NCT05196984

Brief Summary

Down Syndrome (DS) is characterized by an additional copy of chromosome 21, which also increases risk of Alzheimer's Disease (AD). The investigators' lab found a non-invasive way to remove toxic proteins from the brain in AD mouse models. Remarkably, treated mice also have improved memory on behavioral testing. The investigators then translated this non-invasive method, which uses light and sound to stimulate the brain, to be used in mild Alzheimer's patients and cognitively normal adults. The investigators have also translated this research into a vibrating speaker device to study tactile vibration to stimulate the brain as well. For the present study, 30 participants with Down Syndrome and 30 cognitively normal adult controls will be recruited, and the investigators will assess their brain waves with electroencephalogram (EEG) during light, sound, and tactile stimulation. The investigators will also test for safety, feasibility, and cognitive performance before and after a 30-60 minute session of light and sound stimulation to optimize the stimulation devices for use in the DS population.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
8mo left

Started Dec 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress87%
Dec 2021Dec 2026

Study Start

First participant enrolled

December 6, 2021

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

January 5, 2022

Completed
14 days until next milestone

First Posted

Study publicly available on registry

January 19, 2022

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Last Updated

March 31, 2026

Status Verified

March 1, 2026

Enrollment Period

5.1 years

First QC Date

January 5, 2022

Last Update Submit

March 30, 2026

Conditions

Keywords

Down SyndromeAlzheimer DiseaseNon-Invasive Sensory StimulationLight and Sound StimulationGammaTactile Stimulation

Outcome Measures

Primary Outcomes (2)

  • Feasibility of gamma frequency stimulation

    Feasibility of gamma frequency stimulation in subjects with DS will be assessed by analyzing the EEG data from each subject for a sign of change in gamma frequency waves and determining the percent of subjects who show this change.

    Immediately after the completion of stimulation

  • Incidence of Stimulation-Related Adverse Events

    Tolerability and safety of gamma frequency stimulation will be assessed using questionnaires and measures to rate the subjects' overall experience with the stimulation. These questionnaires will monitor for any adverse effects of the stimulation.

    Immediately after the completion of stimulation

Other Outcomes (1)

  • Changes in memory and cognitive performance after gamma frequency stimulation

    Baseline and immediately after the completion of the stimulation

Study Arms (4)

Down Syndrome Experimental

EXPERIMENTAL

Experimental arm within Down Syndrome participant group: exposure to active 40Hz stimulation for 30-60 minutes.

Device: GENUS device (Active Settings)

Down Syndrome Sham

SHAM COMPARATOR

Sham arm within the Down Syndrome participant group: exposure to control stimulation for 30-60 minutes.

Device: GENUS device (Sham Settings)

Cognitively Normal Experimental

EXPERIMENTAL

Experimental arm within the cognitively normal control participant group: exposure to active 40Hz stimulation for 30-60 minutes.

Device: GENUS device (Active Settings)

Cognitively Normal Sham

SHAM COMPARATOR

Sham arm within the cognitively normal control participant group: exposure to control stimulation for 30-60 minutes.

Device: GENUS device (Sham Settings)

Interventions

Participants in the active condition within the Down Syndrome participant group and the Cognitively Normal Control group will use the GENUS device configured to active 40Hz settings for 30-60 minutes.

Also known as: Gamma Frequency Stimulation, Light and Sound Stimulation
Cognitively Normal ExperimentalDown Syndrome Experimental

Participants in the control condition within the Down Syndrome participant group and the Cognitively Normal Control group will use the GENUS device configured to sham settings for 30-60 minutes.

Also known as: Gamma Frequency Stimulation, Light and Sound Stimulation
Cognitively Normal ShamDown Syndrome Sham

Eligibility Criteria

Age25 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Subject is between the ages of 25-65
  • Subject must have a clinically confirmed diagnosis of Down Syndrome (karyotypes optional). Individuals with mosaic Down syndrome will be excluded.
  • Subject or their legal guardian is willing to sign informed consent document.
  • If subject is deemed to not have capacity to sign the informed consent, he/she will need a legally authorized representative to provide surrogate consent.
  • Subject will be medically stable with consistent medication over the previous 3 months.

You may not qualify if:

  • Subjects has history of a dual diagnosis Down Syndrome and Autism
  • Subjects with has history of seizure or epilepsy within the past 24 months.
  • Subjects with a new diagnosis of Attention-deficit/hyperactivity disorder (ADHD) (\< 6 months) or untreated ADHD
  • Active treatment with one or more anti-epileptic agent.
  • Subjects who have a known history a stroke within the past 24 months.
  • Subjects with a known history of migraine headache.
  • Subjects on medications that lower seizure threshold such as wellbutrin, ciprofloxacin, levofloxacin, etc.
  • Subjects with clinically significant suicide risk and/or suicide attempt in the past 1 year.
  • Subjects with behavioral problems such as aggression/agitation/impulsivity that might interfere with their ability to comply with protocol.
  • Active treatment with one or more psychiatric agent (e.g. antidepressants, antipsychotics, etc).
  • Subjects who have an active implantable medical device including but not limited to implantable cardioverter defibrillator (ICD), deep brain stimulator (DBS), cardiac pacemaker, and/or sacral nerve stimulator.
  • Subjects who have profound and uncorrected hearing or visual impairment.
  • Subjects who are pregnant (self-report).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Massachusetts Institute of Technology

Cambridge, Massachusetts, 02139, United States

RECRUITING

Related Publications (2)

  • Parker SE, Mai CT, Canfield MA, Rickard R, Wang Y, Meyer RE, Anderson P, Mason CA, Collins JS, Kirby RS, Correa A; National Birth Defects Prevention Network. Updated National Birth Prevalence estimates for selected birth defects in the United States, 2004-2006. Birth Defects Res A Clin Mol Teratol. 2010 Dec;88(12):1008-16. doi: 10.1002/bdra.20735. Epub 2010 Sep 28.

    PMID: 20878909BACKGROUND
  • Pueschel SM. Clinical aspects of Down syndrome from infancy to adulthood. Am J Med Genet Suppl. 1990;7:52-6. doi: 10.1002/ajmg.1320370708.

    PMID: 2149974BACKGROUND

MeSH Terms

Conditions

Down SyndromeAlzheimer Disease

Interventions

Ultraviolet Therapy

Condition Hierarchy (Ancestors)

Intellectual DisabilityNeurobehavioral ManifestationsNeurologic ManifestationsNervous System DiseasesAbnormalities, MultipleCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesChromosome DisordersGenetic Diseases, InbornDementiaBrain DiseasesCentral Nervous System DiseasesTauopathiesNeurodegenerative DiseasesNeurocognitive DisordersMental Disorders

Intervention Hierarchy (Ancestors)

PhototherapyTherapeutics

Study Officials

  • Li-Huei Tsai, PhD

    Massachusetts Institute of Technology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

gamma wave, BS

CONTACT

Ana Trisini Lipsanopoulos, BS

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 5, 2022

First Posted

January 19, 2022

Study Start

December 6, 2021

Primary Completion (Estimated)

December 31, 2026

Study Completion (Estimated)

December 31, 2026

Last Updated

March 31, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations