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CompletedNCT05921266Updated Jun 26, 2025

Urolithin A Supplementation in Middle-aged Adults With Obesity

An interventional study of Urolithin A and Placebo in Obesity, Vascular Dementia and Cognitive Impairment, sponsored by University of Oklahoma. Completed at 1 site in United States. Open to participants aged 40 Years to 64 Years. Per ClinicalTrials.gov, last updated 2025-06-26.

Sponsored by University of Oklahoma · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
40 Years to 64 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn about the effect of urolithin A, a dietary supplement, on blood flow in middle-aged adults with obesity. The main question it aims to answer is:

- Does urolithin A supplementation improve blood flow in large and small blood vessels in middle-aged adults with obesity?

Participants will be asked to:

  • Take the dietary supplement daily for 4 weeks
  • Attend two study visits to have their blood vessels checked, answer questionnaires, and give a sample of blood

Researchers will compare people who took the dietary supplement with others who took a placebo to see if the blood flow in the blood vessels improved.

Read the detailed description

This study aims to measure the effect of urolithin A supplementation on endothelial function, cerebral blood flow regulation, and serum biomarkers of NO bioavailability and mitochondrial function in middle-aged adults with obesity. Briefly, 54 adults aged 40-64 years of age with a body mass index equal to or greater than 30 kg/m2 will be recruited to participate in a double-blind placebo-controlled parallel study for 4 weeks. Participants will be randomly assigned to intervention or control group. Those in the intervention group will consume 1,000 mg of urolithin A daily in the form of softgel capsules, whereas those in the control group will consume a placebo. Data collection will occur at baseline (day 0) and endpoint (day 28). The investigators will compare outcomes between control and intervention group. Researchers expect that urolithin A supplementation in middle-aged adults with obesity improves endothelial function and cerebral blood flow regulation, and that this improvement is accompanied by changes in biomarkers of NO bioavailability and mitochondrial function.

02

Conditions studied

  • Obesity
  • Vascular Dementia
  • Cognitive Impairment

Keywords

  • Obesity
  • Urolithin A
  • Middle aged
  • Flow-mediated dilation
  • Endothelial function
  • fNIRS
  • Nitric oxide
  • Vascular contributions to cognitive impairment and dementia
03

In context

Obesity

6,296 studies on the registry are indexed under Obesity; 1,692 are open to participants now.

This study's enrollment of 50 is below the median of 78 across 4,878 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

University of Oklahoma is the lead sponsor of 424 studies on the registry; 99 are open to participants now.

Of its 42 completed or terminated interventional studies of FDA-regulated products, 16 (38%) have results posted.

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

04

Who can participate

Ages eligible
40 Years to 64 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age: 40-64 years old, inclusive
  • Obesity [BMI ≥30 kg/m2]
  • Ability to read, write, and speak English
  • Competence to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Pregnant or breastfeeding women, or women who intend to become pregnant within the study period
  • History of uncontrolled hypertension
  • History of uncontrolled type 1 or type 2 diabetes mellitus
  • Significant cardiac disease or chest pain in the last 6 months
  • History of untreated depression or anxiety
  • History of cognitive impairment
  • History of uncontrolled significant GI disease (e.g., IBS, Crohn's disease)
  • Allergy or intolerance to one or more of the intervention components
  • Undergoing treatment for active cancer
  • History of neurodegenerative disorders (e.g., multiple sclerosis)
  • Presence of any condition affecting swallowing ability
  • Any other medical condition that the investigators deem would adversely affect the participant's safety or ability to complete the study
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Intervention

    Dietary Supplement: Urolithin A

  • Placebo comparator
    Control

    Other: Placebo

Interventions

  • Dietary supplementUrolithin A

    Participants in the intervention group will receive 500 mg of urolithin A twice daily for 4 weeks (1,000 mg daily in total). The supplement will be administered in the form of softgels (4 softgels daily).

  • OtherPlacebo

    Participants in the control group will receive 0 mg of urolithin A twice daily for 4 weeks. The placebo will be administered in the form of inactive capsules (4 capsules daily).

06

What researchers measure

Primary outcomes

  1. Change in arterial function and local stiffness

    Flow-mediated dilation

    Time frame: Baseline (day 0) and endpoint (day 28)

Secondary outcomes

  1. Change in blood flow on the surface of the hand

    Laser speckle contrast imaging

    Time frame: Baseline (day 0) and endpoint (day 28)

  2. Change in reactive hyperemia index

    EndoPAT

    Time frame: Baseline (day 0) and endpoint (day 28)

  3. Change in homeostatic cerebral blood flow

    Functional near-infrared spectroscopy

    Time frame: Baseline (day 0) and endpoint (day 28)

  4. Change in plasma biomarkers of NO homeostasis

    Asymmetrical dimethylarginine

    Time frame: Baseline (day 0) and endpoint (day 28)

  5. Change in plasma biomarkers of NO homeostasis

    Endothelin-1

    Time frame: Baseline (day 0) and endpoint (day 28)

  6. Change in plasma biomarkers of NO homeostasis

    Bioactive nitrogen oxides

    Time frame: Baseline (day 0) and endpoint (day 28)

  7. Change in plasma biomarkers of mitochondrial function

    Acylcarnitines

    Time frame: Baseline (day 0) and endpoint (day 28)

Other outcomes

  1. Body weight

    Time frame: Baseline (day 0) and endpoint (day 28)

  2. Body fat percentage

    Bioelectric impedance

    Time frame: Baseline (day 0) and endpoint (day 28)

  3. Waist circumference

    Time frame: Baseline (day 0) and endpoint (day 28)

07

Study locations

1 site
  • Translational GeroScience Laboratory - O'Donoghue Research Building
    Oklahoma City, Oklahoma 73117, United States
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Icf

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05921266
Lead sponsor
University of Oklahoma
Responsible party
Sponsor
First posted
Jun 27, 2023
Start date
Oct 2, 2023
Primary completion
May 14, 2025
Completion
May 14, 2025
Last update
Jun 26, 2025

Study contacts

Andriy Yabluchanskiy, MD, PhD
principal investigator · University of Oklahoma Health Science Center

Oversight

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

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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