Transcranial Photobiomodulation (tPBM) in Alzheimer's Disease Study

NCT07224607 — Not applicable, Recruiting, 45 participants, Cedars-Sinai Medical Center

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A Longitudinal Study Investigating the Effects of Photobiomodulation (PBM) on Cognitive Function and Alzheimer's Disease (AD)-Related Biomarkers in Individuals With Mild Cognitive Impairment (MCI) or Dementia Due to AD

RegistryNCT07224607
StatusRecruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: double, treatment
Enrollment45 (Estimated)
SponsorCedars-Sinai Medical Center (Other)
ConditionsAlzheimer's Disease
InterventionsPhotobiomodulation (Device)
Datesstart 2026-09-01, primary completion 2027-11-28 (estimated), completion 2028-03-30 (estimated), first posted 2025-11-04, last updated 2026-10-13
Locations1 site in United States

Related Papers Related Patents Related Grants Related Experts
All trials for Alzheimer's Disease All trials of Photobiomodulation

-Summary

The purpose of this study is to see if a special light treatment, called photobiomodulation, can help people with memory problems such as Mild Cognitive Impairment or Mild Dementia due to Alzheimer's disease. The light is given to the forehead using an FDA-cleared medical device. This device is cleared to provide topical heating to elevate tissue temperature for temporary relief of muscle and joint pain, muscle spasm and stiffness associated with arthritis. It also increases blood circulation and relaxes muscle tissue. This device is being used "off-label," meaning it will be used in a way that is different than its cleared use.

We want to learn whether this light treatment can improve executive function, and whether it changes certain inflammatory and neurodegeneration related signals in the blood. To do this, we will apply the photobiomodulation device to your forehead. We will also ask you questions and give you cognitive tests before and after light treatment. We will also collect blood samples before and after treatment.

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+Arms and interventions

ArmTypeInterventionsDescription
Active photobiomodulationExperimentalDevice: Photobiomodulation1064nm photobiomodulation to be applied for 8 minutes total each session
ShamSham comparatorDevice: Photobiomodulationonly 5 seconds of photobiomodulation, to account for small amount of participants who reported an initial warm sensation upon stimulation
  • Photobiomodulation (Device): 1064nm transcranial photobiomodulation

+Outcome measures

Primary outcomes

  • NIH Toolbox [Baseline measurements will be performed prior to intervention, post-treatment (week 5), and lastly at the 3-month follow-up visit]: Three validated NIH Toolbox tasks: 1. Dimensional Change Card Sort Task (measure of cognitive flexibility) 2. Flanker Inhibitory Control and Attention Test (a measure of inhibitory control and selective attention), 3. Visual Reasoning Test (non-verbal and visual reasoning)

Secondary outcomes

  • Glial Fibrillary Acidic Protein (GFAP) [Will be performed at baseline and at 3 month follow up]: Plasma GFAP concentration (pg/ml) measure using the S-PLEX Assay
  • Neurofilament Light Chain (NfL) [Baseline and 3-month follow up]: Plasma Neurofilament Light Chain (NfL) concentration (pg/ml) measure using the S-PLEX Assay
  • Total Tau [Baseline and 3-month follow up]: Plasma total tau concentration (pg/ml) measure using the S-PLEX Assay
  • Interferon-γ (IFN-γ) [Baseline and 3-month follow up]: Plasma GFAP concentration (pg/ml) measure using the V-PLEX Assay
  • Interleukin-1β (IL-1β) [Baseline and 3-month follow up]: Plasma IL-1β concentration measured using the V-PLEX assay
  • Tumor Necrosis Factor-α (TNF-α) [Baseline and 3-month follow up]: Plasma TNF-α concentration (pg/ml) measured using the V-PLEX assay

+Eligibility

Sex: All, ages: 55 Years to 89 Years

Inclusion Criteria:

