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| Name | Class |
|---|---|
| St. John's Research Institute | OTHER |
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The Indian Ayurvedic herb Brahmi (Bacopa monniera) has been used to improve cognitive functions in Indian sub-continent for many years and previous intervention studies have shown positive effects of Brahmi on cognitive performance in adults. However, the studies are conducted on various fractions and extracts and there is high likelihood of variability of composition amongst the fractions/extracts tested in these studies. Furthermore, although the findings of the previous studies overlap to some extent, they are not consistent and there is a need to replicate these findings.
Further, even though Brahmi has been studied for its chemical composition and its therapeutic benefits as a whole, there are still severe gaps with respect to the complete composition of the Brahmi plant or its extracts. No published data exist on the Pharmacokinetics (PK) properties of Brahmi components. Hitherto, the evidence and the mechanistic details are still speculative and the biological activity is still phenomenological. Because of this severe knowledge gap, this study will try to repeat the findings on cognitive performance and at the same time also explore the plasma levels of its components in order to initiate the understanding of ADME aspects and its linkages to the biological effect.
The study is proposed to be a randomised, double blind, placebo-controlled study with parallel groups. The duration of the study will be 12 weeks.
For cognition and Anxiety part, each selected subject will be paying 4 visits to clinical site for the whole study. Screening/selection will be done on visit 1, baseline on visit 2 and post-intervention assessment on visit 3. Subjects will be asked to appear for an interview before the investigators once more within one month of completion of intervention to take care of issues, if any. This will be 4th and last visit.
Each subject will be assessed at baseline (Week 1, Day 1); while post intervention assessment will be carried out immediately on the completion of the 12 weeks. Considering the 84 days duration of the study, + 3 days for the intervention period will be acceptable. The exact intervention duration will be documented in days for each subject.
On each of the two measurement days (baseline and post intervention), the same test battery will be administered by the same examiner. The outcome measures of this battery include Verbal Learning and Memory, Information Processing, Attention and Interference and Anxiety. The test battery will be administered in English.
On each of the measurement day the subject will spend a maximum of 1½ hours at the clinical site. Subjects will be examined in the morning at approximately the same time during both measurement days to keep conditions constant across the subjects and for baseline and post intervention assessments.
Each subject participating in Pharmacokinetics (PK) part, will pay 6 visits. Visit 1 will be screening, Visit 2,3 and 4 for initial blood withdrawal and visit 5 will post intervention blood sampling. Subjects will be asked to appear for an interview before the investigators once more within one month of completion of intervention to take care of issues, if any, which will be visit 6.
Blood sampling will be done at 0,1,2,4,8,24,48 hours and one sample at the endo of 12 weeks intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Brahmi - 36 subjects | Experimental | 36 subjects both male and female will consume 2 capsules of Brahmi for 84 days. |
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| Placebo- 36 subjects | Placebo Comparator | 36 subjects male and female who will take 2 capsules of placebo every day |
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| Brahmi - 8 Subjects | Experimental | For PK part of the study 8 male subjects will be taken for treatment arm. Each volunteer will consume 2 capsules of Brahmi each day for 84 days. |
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| Placebo- 4 subjects | Placebo Comparator | 4 male subjects in PK part will be in the placebo arm. Each volunteer will consume 2 capsules of Brahmi each day for 84 days. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brahmi | Dietary Supplement | Brahmi extract - 225 mg filled in each hard gelatin capsule. Two such capsules per day, to be taken by the subjects for 12 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Delayed recall from Baseline at day 0 to post intervention at day 84 | Rey Auditory Verbal Learning Test, Delayed recall | "0" (baseline) day and "84" day (Post Intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Total learning, change between baseline at day 0 to post intervention at day 84 | Rey Auditory Verbal Learning Test, total learning, | "0" day and "84" day |
| Pro-active interference, change between baseline at day 0 to post intervention at day 84 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Krishnamachari Srinivasan | St. John's Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St Johns Research Institute | Bangalore | Karnataka | 560034 | India |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C526146 | Centella asiatica extract |
| D013213 | Starch |
| ID | Term |
|---|---|
| D005936 | Glucans |
| D001704 | Biopolymers |
| D011108 | Polymers |
| D046911 | Macromolecular Substances |
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| Placebo | Other | Dry maize starch filled in identical hear gelatin capsule. Two such capsules will be taken by each subject per day for 12 weeks. |
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| Brahmi | Dietary Supplement | Brahmi Extract 225 mg filled in hard gelatin capsule. Two such capsules will be consumed by the subjects each day for 84 days. |
|
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| Placebo | Other | Placebo capsules - Dry starch filled in identical hard gelatin capsules |
|
|
Rey Auditory Verbal Learning Test, pro-active interference
| "0" day and "84" day |
| Retro-active interference, change between baseline at day 0 to post intervention at day 84 | Rey Auditory Verbal Learning Test, retro-active interference | "0" day and "84" day |
| Inspection Time, change between baseline at day 0 to post intervention at day 84 | Inspection Time Task: Inspection Time | "0" day and "84" day |
| Reaction time, correct responses, change between baseline at day 0 to post intervention at day 84 | Rapid Visual Information Processing Test, reaction time, correct responses | "0" day and "84" day |
| Reaction time, errors, change between baseline at day 0 to post intervention at day 84 | Rapid Visual Information Processing Test, reaction time, errors | "0" day and "84" day |
| Interference, change between baseline at day 0 to post intervention at day 84 | Stroop Task, Interference | "0" day and "84" day |
| State, change between baseline at day 0 to post intervention at day 84 | State-trait Anxiety Inventory, state | "0" day and "84" day |
| Trait, change between baseline at day 0 to post intervention at day 84 | State-trait Anxiety Inventory, trait | "0" day and "84" day |
| Absorption constant | Constant of absorption of the Brahmi components | "0" day and "84" day |
| Tmax | Time of highest concentration in blood of the Brahmi components | "0" day and "84" day |
| T1/2 | Half-life of the of the Brahmi components | "0" day and "84" day |
| Metabolites | Scan for potential metabolites of the Brahmi components | "0" day and "84" day |
| D004040 |
| Dietary Carbohydrates |
| D002241 | Carbohydrates |
| D011134 | Polysaccharides |