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CompletedNCT05757050Updated Mar 2, 2026

Mental Balance Study

An interventional study of Re-Focus "Verum" Tablets and Re-Focus "Placebo" Tablets in Mental Health Wellness 1 and Work Related Stress, sponsored by A. Vogel AG. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-02.

Sponsored by A. Vogel AG · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The proposed design is a randomised, double-blind, controlled, crossover intervention assessing the effects of an active intervention, containing Scutellaria baicalensis and Crataegus, versus placebo, on stress, cognition, sleep and wellbeing in healthy human volunteers. Outcome measures will be assessed acutely on day 1 and following 14 days of supplement consumption. Some interim outcome measures will also be assessed throughout the supplementation period to monitor sub-chronic changes

Read the detailed description

Participants will attend the laboratory on 5 occasions. The first visit will take place on day -2 (this is a minimum period and can take place a maximum of 14 days prior to the baseline lab visit. A training refresher will take place if 14 days is exceeded) and represents an in-person screening and training visit. (This takes place following an earlier telephone pre-screen where participants will confirm that they meet the study inclusion criteria, and not any of the exclusion criteria (performed separately, this refines the lab-based screening/training visit).) Here participants will provide written, informed consent, complete demographic and anthropometric measurements (BMI \& WHR) and be trained on the COMPASS cognitive tasks and study questionnaires.

If progressed through training/screening, participants will then return to the lab, on day 1, to complete their baseline lab visit for arm 1. This will take place at approximately 10:00 am, with participants having consumed their normal breakfast no later than 8:30 am that morning. Participants will first complete the PROM questionnaires and a baseline GSR reading (including a day-baseline saliva sample) will also be taken during this time. For the next 50 minutes, participants will complete the pre-dose COMPASS cognitive task battery and, after a short break, participants will complete the pre-dose OMS. At approximately 11:50 am, participants will consume their full daily treatment dose (2 tablets) along with a standardised lunch of a white bread cheese sandwich, packet of ready salted crisps, and a custard pot. After an hour-long 'absorption' period, participants will complete the post-dose COMPASS cognitive tasks and OMS and the testing day will be completed at approximately 2:30 pm.

Before leaving the lab, participants will be provided with their 14 (+/- the additional doses required for compliance and in case of delayed return for the chronic visit) days-worth of treatment, alongside a treatment diary to note down the time of treatment consumption each day. (The number of returned tablets on day 15, alongside reference to this treatment diary, will serve as the study compliance measures.) Participants will be advised to adhere to the following dosing regimen for each day going forward; 1 tablet in the morning, 1 in the evening, to be consumed 1 hour away from meals. On day 7 (+/- 2 days), participants will complete the PROM questionnaires, via survey, at home.

Participants will return to the lab on day 15 (+/- 2 days), following 14 full days of treatment, for the chronic lab visit for arm 1, and repeat the same procedure as day 1. A minimum 14-day washout period (with a maximum of 28 days) will then commence.

On day 30, participants will return to the lab for the baseline visit for arm 2 and repeat the same procedure as the acute arm 1 for visit. During the interim period, treatment will be consumed in the same way and, half-way through the dosing period (day 36 (+/- 2 days)) participants will complete the PROM questionnaires, via survey, at home.

On day 44 (+/- 2 days) participants will return to the lab for the chronic lab visit for arm 2, their final visit, which will be identical to the arm 1 chronic lab visit, with the exception that participants will be debriefed at the end of their visit and participant payment arranged. Here, participants will also be asked which treatment order they believed themselves to be on.

Please see figure 3 for the overall trial diagram and figure 4 for the procedure within the acute and chronic testing sessions.

02

Conditions studied

  • Mental Health Wellness 1
  • Work Related Stress

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03

In context

Occupational Stress

235 studies on the registry are indexed under Occupational Stress; 63 are open to participants now.

This study's enrollment of 36 is below the median of 89 across 167 interventional studies indexed under Occupational Stress.

