Evidence map›Paper›PMID 41137616›Full record

Trial reportAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Gamma sensory stimulation in mild Alzheimer's dementia: An open-label extension study.

Diane Chan, Gabrielle de Weck, Brennan L Jackson, Ho-Jun Suk, Noah P Milman, Erin Kitchener, Vanesa S Fernandez Avalos, M J Quay, Kenji Aoki, Erika Ruiz and 15 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04055376 (Chronic Treatment of Alzheimer's Disease With Gamma Frequency Stimulation), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04055376 naactive not recruitingnot on this map

Chronic Treatment of Alzheimer's Disease With Gamma Frequency Stimulation

TypeinterventionalSponsorMassachusetts Institute of TechnologyRan2019 to 2027Enrolled15ConditionsAlzheimer Disease, Alzheimer DementiaArmsGENUS device (Active Settings), GENUS device (Sham Settings)
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Gamma sensory stimulation in mild Alzheimer's dementia: An open-label extension study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Menopausal insomnia as a modifiable node of dementia risk: Mechanistic insights and intervention strategies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors.

Diane ChanPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.ORCID 0000-0003-3765-190X
Gabrielle de WeckPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Brennan L JacksonPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Ho-Jun SukPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Noah P MilmanDepartment of Behavioral and Systems Neuroscience, Oregon Health and Sciences University, Portland, Oregon, USA.
Erin KitchenerPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Vanesa S Fernandez AvalosPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
M J QuayPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Kenji AokiPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Erika RuizThe Winsor School, Boston, Massachusetts, USA.
Andrew BeckerPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Monica ZhengPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Remi PhilipsPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Rosalind FirenzePicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Ute GeigenmüllerPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Bruno HammerschlagDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Steven ArnoldDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Pia KivisäkkDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Michael BrickhouseDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Alexandra TouroutoglouDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Emery N BrownPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Edward S BoydenMcGovern Institute, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Bradford C DickersonDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Elizabeth B KlermanDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Li-Huei TsaiPicower Institute for Learning and Memory, Department of Brain and Cognitive Sciences, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.

Funding

The Harvard Clinical and Translational Science CenterUL1TR002541 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2018 to 2022
$93.0M
Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
Alan and Susan PatricofAlex Hu and Anne GaoAmy Wong and Calvin ChinCarol and Gene Ludwig Family FoundationChe King LeoChijen LeeDave and Mary WargoDavid B. EmmesDonald A. and Glenda G. MattesDoris Duke Clinical Scientist Development Award 15367Eduardo EurnekianEleanor Schwartz Charitable FoundationElizabeth K. and Russell L. SiegelmanFreedom Together FoundationGary Hua and Li ChenHalis Family FoundationJames D. Cook, and the Nobert H. Hardner FoundationJoseph P. DiSabato and Nancy E. SakamotoKathleen and Miguel OctavioKo Han FamilyLarry and Debora HilibrandLester GimpelsonMarc Haas FoundationNCATS NIH HHS UL1 TR002541NIA NIH HHS P30 AG062421NIH Loan Repayment Program UDIW8172Picower Clinical FellowshipRobert A. and Renee E. Belfer Family Foundationthe Degroof-VM FoundationThe Dolby Family
6 · The paper itself

Abstract

introductionWe evaluated the long-term effects of daily 40 Hz (gamma frequency) audiovisual stimulation on cognition and biomarkers in five patients with mild Alzheimer's disease (AD).

methodsOver 2 years, patients received 1-h daily stimulation. Electroencephalography (EEG) was used to assess neural entrainment; magnetic resonance imaging (MRI) measured brain volumes; actigraphy monitored activity patterns; neuropsychological tests evaluated cognition; and S-PLEX assay measured plasma pTau217.

resultsNo adverse events occurred over the study period. Three female patients with late-onset AD (LOAD) retained strong EEG entrainment and showed less decline in Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), and Functional Assessment Scale (FAS) scores compared to matched controls from National Alzheimer's Coordinating Center (NACC), Alzheimer's Disease Neuroimaging Initiative (ADNI), and Longitudinal Early-Onset Alzheimer's Disease Study (LEADS). Plasma samples were available for only two of five participants - both with LOAD - and both showed pTau217 reductions of 47% and 19%. DISCUSSION: These findings suggest that long-term 40 Hz audiovisual stimulation is safe, feasible, and may offer cognitive and biomarker benefits in some individuals with mild AD, supporting further investigation. CLINICAL TRIAL REGISTRATION INFORMATION: ClinicalTrials.gov (NCT04055376). HIGHLIGHTS: Five mild Alzheimer's disease (AD) patients safely used daily 40 Hz audiovisual stimulation for 2 years. Late-onset AD (LOAD) patients showed increased 40 Hz electroencephalography (EEG) power and improved cognitive scores. National Alzheimer's Coordinating Center (NACC) data enhanced early-phase analysis and support precision medicine in AD studies. Plasma pTau217 declined in 2 LOAD patients after 2 years of daily use. This small pilot is the first to link long-term 40 Hz therapy to AD biomarker change.

Indexed as

Acoustic StimulationAlzheimer DiseasePhotic StimulationAgedAged, 80 and overBiomarkersBrainCognitionElectroencephalographyFemaleHumansMagnetic Resonance ImagingMaleMental Status and Dementia TestsNeuropsychological Teststau ProteinsBiomarkerstau Proteins40 Hz audiovisual stimulationADNIAlzheimer's diseaseLEADSlong‐term treatmentNACCplasma pTau217

Identifiers

PMID41137616
PMCPMC12552893

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.