* Signed and dated informed consent form (either by subject or LAR)
* Willingness and ability to comply with all study procedures
* Age 55 to 89 years, inclusive
* Clinical diagnosis of Mild Cognitive Impairment or mild dementia (CDR Global = 0-1; MoCA 16-25) due to probable Alzheimer's disease diagnosis
* Ability to attend in-person sessions at Cedars-Sinai and adhere to weekly visits
* Stable dose of Alzheimer's disease medications (e.g., donepezil, rivastigmine, memantine, galantamine) for at least 4 weeks prior to enrollment, if applicable

Exclusion Criteria:

* Presence of significant neurological conditions other than AD (e.g., epilepsy, Parkinson, etc.)
* History of Seizures
* If patient holds neuroimaging showing space-occupying lesions
* If patient holds imaging with Fazekas greater than or equal to 3, more than 2 lacunar infarcts, and/or more than 5 microhemorrhages
* Current pregnancy or lactation (although unlikely in this population)
* Participation in another clinical trial or investigational drug within the past 30 days
* Active use of illicit substances or non-prescribed psychoactive drugs within the past 30 days.
* Severe dementia due to Alzheimer's disease or another etiology
* Physical or mental impairment that prevents the participant from complying with the cognitive testing battery.

+Locations (1)

FacilityCityCountryStatus
CSMCLos Angeles, CaliforniaUnited StatesRecruiting

+Publications

  • Zhu G, Tong Q, Ye X, Li J, Zhou L, Sun P, Liang F, Zhong S, Cheng R, Zhang J. Phototherapy for Cognitive Function in Patients With Dementia: A Systematic Review and Meta-Analysis. Front Aging Neurosci. 2022 Jun 30;14:936489. doi: 10.3389/fnagi.2022.936489. eCollection 2022. PMID 35847661
  • Luo G, Zhang J, Song Z, Wang Y, Wang X, Qu H, Wang F, Liu C, Gao F. Effectiveness of non-pharmacological therapies on cognitive function in patients with dementia-A network meta-analysis of randomized controlled trials. Front Aging Neurosci. 2023 Mar 2;15:1131744. doi: 10.3389/fnagi.2023.1131744. eCollection 2023. PMID 36967820
  • Chan AS, Lee TL, Yeung MK, Hamblin MR. Photobiomodulation improves the frontal cognitive function of older adults. Int J Geriatr Psychiatry. 2019 Feb;34(2):369-377. doi: 10.1002/gps.5039. Epub 2018 Dec 10. PMID 30474306
  • Su M, Nizamutdinov D, Liu H, Huang JH. Recent Mechanisms of Neurodegeneration and Photobiomodulation in the Context of Alzheimer's Disease. Int J Mol Sci. 2023 May 25;24(11):9272. doi: 10.3390/ijms24119272. PMID 37298224
  • Gonzalez-Lima, F. (2021). Neuroprotection and Neurocognitive Augmentation by Photobiomodulation. In: Opris, I., A. Lebedev, M., F. Casanova, M. (eds) Modern Approaches to Augmentation of Brain Function. Contemporary Clinical Neuroscience. Springer, Cham. https://doi.org/10.1007/978-3-030-54564-2_9
  • Vargas E, Barrett DW, Saucedo CL, Huang LD, Abraham JA, Tanaka H, Haley AP, Gonzalez-Lima F. Beneficial neurocognitive effects of transcranial laser in older adults. Lasers Med Sci. 2017 Jul;32(5):1153-1162. doi: 10.1007/s10103-017-2221-y. Epub 2017 May 2. PMID 28466195
  • Boyer D, Hu A, Warrow D, Xavier S, Gonzalez V, Lad E, Rosen RB, Do D, Schneiderman T, Ho A, Munk MR, Jaffe G, Tedford SE, Croissant CL, Walker M, Ruckert R, Tedford CE. LIGHTSITE III: 13-Month Efficacy and Safety Evaluation of Multiwavelength Photobiomodulation in Nonexudative (Dry) Age-Related Macular Degeneration Using the Lumithera Valeda Light Delivery System. Retina. 2024 Mar 1;44(3):487-497. doi: 10.1097/IAE.0000000000003980. PMID 37972955

+Investigators