusta University is the lead sponsor of 180 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age:65 minimum

    • Age:85 maximum
    • Probable, early-stage Alzheimer's Disease, as defined by NIA-AA 2018 criteria and positive PET for beta amyloid,
    • no Lewy-Body-dementia or other form of dementia
    • Clinical Dementia Rating (CDR) global score of 0.5-1.0 with a CBR-sb score from 2 to 6.
    • ≥ 21
    • stable psychopharmacological medication equivalent to 10 mg/day donepezil or less for at least 60 days
    • valid
    • an available caregiver willing to participate
    • subject is living at home and likely to remain at home for the study duration
    • Geriatric Depression Scale of 5 or less
    • Columbia Suicide Severity Rating Scale "No" on questions 3 through 5
    • Neuropsychiatric Inventory (NPI-Q) under 2 on 'Delusions', 'Hallucinations' or 'Agitation/Aggression' subscales

Exclusion criteria

Exclusion Criteria:

    • clinical co-morbidity interfering with study (e.g. head trauma requiring medical treatment in the 2 years prior, brain tumor, subdural hematoma, or other space-occupying lesion on brain CT or MRI), or other implant precluding high field MRI scans.

      • current major psychiatric disorder such as schizophrenia, bipolar disorder or major depressive disorder based on psychiatric consult at screening visit, or past medical history prior suicidal attempts or suicidal crises
      • Another concurrent CNS condition (ie, stroke, Parkinson's disease, Lewy-Body dementia or other form of dementia, other evidence of significant structural brain pathology).
      • Medical history of seizure disorder including epilepsy
      • Terminal illness associated with expected survival of \<30 months
      • Subjects with one of these other forms of dementia in the heading of Neurocognitive Disorders: Lewy body disease, Frontotemporal lobar degeneration, Vascular disease, Traumatic brain injury, infection, Prion disease, Parkinson's disease, Huntington's disease, or due to multiple etiologies
      • Subjects with unstable medical and neurological conditions at the discretion of the Principle Investigator
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Intermittent deep brain stimulation of the nucleus basalis of Meynert

    Subjects will receive intermittent deep brain stimulation of the nucleus basalis of Meynert for 50 minutes each day. Assessments will be performed at onset, after four weeks of intervention, and each six months through two years.

    Device: Intermittent deep brain stimulation of the nucleus basalis of Meynert

  • No intervention
    Control group

    Subjects will have matching eligility criteria as those in the experimental arm, but will receive no intervention. Assessments will be performed at study onset, and each six months through two years after onset.

Interventions

  • DeviceIntermittent deep brain stimulation of the nucleus basalis of Meynert

    Subjects will receive intermittent deep brain stimulation of the nucleus basalis of Meynert for 50 minutes each day.

06

What researchers measure

Primary outcomes

  1. Dementia Rating Scales

    Subjects will be evaluated using the Clinical Dementia Rating Sum of Boxes scale. The investigators seeks for half of the intervention arm participants to have better (lower) or equal scale scores two years after intervention onset than they had at onset. This scale ranges from 0 to 18, and subjects will score from 2 to 6 at study entry.

    Time frame: Two years after intervention onset

  2. Alzheimer's Disease Assessment Scale, Cognitive Subscale

    The investigators seeks for scores on the Alzheimer's Disease Assessment Scale, Cognitive Subscale, to be equal or lower in half of the participants two years after the intervention begins compared to their value at study onset. This scale ranges from 0 to 85, and subjects at onset will likely have scores between 13 and 30.

    Time frame: Two years of intervention

Secondary outcomes

  1. PET scans for beta amyloid

    PET scans will be obtained at onset and annually through two years. The investigators seek for a reduction in the Standard Uptake Volume Ratio (SUVr) in the intervention arm compared to the control arm. SUVr is a ratio of image intensity in a reference region of the brain compared to the cerebral cortex. SUVr averages 1.22 in subjects diagnosed with Alzheimer's, and 1.0 in non-Alzheimer's controls.

    Time frame: Two years after study onset.

  2. Anxiety scales

    Subjects will receive a GAD-7 questionnaire at the same times as cognitive assessments. The investigators seek for reductions in the GAD-7 values in the intervention arm compared to the control arm. The GAD-7 scale ranges from 0 to 21, and higher scores indicate more anxiety.

    Time frame: Two years of intervention

  3. Beta amyloid PET imaging, Centiloid scale.

    PET scans will be obtained from particpants at onset and annually through two years. The investigators seek for a reduction in the Centiloid Scale in the intervention arm compared to the control arm. The Centiloid scale is 0CL on average in a 45 year old normal, and 100CL in a person with Alzheimer's dementia.

    Time frame: Two years of intervention

  4. PHQ-9 questionaire

    Participants will receive a PHQ-9 questionnaire at the same times as cognitive assessments. The investigators seek for reductions in this scale in the intervention arm compared to the control arm. The PHQ-9 depression scale has scores from 0 to 27, and higher scores indicate more depression.

    Time frame: Two years of intervention

07

Study locations

1 of 1 sites recruiting
  • Wellstar MCG Hospital, Neurology Memory Clinic
    Augusta, Georgia 30912, United States
    Recruiting
08

References and documents

Publications

  • Sasikumar S, Cohn M, Youm A, Duncan K, Boogers A, Strafella AP, Blake DT, Fasano A. Rethinking NBM DBS: Intermittent stimulation improves sustained attention in Parkinson's disease. Brain Stimul. 2023 Nov-Dec;16(6):1643-1645. doi: 10.1016/j.brs.2023.10.014. Epub 2023 Nov 5. No abstract available. PubMed 37935282 ↗
  • Kumro J, Tripathi A, Lei Y, Sword J, Callahan P, Terry A, Lu XY, Kirov SA, Pillai A, Blake DT. Chronic basal forebrain activation improves spatial memory, boosts neurotrophin receptor expression, and lowers BACE1 and Abeta42 levels in the cerebral cortex in mice. Cereb Cortex. 2023 Jun 8;33(12):7627-7641. doi: 10.1093/cercor/bhad066. PubMed 36939283 ↗
  • Pennington KR, Debs L, Chung S, Bava J, Garin CM, Vale FL, Bick SK, Englot DJ, Terry AV Jr, Constantinidis C, Blake DT. Basal forebrain activation improves working memory in senescent monkeys. Brain Stimul. 2025 Mar-Apr;18(2):185-194. doi: 10.1016/j.brs.2025.02.002. Epub 2025 Feb 7. PubMed 39924100 ↗
  • Liu R, Crawford J, Callahan PM, Terry AV Jr, Constantinidis C, Blake DT. Intermittent Stimulation of the Nucleus Basalis of Meynert Improves Working Memory in Adult Monkeys. Curr Biol. 2017 Sep 11;27(17):2640-2646.e4. doi: 10.1016/j.cub.2017.07.021. Epub 2017 Aug 17. PubMed 28823679 ↗

Individual participant data

Plan to share: Yes — Subject data will be de-identified. Assessment outcomes and imaging results will be uploaded to open access websites for sharing such data like ADNI.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will be shared upon publication and will be available indefinitely.

Access criteria: Access will be open.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07218081
Lead sponsor
Augusta University
Responsible party
David Blake (Professor David T. Blake, Augusta University) — Principal investigator
First posted
Oct 20, 2025
Start date
Feb 1, 2026 (estimated)
Primary completion
Nov 1, 2028 (estimated)
Completion
Nov 2028 (estimated)
Last update
Jan 7, 2026

Study contacts

David T Blake, PhD
Contact
dblake@augusta.edu
415-515-2659

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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