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Completed

NCT Number: NCT02063646

Effect of a Polyphenol-rich Food Supplement on Cognitive Function in Healthy Aging Adults

Several preliminary studies have shown that diet can have beneficial effects on cognitive decline. Among food shown to have such effects are some polyphenols from selected botanicals.

Preclinical studies have concluded that polyphenols play a role in moderation of oxidative stress and inflammation, increased neuronal signaling, and improved metabolic function among other effects. Noteworthy, a positive and statistically significant association between the midlife level of polyphenol intake and cognitive function assessed 13 years later was found in a cohort of 2574 adults.

Several mechanisms may be involved in these positive effects of food polyphenols on cognitive function in older adults: experimental studies suggest that polyphenols display neuroprotective effects, enhancement of the neuronal function, stimulation of brain flow and inducing neurogenesis, and might prevent age-related damage to the central nervous system through their antioxidant and anti-inflammatory activities.

Based on these promising results, a food supplement from botanicals offering complementary polyphenol profile was developed. This food supplement is aimed to aid at maintenance of cognitive function in older adults.

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Key information

Conditions

Age range

60 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

INAF (Institute of nutrition and functionnal foods), Québec, Quebec, Canada

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About this study

This project aims to investigate the effects of 6 months supplementation with a polyphenol-rich supplement vs. placebo to consume daily on human cognitive function. Polyphenol-rich supplement and placebo will be provided as capsules matched for appearance.

The study will be conducted as a randomized, double-blind, parallel-groups (2 arms) placebo-controlled, multicentre interventional design. Two groups, each of 102 volunteers, are studied. One group of volunteers will consume the polyphenol-rich product while the other one will consume the placebo product.

Each volunteer will be seen for 3 visits at the investigational site, will have 2 follow-up calls and mid-term dietary survey. Baseline and follow-up visit will include cognitive assessment with the CANTAB battery. CANTAB tests will cover several aspects of memory: visio-spatial learning and episodic memory, verbal recognition memory and visio-spatial working memory. Moreover, psychological and mood components will be evaluated (mnesic complaint, depression, fatigue). Physical activity and food habits will also be recorded. Finally, biological parameters will be assessed (lipid profile, glycemia, insulinemia, CRPus, thyroid stimulating hormone, transthyretin, plasma level of phenolic compounds).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Independent subjects, living at home;
  • Body Mass Index (BMI) 20-30 kg/m2 (limits included);
  • 26 < MMSE score ≤ 29
  • Logical memory subtest of the Wechsler Memory Scale (16-69 years battery) sub-scores complying with the following:
  • Immediate recall score < 29;
  • Delayed recall score < 16;

Exclusion criteria

  • Evidence of actual major depressive disorder according to the module A of the Mini International Neuropsychiatric Interview (MINI);
  • Subject consuming food supplements likely to have an effect on memory;
  • High physical activity practice;
  • Restrictive or unbalanced diet (hypocaloric, vegetarian, vegan, …) self-declared at V0;
  • Diabetes;
  • Cardiovascular disease diagnosed within less than 2 years, with the following exceptions: subjects with controlled (medicated) high blood pressure and/ or controlled (medicated) can be included;
  • Personal history of Cerebrovascular Accident (CVA);
  • Unbalanced thyroid disease;
  • Anti-depressant treatment stopped since less than 3 months or still ongoing;
  • Personal history of schizophrenia or other psychiatric disorders;
  • Ongoing neuroleptic treatment;
  • Uncorrected visual or auditory dysfunction (according to the volunteer's self-declaration);
  • History of moderate to severe traumatic brain injury and / or intracranial surgery;
  • Life threatening pathology (such as cancer) in remission for less than 1 year or still ongoing;
  • General anesthesia in the last 6 months or planned in the next 6 months;
  • Documented food allergy(ies), namely to one of the components of the study product;
  • Psychological or linguistic incapability to sign the informed consent.

Treatment and study plan

Polyphenol-rich extract

Dietary Supplement

Two groups, each of 102 volunteers, are studied. For 24 weeks, one group of volunteers will consume the active product (polyphenol-rich extract) while the other one will consume the placebo product.

Placebo

Dietary Supplement

The placebo is a capsule with same appearance and organoleptic properties as the active product, containing no active component.

Two groups, each of 102 volunteers, are studied. For 24 weeks, one group of volunteers will consume the active product (polyphenol-rich extract) while the other one will consume the placebo product.

Primary outcomes

  1. CANTAB - Paired Associate Learning test (PAL)

    Time frame: 24 weeks

Secondary outcomes

  1. CANTAB - Verbal Recognition Memory (VRM)

    Time frame: 24 weeks

  2. CANTAB - Spatial Span test (SSP)

    Time frame: 24 weeks

  3. CANTAB - Reverse Spatial Span test (Reverse SSP)

    Time frame: 24 weeks

  4. Wechsler Memory Scale - Logical memory subtest

    Time frame: 24 weeks

  5. McNair scale

    Time frame: 24 weeks

  6. Geriatric Depression Scale

    Time frame: 24 weeks

  7. Mini-Mental State Examination

    Time frame: 24 weeks

  8. Multidimensional Fatigue Inventory (MFI-20)

    Time frame: 24 weeks

Other outcomes

  1. Lipid profile

    Time frame: 24 weeks

  2. Insulinemia and glycemia

    Time frame: 24 weeks

  3. Inflammatory markers

    Time frame: 24 weeks

  4. Hormones

    Time frame: 24 weeks

  5. Urinary polyphenols

    Time frame: 24 weeks

  6. Fatty acid profile in erythrocyte membranes

    Time frame: 24 weeks

  7. Retinol Binding Protein and Transtyretin

    Time frame: 24 weeks

  8. Nuclear receptor expression in mononuclear cells

    Time frame: 24 weeks

  9. Gene expression in mononuclear cells by microarray approach

    Time frame: 24 weeks

  10. Epigenetic markers

    Time frame: 24 weeks

Sponsors and collaborators

Lead sponsor

Neurophenols Consortium

Other

Collaborators

  • Activ'inside
  • Atrium Innovations
  • Fruit d'Or
  • Laboratoire NutriNeuro Université de Bordeaux/INRA
  • Laval University
  • NutraCanada

Registry information

Official study title

Effect of a Polyphenol-rich Food Supplement on Cognitive Function in Healthy Aging Adults: Randomized, Placebo-controlled, Double-blind Clinical Trial

Acronym: Neurophenol

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Feb 14, 2014
Registry last updated
May 27, 2015

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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