Evidence map›Paper›PMID 41918026›Full record

Trial reportAlzheimer's research & therapy2026

Effects of 40-Hz transcranial alternating current stimulation on cognition and neural markers in Alzheimer's disease: a randomized, sham-controlled trial.

Miao Fang, Yibing Yan, Wenqian Song, Zhi Geng, Lu Wang, Chenyang Hu, Weiqiang Li, Bo Song, Mengdan Chen, Yulong Dai and 7 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alzheimer's research & therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06565143 (Effect of Transcranial Alternating Current Stimulation), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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.

NCT06565143 narecruitingnot on this map

Effect of Transcranial Alternating Current Stimulation(tACS) for Early Alzheimer's Disease

TypeinterventionalSponsorAnhui Medical UniversityRan2024 to 2026Enrolled40ConditionsTranscranial Alternating Current Stimulation, Electroencephalography, Early Alzheimer's DiseaseArmsTranscranial alternating current stimulation, Sham transcranial alternating current stimulation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Efficacy of transcranial alternating current stimulation on cognitive function in patients with dementia: a systematic review and meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Article
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

17 authors.

Miao Fang *Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Yibing Yan *Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Wenqian Song *Department of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Zhi GengDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Lu WangDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Chenyang HuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Weiqiang LiDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Bo SongDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Mengdan ChenDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Yulong DaiDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Yifan HuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Shanshan ZhouDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Haihua GuoDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Gongjun JiDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Panpan HuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. hpppanda9@126.com.
Kai WangDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. wangkai1964@126.com.
Xingqi WuDepartment of Neurology, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. wuxingqi09@163.com.

Funding

Innovative Research Group Project of the National Natural Science Foundation of China 82090034 and 31970979Innovative Research Group Project of the National Natural Science Foundation of China 82101498Innovative Research Group Project of the National Natural Science Foundation of China 82171917 and 82471271Ministry of Science and Technology of the People's Republic of China No.2022ZD0214100
6 · The paper itself

Abstract

backgroundAlzheimer’s disease (AD) is characterized by cognitive decline. Gamma-frequency (40 Hz) transcranial alternating current stimulation (tACS) may enhance cognition, although its efficacy and neural mechanisms remain unclear. This study evaluated whether 40-Hz tACS improves cognition in individuals with AD and explored the associated neural correlates using resting-state electroencephalography (rs-EEG) and plasma phosphorylated tau.

methodsIn a randomized, double-blind, sham-controlled trial, 39 participants with AD received either 40-Hz tACS (n = 20) or sham stimulation (n = 19) targeting the left dorsolateral prefrontal cortex (2.0 mA, 30 min/day, 2 weeks). Cognitive and mood outcomes and rs-EEG spectral and connectivity measures were assessed.

resultsCompared with sham, 40-Hz tACS was associated with a trajectory-level signal favoring improved global cognition, reduced depressive symptoms, increased frontal–central theta power, enhanced theta band hippocampal–prefrontal connectivity, stronger low-gamma connectivity at the ROI level, and exploratory reductions in plasma p-tau217 and p-tau181.

conclusionTwo weeks of low-intensity 40-Hz tACS showed target engagement and a trajectory-level cognitive signal in patients with AD. Biomarker changes were exploratory and require confirmation.

trial registrationClinicalTrials.gov NCT06565143 Date: 2024.08.19.

Indexed as

Alzheimer DiseaseCognitionTranscranial Direct Current StimulationAgedBiomarkersCognitive EnhancementDouble-Blind MethodElectroencephalographyFemaleHumansMaletau ProteinsBiomarkerstau ProteinsAlzheimer’s diseaseCognitive improvementGamma entrainmentp-taup-tau217rs-EEGTranscranial alternating current stimulation

Identifiers

PMID41918026
PMCPMC13188469

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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.