Cognitive and Cerebral Blood Flow Effects of Zanthozylum Armatum Fruit Extract in Healthy Adults Aged 30 - 55
Keywords
Abstract
Description
Zanthozylum armatum (Z. armatum) is an perennial shrub found in India and across Southeast Asia. Preparations of the bark, fruit and seeds of Z. armatum have been extensively used in traditional Indian medicine. For example, the fruits and seeds have been employed as an aromatic tonic in fever and dyspepsia and the essential oil of the fruits has exhibited antibacterial, antifungal and anthelmintic properties. Furthermore, the dried fruits are used as spice, especially in Nepalese and Sichuan cuisine with increasing popularity across Europe. With regard to physiological effects relevant to brain function, Z. armatum has also been traditionally used as a cardio-depressant; these vasodilatory properties have recently being linked to its antagonistic effect on calcium ion channel function as demonstrated in isolated rabbit aorta tissue. In addition, the observed anti-inflammatory and antioxidant effects of preparations of Z. armatum may serve to beneficially impact cognition with chronic administration.
Although direct effects of Z. armatum on brain function have yet to be assessed; Zanthozylum fruit comprises one constituent of the traditional Japanese herbal medicine Daikenchuto (DKT) where some data do exist. In a series of trials investigating the effects of DKT on learning and memory function in mice, it was established that the extract of Zanthozylum fruit contained in DKT alone that was associated with reductions in escape latency in the Morris Water Maze task. Interestingly, the authors also revealed that it was the amide hydroxy-ɑ-sanshool (HAS) isolated from the Zanthozylum fruit extract that was associated with these effects, speculating that the effect of HAS on escape latencies was due to a facilitation effect of HAS on acetylcholine release.
Given the evidence of potentially relevant mechanisms of action and initial evidence of cognitive effects of HAS in murine models, the aim of this study is to assess the acute and chronic effects of Z. armatum on cognitive function, mood, and cerebral blood flow in healthy adults aged 30 to 55 years.
Dates
Last Verified: | 12/31/2018 |
First Submitted: | 09/12/2018 |
Estimated Enrollment Submitted: | 09/12/2018 |
First Posted: | 09/16/2018 |
Last Update Submitted: | 01/22/2019 |
Last Update Posted: | 01/23/2019 |
Actual Study Start Date: | 04/05/2018 |
Estimated Primary Completion Date: | 11/15/2018 |
Estimated Study Completion Date: | 11/15/2018 |
Condition or disease
Intervention/treatment
Dietary Supplement: Zanthozylum armatum
Dietary Supplement: Placebo
Phase
Arm Groups
Arm | Intervention/treatment |
---|---|
Active Comparator: Zanthozylum armatum fruit extract | Dietary Supplement: Zanthozylum armatum Zanthozylum armatum MCT oil extract |
Placebo Comparator: Placebo placebo | Dietary Supplement: Placebo sunflower oil matched for appearance |
Eligibility Criteria
Ages Eligible for Study | 30 Years To 30 Years |
Sexes Eligible for Study | All |
Accepts Healthy Volunteers | Yes |
Criteria | Inclusion Criteria: - Participants must self-assess themselves as being in good health - Aged 30 to 55 years at the time of giving consent - Are proficient in English equivalent to IELTS band 6 or above Exclusion Criteria: - Have any pre-existing medical condition/illness which will impact taking part in the study NOTE: the explicit exceptions to this are controlled (medicated) hypertension, arthritis, asthma, hay fever, high cholesterol and reflux-related conditions. There may be other, unforeseen, exceptions and these will be considered on a case-by-case basis; i.e. participants may be allowed to progress to screening if they have a condition/illness which would not interact with the active treatments or impede performance - Are currently taking prescription medications or dietary supplements including omega fatty acids / fish oils NOTE: the explicit exceptions to this are hormone replacement treatments for female participants where symptoms are stable, those medications used in the treatment of arthritis, high blood pressure, high cholesterol and reflux-related conditions; and those taken 'as needed' in the treatment of asthma and hay fever. As above, there may be other instances of medication use which, where no interaction with the active treatments is likely, participants may be able to progress to screening - Have planned a surgery requiring general anaesthesia - Have high blood pressure (systolic over 159 mm Hg or diastolic over 99 mm Hg) - Have