ClinicalTrials.gg
CompletedNCT07533045EPXUpdated Apr 16, 2026

Effects of Paraxanthine Supplementation on eSport Performancre

An interventional study of Placebo and Paraxanthine in Cognitive Function and Gaming Performance, sponsored by Lindenwood University. Completed at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Lindenwood University · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Registered 4 years 9 months after the study started (first participant enrolled Jun 2021, registered Apr 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

This study will evaluate the effects of daily paraxanthine supplementation on electronic gaming performance, cognitive function, sleep quality, and autonomic responses in healthy adult gamers. Participants will be enrolled in a randomized, double-blind, placebo-controlled, parallel-group study and assigned to receive either paraxanthine or placebo daily for 6 weeks.

Outcome measures will be assessed at baseline, Week 3, and Week 6 and will include electronic gaming performance, cognitive function, visual analog scale ratings, sleep quality questionnaires, hemodynamic responses, and heart rate variability. The study is designed to determine whether paraxanthine supplementation improves performance and selected physiological and psychological outcomes during prolonged electronic gaming sessions.

Read the detailed description

Electronic gaming has grown substantially in popularity, with increasing interest in strategies that may improve performance, cognitive function, sleep quality, and stress management. Despite this growth, there is limited controlled research evaluating nutritional interventions that may influence gaming-specific performance and associated physiological responses.

Paraxanthine is a primary metabolite of caffeine and has been shown to exhibit physiological effects related to alertness, cognitive performance, and central nervous system activity. However, limited research has evaluated the direct effects of paraxanthine supplementation on performance outcomes in electronic gaming environments.

This study is a randomized, double-blind, placebo-controlled, parallel-group trial designed to examine the effects of paraxanthine supplementation on electronic gaming performance and associated cognitive, psychological, and physiological responses. Participants will be assigned to receive paraxanthine or placebo daily for 6 weeks. All participants and study personnel involved in testing and outcome assessment will remain blinded to group assignment throughout the study.

Following screening and informed consent, eligible participants will complete a familiarization session to practice cognitive testing procedures and become oriented to the gaming environment. Participants will complete testing visits at baseline (Week 0), Week 3, and Week 6. Prior to each visit, participants will replicate their dietary intake for 24 hours, maintain their normal caffeine intake pattern, avoid non-habitual stimulants for 48 hours, limit caffeine intake within 3 hours of testing, and complete a 3-hour fast.

At each visit, participants will undergo assessment of body mass, resting heart rate, and blood pressure, followed by completion of sleep questionnaires, cognitive testing, and visual analog scales. After ingestion of the assigned supplement, participants will complete heart rate variability assessment and then perform two standardized 60-minute gaming sessions. Cognitive outcomes, hemodynamic responses, and subjective measures will be reassessed after each gaming period. Heart rate variability will also be assessed following completion of the gaming session.

Electronic gaming performance will be assessed using standardized gameplay metrics collected during each session. Cognitive function will be evaluated using validated neurocognitive tests, and sleep quality will be assessed using standardized questionnaires. Autonomic function will be evaluated using heart rate variability measures.

The primary objective of this study is to determine whether paraxanthine supplementation improves electronic gaming performance, cognitive function, and subjective measures of fatigue, concentration, and focus compared with placebo. Secondary objectives include evaluating the effects of supplementation on sleep quality, heart rate variability, and hemodynamic responses.

02

Conditions studied

  • Cognitive Function
  • Gaming Performance
03

In context

Lead sponsor

Lindenwood University is the lead sponsor of 29 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 - 40 years of age
  • Self-reported to be beginners to gaming or have no experience at all
  • between 18.5 - 29.9 kg/m2

Exclusion criteria

Exclusion Criteria:

  • Outside of age range
  • Is considered a gamer
  • is outside of posted inclusion range
  • Noncompliance with protocol
  • Women who are currently pregnant or are actively planning to become pregnant
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Placebo comparator
    Placebo Comparator

    Participants assigned to this group will ingest a placebo supplement daily for 6 weeks. All participants will complete identical testing procedures at baseline (Week 0), Week 3, and Week 6.

    Dietary Supplement: Placebo

  • Experimental
    Paraxanthine

    Participants assigned to this group will ingest paraxanthine daily for 6 weeks. All participants will complete identical testing procedures at baseline (Week 0), Week 3, and Week 6.

    Dietary Supplement: Paraxanthine

Interventions

  • Dietary supplementPlacebo

    Participants will ingest a placebo supplement daily for 6 weeks. The supplement will be consumed with approximately 8 ounces of water at a consistent time each day.

  • Dietary supplementParaxanthine

    Participants will ingest paraxanthine daily for 6 weeks. The supplement will be consumed with approximately 8 ounces of water at a consistent time each day.

06

What researchers measure

Primary outcomes

  1. Gaming Performance Score

    Electronic gaming performance will be assessed using standardized gameplay metrics collected during 60- and 120-minute gaming sessions. Primary variables include knock-outs, falls, damage given, damage taken, hit percentage, and peak damage.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  2. Trail Making Test Part A (Completion Time)

    Cognitive processing speed and visual attention will be assessed using Trail Making Test Part A, including total time to completion.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  3. Trail Making Test Part B (Completion Time)

    Cognitive processing speed and visual attention will be assessed using Trail Making Test Part B, including total time to completion.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  4. Trail Making Test Part A (Errors)

    Cognitive processing speed and visual attention will be assessed using Trail Making Test Part A, including total number of errors.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  5. Trail Making Test Part B (Errors)

    Cognitive processing speed and visual attention will be assessed using Trail Making Test Part B, including total number of errors.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  6. Stroop Color and Word Test Performance

    Cognitive performance will be assessed using the Stroop Color and Word Test, including response time and accuracy.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  7. Profile of Mood States (POMS) Total Mood Disturbance Score

    Mood state will be assessed using the Profile of Mood States questionnaire, with calculation of total mood disturbance score.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  8. Pittsburgh Sleep Quality Index (PSQI) Score

    Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI) global score.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

  9. Heart Rate Variability (HRV)

    Autonomic function will be assessed using heart rate variability metrics including RMSSD, high-frequency power, low-frequency power, and LF:HF ratio.

    Time frame: Time Frame: Change from baseline (Week 0) to Week 6

07

Study locations

1 site
  • Lindenwood University Exercise and Performance Nutrition Laboratory
    Saint Charles, Missouri 63301, United States
08

References and documents

Individual participant data

Plan to share: No

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 Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07533045
Lead sponsor
Lindenwood University
Responsible party
Sponsor
First posted
Apr 16, 2026
Start date
Jun 15, 2021
Primary completion
Apr 14, 2025
Completion
Apr 14, 2025
Last update
Apr 16, 2026

Study contacts

Chad M Kerksick, PhD
principal investigator · Lindenwood University

Oversight

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

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Studies of the drug tested here: Paraxanthine

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