Home » Trials » SLCTR/2026/022


Influence of Bacopa monnieri on safety, tolerability, telomere and neurophysiological functions in healthy older adults in relation to prakriti

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SLCTR Registration Number

SLCTR/2026/022


Date of Registration

13 Aug 2026

The date of last modification

Aug 13, 2026



Application Summary


Scientific Title of Trial

Influence of Bacopa monnieri on safety, tolerability, telomere and neurophysiological functions in healthy older adults in relation to prakriti


Public Title of Trial

Effects of Brahmi (Bacopa monnieri) on memory, brain function, wellbeing, healthy ageing and safety in healthy older adults with different body constitutions (Prakriti).


Disease or Health Condition(s) Studied

Healthy ageing, cognitive function, neurophysiological function, and telomere biology in healthy older adults.


Scientific Acronym

BRAIN-AGE Study (Bacopa Research on Aging, Neurophysiology and Genomic Effects)


Public Acronym

BRAIN-AGE (Brahmi Research on Aging, Neurophysiology and Genomic Effects)


Brief title

Effects of Bacopa monnieri on healthy ageing and neurophysiological functions in older adults.


Universal Trial Number

UTN: U1111-1345-3186


Any other number(s) assigned to the trial and issuing authority

EC-26-013- Ethics Review Committee Faculty of Medicine University of Colombo


Trial Details


What is the research question being addressed?

What is the optimal dose of Bacopa monnieri freeze-dried decoction (BMFD) that provides maximal improvement in telomerase activity and preservation of telomere length, while ensuring acceptable safety and tolerability in healthy older adults?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Dose comparison


Assignment

Parallel


Purpose

Health services research


Study Phase

Phase 0 (exploratory trials)


Intervention(s) planned

  1. Clinical Trial Centre – Professorial Unit, National Ayurveda Teaching Hospital, Borella, Sri Lanka, Traditional Medicine Consultation Unit (TMCU) / Clinical Trial Centre, Faculty of Indigenous Medicine, University of Colombo and Neuro science research Centre- Department of Physiology, Faculty of Medicine, University of Colombo, Sri Lanka

  2. Eligible participants will be individually randomized into three parallel intervention groups in a 1:1:1 ratio after completion of baseline assessments. A computer-generated randomization sequence will be used for allocation of participants. The unit of randomization will be the individual participant. Allocation will be performed after confirming eligibility and baseline assessments.

As this is an open-label dose-finding study, blinding is not applicable. The allocation sequence will be securely maintained, and participants will be assigned according to the generated randomization schedule.

a. Method of randomization into study arms: Computer-generated randomization with equal allocation (1:1:1 ratio) into three parallel intervention groups.

b. Unit of randomization: Individual participant.

c. Method of sequence generation: Computer-generated randomization sequence.

d. Method of allocation concealment: Allocation will be performed after confirmation of eligibility and completion of baseline assessments according to the generated randomization sequence.

  1. Intervention Participants will receive orally administered Bacopa monnieri freeze-dried decoction (BMFD) at three different dose levels according to the randomized intervention group:

Group I (High-dose BMFD): 180 mL twice daily (total 360 mL/day) Group II (Medium/test-dose BMFD): 120 mL twice daily (total 240 mL/day) Group III (Low-dose BMFD): 60 mL twice daily (total 120 mL/day)

The intervention will be administered orally, twice daily, for 45 days. Following completion of the intervention period, participants will be followed up until Day 90 for assessment of safety, tolerability, aging-related parameters, and neurophysiological functions.

This study does not include a control arm receiving standard therapy.

Primary and secondary outcome assessments related to aging-associated parameters and neurophysiological functions will be conducted at baseline, midpoint, and endpoint visits. Safety and tolerability assessments will also be performed throughout the study period.


