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RecruitingNCT07574359RUSS-AGEUpdated May 7, 2026

RUSS-AGE: Creating of a Biological Age Calculator and Study of Aging Phenotypes in the Russian Population

An observational study in Healthy Aging and Biomarkers, sponsored by Pirogov Russian National Research Medical University. Recruiting at 1 site in Russia. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-07.

Sponsored by Pirogov Russian National Research Medical University · Observational

From the registry’s dates

  • Started Jan 2023; still recruiting 3 years 9 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
3,500
Ages
18 Years and older
Sex
All
01

Study summary

This is a multi-center, cross-sectional, observational study aimed at developing biological age calculators specifically for the Russian population investigating various aging phenotypes.

Aging is a complex process that varies greatly between individuals, meaning that chronological age does not always reflect one's biological health status. The primary goal of this study is to identify and analyze a comprehensive set of markers (including socioeconomic factors, lifestyle, physical parameters, cognitive function, and laboratory biomarkers) that best reflect the aging process. Using this data, researchers will create a mathematical model to estimate a person's "biological age."

The study plans to enroll at least 3,500 male and female volunteers aged 18 years and older from across Russia. Participants will be divided into 5-year age groups (e.g., 18-24, 25-29, up to 90+ years) to ensure broad representation.

Participation involves a single visit to a clinical center. During this visit, participants will undergo:

Interview and questionnaires (assessing health history, lifestyle, socioeconomic status, diet, sleep, and quality of life).

Physical examination and anthropometric measurements (height, weight, blood pressure, grip strength).

Functional and cognitive tests (e.g., walking speed, balance tests, memory and attention tasks tailored to age).

Collection of biomaterials: blood (50 ml), urine, and stool samples for extensive laboratory analysis, including routine tests and specialized aging biomarkers. Part of the biomaterials will be biobanked for future scientific research.

Instrumental examinations for a subset of participants: Depending on the center's capabilities and the study protocol, some participants may also undergo additional assessments such as densitometry (bone density scan), bioimpedance analysis (body composition), and brain MRI.

The results are expected to lead to the creation of a validated biological age calculator for the Russian population. This tool could help identify targets for interventions to promote healthy aging and, in the future, potentially predict the risk of developing age-related chronic diseases.

Read the detailed description

Background and Rationale Chronological age is an imprecise measure of an individual's functional health and aging trajectory. Biological age, an integrative measure of systemic physiological state, is a more accurate predictor of age-related morbidity and mortality. While multiple biomarkers and models for estimating biological age exist, they are primarily derived from non-Russian populations and may not account for region-specific genetic, lifestyle, and environmental factors. The RUSS AGE study aims to address this gap by establishing a comprehensive, population-specific biological age calculator for the Russian population.

Primary Objectives To develop and validate a mathematical model (calculator) for estimating biological age in the Russian adult population based on a multidimensional panel of biomarkers, clinical parameters, and functional assessments.

Secondary Objectives

  • To characterize aging phenotypes (profiles) across different adult age groups (from 18 to 90+ years) in Russia.
  • To analyze the associations between socio-economic status, lifestyle factors, health history, and the rate of biological aging.
  • To establish a biobank of blood, serum, plasma, and urine samples for future research on aging mechanisms.
  • To identify potential targets for geroprotective interventions and lay the groundwork for future prospective studies on predicting age-associated disease risk.

Study Design This is a multi-center, cross-sectional, observational study. The study involves several visits per participant, with no interventional procedures. Data and biospecimen are collected to create a reference database and develop the predictive model. Some participants will be re-enrolled in the study with repeated data collection

Methodology Overview

Data collection is structured into comprehensive domains to capture the multifactorial nature of aging:

  • Sociodemographic \& Clinical History: Collected via detailed questionnaires covering socio-economic status, lifetime risk factors, medical history (chronic and past diseases), and medication use.
  • Functional \& Physical Assessment:

Physical Exam \& Anthropometry: Height, weight, BMI, waist/hip circumference, blood pressure, resting heart rate.

  • Physical Function: Handgrip strength (dynamometry), the 5-times sit-to-stand test and balance tests. For those 65+, the Short Physical Performance Battery (SPPB) is used.
  • Functional Independence: For participants aged 65+, the Barthel Index of basic activities of daily living is assessed.

    *Cognitive \& Psychological Assessment:

  • Cognitive Status: Age-tailored tests including the Stroop test, Digit Symbol Substitution Test (DSST) and Trail Making Test; the Montreal Cognitive Assessment (MoCA) for those 40+; and the Mini-Mental State Examination (MMSE) for those 90+.
  • Emotional State: Assessed using the Hospital Anxiety and Depression Scale (HADS). Sleep quality is evaluated with the Insomnia Severity Index (ISI).

    • Patient-Reported Outcomes: Quality of life is measured using the SF-12 questionnaire. Nutritional status is evaluated via a study-specific dietary questionnaire.
    • Laboratory \& Biomarker Analysis: Fasting blood, stool and urine samples are collected. Core analyses include complete blood count with differential, clinical biochemistry (lipid profile, liver and kidney function, glucose, etc.), urine tests and 16S rRNA sequencing of stool samples

Data Analysis \& Modeling:

Statistical analysis will involve descriptive statistics and inter-group comparisons across age strata. The core analytical task will employ advanced machine learning and statistical modeling techniques (e.g., deep learning approaches, regression models) to integrate the multidimensional data (clinical, functional, cognitive, laboratory) and derive a composite index of biological age. The model's development and validation will adhere to standard practices for predictive analytics.

