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Clinical Trials/NCT06327633
NCT06327633
Completed
Not Applicable

A Pilot, Prospective, Randomized, Open Label, Parallel, 4-month Study to Explore and Evaluate the Therapeutic Effects of Olfactory Training on the Cognitive Function, Olfactory Function, and Odor-induced Brain Activation in T2DM Patients With Mild Cognitive Impairment.

The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School1 site in 1 country60 target enrollmentStarted: January 1, 2024Last updated:

Overview

Phase
Not Applicable
Status
Completed
Sponsor
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Enrollment
60
Locations
1
Primary Endpoint
Change of cognitive function (evaluated by MoCA score)

Overview

Brief Summary

This is a pilot, prospective, randomized, open label, parallel, 4-month study to explore and evaluate the therapeutic effects of olfactory training on the cognitive function, olfactory function, and odor-induced brain activation in T2DM patients with mild cognitive impairment (MCI).

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
40 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • patients with type 2 diabetes mellitus;
  • Aged: 40 -75 years ;
  • Cognitive function assessment suggests mild cognitive impairment;
  • A stable glucose-lowering regimen, or basic insulin for more than 2 months;
  • ≥6 years of education;
  • Right-handed.

Exclusion Criteria

  • Cognitive function assessment suggests normal cognition or dementia;
  • Other dementia related neurological diseases or depression, Mental dysplasia, mania, schizophrenia, etc in the past 2 years; Central nervous system diseases, including brain trauma, intracranial hemorrhage, acute cerebral infarction, etc;
  • Severe sinusitis, nasal cavity and sinus polyps, skull base or nasopharyngeal tumors and other space occupying lesions;
  • Congenital diseases and traumatic history of nose, maxillofacial and skull base affecting olfaction.
  • With symptoms of upper respiratory tract infection, including nasal congestion, runny nose, fever, etc. on the day of MR examination;
  • Diabetic Acute and chronic complications, including diabetic ketoacidosis, diabetic ketoacidosis; a hyperglycemic hyperosmolar state or severe hypoglycemic coma, etc.
  • Severe impairment of heart, liver, kidney and other organs;
  • Contraindications of MRI examination, such as implantation of metal prosthesis in vivo, claustrophobia, etc;
  • Pregnant and lactating women;
  • Receive other test drugs currently or within 3 months before participating in the project;

Outcomes

Primary Outcomes

Change of cognitive function (evaluated by MoCA score)

Time Frame: from baseline to 4-month follow-up

Whether MoCA scores in the two groups of Type 2 diabetes mellitus patients with MCI after intervention were different from those before treatment and the difference of changes between the two groups. The MoCA scale evaluates overall cognitive function, with a total score of 30. Generally, subjects scoring ≥26 points are considered as normal cognition, while between 19-25 points as mild cognitive impairment. An extra point is added If the subject has less than 12 years of education.

Secondary Outcomes

  • Change of olfactory brain activation by fMRI(from baseline to 4-month follow-up)
  • Change of Olfactory function(from baseline to 4-month follow-up)
  • Change of metabolism(from baseline to 4-month follow-up)

Investigators

Sponsor
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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