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Nicotinic Acetylcholine Receptor Agonist

Nicotine Patch for Mild Cognitive Impairment (MIND Trial)

Phase 2
Waitlist Available
Research Sponsored by University of Southern California
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Participant must have a subjective memory concern as reported by participant, study partner, or clinician
Abnormal memory function documented by scoring within the education adjusted ranges on the Logical Memory II subscale (Delayed Paragraph Recall) from the Wechsler Memory Scale - Revised: less than or equal to 11 for 16 or more years of education, less than or equal to 9 for 8 - 15 years of education, less than or equal to 6 for 0 - 7 years of education
Timeline
Screening 28 days
Treatment 26 weeks
Follow Up 30 days

Summary

This trial will test if daily transdermal nicotine can improve cognitive, clinical, and functional outcomes in people with mild cognitive impairment.

Who is the study for?
Adults aged 55-90 with mild cognitive impairment, who are not pregnant or at risk of becoming pregnant, and have a reliable study partner. Participants should be in good health without serious diseases that could affect the study, not use tobacco products for the past year, and must not have Alzheimer's disease or other significant neurological conditions.
What is being tested?
The MIND Study is testing if nicotine patches can improve memory and cognitive function in people with mild cognitive impairment over two years. Half will receive nicotine starting at 7mg/day up to 21mg/day; the other half will get placebo patches.
What are the potential side effects?
Nicotine patches may cause skin irritation where applied, dizziness, headache, nausea, increased heart rate or blood pressure. Side effects vary from person to person.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I, or someone close to me, have noticed memory problems.
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I am between 55 and 90 years old.
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My medications, including for memory issues, have been stable for at least 4 weeks.

Timeline

Screening ~ 28 days
Treatment ~ 26 weeks
Follow Up ~30 days
This trial's timeline: 28 days for screening, 26 weeks for treatment, and 30 days for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Change from Baseline of the Conners Continuous Performance Task (CPT) to Month 25
Secondary study objectives
Change from Baseline in Clinical Dementia Rating Scale (CDR) - Sum of Boxes (SOB) to Month 25
Change from Baseline in Cogstate Brief Battery (CBB) to Month 25
Change from Baseline in Mild Cognitive Impairment - Clinical Global Impression of Change (MCI-CGIC) to Month 25
+4 more
Other study objectives
Cerebrospinal Fluid
Change from Baseline of Volumetric Magnetic Resonance Imaging (vMRI) to Month 25

Side effects data

From 2016 Phase 4 trial • 36 Patients • NCT02681510
75%
Insomnia
72%
Vivid Dreams
64%
Nausea
42%
Mood Changes
39%
Dizziness
19%
Skin Rash
19%
Sweating
14%
Shortness of Breath
14%
Vomiting
11%
Chest Tightness
3%
Angina
100%
80%
60%
40%
20%
0%
Study treatment Arm
Three Drug Intervention

Trial Design

2Treatment groups
Experimental Treatment
Placebo Group
Group I: Nicotine Transdermal PatchExperimental Treatment1 Intervention
190 participants will wear nicotine transdermal patches during waking hours. Active dose will titrate up from 3.5mg to 21mg in the first 6 weeks of treatment, remain at 21mg for 22.5 months, and then taper down in the final month of treatment
Group II: Placebo PatchPlacebo Group1 Intervention
190 participants will wear matching placebo patches during waking hours.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Nicotine Transdermal Patch
2016
Completed Phase 4
~190

Find a Location

Logistics

Other reimbursement is provided

Other forms of reimbursement are provided for this trial.

Who is running the clinical trial?

University of Southern CaliforniaLead Sponsor
944 Previous Clinical Trials
1,604,265 Total Patients Enrolled
National Institute on Aging (NIA)NIH
1,787 Previous Clinical Trials
28,184,408 Total Patients Enrolled
Vanderbilt UniversityOTHER
710 Previous Clinical Trials
6,142,999 Total Patients Enrolled

Media Library

Nicotine Transdermal Patch (Nicotinic Acetylcholine Receptor Agonist) Clinical Trial Eligibility Overview. Trial Name: NCT02720445 — Phase 2
Mild Cognitive Impairment Clinical Trial 2023: Nicotine Transdermal Patch Highlights & Side Effects. Trial Name: NCT02720445 — Phase 2
Nicotine Transdermal Patch (Nicotinic Acetylcholine Receptor Agonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT02720445 — Phase 2
Mild Cognitive Impairment Research Study Groups: Nicotine Transdermal Patch, Placebo Patch
Mild Cognitive Impairment Patient Testimony for trial: Trial Name: NCT02720445 — Phase 2
~30 spots leftby Aug 2025