Browse Occupational Stress studies →

Lead sponsor

A. Vogel AG is the lead sponsor of 15 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
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria:

  • 18-75

Exclusion Criteria:

    • If participant scores less 12, or less, on the Perceived Stress Scale

      • Have any pre-existing medical condition/illness which will impact taking part in the study

        * NOTE: the explicit exceptions to this are controlled hyper/hypothyroidism, hay fever, high cholesterol and reflux-related conditions

      • Are currently taking prescription medications

        *NOTE: the explicit exceptions to this are contraceptive treatments for female participants, thyroid medications, topical skin treatments and those medications used in the treatment of high cholesterol and reflux-related conditions; and those taken 'as needed' in the treatment of asthma and hay fever

      • Have high blood pressure (systolic over 159 mm Hg or diastolic over 99 mm Hg). NOTE: that we must measure this in the lab using our blood pressure monitors and can only use our measurements to assess eligibility rather than home or GP readings
      • Have a Body Mass Index (BMI) outside of the range 18.5-35 kg/m2
      • Are pregnant, seeking to become pregnant or lactating
      • Have learning and/or behavioural difficulties such as dyslexia or ADHD
      • Have a visual impairment that cannot be corrected with glasses or contact lenses (including colour-blindness)
      • Smoke tobacco or vape nicotine or use nicotine replacement products (if you have recently quit smoking or using replacements you must have stopped using them altogether for a period of 3 months before participating in this study)
      • Have excessive caffeine intake (>500 mg per day). Note: This will be calculated at screening but feel free to query this with the researcher prior to attendance
      • Have relevant food allergies/ intolerances/ sensitivities (Please discuss with researcher prior to attendance if you are unsure of relevance)
      • Have taken antibiotics within the past 4 weeks
      • Have taken dietary supplements e.g. vitamins, omega 3 fish oils etc. in the last 4 weeks (Note: participation is possible following a 4-week supplement washout prior to participating and for the duration of the study on the proviso that the supplements are taken are out of choice and are not medically prescribed or advised). Existing and consistent use of vitamin D supplements and protein shakes are permitted
      • Have any health condition that would prevent fulfilment of the study requirements (this includes non-diagnosed conditions for which no medication may be taken)
      • Are unable to complete all of the study assessments
      • Are currently participating in other clinical or nutrition intervention studies, or have in the past 4 weeks
      • Have been diagnosed with/ undergoing treatment for alcohol or drug abuse in the last 12 months
      • Have been diagnosed with/ undergoing treatment for a psychiatric disorder in the last 12 months, including a medical diagnosis of anxiety or depression.
      • Suffers from frequent migraines that require medication (more than or equal to 1 per month)
      • Have oral disease
      • Have any known active infections
      • Does not have a bank account (required for payment)
      • Are non-compliant with regards treatment consumption
05

Study design

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

Study arms

  • Experimental
    Re-Focus Tablets "Verum"

    The active intervention contains Scutellaria baicalensis (400 mg) and Crataegus (40 mg) and is in the form of a chewable tablet with a blood-orange flavour

    Dietary Supplement: Re-Focus "Verum" Tablets · Dietary Supplement: Re-Focus "Placebo" Tablets

  • Placebo comparator
    Re-Focus Tablets "Placebo"

    The placebo will be a matched control

    Dietary Supplement: Re-Focus "Verum" Tablets · Dietary Supplement: Re-Focus "Placebo" Tablets

Interventions

  • Dietary supplementRe-Focus "Verum" Tablets

    The active intervention contains Scutellaria baicalensis (400 mg) and Crataegus (40 mg) and is in the form of a chewable tablet with a blood-orange flavour

    Also known as: Verum

  • Dietary supplementRe-Focus "Placebo" Tablets

    The placebo will be a matched control.

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Change in Cognitive function - Cognitive domain factor score

    Speed of attention, accuracy of attention, speed of memory, accuracy of working memory, and accuracy of episodic memory measured by Computerised Mental Performance Assessment System (COMPASS, Northumbria University)

    Time frame: Prior to (baseline) and chronic (2 weeks) of intervention

  2. Change in Cognitive function - Cognitive domain factor score

    Speed of attention, accuracy of attention, speed of memory, accuracy of working memory, and accuracy of episodic memory measured by Computerised Mental Performance Assessment System (COMPASS, Northumbria University)

    Time frame: Prior to (baseline) and following acute (60 minutes post-dose) of intervention

Secondary outcomes

  1. Profile of Mood States (POMS)

    35-item measure, summed to create measures of vigour, tension, fatigue, depression, confusion, anger, friendliness and total mood disturbance

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  2. Perceived Stress Scale (PSS)

    10-item measure, summed to create a single value with higher scores indicating higher levels of stress

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  3. State-Trait Anxiety Inventory (STAI) - Trait subscale

    20 item measure, summed to create a measure of trait anxiety

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  4. World Health Organisation Quality of Life Questionnaire (WHOQOL-BREF)

    World Health Organisation Quality of Life Questionnaire (WHOQOL-BREF)

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  5. Subjective sleep continuity

    Perceived sleep continuity as assessed by subjective sleep diary (measuring: Sleep latency, time in bed, number of awakenings, wake after sleep onset, total sleep time, sleep efficiency, nocturnal physical tension, nocturnal psychological tension, sleep enjoyment and feelings of restedness)

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  6. Subjective sleep via Patient-Reported Outcome Measurement, Information System Sleep Disturbance scale (PROMIS-SD)

    8-item measure, summed to create a single value with higher scores indicating higher levels of sleep disturbance

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  7. Depression, Anxiety and Stress scale (DASS-21)

    21 item measure, summed to create 3 component scores; depression, anxiety and stress.

