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NCT Number: NCT07208318

Restructuring the Alpha-Gamma Code in Aging Vision

Tests whether age-related visual deficits arise from disrupted alpha-gamma coupling in visual cortex (V1) and MT. Uses fMRI, source-resolved HD-EEG, and personalized complex-waveform HD-tACS to (1) quantify aging effects on phase-amplitude coupling, (2) drive PAC into a preferred "gamma-at-alpha-troughs" state, and (3) bidirectionally change perception by aligning gamma to alpha troughs vs peaks. Two five-day, double-blind, sham-controlled studies (n=120 each) target contrast sensitivity (V1) and 3D shape-from-motion (MT), aiming for mechanistic insight and remediation in older adults with implications for ADRD.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

111 Cummington Mall, Boston University

Boston, Massachusetts, 02215, United States

Location status: Recruiting

Location contact

Robert Reinhart, PhD

CONTACT

[email protected]

617-353-9481

About this study

The project probes a causal account of age-related perceptual decline by focusing on alpha-gamma phase-amplitude coupling (PAC) in early visual cortex and area MT. The central hypothesis is that aging alters both the magnitude and phase structure of alpha-gamma interactions, degrading visual performance; restoring a preferred configuration-gamma power nested at alpha troughs-should improve perception.

Multimodal methods combine structural/functional MRI, high-density EEG with source reconstruction, and individualized complex-waveform HD-tACS tuned to each participant's neuroanatomy and oscillatory frequencies. Three questions drive the work: (i) Do age-related deficits track changes in alpha-gamma PAC magnitude/phase? (ii) Can frequency-coupled HD-tACS enforce the preferred PAC configuration and enhance perception, especially in more impaired older adults? (iii) Is perception bidirectionally controllable by placing gamma at alpha troughs (facilitation) versus peaks (disruption)?

Two specific aims implement matched, five-day, within-subjects, double-blind, sham-controlled experiments with 120 participants each. Aim 1 targets early visual cortex to test whether contrast sensitivity deficits scale with age, spatial frequency, and noise, and whether personalized HD-tACS can optimize PAC to improve contrast perception. Aim 2 targets MT to test whether 3D shape-from-motion (parallax) judgments decline with age as a function of surface-point lifetime and simulated depth, and whether trough- versus peak-aligned stimulation can restructure PAC to enhance motion-based shape perception. Outcomes will establish mechanistic links between PAC and visual aging and evaluate a noninvasive, personalized intervention path relevant to age-related decline and ADRD.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18+ years of age or older
  • normal or corrected-to-normal visual acuity, color vision, and stereo vision

Exclusion criteria

  • not pregnant,
  • no metal implants in head,
  • no implanted electronic devices,
  • no history of neurological problems or head injury,
  • no skin sensitivity,
  • no claustrophobia,
  • no dementia (normal Mini Mental State Examination between 24-30; Montreal Cognitive Assessment > 25)
  • no depression (normal Beck Depression Inventory II <13; Geriatric Depression Scale < 10)
  • no ophthalmological diseases (e.g., strabismus, glaucoma, cataract, macular degeneration)
  • no history of psychosis
  • no cognitive deficits (MMSE score>24; MoCA>25)
  • cannot be taking any psychoactive medication.

Treatment and study plan

High definition transcranial electrical current stimulation

Device

Low-intensity and safe, noninvasive application of electrical current to the human scalp with the goal of gradually modulating levels of neuronal excitability.

Primary outcomes

  1. contrast sensitivity

    Time frame: Baseline (pre-stimulation) and immediately post-stimulation, collected on each of the 5 study days.

    Orientation identification task

  2. 3D structural-from-motion

    Time frame: Baseline (pre-stimulation) and immediately post-stimulation, collected on each of the 5 study days.

    surface point lifetime (unlimited, 12 and 2 successive views) on 3D discrimination task

  3. phase-amplitude coupling

    Time frame: Baseline (pre-stimulation) and immediately post-stimulation, collected on each of the 5 study days.

    alpha phase, gamma amplitude coupling (magnitude of coherency)

Study contacts

Contact information is provided by the study sponsor or research team.

Robert Reinhart, PhD

CONTACT

[email protected]

(617) 353-9481

Sponsors and collaborators

Lead sponsor

Boston University Charles River Campus

Other

Registry information

Official study title

Rescuing Visual Perception in Aging Adults by Restructuring the Alpha-Gamma Neural Code

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Oct 6, 2025
Registry last updated
Jul 16, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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