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Completed

NCT Number: NCT07742501

Genistein, Equol, Cognitive Function and Mood: Twelve-week. (GECFAMc)

Isoflavones (ISF) are naturally occurring compounds that can provide protective benefits for certain domains of cognitive function. Studies on the prevalence of cognitive decline and cancers in the Asian diet-eating areas of the world have investigated the effects of the ISFs and how they affect human bodies and brains. Previous literature has shown that ISFs are capable of activating oestrogen receptors in brains that provide protection in terms of long-term potentiation as well antioxidation, anti-inflammatory and promoting the growth and interaction of neurons (e.g., BDNF upregulation).

Genistein is a bioactive ISF having been shown to provide a strong protective response in our brains and other aspects of healthcare; Equol is a metabolite of Daidzein and is thought to provide a similar (or stronger) response than Genistein due to its receptor binding strength. Not everyone is capable of digesting Equol from other Isoflavones (Daidzein) and therefore supplementing this directly could provide neurological benefits at a similar level, if not stronger than, Genistein.

This twelve-week three-arm study will aim to evaluate the efficacies of two ISFs (Genistein and Equol) versus a control group. ISF are "Generally Recognised As Safe" ("GRAS") molecules by the United States of America's classification regulatory commission the Federal Drug Administration as well as deemed "Safe" by the European Food Safety Authority (EFSA). Participants will be required to undertake 4 one-hour-long sessions. Interventions will be taken once daily.

This investigative team hypothesise that both ISFs will elicit significant positive changes in cognitive functions, specifically to spatial/verbal working memory, executive function, and speed of processing and measures of mood with a variation in effect due to age likely, the lacking restriction for age will allow for this as a covariate dependent on recruitment outcome.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

School of Psychology and Clinical Languages, University of Reading

Reading, Berkshire, RG6 6AL, United Kingdom

About this study

The design of this study is as a three-arm, placebo controlled, double-blind with between-groups comparison. Adult participants aged 18 years old and over will be recruited to the study from the local community (see Appendix H for recruitment poster). After demonstrating an initial interest in the study, participants will be sent the participant information sheet (Appendix A), a health and lifestyle questionnaire (Appendix C), and FFQ to assess habitual diets, supplements and medications (Appendix D). A screening interview will be used to answer the health and lifestyle questionnaire and participants who meet the screening criteria will be able to undergo a practice session where they will sign a consent form (Appendix B) and familiarise themselves with the cognitive tasks and mood questionnaires. Recruitment materials will include posting posters advertising (Appendix H) as well as posts on pertinent social media outlets (such as Reddit page r/Reading)

Following a this screening session wherein the researchers will check exclusion/inclusion criteria have been met; participants will be quasi-randomly allocated to intervention based on age and sex, consisting of a control group (maltodextrin), a genistein group (70mg/day) and an equol group (70mg/day). Participants will also undergo a familiarisation session with the computerised software. Return appointments will be made for their study days and participants will be reminded of their right to withdraw from the study at any point. Helplines and web links with support and advice will be provided (Mind, Alzheimer's Society, Dementia UK) alongside advice to contact their GP should they require medical support.

On the first testing day (baseline), participants will attend the laboratory after consuming their standard breakfast, but to refrain from consuming any caffeine-containing products (researchers will ask participants to consume the same breakfast on their second test day). Upon arrival at the University, participants will be asked to complete a battery of cognitive tasks and to complete some mood questionnaire.

On completion of the battery, the participants will be supplied with their allocation of intervention and asked to consume one capsule every day for a 12-week period.

After 6 and 12 weeks of consuming the intervention, subjects will return to the lab for their 2nd & 3rd study days. On these test days, subjects will be asked not to consume their intervention until after testing has occurred. Here the researchers will follow the same protocol as for the 1st study day, where a single set of cognitive tests and mood measures will be completed. At the end of the trial, pots of pills will be returned to researchers and compared against the expected number of remaining pills to measure adherence.

The task battery is composed of cognitive tests and measures of mood, which previous data have shown to be sensitive to nutritional interventions chronically. More generally, the cognitive tests are categorised into one of three key cognitive domains, speed of processing/memory/executive function whilst changes in mood will be measured using the PANAS.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Not currently undertaking medications including but not limited to Hormone Replacement Therapy
  • Generally Healthy

Exclusion criteria

  • Participant (female) has not menstruated in >12 months (post-menopausal).
  • Allergy to soy

Treatment and study plan

Equol

Dietary Supplement

Equol is a metabolite of the Isoflavone Daidzein, metabolised in roughly 10-20% of the western population.

Other names: (3S)-Isoflavan-4,7'-diol, (3S)-3-(4-Hydroxyphenyl)-3,4-dihydro-2H-1-benzopyran-7-ol, 4',7-Isoflavandiol

Genistein

Dietary Supplement

Genistein is a neuroprotective Isoflavone commonly found in Glycine Max (Soy).

Other names: 4',5,7-Trihydroxyisoflavone, 5,7-Dihydroxy-3-(4-hydroxyphenyl)-4H-1-benzopyran-4-one

Maltodextrin

Dietary Supplement

Maltodextrin is the placebo control used in this study. A non-neuroactive starch derived polysaccharide .

Primary outcomes

  1. Chronic effect of Genistein or Equol versus placebo on verbal learning and memory

    Time frame: 12 weeks

    Rey Auditory Verbal Learning Task:

    Word span Total acquisition Final acquisition Amount learned Proactive interference Retroactive interference Delayed recall Hits False positives Primacy effect Recognition score Non-credible score

  2. Chronic effect of Genistein or Equol versus placebo on spatial working memory

    Time frame: 12 weeks

    Corsi Block-Tapping Task:

    Block span Correct blocks Correct sequence Initial reaction time Reaction time

  3. Chronic effect of Genistein or Equol versus placebo on executive function (set-switching and cognitive flexibility

    Time frame: 12 weeks

    Task-switching Task:

    Accuracy Switch cost Reaction time Reaction time - repeat trials Reaction time - switch trials Reaction time - High/Low Reaction time - Odd/Even Non-error Reaction time Post-error Reaction time Post-error Slowing

  4. Chronic effect of Genistein or Equol versus placebo on speed of processing and executive functioning

    Time frame: 12 weeks.

    Trail-Making Test:

    Time to complete Part A Time to complete Part B B-A = Difference Score B/A = Ratio Score

Secondary outcomes

  1. Chronic effect of Genistein or Equol versus placebo on mood items

    Time frame: 12 weeks.

    Positive and Negative Affect Schedule:

    Positive Affect Schedule Negative Affect Schedule

Sponsors and collaborators

Lead sponsor

University of Reading

Other

Registry information

Official study title

Investigation of Genistein and Equol's Effects on Cognitive Function Domains and Mood Measures in a Twelve-week Long Placebo-controlled, Double-blind Clinical Trial

Acronym: GECFAMc

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Aug 3, 2026
Registry last updated
Aug 3, 2026

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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