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  8. Visual Analogue Mood Scales (VAMS)

    18 visual analogue scales scored along a 100 mm line, combined to give an average score on 3 factors: Alertness, Tranquillity and Stress

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  9. Visual Analogue Scales (VAS)

    Visual analogue scales scored along a 100 mm line, including 'relaxed', 'stress', 'anxious', 'calm'

    Time frame: Prior to (baseline) and following 1 and 2 weeks of intervention

  10. Cognitive function - Individual cognitive task score

    Individual tasks include the following: Immediate word recall, numeric working memory, choice reaction time, Corsi blocks, Peg and ball, delayed word recall, delayed word recognition, delayed name to face recall, delayed picture recognition measured by COMPASS, Northumbria University

    Time frame: Prior to (baseline) and following acute (60 minutes post-dose) and chronic (2 weeks) intervention

  11. Cognitive function - Cognitively demanding tasks

    Cognitive function and mental fatigue during extended performance of cognitively demanding tasks (Cognitive Demand Battery, comprising serial 3s subtractions, serial 7s subtractions, rapid visual information processing task, and mental fatigue scale, repeated 3 times). Measured COMPASS, Northumbria University

    Time frame: Prior to (baseline) and following acute (60 minutes post-dose) and chronic (2 weeks) intervention

  12. Subjective stress reactivity - State-Trait Anxiety Inventory (STAI), State subscale

    20 item measure, summed to create a measure of subjective state anxiety. Measured as response to psychological stressor

    Time frame: Prior to (baseline) and following acute (120 minutes post-dose) and chronic (2 weeks) intervention

  13. Physiological stress reactivity - cortisol and a-amylase

    Measuring salivary cortisol and a-amylase to determine response to psychological stressor

    Time frame: Prior to (baseline) and following acute (120 minutes post-dose) and chronic (2 weeks) intervention

  14. Physiological stress reactivity - Galvanised skin response (GSR)

    Measuring galvanised skin response to psychological stressor

    Time frame: Prior to (baseline) and following acute (120 minutes post-dose) and chronic (2 weeks) intervention

  15. Physiological stress reactivity - Heart rate (HR)

    Measuring heart rate in response to psychological stressor

    Time frame: Prior to (baseline) and following acute (120 minutes post-dose) and chronic (2 weeks) intervention

  16. Cognitive function during psychological stressor

    Individual tasks include the following: serial 3s subtractions, serial 7s subtractions, serial 17s subtractions and a tracking task during psychological stressor

    Time frame: Prior to (baseline) and following acute (120 minutes post-dose) and chronic (2 weeks) intervention

  17. Visual Analogue Mood Scales (VAMS)

    18 visual analogue scales scored along a 100 mm line, combined to give an average score on 3 factors: Alertness, Tranquillity and Stress

    Time frame: Prior to (baseline) and following one dose (acute) at 60 minutes post-dose

  18. Visual Analogue Scales (VAS)

    Visual analogue scales scored along a 100 mm line, including 'relaxed' 'stress' 'anxious' 'calm'

    Time frame: Prior to (baseline) and following one dose (acute) at 60 minutes post-dose

07

Study locations

1 site
  • Northumbria University
    Newcastle upon Tyne, Tyne & Wear NE1 8ST, United Kingdom
08

References and documents

Publications

  • Dodd F, Weishaupt R, Katumba PKM, Elcoate R, Wightman E. Effects of a Scutellaria baicalensis/Crataegus laevigata, magnesium and chromium supplement on stressed individuals: A randomised, double-blind, placebo-controlled, crossover trial. J Psychopharmacol. 2025 Dec;39(12):1420-1436. doi: 10.1177/02698811251381261. Epub 2025 Nov 5. PubMed 41194549 ↗

Individual participant data

Plan to share: No — Pseudonymized and compiled data sheets only

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 2, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05757050
Lead sponsor
A. Vogel AG
Collaborators
University of Newcastle Upon-Tyne
Responsible party
Sponsor
First posted
Mar 7, 2023
Start date
Mar 9, 2023
Primary completion
Aug 21, 2023
Completion
Sep 21, 2023
Last update
Mar 2, 2026

Oversight

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

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