a Body Mass Index (BMI) outside of the range 18-35 kg/m2 - Are pregnant, seeking to become pregnant or lactating - Have learning difficulties, dyslexia - Have a visual impairment that cannot be corrected with glasses or contact lenses (including colour-blindness) - Smoker or regular consumption of nicotine containing products e.g. patches, gum, vaping - Have a history of alcohol or drug abuse - Excessive caffeine intake (>500 mg per day) - Have food intolerances/sensitivities, especially against citrus fruits - Have any health condition that would prevent fulfilment of the study requirements - Are unable to complete all of the study assessments - Are currently participating in other clinical or nutrition intervention studies, or have in the past 4 weeks - Do not have a bank account (required for payment) - Are non-compliant with regards treatment consumption |
Outcome
Primary Outcome Measures
1. Secondary memory score [Chronic (57 days)]
Secondary Outcome Measures
1. STAI-trait total score [Baseline]
2. STAI-state total score [Chronic (57 days)]
3. Secondary memory score [Acute (45, 180, 300 minutes post-dose)]
4. Secondary memory score [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
5. Working memory score [Chronic (57 days)]
6. Working memory score [Acute (45, 180, 300 minutes post-dose)]
7. Working memory score [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
8. Speed of memory score [Acute (45, 180, 300 minutes post-dose)]
9. Speed of memory score [Chronic (57 days)]
10. Speed of memory score [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
11. Accuracy of attention score [Acute (45, 180, 300 minutes post-dose)]
12. Accuracy of attention score [Chronic (57 days)]
13. Accuracy of attention score [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
14. Speed of attention score [Acute (45, 180, 300 minutes post-dose)]
15. Speed of attention score [Chronic (57 days)]
16. Speed of attention score [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
17. Immediate word recall task correctly identified words [Acute (45, 180, 300 minutes post-dose)]
18. Immediate word recall task correctly identified words [Chronic (57 days)]
19. Immediate word recall task correctly identified words [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
20. Immediate word recall task error responses [Acute (45, 180, 300 minutes post-dose)]
21. Immediate word recall task error responses [Chronic (57 days)]
22. Immediate word recall task error responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
23. Delayed word recall task correctly identified words [Acute (45, 180, 300 minutes post-dose)]
24. Delayed word recall task correctly identified words [Chronic (57 days)]
25. Delayed word recall task correctly identified words [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
26. Delayed word recall task correctly error responses [Acute (45, 180, 300 minutes post-dose)]
27. Delayed word recall task correctly error responses [Chronic (57 days)]
28. Delayed word recall task correctly error responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
29. Picture recognition accuracy [Acute (45, 180, 300 minutes post-dose)]
30. Picture recognition accuracy [Chronic (57 days)]
31. Picture recognition accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
32. Picture recognition reaction time [Acute (45, 180, 300 minutes post-dose)]
33. Picture recognition reaction time [Chronic (57 days)]
34. Picture recognition reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
35. Word recognition accuracy [Acute (45, 180, 300 minutes post-dose)]
36. Word recognition accuracy [Chronic (57 days)]
37. Word recognition accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
38. Word recognition reaction time [Acute (45, 180, 300 minutes post-dose)]
39. Word recognition reaction time [Chronic (57 days)]
40. Word recognition reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
41. Name to face recall correct responses [Acute (45, 180, 300 minutes post-dose)]
42. Name to face recall correct responses [Chronic (57 days)]
43. Name to face recall correct responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
44. Name to face recall reaction time [Acute (45, 180, 300 minutes post-dose)]
45. Name to face recall reaction time [Chronic (57 days)]
46. Name to face recall reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
47. Peg and ball task planning time [Acute (45, 180, 300 minutes post-dose)]
48. Peg and ball task planning time [Chronic (57 days)]
49. Peg and ball task planning time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