Governance:

The study is coordinated by the Russian Gerontological Research and Clinical Center (RGNKC), a division of the Pirogov Russian National Research Medical University. All procedures will be conducted in accordance with the Declaration of Helsinki, ICH Good Clinical Practice guidelines, and relevant Russian regulatory requirements, following approval by the appropriate Independent Ethics Committee.

02

Conditions studied

  • Healthy Aging
  • Biomarkers

Keywords

  • biological age
  • aging biomarkers
  • aging clock
  • biological age calculator
  • phenotypic age
  • aging phenotype
  • healthy aging
  • machine learning in aging
03

In context

Lead sponsor

Pirogov Russian National Research Medical University is the lead sponsor of 57 studies on the registry; 15 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

The study cohort comprises a nationally representative sample of the general Russian adult population. We plan to enroll at least 3,500 volunteers (targeting a 1:1 male-to-female ratio) aged 18 years and older. Participants will be systematically recruited across multiple clinical centers in Russia to ensure geographic and social diversity. A key feature of the design is stratified enrollment by 5-year age groups (from 18 to 90+ years), with a target of 200-300 participants per stratum.

Eligibility criteria

Inclusion Criteria: Signing the form to participate in the study.

Participant's age was 18 years or older at the time of inclusion in the study.

-

Exclusion Criteria:

  1. Refusal to participate in the study or to provide informed consent.
  2. History or medical records indicating the presence of infectious diseases (, , including HBsAg carrier status, infection).
  3. Presence of an acute illness/condition, exacerbation of a chronic disease, or surgical intervention within the last month prior to study inclusion.
  4. Lack of remission from an oncological disease or ongoing anti-tumor therapy initiated less than three years prior to study inclusion.
  5. Severe cognitive or sensory impairments and mental disorders that, in the investigator's opinion, preclude adequate communication with the subject.
  6. Severe forms of chronic non-communicable diseases: life-threatening cardiac arrhythmias, chronic heart failure Class III-IV, \<40%, ischemic heart disease CCS Class III-IV, chronic kidney disease Stages 4-5, type 1 diabetes mellitus, type 2 diabetes mellitus with terminal stages of complications, systemic connective tissue diseases, with respiratory failure of Grade 1 or higher, bronchial asthma requiring glucocorticosteroid therapy, osteoarthritis Kellgren-Lawrence Grade IV, (BMI) ≥40 kg/m², as well as documented history of myocardial infarction (MI) or acute cerebrovascular accident (stroke).
  7. Pregnancy or lactation (breastfeeding).
  8. Any other factors that, in the investigator's opinion, may preclude the participant's inclusion in the study.

    Additional exclusion criteria for participants undergoing stool sample collection:

  9. Use of systemic antibiotics for 3 or more days within the 3 months prior to the study start.
  10. Any invasive procedures on the large intestine within the last 3 weeks prior to the study start.
Terms in these criteria, in plain language(8)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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

Observational model
Cohort
Time perspective
Prospective
Enrollment
3,500 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes
Biospecimen retention
Samples with dna

Groups and cohorts

  • A representative Russian adult cohort

    A representative Russian adult cohort aged 18+ both men and women

06

What researchers measure

Primary outcomes

  1. Aging clock

    A composite, unitless numerical score derived from a mathematical model (e.g., via machine learning) that integrates multidimensional data (socioeconomic, clinical, functional, cognitive, and laboratory biomarkers). This score is the output of the developed calculator and represents the estimated biological age of an individual. The score is calculated based on data collected during the single study visit. Its validation as a predictor will be analyzed cross-sectionally against chronological age and health status.

    Time frame: Primary Outcome - through study completion, an average of 1 year

Secondary outcomes

  1. Characterization of Aging Phenotypes

    Descriptive profiles (phenotypes) of aging across 5-year age strata (from 18 to 90+ years), based on the distribution and correlation of collected variables. This includes patterns in physical function, cognitive scores, biomarker levels, and comorbidity burden.

    Time frame: Secondary Outcome - through study completion, an average of 1 year

  2. Establishment of a Biobank Repository

    The number and type of biospecimens (whole blood, serum, plasma, stool, urine) successfully collected, processed, and stored for long-term preservation, enabling future research on aging mechanisms.

    Time frame: Through study completion, an average of 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Melnitskaia A.A., Matchekhina L.V., Tkacheva O.N., Ilyushchenko A.K., Tyazhelnikov A.A., Polunin V.S., Yumukyan A.V., Strazhesko I.D. RUSS-AGE: developed research protocol for the creation of Russian biological age calculators. Russian Journal of Geriatric Medicine. 2023;16(4):239-247. doi:10.37586/2686-8636-4-2023-239-247 (In Russ.)

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jan 2023 (actual). Primary completion is estimated for Sep 2029, 80 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 3, 2025
First posted
May 7, 2026
StartActual
Jan 12, 2023
Primary completionEst.
Sep 2029
CompletionEst.
Sep 2030
Last update
May 7, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07574359
Lead sponsor
Pirogov Russian National Research Medical University
Responsible party
Sponsor
First posted
May 7, 2026
Start date
Jan 12, 2023
Primary completion
Sep 2029 (estimated)
Completion
Sep 2030 (estimated)
Last update
May 7, 2026

Study contacts

Liubov Machekhina, MD, PhD
Contact
machehina_lv@rgnkc.ru
+79037488543

Oversight

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

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