rTMS for Cognitive Decline in Aging and Preclinical Alzheimer's Disease

This study is exploring how a type of non-invasive brain stimulation called repetitive Transcranial Magnetic Stimulation (rTMS) affects motivation, memory, and brain function in older adults. This includes people with healthy aging, cognitive decline, and early stages of Alzheimer's disease (prodromal and preclinical Alzheimer's disease). All participants will receive both active rTMS and sham rTMS (a placebo version) to the left side of the brain that controls thinking. Researchers will measure changes in motivation, memory, and brain network connections to see if rTMS is helpful. You may be able to join if you are between 40 and 99 years old, a native English speaker, and willing to undergo testing and imaging.

Study design
This interventional study plans to enroll 80 participants. All participants will receive both active rTMS and sham rTMS.
What's involved
You will have a baseline visit, followed by 10 daily rTMS sessions (Monday-Friday), an evaluation visit, and then a 2-week break.
Compensation
Not stated in the trial record.
Follow-up
Changes in motivation, brain network connectivity, and memory will be measured at Baseline and post-treatment Day 11.

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NCT06956300

TMS for Cognitive Decline in Aging and Preclinical AD

Recruiting
NAAges 40–99Interventional
Massachusetts General Hospital
~80 participants
Updated 2026-02-20 on ClinicalTrials.gov
What's tested:Active rTMSSham rTMS

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Changes in motivation
Measured over Baseline and post-treatment Day 11
+2 more outcomes measured
Prodromal Alzheimer's Disease
Preclinical Alzheimer's Disease
Healthy Aging
Cognitive Decline
1 sites across 1 states
Massachusetts1

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  • Changes in motivationBaseline and post-treatment Day 11

    This will be measured by ratings of grit on a 5-point scale using the Grit Scale (Duckworth, et al., 2007).

  • Changes in Brain Network ConnectivityBaseline and post-treatment Day 11

    This will include changes in resting-state functional connectivity measured with functional Magnetic Resonance Imaging (fMRI)

  • Changes in MemoryBaseline and Post-Treatment Day 11

    This will be measured with an associative memory task