Skip to main content
UK clinical trials - updated daily from ClinicalTrials.gov
TrialConnect
← Back to Search
Looking for participantsNA

Microbiota Mediated Flavonoid Metabolites for Cognitive Health

Sponsor: University of Ulster

NCT ID: NCT07226674

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
Polyphenol Supplement (supplement), Placebo Supplement (supplement)
How long the study runs
Study runs about 26 months (dates as stated)
About the drug or intervention
Polyphenol Supplement — supplement: Juice Plus Essentials, Berry Blend Capsules · Placebo Supplement — supplement: Micronutrient matched placebo
Patient visit burden
Not specified by the sponsor
Type of study
Testing a treatment
Ages
50 Years and over
Who
All
Number of participants
100
Started
2025-11-25
Last checked
2025-11

Plain English Summary

What is this study?

  • • Testing a new treatment for cognitive decline
  • • NA - 100 participants
  • • Globally, populations are ageing increasing the prevalence of Alzheimer's disease (AD), due to lack of effective treatments

Who can take part?

  • • Ages 50 Years and over
  • • Diagnosed with cognitive decline

Where?

  • • Coleraine - Ulster University, Human Intervention Studies Unit

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

Globally, populations are ageing increasing the prevalence of Alzheimer's disease (AD), due to lack of effective treatments. The traditional Mediterranean diet, rich in fibre and polyphenols (PPs) can help prevent or delay cognitive dysfunction and preserve healthy brain structure and function. Cognitive decline is inversely associated with higher PP intakes (\>421mg/day) i.e., total flavonoids, flavan-3-ols and flavonoid oligomers. The positive brain effects of flavonoid intake are likely mediated in part by gut microbial PP metabolites, consistent with the emerging role of the brain-gut microbiome (BGM) system in neurodegeneration. Our preliminary data indicate that circulating phenyl-γ-valerolactones (PVL), neuroprotective compounds exclusively produced by gut microbiota from flavan-3-ol rich foods18 are associated with delaying cognitive dysfunction. Intake of PPs change gut microbial composition and function, altering the physiology of the host's secondary bile acid (BA) pool through modulation of bacterial 7α-dehydroxylation of de-conjugated primary BAs into secondary BAs. This is noteworthy as 7α-dehydroxylation of BAs does not happen in the brain and because gut microbial BA metabolites have regulatory and signalling functions in the brain. The ratio between certain primary and secondary BAs is also dysregulated in AD with significantly lower serum concentrations of cholic acid (a primary BA) and increased levels of deoxycholic acid (a bacterially produced secondary BA). The increased ratio of cholic acid to deoxycholic acid is correlated with cognitive decline. Increased levels of tyrosine, tryptophan, purine, and tocopherol have also been identified in postmortem AD brains. However, specific pathways and mechanisms underlying these associations are unclear. In this multi-PI application by leaders in the field of BGM interactions, we leverage the collectively (NIH, HSC, SFI) funded Tripartite US-Ireland R\&D Partnership Program to determine the mechanisms involved in PP intake on maintaining healthier cognitive and brain function, as mediated by gut microbiota metabolites of PP and BAs in 50+ year old elderly with enhanced AD risk.

Cognitive DeclineCognitive Dysfunction

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 50 Years and over
  • Who can join: All genders

What the study is looking for

  • ✓50+ years
  • ✓BMI ≥ 25 kg/m2
  • ✓Enhanced risk of AD - defined as family history of AD, 1st degree family member
  • ✓Habitually consume suboptimal diets such as typical Western diet (i.e., high in animal products, refined...
  • ✓Subjects capable of and willing to comply with the protocol and to give their written agreement to take part.

Who cannot take part

  • ✗Pre-existing psychosis or psychiatric conditions.
  • ✗Currently receiving treatment for dementia.
  • ✗History of substance abuse or cerebrovascular events.
  • ✗Heavy use of tobacco (\>1/2 pack per day)
  • ✗Any intolerance or allergy documented or suspected to one of the components of the study products.
See the full criteria
Inclusion Criteria: * 50+ years * BMI ≥ 25 kg/m2 * Enhanced risk of AD - defined as family history of AD, 1st degree family member * Habitually consume suboptimal diets such as typical Western diet (i.e., high in animal products, refined carbohydrates and processed food). * Subjects capable of and willing to comply with the protocol and to give their written informed consent. Exclusion Criteria: * Cognitive impairment at time of recruitment into the study, as measured by the Mini Mental Status Exam (MMSE, score 25-30), and Clinical Dementia Rating (CDR, score=0) or Everyday Cognition Scale-12 (ECog-12, score\<1.36 included). * Pre-existing psychosis or psychiatric conditions. * Currently receiving treatment for dementia. * History of substance abuse or cerebrovascular events. * Heavy use of tobacco (\>1/2 pack per day) * Any intolerance or allergy documented or suspected to one of the components of the study products. * Have taken probiotics or antibiotic therapy within the last 1 month * Change in medication use in the last 3 months. * Frailty, malnutrition, or food allergy/intolerance requiring special diets will also be excluded. * Following any specific diet (vegetarian, vegan, etc.) * Body weight at enrolment greater than 400lbs due to weight restrictions on the MRI table. * Pregnant, breastfeeding, postpartum for less than 6 months, or unwilling to practice birth control during participation in the study. * Unable to safely participate in the MRI (claustrophobia, presence of devices affected by MRI such as pacemakers, neurostimulators, or metallic foreign body, etc.) * Chronic pain. * Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data. * Having a psychological or linguistic inability to sign the informed consent; * Under legal protection (guardianship, wardship) or deprived from his rights following administrative or judicial decision; * Subject participating in another biomedical study or participation in another study within the 3 months before entry into this study.

Where Is This Study? (1 UK site)

Ulster University, Human Intervention Studies Unit

Coleraine BT52 1SA, United Kingdom

Recruiting
Site contact (verified)
Chris Gill, PhDPrincipal Investigator

How to Get in Touch

Chris Gill, PhD

Sponsor contact

CONTACT

+44 28 7012 3181 c.gill@ulster.ac.uk

Aoife Caffrey, PhD

Sponsor contact

CONTACT

+44 (0) 28 701 23401 a.caffrey@ulster.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2025-11