CClinicalTrials.gg
CompletedNCT03825042BLAtwelveUpdated Jul 27, 2020Results posted

Effect of an Antioxidants Mix on Cognitive Performance and Well Being: The Bacopa, Licopene, Astaxantina, Vitamin B12

An interventional study of A mix of bioactive natural compounds and Placebo in Cognitive Dysfunction, sponsored by A. Menarini Industrie Farmaceutiche Riunite S.r.l.. Completed at 1 site in Italy. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2020-07-27.

Sponsored by A. Menarini Industrie Farmaceutiche Riunite S.r.l. · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year after the study started (first participant enrolled Jan 2018, registered Jan 2019).
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

Nine-weeks double-blind, randomized, placebo-controlled, parallel-arm superiority study.

The aim of this study is to evaluate the influence of a mix of four bioactive compounds - bacopa, lycopene, astaxanthin and vitamin B12 - on cognitive performance, mood state and well-being in subjects aged ≥ 60 years with no evidence of cognitive dysfunction.

The primary objective of the study is to evaluate the changes in Trial Making Test (TMT) scores from baseline (V2) to 8 weeks of treatment (V4), analyzed in the following hierarchical order: TMT-B, TMT-A and TMT B-A.

Secondary objectives of this study are to evaluate changes from baseline (V2) to 8 weeks of treatment (V4) in Verbal Fluency Test (VFT) score, Montreal Cognitive Assessment (MoCA) score, Mini Mental State Examination (MMSE) score, Rey Auditory Verbal Learning Test (AVLT), psychological well-being as assessed by General Health Questionnaire (GHQ-12), mood states as assessed by the Profile of Mood Stated (POMS), sexual satisfaction as evaluated by the New Sexual Satisfaction Scale (NSSS).

Changes of metabolic parameters from baseline (V2) to 4 weeks of treatment (V3) and from baseline (V2) to 8 weeks of treatment (V4) will be also evaluated as secondary objectives (glucose, insulin, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides, uric acid).

Changes of plasma markers of oxidative stress from baseline (V2) to 4 weeks of treatment (V3) and from baseline (V2) to 8 weeks of treatment (V4) will be evaluated as secondary objectives (8-iso-Prostaglandin F2alpha, Plasma malondialdehyde).

Finally the safety and tolerability of the study product will be assessed.

Read the detailed description

The study has been conducted in 1 Italian clinical site and involved 80 subjects.

Subjects will be randomly allocated to one of the following groups:

  • Group I: mix of the four bioactive compounds (bacopa, lycopene, astaxanthin and vitamin B12), once a day for 8 weeks per os;
  • Group II: placebo, once a day for 8 weeks per os.

The study is double blind. Neither the study staff at clinical sites (Investigators, nurses, pharmacist) nor the subject was aware of the treatment assigned.

Each participant attended 4 visits over a total period of about 9 weeks.

02

Conditions studied

  • Cognitive Dysfunction
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 80 is above the median of 65 across 2,808 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

A. Menarini Industrie Farmaceutiche Riunite S.r.l. is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
60 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Subjects aged ≥60 years.
  2. Subjects who provide written Informed Consent to the study.

Exclusion criteria

Exclusion Criteria:

  1. Subjects with cognitive dysfunctions or clinically significant coexisting medical conditions (cardiovascular disease, cerebrovascular events, overt dementia defined by MMSE \<27 or other neurological disorders, thyroid disorders, or inflammatory diseases)
  2. Subjects with a score on the Geriatric Depression Scale (GDS) >11 in order to avoid confounding due to the influence of concomitant depression on the performance on cognitive tests
  3. Current smokers
  4. Habitual users of antioxidant supplements (including vitamins C and E)
  5. Habitual consumers of chocolate or other cocoa products (daily consumption of any amount)
  6. Subjects under treatments with medications known to have antioxidant properties (including statins and glitazones) or to interfere with cognitive functions (including benzodiazepines and antidepressants)
  7. Subjects with hypersensitivity to any component of the study medications
  8. Subjects who are participating in or having participated in another clinical trial within the previous three months.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    Food supplement

    A mix of bacopa, lycopene, astaxanthin and vitamin B12 Dosage form: tablets Dosage: 1 tablet/die Duration: 8 weeks

    Dietary Supplement: A mix of bioactive natural compounds

  • Placebo comparator
    Placebo

    Inactive compound Dosage form: tablets Dosage: 1 tablet/die Duration: 8 weeks

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementA mix of bioactive natural compounds

    A mix of bacopa, lycopene, astaxanthin and vitamin B12 in oral tablets

  • Dietary supplementPlacebo

    Inactive compound in oral tablets

06

What researchers measure

Primary outcomes

  1. Change in Trail Making Test (TMT) B Between Baseline and End of Treatment

    Change in Trail Making Test (TMT) B scores from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

    Time frame: 8 weeks - from baseline to end of study

  2. Change Trail Making Test (TMT) A Between Baseline and End of Treatment

    Change in Trail Making Test (TMT) A scores from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

    Time frame: 8 weeks - from baseline to end of study

  3. Change in Trail Making Test (TMT) B - Trail Making Test (TMT) A Between Baseline and End of Treatment

    Change in Trail Making Test (TMT) B score minus Trail Making Test (TMT) A score from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

    Time frame: 8 weeks - from baseline to end of study

07

Results

Posted Jul 27, 2020

Participant flow

The recruitment period started on January 2018 and terminated on October 2018. A total of 80 subjetcs have been randomization and 78 completed the study. Each subject has been involved in the study for approximately two months. A total of 4 study visits has been performed for each subject.