50. Peg and ball task completion time [Acute (45, 180, 300 minutes post-dose)]
51. Peg and ball task completion time [Chronic (57 days)]
52. Peg and ball task completion time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
53. Peg and ball task errors [Acute (45, 180, 300 minutes post-dose)]
54. Peg and ball task errors [Chronic (57 days)]
55. Peg and ball task errors [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
56. Corsi blocks accuracy [Acute (45, 180, 300 minutes post-dose)]
57. Corsi blocks accuracy [Chronic (57 days)]
58. Corsi blocks accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
59. Choice reaction time accuracy [Acute (45, 180, 300 minutes post-dose)]
60. Choice reaction time accuracy [Chronic (57 days)]
61. Choice reaction time accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
62. Choice reaction time reaction time [Acute (45, 180, 300 minutes post-dose)]
63. Choice reaction time reaction time [Chronic (57 days)]
64. Choice reaction time reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
65. Numeric working memory accuracy [Acute (45, 180, 300 minutes post-dose)]
66. Numeric working memory accuracy [Chronic (57 days)]
67. Numeric working memory accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
68. Numeric working memory reaction time [Acute (45, 180, 300 minutes post-dose)]
69. Numeric working memory reaction time [Chronic (57 days)]
70. Numeric working memory reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
71. Serial 3 subtractions total responses [Acute (45, 180, 300 minutes post-dose)]
72. Serial 3 subtractions total responses [Chronic (57 days)]
73. Serial 3 subtractions total responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
74. Serial 3 subtractions total error responses [Acute (45, 180, 300 minutes post-dose)]
75. Serial 3 subtractions total error responses [Chronic (57 days)]
76. Serial 3 subtractions total error responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
77. Serial 7 subtractions total responses [Acute (45, 180, 300 minutes post-dose)]
78. Serial 7 subtractions total responses [Chronic (57 days)]
79. Serial 7 subtractions total responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
80. Serial 7 subtractions total error responses [Acute (45, 180, 300 minutes post-dose)]
81. Serial 7 subtractions total error responses [Chronic (57 days)]
82. Serial 7 subtractions total error responses [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
83. Rapid visual information processing accuracy [Acute (45, 180, 300 minutes post-dose)]
84. Rapid visual information processing accuracy [Chronic (57 days)]
85. Rapid visual information processing accuracy [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
86. Rapid visual information processing reaction time [Acute (45, 180, 300 minutes post-dose)]
87. Rapid visual information processing reaction time [Chronic (57 days)]
88. Rapid visual information processing reaction time [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
89. Rapid visual information processing false alarms [Acute (45, 180, 300 minutes post-dose)]
90. Rapid visual information processing false alarms [Chronic (57 days)]
91. Rapid visual information processing false alarms [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
92. Mental fatigue [Acute (45, 180, 300 minutes post-dose)]
93. Mental fatigue [Chronic (57 days)]
94. Mental fatigue [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
95. Subjective mood - Alert [Acute (45, 180, 300 minutes post-dose)]
96. Subjective mood - Alert [Chronic (57 days)]
97. Subjective mood - Alert [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
98. Subjective mood - Content (visual analogue scale) [Acute (45, 180, 300 minutes post-dose)]
99. Subjective mood - Content [Chronic (57 days)]
100. Subjective mood - Content [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
101. Subjective mood - Calm [Acute (45, 180, 300 minutes post-dose)]
102. Subjective mood - Calm [Chronic (57 days)]
103. Subjective mood - Calm (Bond Lader visual analogue scale) [Superimposed chronic (57 days plus 45, 180, 300 minutes post-dose)]
104. Cerebral blood flow during performance of cognitive tasks [Acute (120, 150 minutes post-dose)]
105. Cerebral blood flow during performance of cognitive tasks [Superimposed chronic (57 days plus 120, 150 minutes post-dose)]
106. Cerebral blood flow at rest [Acute (120, 150 minutes post-dose)]
107. Cerebral blood flow at rest [Chronic (57 days)]
108. Cerebral blood flow at rest [Superimposed chronic (57 days plus 120, 150 minutes post-dose)]