Healthy Adults With Mild Cognitive Impairment (MCI) and a 16-week Intervention With Mitocholine™, a Functional Food Ingredient

Sponsor
Mitocholine Ltd (Industry)
Overall Status
Recruiting
CT.gov ID
NCT05690724
Collaborator
Atlantia Food Clinical Trials (Industry)
100
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2
14.3
7

Study Details

Study Description

Brief Summary

To evaluate the effect of 16-weeks consumption of Mitocholine on Executive Function and Homocysteine levels in a population experiencing Mild Cognitive Impairment. The study will also include measures of memory, language, S-adenosylmethionone (SAM), Betaine, Choline.

Condition or Disease Intervention/Treatment Phase
  • Dietary Supplement: Mitocholine™ or Placebo
N/A

Study Design

Study Type:
Interventional
Anticipated Enrollment :
100 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Intervention Model Description:
Randomised, double-blinded, placebo-controlled, parallel proof of concept studyRandomised, double-blinded, placebo-controlled, parallel proof of concept study
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Other
Official Title:
A Randomised, Double-blind, Placebo-controlled, Parallel-group Study in Otherwise Healthy Adults With Mild Cognitive Impairment (MCI) Assessing a 16-week Intervention With Mitocholine™, a Functional Food Ingredient
Anticipated Study Start Date :
Jan 9, 2023
Anticipated Primary Completion Date :
Nov 15, 2023
Anticipated Study Completion Date :
Mar 18, 2024

Arms and Interventions

Arm Intervention/Treatment
Experimental: Mitocholine™

Mitocholine™ is a novel formulation of three nutrients choline, succinic acid, and nicotinamide (a vitamin B3)

Dietary Supplement: Mitocholine™ or Placebo
Participants will be instructed to consume one bottle of study product daily for the duration of the trial (16 weeks). They will be instructed to consume the product in the morning with breakfast.

Placebo Comparator: Placebo

The Placebo product will be identical in appearance and taste to the investigational product

Dietary Supplement: Mitocholine™ or Placebo
Participants will be instructed to consume one bottle of study product daily for the duration of the trial (16 weeks). They will be instructed to consume the product in the morning with breakfast.

Outcome Measures

Primary Outcome Measures

  1. Absolute change in Executive Function Score in the Mitocholine group compared to the Placebo group. [Baseline to end of intervention (week 16)]

    Assessed by the verbal fluency, colour-word interference and trail making tests in the Delis-Kaplan Executive Function System

  2. Absolute change in Homocysteine levels in the Mitocholine group compared to the Placebo group. [Baseline to end of intervention (week 16)]

    Assessed by serum Homocysteine levels (umol/L)

Secondary Outcome Measures

  1. Change in Memory outcomes (visual memory) in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by a Paired Associated Learning Task

  2. Change in Memory outcomes (episodic memory) in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by a Word Recall Task

  3. Change in Language outcomes in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by the Boston Naming Test

  4. Change in S-adenosylmethionone (SAM) levels in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by S-adenosylmethionone (SAM) in blood

  5. Change in Betaine levels in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by Betine in blood

  6. Change in Choline levels in the Mitocholine group compared to the Placebo group [Baseline to end of intervention (week 16)]

    Assessed by Choline in blood

Eligibility Criteria

Criteria

Ages Eligible for Study:
55 Years to 79 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
  1. Willing to participate in the study and comply with its procedures.

  2. Able to give written informed consent.

  3. Adults aged 55 to 79 years, inclusive.

  4. Meet MCI criteria, based on the Peterson criteria (Peterson et al., 1999):

  5. Presence of a subjective memory complaint as assessed by MAC-Q (score >25).

  6. Objective evidence of cognitive impairment as assessed by MoCA (score ≥18 to ≤24).

  7. Absence of major depression as assessed by PHQ (score <10).

  8. Activities of daily living score

  • males ≥4

  • females ≥7

  1. Have a homocysteine level ≥11.0μmol/L (Smith D et al, 2018).
Exclusion Criteria:
  1. Diagnosis of a major cognitive disorder (e.g. Alzheimer's or Parkinson's disease diagnoses; additionally, confirmation of a mini stroke (TIA) within the last 3 months would be an exclusionary condition).

  2. Participants who are pregnant or wish to become pregnant during the trial.

  3. Participants who are lactating and/or currently breastfeeding.

  4. Participants currently of childbearing potential, but not using an effective method of contraception, as determined by the investigator.

  5. Participants with active or a history of alcohol or substance abuse; (exclude elevated Gamma GT & clinically abnormal liver function test).

  6. Uncontrolled diabetes (or glycated haemoglobin >7% / 53 mmol/mol).

  7. Clinically significant heart, liver, or renal disease (at the discretion of the investigator).

  8. Have uncontrolled hypertension SBP > 160mmHg, DBP > 100mmHg).

  9. Participants prescribed medications likely to influence memory or mood, as determined by the investigator.

  10. Participants with a history of depression (within past 24 months) or any concurrent medical, cognitive or psychiatric condition that would either: compromise his/her ability to comply with the study requirements, may pose significant risk to the participant, or be deemed exclusionary by the investigator

  11. Have had any other condition or are taking a medication that the investigator believes would interfere with the objectives of the study, pose a safety risk, or confound the interpretation of the study results.

  12. Change in supplements, medication, or major diet in 30 days prior to enrolment and throughout the study.

  13. Taking any supplements or vitamins notably known to affect cognitive function (e.g. Living Nutrition Cognitive, Viridian Cognitive Complex, ginkgo biloba, fish oil etc., list not exhaustive), or any psychotropic medications and products which interact with acetylcholine esterase and/or NMDA receptors (6-week washout before screening). Vitamin D and Calcium supplements permitted if on a stable dose for the previous 3 months.

  14. Smokers (>5 cigs per week) or participants who use vape products.

  15. Has received treatment involving experimental drugs in the past 3 months.

  16. Have a malignant disease or any concomitant end-stage organ disease, which, in the Investigator's judgment, contraindicates participation in the study.

  17. Individuals who, in the opinion of the investigator, are considered to be poor clinical attendees or unlikely for any reason to be able to comply with the trial.

  18. Any Participant who is an employee of the study site or an Atlantia Clinical Trials employee or their close family member or a member of their household.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Atlantia Clinical Trials Cork Munster Ireland T23R50R

Sponsors and Collaborators

  • Mitocholine Ltd
  • Atlantia Food Clinical Trials

Investigators

  • Study Director: Steve Morrison, Mitocholine Ltd

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Mitocholine Ltd
ClinicalTrials.gov Identifier:
NCT05690724
Other Study ID Numbers:
  • AFCRO-155
First Posted:
Jan 19, 2023
Last Update Posted:
Jan 19, 2023
Last Verified:
Jan 1, 2023
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jan 19, 2023