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Not yet recruitingNCT07793604MITOCOGUpdated Aug 28, 2026

Increasing Mitochondrial Respiration as a Novel Mechanism for Cognitive Augmentation

An interventional study of Active transcranial photobiomodulation and Active MCT dietary supplementation in Cognition Improvement and Emotion Regulation, sponsored by Francisco Gonzalez-Lima, PhD. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Francisco Gonzalez-Lima, PhD · Not applicable, Interventional, and Other

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Phase
Not applicable
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
18 Years to 85 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 197 studies in Emotional Regulation with a site in United States — 60 open to participants now, 76 under way, none of them phase 3. Emotional Regulation · United States.

Planned enrollment
40th of 184
180 · median 74
Started
2026
with 17 others
No phase
175 of 197
56 open now
Primary completion
2029-12
later than 70 of 75 live
Registered
191st of 197
by date

Among the 197 studies in Emotional Regulation with a site in United States, this one is the 40th largest by planned enrollment of the 184 interventional ones that give a count, is one of 18 that started in 2026, is one of 175 with no phase, reaches primary completion later than 70 of the 75 other live ones, and was the 191st registered.

Emotional Regulation

547 studies on the registry are indexed under Emotional Regulation; 190 are open to participants now.

Browse Emotional Regulation studies →

Open to participants now

60 of the 197 studies in Emotional Regulation with a site in United States are open now. Recruiting first, the newest first:

55 more — sign in →

All 60 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 136 Emotional Regulation studies recruiting now, 36 (26%) set no upper age limit and 96 (71%) stop at 75 or younger; 47 take children under 18; 66 take healthy volunteers.

This study: 18 Years to 85 Years · all sexes · healthy volunteers too.

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02

Study summary

The purpose of this study is to investigate the effects of increasing brain energy on cognition. The hypothesis is that by using a special kind of light, in combination with a nutritional supplement, it may be possible to increase energy production in the brain, which may lead to improvements in cognition.

Read the detailed description

The Gonzalez-Lima Laboratory at the University of Texas at Austin is recruiting participants for a research study. The study examines whether a combined treatment can improve cognitive function. The treatment includes transcranial photobiomodulation (tPBM), a form of light therapy applied to the forehead, along with a dietary supplement. The treatment targets an enzyme called cytochrome-c-oxidase, which plays a key role in how the mitochondria inside brain cells use oxygen to produce energy. As people age, this process often becomes less efficient, contributing to cognitive decline seen in normal aging and in neurodegenerative diseases. The hypothesis is that improving mitochondrial function and cytochrome-c-oxidase activity will boost neuronal energy production and reduce oxidative stress, ultimately enhancing cognitive performance. Previous studies from the Gonzalez-Lima Lab found that applying tPBM to the prefrontal cortex improves brain metabolic activity and enhances cognitive functions such as attention, memory, and executive function. The dietary supplement provides an alternative energy source derived from ketones, which mitochondria can use for oxygen metabolism. This may help bypass the impaired glucose metabolism often seen in aging brains, potentially leading to further cognitive improvements. This study will investigate the cognitive effects of this combined treatment in adults ages 18 to 85. During the first visit to the lab, participants will complete informed consent, health questionnaires, and cognitive assessments, and wear sensors on the head which monitor brain activity. They will also be trained to use a headset device which uses light-emitting diodes (LEDs) to deliver light to the forehead. They will be given daily supplements and instructed on how to maintain a daily log for at-home treatments. Then, for the next two months, participants will complete the daily protocol at home. Weekly check-ins will monitor progress throughout this period. After two months, participants will return to repeat the assessments from the first visit and return their study materials. Participants will receive $200 upon completing the study, and parking expenses will be reimbursed for each visit. Briefly, one aim will be to map the relationship between baseline prefrontal functional connectivity and dimensional performance in cognitive control and affective processing. Another aim will be to evaluate mechanistic efficacy of chronic tPBM in engaging prefrontal circuits and restoring task-based behavioral performance. A final aim is to model the longitudinal relationship between prefrontal circuit health and real-world sleep, circadian stability, and neuroendocrine regulation. By focusing on target-driven biobehavioral mechanisms, this study aims to identify novel therapeutic targets and establish scalable biomarker pipelines.

03

Conditions studied

  • Cognition Improvement
  • Emotion Regulation

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04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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Inclusion criteria

  • Age: 18-85 years old
  • No uncorrected visual, auditory, or motor impairments that would interfere with performing cognitive tasks

Exclusion criteria

Exclusion Criteria:

  • Transcranial photobiomodulation in the last six weeks
  • Diabetes
  • Pregnancy or plans to become pregnant
  • Breastfeeding or plans to breastfeed
  • Major depressive disorder
  • Psychotic disorders
  • Suicidal ideation within the past 6 months
  • Plans for serious medical procedures in the next 3 months
  • Serious hepatic or liver-related conditions
  • History of neurotrauma (e.g., brain lesions or traumatic brain injury)
  • Presently on a ketogenic diet
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
180 participants (estimated)

Study arms

  • Active comparator
    Arm 1: active tPBM, active MCT dietary supplementation

    Participants in this arm will receive active transcranial photobiomodulation to the forehead, targeting prefrontal cortex, and active dietary supplementation with refined coconut oil to provide ketones.

    Device: Active transcranial photobiomodulation · Dietary Supplement: Active MCT dietary supplementation

  • Sham comparator
    Arm 2: sham tPBM, sham dietary supplementation

    Participants in this arm will undergo the same procedures as the active group, but with sham photobiomodulation (5% of experimental light emitted by the device) and sham dietary supplementation with sunflower oil (comparable caloric value without ketone production).

