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NCT05282550RecruitingPhase 2

Targeting Cognition in Early Alzheimer's Disease by Improving Sleep With Trazodone

RCT Targeting Cognition in Early Alzheimer's Disease by Improving Sleep With Trazodone (REST)

Source: ClinicalTrials.gov · Last updated 17 Jun 2026

Brief summary (registry, in English)

To investigate the effect of trazodone on sleep, hippocampal-dependent memory and hippocampal excitability. The investigators hypothesize that trazodone will improve total sleep time and proportion of time in Slow Wave Sleep (SWS).

Status (registry)
Recruiting
Phase (registry)
Phase 2
Study type
Interventional
Enrollment
100 (estimated)
First submitted
8 Mar 2022
Start date
2 Feb 2023
Primary completion date
30 Jul 2027
Lead sponsor
Johns Hopkins University
NCT number
NCT05282550

What you commit to

  • Study type: Interventional · Phase 2
  • Planned participants: 100
  • From 2 Feb 2023 to the primary completion date, 30 Jul 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior diagnosis of Obstructive Sleep Apnea (OSA) or evidence of moderate-to-severe OSA on baseline Home Sleep Test (HST) as evidenced by an apnea/hypopnea index of \>15;
  • Taking sleep medications including trazodone;
  • Prior diagnosis of significant systemic illness or unstable medical condition which could lead to difficulty complying with the study protocol or represent alternate primary cause of memory problems beyond Alzheimer's Disease (AD) pathology:

Other illness

  • Dementia;
  • Cognitive complaints and deficits better explained by other medical/neurologic conditions;
  • Allergic to trazodone;

Lab values

  • Prior diagnosis of Q wave T wave Corrected for heart rate (QTc) \> 470 msec (females) or \> 450 msec (males);

Age

  • Less than 55 years of age to reduce likelihood of including individuals with frontotemporal dementia or non-dementia MCI;

Other

  • Too frail or medically unstable to undergo study procedures;
  • Delirium;
  • Current substance abuse;
  • Current major depressive, manic, or acute psychotic episode;
  • Lack of available KI;
  • Inability to provide informed consent

Who the study is looking for

  • Mild Cognitive Impairment (MCI) as defined by Albert et al.2 including subjective memory complaint and/or objective evidence of memory problems;
  • Clinical Dementia Rating (CDR) of 0.5 with a Memory Box score of \>=0.5;
  • Evidence of sleep complaints with Pittsburgh Sleep Quality Index score of \>5 (a well-validated cutoff observed in \>40% of older persons);
  • Memory performance \> 1.5 Standard Deviation (SD) below age-and education-matched control subjects on the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) List Recall;
  • Visual and auditory acuity adequate for neuropsychological testing;
  • Good general health with no disease expected to interfere with the study;
  • Able to have Magnetic Resonance Imaging (MRI) scan;
  • Availability of knowledgeable informant (KI)
  • Buschke Selective Reminding Test or more standard deviations below age-education norms

Age in the registry: 55 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Johns Hopkins Hospital
Coordinator of this site? Confirm its status
BaltimoreUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.