Participant flow — Overall Study
MilestoneFood SupplementPlacebo
Started4040
Completed3840
Not completed20
Withdrew: Adverse event10
Withdrew: Withdrawal by subject10

Outcome measures

PrimaryChange in Trail Making Test (TMT) B Between Baseline and End of Treatment

Change in Trail Making Test (TMT) B scores from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

Time frame:
8 weeks - from baseline to end of study
Reported as:
Mean · seconds
Change in Trail Making Test (TMT) B Between Baseline and End of Treatment
secondsFood SupplementPlacebo
Change in Trail Making Test (TMT) B Between Baseline and End of Treatment-17.63 ± 18.933.46 ± 13.08
Statistical analysis
  • Food Supplement vs Placebo · ANCOVA · p = 0.0000 · Mean difference (final values): -21.01 · 95% CI -26.80 to -15.20
PrimaryChange Trail Making Test (TMT) A Between Baseline and End of Treatment

Change in Trail Making Test (TMT) A scores from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

Time frame:
8 weeks - from baseline to end of study
Reported as:
Mean · seconds
Change Trail Making Test (TMT) A Between Baseline and End of Treatment
secondsFood SupplementPlacebo
Change Trail Making Test (TMT) A Between Baseline and End of Treatment-6.86 ± 10.00-0.37 ± 5.31
Statistical analysis
  • Food Supplement · ANCOVA · p = 0.0000 · Mean difference (final values): -6.08 · 95% CI -8.45 to -3.61
PrimaryChange in Trail Making Test (TMT) B - Trail Making Test (TMT) A Between Baseline and End of Treatment

Change in Trail Making Test (TMT) B score minus Trail Making Test (TMT) A score from baseline (V2) to 8 weeks of treatment (V4). The reduction in the number of seconds the patients take to make the test after the study treatment means an improvement in cognitive functions.

Time frame:
8 weeks - from baseline to end of study
Reported as:
Mean · seconds
Change in Trail Making Test (TMT) B - Trail Making Test (TMT) A Between Baseline and End of Treatment
secondsFood SupplementPlacebo
Change in Trail Making Test (TMT) B - Trail Making Test (TMT) A Between Baseline and End of Treatment-10.46 ± 16.623.84 ± 11.65
Statistical analysis
  • Food Supplement vs Placebo · ANCOVA · p = 0.0000 · Mean difference (final values): -14.56 · 95% CI -20.02 to -9.11

Adverse events

Collected over 8 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Food Supplement0/40 (0%)1/40 (2.5%)1/40 (2.5%)
Placebo0/40 (0%)0/40 (0%)0/40 (0%)
Most frequent serious events
Most frequent serious events
EventFood SupplementPlacebo
Hepatitis EInfections and infestations1/400/40
Most frequent other events
Most frequent other events
EventFood SupplementPlacebo
SinusitisRespiratory, thoracic and mediastinal disorders1/400/40

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Food SupplementPlaceboTotal
<=18 years000
Between 18 and 65 years373976
>=65 years314
Age, Continuous
Age, Continuous(years)Food SupplementPlaceboTotal
Mean61.88 ± 1.3662.05 ± 1.5561.96 ± 1.45
Sex: Female, Male
Sex: Female, Male(Participants)Food SupplementPlaceboTotal
Female282755
Male121325
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Food SupplementPlaceboTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American000
White404080
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Food SupplementPlaceboTotal
Italy404080
Trial Making Test (TMT) A
Trial Making Test (TMT) A(seconds)Food SupplementPlaceboTotal
Mean25.17 ± 10.5324.20 ± 7.3724.68 ± 8.95
Trial Making Test (TMT) B
Trial Making Test (TMT) B(seconds)Food SupplementPlaceboTotal
Mean56.97 ± 25.3754.64 ± 21.3055.80 ± 23.33
08

Study locations

1 site
  • U.O.C. Geriatria e Lungodegenza - P.O. SS Filippo e Nicola di Avezzano
    Avezzano, L'Aquila 67051, Italy
09

References and documents

Study documents

  • Statistical analysis plan · Feb 11, 2018
  • Study protocol · Oct 9, 2017

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03825042
Lead sponsor
A. Menarini Industrie Farmaceutiche Riunite S.r.l.
Responsible party
Sponsor
First posted
Jan 31, 2019
Start date
Jan 23, 2018
Primary completion
Oct 29, 2018
Completion
Oct 29, 2018
Results posted
Jul 27, 2020
Last update
Jul 27, 2020

Study contacts

Giovambattista GD Desideri
principal investigator · U.O.C. Geriatria e Lungodegenza - P.O. SS Filippo e Nicola di Avezzano

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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