NCT03876314 · COMPLETED

Physical Activity, Alzheimer's Disease and Cognition Relative to APOE Genotype

This trial is testing whether a structured physical activity program improves cognitive performance in middle-aged adults (40-65) who have a family history of Alzheimer's but no current cognitive impairment. Researchers are specifically examining whether APOE4 status changes how much someone benefits from exercise. It is a Phase NA behavioral trial — meaning it tests a lifestyle intervention, not a drug, and is focused on learning whether the approach works and for whom.

You may qualify if

  • Family History of Alzheimer's disease, cognitive impairment
  • Able to communicate in English
  • Not currently meeting recommendations for physical activity (the recommendations are to exercise 3 days/week for 30+ minutes per day for longer than 3 months)
  • Willing to be randomized to either study condition
  • Willing to complete all study activities for 1 year

You're excluded if

  • Meet the criteria for clinical cognitive impairment
  • Unable to perform physical activity due to known cardiovascular, metabolic, or renal disease and are symptomatic or due to orthopedic limitations
  • Self-report history of confounding neurologic, psychiatric, or active severe or functionally disabling neurologic or medical diseases, or any other conditions that might limit exercise or pose a danger to the patient
  • Current use of medications to treat symptoms of Alzheimer's disease, that adversely affect cognition, or that impact heart rate
  • Meet the criteria for depression using the short form of the Center for Epidemiological Studies Depression Scale
  • Traveling for an extended period (>1 month) during the course of the study

The sponsor's own eligibility wording, lightly reformatted. The study team makes the final eligibility decision — worth discussing with your doctor.

Eligibility criteria as of 2025-04-03

View full record on ClinicalTrials.gov

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