    Device: Sham photobiomodulation · Dietary Supplement: Sham dietary supplementation

Interventions

  • DeviceActive transcranial photobiomodulation

    Infrared light delivered to the forehead, administered with a headset using light-emitting diodes (LEDs)

  • Dietary supplementActive MCT dietary supplementation

    Commercially-available food-grade refined coconut oil for ketogenic dietary supplementation

  • DeviceSham photobiomodulation

    Identical procedure as active group, but with 5% of light emitted by the device.

  • Dietary supplementSham dietary supplementation

    Identical appearance and administration as active dietary supplementation, but with commercially-available food-grade sunflower oil (comparable caloric value without ketone production).

06

What researchers measure

Primary outcomes

  1. Cognitive assessment: Montreal Cognitive Assessment (MoCA)

    The Montreal Cognitive Assessment is a standard questionnaire which was developed to test for cognitive impairment. The MoCA assesses a variety of cognitive functions including executive function, memory, attention, and verbal fluency. Minimum=0; Maximum=30; low score=more impairment.

    Time frame: The MoCA will be administered: 1. Pre-treatment (during Visit 1); 2. Post-treatment (Visit 2, two months later)

  2. Cognitive assessment: Trail-Making Test

    The trail-making test (TMT) is a paper-and-pencil "connect-the-dots" task which is used to test visual attention and cognitive flexibility. Completion time (seconds) and number of errors are recorded. Faster time and lower errors=better performance. Maximum time alloted=300 seconds.

    Time frame: The TMT will be administered: 1. Pre-treatment (during Visit 1); 2. Post-treatment (Visit 2, two months later)

  3. Brain metabolism assessment: Functional Near-Infrared Spectroscopy (fNIRS)

    Participants wear a device on the head which assesses brain metabolism non-invasively using functional near-infrared spectroscopy. The device records changes in the concentrations of oxygenated hemoglobin in the prefrontal cortex of the brain.

    Time frame: The fNIRS procedure will be administered: 1. Pre-treatment (during Visit 1); 2. Post-treatment (Visit 2, two months later)

Secondary outcomes

  1. Cognitive assessment: 2-Back Task

    The 2-back task is a standard computer-based test that assesses attention and short-term memory, in which participants remember a series of letters presented onscreen. Accuracy (number of errors) and speed (reaction time in seconds) are recorded. Faster time and lower errors=better performance. Duration: 5 minutes.

    Time frame: The 2-back task will be administered: 1. Pre-treatment (during Visit 1); 2. Post-treatment (Visit 2, two months later)

  2. Cognitive assessment: Delayed Match-to-Sample Task (DMS)

    The DMS is a standard computer-based test that assesses visuospatial memory and attention, in which participants remember a grid pattern through a delay and then identify the correct match. Number of correct responses and reaction time in seconds are measured. Faster time and lower errors=better performance. Duration=5 minutes.

    Time frame: The DMS will be administered: 1. Pre-treatment (during Visit 1); 2. Post-treatment (Visit 2, two months later)

  3. Weekly check-in

    Open response, verification of compliance of treatment

    Time frame: Once per week during treatment

  4. Follow-up

    Open response of any long-term effects of treatment

    Time frame: One month after Visit 2

07

Study locations

1 site
08

References and documents

Publications

  • Gonzalez-Lima F, Barksdale BR, Rojas JC. Mitochondrial respiration as a target for neuroprotection and cognitive enhancement. Biochem Pharmacol. 2014 Apr 15;88(4):584-93. doi: 10.1016/j.bcp.2013.11.010. Epub 2013 Dec 4. PubMed 24316434 ↗

Individual participant data

Plan to share: Yes — What data will be shared? Individual participant data that underlie the results reported in this study, after deidentification (text, tables, figures, and appendices). A data dictionary, including a description of the variables and types of data, collected for each individual, will be provided. This data will include anonymized individual participant demographic information and all outcome variables (cognitive task data, spectroscopy data).

Supporting information: Study protocol

Time frame: Beginning 9 months and ending 36 months following article publication.

Access criteria: The raw data will be made available by the researchers upon reasonable request by any qualified doctoral researcher (PhD, MD). They will be granted access by contacting the corresponding author/principal investigator (F. Gonzalez-Lima, utcognitivestudy@gmail.com). It will be made available to qualified researchers whose proposed use of the data has been approved by an independent review committee (Institutional Review Board) identified for the purpose of individual participant data meta-analysis. Proposals may be submitted up to 36 months following article publication. After 36 months, the data will be available in our University's shared network drive, but without investigator support other than deposited metadata.

Data sharing details ↗ · labs.la.utexas.edu

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Oct 2026; primary completion for Dec 2029, 38 months later.

Of 391 non-industry interventional studies with no phase under Emotional Regulation, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 38 months is above that.

Counting every sponsor, half of 397 studies reached it within 18 months; a quarter within 6 and three quarters within 36.

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

Registered
Aug 19, 2026
First posted
Aug 28, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Dec 2029
CompletionEst.
May 2030
Last update
Aug 28, 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 Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07793604
Lead sponsor
Francisco Gonzalez-Lima, PhD
Responsible party
Francisco Gonzalez-Lima, PhD (Professor, University of Texas at Austin) — Sponsor-investigator
First posted
Aug 28, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Dec 2029 (estimated)
Completion
May 2030 (estimated)
Last update
Aug 28, 2026

Study contacts

Francisco Gonzalez-Lima
Contact
utcognitivestudy@gmail.com
(512) 703-1804

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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