ClinicalTrials.gg
RecruitingNCT07279740PRIMEUpdated Dec 12, 2025

Combined Brain Stimulation and Methylphenidate Treatment for Apathy in Dementia

A Phase 2 interventional study of intermittent theta burst stimulation (iTBS) and Methylphenidate (MPH) in Alzheimer s Disease, Alzheimer Dementia (AD) and Alzheimer Dementia, sponsored by Sunnybrook Health Sciences Centre. Recruiting at 1 site in Canada. Per ClinicalTrials.gov, last updated 2025-12-12.

Sponsored by Sunnybrook Health Sciences Centre · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 16 studies in Alzheimer Disease by Sunnybrook Health Sciences Centre — 8 open to participants now, 8 under way, 1 of them phase 3. Alzheimer Disease · Sunnybrook Health Sciences Centre.

Planned enrollment
11th of 13
12 · median 40
Started
2026
with 1 other
Phase 2
5 of 16
3 open now
Registered
16th of 16
by date

Among the 16 studies in Alzheimer Disease by Sunnybrook Health Sciences Centre, this one is the 11th largest by planned enrollment of the 13 interventional ones that give a count, is one of 2 that started in 2026, is one of 5 in phase 2, and was the 16th registered.

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 →

Open to participants now

8 of the 16 studies in Alzheimer Disease by Sunnybrook Health Sciences Centre are open now, in 1 country. Each count lists the studies.

All 8 open studies →

Where they have run

Who these studies take

Of the 641 Alzheimer Disease studies recruiting now, 283 (44%) set no upper age limit and 54 (8%) stop at 75 or younger; 34 take children under 18; 283 take healthy volunteers.

This study: all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 16 studies in Alzheimer Disease by Sunnybrook Health Sciences Centre, or all of them as a file.
02

Study summary

This study evaluates whether the combined treatment of methylphenidate and non-invasive brain stimulation, called intermittent theta burst stimulation, can effectively treat apathy in individuals with Alzheimer's disease or mixed AD/vascular dementia

03

Conditions studied

  • Alzheimer s Disease
  • Alzheimer Dementia (AD)
  • Alzheimer Dementia
  • Alzheimer Disease
  • Apathy
  • Apathy in Dementia

Keywords

  • apathy
  • dementia
  • Alzheimer's disease
  • methylphenidate
  • rTMS
  • iTBS
  • repetitive transcranial magnetic stimulation
  • intermittent theta burst stimulation
04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

  • Alzheimer's disease or mixed Alzheimer's disease and vascular disease
  • score 10-28 inclusive
  • apathy
  • Stable dose of psychotropic medication
  • Care partner must spend at least 10hrs/week with the participant

Exclusion criteria

Exclusion Criteria:

  • Major Depressive Episode
  • agitation, delusions, hallucinations
  • Currently talking a dopaminergic agent other than methylphenidate
  • Failure to clear the TMS adult safety scale (e.g. unapproved pacemakers, metallic implants, history of epilepsy)
  • Central nervous system abnormalities (other than Alzheimer's disease) deemed clinically significant by study physician or seizures
  • Any condition that in the opinion of the study physician, makes it medically unsafe for the patient to enroll in the trial
Terms in these criteria, in plain language(2)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Methylphenidate + iTBS

    Participants are currently receiving methylphenidate and receive iTBS in this study.

    Device: intermittent theta burst stimulation (iTBS) · Drug: Methylphenidate (MPH)

  • Experimental
    iTBS only

    iTBS only, no medication for apathy

    Device: intermittent theta burst stimulation (iTBS)

Interventions

  • Deviceintermittent theta burst stimulation (iTBS)

    iTBS is a form of repetitive transcranial magnetic simulation (rTMS), a non-invasive form of brain stimulation.

  • Participants will be on methylphenidate clinically prior to the trial

06

What researchers measure

Primary outcomes

  1. Change in Neuropsychiatric Inventory-Apathy (NPI-A) score

    Assesses apathy total (frequency x severity) using the NPI-A based on scores provided by the care-partner through an interview with the assessor. Scores range from 0-12 with a higher score representing worse apathy.

    Time frame: 2 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2026; primary completion for Oct 2027, 21 months later.

Of 127 non-industry phase 2 interventional studies under Alzheimer Disease, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 37 and three quarters within 69. This study's planned 21 months is below that.

Counting every sponsor, half of 257 studies reached it within 37 months; a quarter within 21 and three quarters within 58.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 25, 2025
First posted
Dec 12, 2025
StartEst.
Jan 2026
Primary completionEst.
Oct 1, 2027
CompletionEst.
Oct 1, 2027
Last update
Dec 12, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 12, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07279740
Collaborators
Alzheimer Society of Canada, Sunnybrook Research Institute, Brain Canada
Responsible party
Sponsor
First posted
Dec 12, 2025
Start date
Jan 2026 (estimated)
Primary completion
Oct 1, 2027 (estimated)
Completion
Oct 1, 2027 (estimated)
Last update
Dec 12, 2025

Study contacts

Krista Lanctot, PhD
principal investigator · Sunnybrook Research Institute

Oversight

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

Interested in this study?

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No contact was published for this record. The registry link below has the sponsor’s details.

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Discussion

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Studies of the drug tested here: Methylphenidate

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