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CompletedNCT01847924NEURITESUpdated Jul 27, 2018

NEURoaid II (MLC 901) Assessment in Cognitively Impaired Not Demented Subjects

A Phase 2 interventional study of MLC901 and Placebo in Cognitive Impairment, sponsored by National University Hospital, Singapore. Completed at 5 sites in 3 countries. Open to participants aged 55 Years to 85 Years. Per ClinicalTrials.gov, last updated 2018-07-27.

Sponsored by National University Hospital, Singapore · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
103
Allocation
Randomized
Ages
55 Years to 85 Years
Sex
All
01

Study summary

Patients who have suffered from stroke may develop problems with thinking. Moreover, such patients have a high risk of becoming demented, more dependent or dying. Therefore, further studies are urgently needed to find effective and safe treatments.

Neuroaid is a Traditional Chinese Medicine which has been shown to stimulate growth of brain cells and connections in animals. Neuroaid may improve blood flow in the brain and functional recovery after stroke in patients. Neuroaid-II is a simplified formula with only the main 9 herbal ingredients of the original formula and no animal ingredients.

The NEURoaid II (MLC 901) assessment in cognitively Impaired not demented subjects: a pilot double blind, placebo-controlled randomized Trial on Efficacy and Safety (NEURITES) Study is a 24-week, early phase trial of Neuroaid-II in patients who have thinking problems after stroke. The study aims to investigate the effectiveness of the study drug in improving cognitive performance. The safety of the study drug will be closely monitored using adverse events, laboratory tests and vital signs.

The trial is important as it aims to set new standards for the scientific evaluation of Asian Traditional Medicine for integration into standard medicine practice. It may potentially establish a novel therapeutic approach for improving cognition after stroke.

Read the detailed description

A substantial proportion of patients after non-disabling stroke are cognitively impaired compared to aged and education matched community dwelling controls. Moreover, post-stroke patients who have vascular cognitive impairment not dementia (VCIND) of moderate severity have a high risk of incident dementia, dependency and death. Further studies are urgently needed to demonstrate effective cognition enhancing therapies in VCIND given the absence of evidence based treatment options.

Neuroaid is a Traditional Chinese Medicine which has been shown to induce neurogenesis, promote cell proliferation and stimulate development of axonal and dendritic networks in animal models. Neuroaid may improve functional recovery after stroke in patients. Neuroaid-II is a simplified formulation with only 9 herbal and no animal ingredients.

The NEURoaid II (MLC 901) assessment in cognitively Impaired not demented subjects: a pilot double blind, placebo-controlled randomized Trial on Efficacy and Safety (NEURITES) Study is a 24-week Phase II study. The primary outcome is executive function as measured by the Verbal Fluency test. Secondary outcomes include cognitive measures such as the ADAS-Cog, MoCA, MMSE and a Cognitive Battery; Activities of Daily Living as measured by the ADCS-ADL scale; behaviour as measured by the Neuropsychiatric Inventory and depression as measured by the Geriatric Depression Scale and Beck Depression Scale. Safety and tolerability will be assessed using adverse events, laboratory tests, and vital signs.

The trial is important for translational medicine in Singapore through setting new standards for systematic evaluation of Traditional Medicine for integration into standard medicine practice

02

Conditions studied

  • Cognitive Impairment
03

In context

Cognitive Dysfunction

3,843 studies on the registry are indexed under Cognitive Dysfunction; 1,100 are open to participants now.

This study's enrollment of 103 is above the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

National University Hospital, Singapore is the lead sponsor of 444 studies on the registry; 96 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
55 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male and female patients
  2. Aged 55 to 85, living with a caregiver,
  3. Modified Rankin score \<=3.
  4. Diagnosis of CIND due to cerebrovascular disease.
  5. Cognitive impairment documented by neuropsychological evaluation within 12 months of index stroke/TIA. Not demented by DSM-IV criteria
  6. Written informed consent by subject

Exclusion criteria

Exclusion Criteria:

  1. Advanced, severe, and unstable disease of any type that may interfere with the efficacy evaluations or put the subject at special risk.
  2. DSM IV current diagnosis of dementia or major depression (patients may be included if currently being treated on an antidepressant and stabilized after 3 months).
  3. A disability that may prevent the subject from completing all study requirements (e.g. blindness, deafness, severe language difficulty).
  4. Ingestion of any of the following : an investigational drug in the past four weeks, a drug or treatment known to cause major organ system toxicity during the past four weeks, acetylcholinesterase inhibitors or memantine in the past 3 months
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
103 participants (actual)

Study arms

  • Active comparator
    MLC901

    Brand: Neuroaid II. Dosage: 2 capsules 3 times a a day

    Drug: MLC901

  • Placebo comparator
    placebo

    MLC901 matching placebo made by the same manufacturer for this study dosage: 2 capsules 3 times a day.

    Drug: Placebo

Interventions

  • DrugMLC901

    24 weeks intervention with orally MLC901. 2 capsules 3 times a day

    Also known as: NeuroaidII (MLC901)

  • DrugPlacebo

    24 weeks intervention with orally placebo. 2 capsules 3 times a day

    Also known as: MLC901 matched Placebo

06

What researchers measure

Primary outcomes

  1. Comparative change on executive function

    To evaluate the comparative change from baseline with MLC901 and placebo on executive function in patients with cognitive impairment not dementia due to cerebrovascular disease, as measured by: Verbal Fluency and Colour Trails Test 1 \& 2

    Time frame: Baseline to 24th week(24 week)

Secondary outcomes

  1. Comparative change on cognitive function

    To evaluate the comparative change from baseline with Neuroaid and placebo on cognitive function, as measured by: ADAS-Cog MoCA Cognitive Battery (Symbol Digits Modalities Test, Maze, Digit Cancellation Test, Clock Drawing Test, Visual Memory Test and Frontal Assessment Battery)

    Time frame: Baseline to 24th week(24 week)

  2. Effects on activities of daily living

    To evaluate the effects of Neuroaid on activities of daily living by : Alzheimer's Disease Cooperative Study Activities of Daily Living (ADCS-ADL) scale for mild cognitive impairment (MCI)

    Time frame: Baseline to 24th week(24 week)

  3. Effects on behaviour

    To evaluate the effects of Neuroaid on behaviour by : Neuropsychiatric Inventory (NPI)

    Time frame: Baseline to 24th week(24 week)

  4. Effects on depression

    To evaluate the effects of Neuroaid on depression by : Geriatric Depression Scale (GDS)

    Time frame: 24 week

  5. Adverse events, laboratory tests, and vital signs.

    To evaluate the safety and tolerability of ML901 for 24 weeks of treatment, in comparison with placebo. Safety will be assessed using adverse events, laboratory tests, and vital signs.

    Time frame: Baseline to 24th week(24 week)

07

Study locations

5 sites
  • University of Santo Tomas Hospital
    Manila City, Metro Manila 1015, Philippines
  • National University Hospital
    Singapore, 119074, Singapore
  • Singapore General Hospital
    Singapore, 169608, Singapore
  • National Neuroscience Institute
    Singapore, 308433, Singapore
  • National Geriatric Hospital
    Hanoi, Vietnam
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01847924
Lead sponsor
National University Hospital, Singapore
Responsible party
Sponsor
First posted
May 7, 2013
Start date
Mar 2013
Primary completion
Apr 2018
Completion
Apr 2018
Last update
Jul 27, 2018

Study contacts

Christopher LH Chen, FRCP
principal investigator · National University Hospital, Singapore

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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