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Taking people in CanadaNo phase

Tests magnetic brain stimulation for apathy in people with memory and thinking disorders

Tests repetitive magnetic brain stimulation for apathy in people with dementia or Alzheimer disease.

Plain-language title generated from the registry record
Registry title: rTMS for Apathy Clinical Trial

Key facts

Where
Toronto, CanadaSee the site

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for people with mild or major neurocognitive disorder, or mild behavioural impairment, who have had apathy for at least 4 weeks. A care partner must be involved.

Sex
All sexes can join.
Disease stage
Mild or major neurocognitive disorder, or mild behavioural impairment, with apathy for at least 4 weeks.
Earlier treatment
Any medication that may affect thinking or behaviour must be at a stable dose for more than 4 weeks.

Main reasons for not taking part

  • Current major depressive episode
  • Agitation, delusions or hallucinations
  • Medical reasons that make rTMS unsafe
  • Currently taking an amphetamine product
  • Brain or nervous system abnormalities, Tourette's syndrome or motor tics

Read by machine on 9 November 2026.

Where in Canada

  • Sunnybrook Health Sciences CentreToronto, CanadaTaking people

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Sunnybrook Health Sciences Centre
Trial code
NCT05561205
Record updated
13 April 2026
Original description
Apathy is a common, early, and disabling symptom in dementias and mild behavioural impairment such as Alzheimer's disease (AD) and is characterized by lack of interest and enthusiasm. Both repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, and methylphenidate, a medication, have been shown to improve apathy. This pilot study will investigate rTMS as a treatment for apathy in neurocognitive disorders and mild behavioural impairment in individuals receiving methylphenidate and individuals not receiving medication for apathy.Read full original descriptionShow less

Repetitive Transcranial Magnetic Stimulation for Apathy Clinical Trial (REACT)

Apathy is a common, early, and disabling symptom in dementias and mild behavioural impairment such as Alzheimer's disease (AD) and is characterized by lack of interest and enthusiasm. Both repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, and methylphenidate, a medication, have been shown to improve apathy. This pilot study will investigate rTMS as a treatment for apathy in neurocognitive disorders and mild behavioural impairment in individuals receiving methylphenidate and individuals not receiving medication for apathy.

Inclusion: mild or major neurocognitive disorder OR mild behavioural impairment; Apathy for at least 4 weeks; Stable dose of medication (>4 weeks) that may affect cognition or behaviour; Care partner who spends at least 10 hours a week with the subject.

Exclusion: Currently taking an amphetamine product; Central nervous system abnormalities, Tourette's syndrome, or motor tics; Current major depressive episode; Agitation, delusions, hallucination; Medical contraindications to rTMS; Current participation in another clinical trial.

ClinicalTrials.gov NCT05561205