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

Korábbi kezelés

• 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:

Más betegség

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

Laborértékek

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

Életkor

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

Egyéb

• 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

• 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