Inclusion criteria

1.Age between 60 - 64 2.Both male and females 3.Nonsmokers and non-alcohol user 4.The Montreal Cognitive Assessment (MoCA) score of 26 or above


Exclusion criteria

  1. Chronic kidney disease (CKD)
  2. Cardiovascular disease (CVD)
  3. Liver disorders,
  4. Psychiatric illnesses,
  5. diabetes mellitus,
  6. hypertension,
  7. hyperlipidemia,
  8. malignancy, .
  9. Participants with persistent dyspeptic symptoms, including epigastric pain or burning, postprandial fullness, early satiety, recurrent nausea or vomiting, or those requiring ongoing treatment for dyspepsia or peptic ulcer disease. 10.Those who have medically diagnosed diseases with reduced capacity to answer questions.


Primary outcome(s)

1.

Incidence of treatment emergent adverse events Metric Number and proportion of participants experiencing one or more adverse events, graded according to CTCAE Methods of aggregation- Frequency and percentage of participants by dose group.

[

Baseline, Week 6, Week 12

]
2.

Safety laboratory parameters Variable Hematological and biochemical safety parameters (e.g., FBC, AST, ALT, serum creatinine, fasting blood glucose, urine analysis) Metric Absolute values and change from baseline Methods of aggregation Mean ± SD and mean change from baseline by dose group

[

Time point Baseline, Week 6, Week 12

]
3.

Tolerability

Variable Tolerability score based on investigator-administered checklist and participant symptom diary Metric Total tolerability score and frequency of treatment-related symptoms Methods of aggregation Mean score and proportion of participants reporting symptoms Time point

[

Baseline, Week 6, Week 12

]
4.

Telomerase activity Variable Telomerase activity in PBMCs Metric Relative telomerase activity measured by laboratory assay Methods of aggregation Mean change from baseline by dose group

[

Baseline, Week 6, Week 12

]
5.

Telomere length Variable Relative telomere length in PBMCs Metric T/S ratio measured using quantitative PCR (qPCR) Methods of aggregation Mean change from baseline by dose group Time point Baseline, Week 6, Week 12

[]

Secondary outcome(s)

1.

Cognitive function Variable Montreal Cognitive Assessment (MoCA) score Metric Total MoCA score (0–30)

Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point

[

Baseline, Week 6, Week 12

]
2.
  1. Peripheral nerve function Variable Nerve conduction parameters (e.g., conduction velocity, latency, amplitude) Metric Values obtained from Nerve Conduction Test (NCT) Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]
3.
  1. Neurophysiological function Variable Electroencephalography (EEG) parameters Metric Quantitative EEG measurements according to the study protocol Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]
4.
  1. Health-related quality of life Variable HRQoL questionnaire score Metric Total HRQoL score (and domain scores, if applicable) Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]
5.
  1. Peripheral nerve function Variable Nerve conduction parameters (e.g., conduction velocity, latency, amplitude) Metric Values obtained from Nerve Conduction Test (NCT) Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]
6.
  1. Neurophysiological function Variable Electroencephalography (EEG) parameters Metric Quantitative EEG measurements according to the study protocol Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]
7.
  1. Health-related quality of life Variable HRQoL questionnaire score Metric Total HRQoL score (and domain scores, if applicable) Methods of aggregation Mean ± SD and mean change from baseline by dose group Time point
[

Baseline, Week 6, Week 12

]

Target number/sample size

24


Countries of recruitment

Sri Lanka


Anticipated start date

2026-06-01


Anticipated end date

2027-08-30


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Funding source under discussion and The first stage of the research was initiated through the University of Colombo Small Research Grant (Grant No. AP/3/2024/SG/10).


Regulatory approvals

“Not applicable – Ayurvedic pharmacopeial preparation.”



State of Ethics Review Approval


Status

Approved


Date of Approval

2026-04-23


Approval number

EC-26-013


Details of Ethics Review Committee

Name: Ethics Review Committee Faculty of Medicine University of Colombo
Institutional Address:Faculty of Medicine University of Colombo P O Box 271, Kynsey Road, Colombo 8, Sri Lanka
Telephone: +94-11-2695300 ext 240 Fax: +94-11-2691581
Email: erc@med.cmb.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr.HLNR.Pradeep
Lecturer -Probationary
Faculty of indigenous Medicine University of Colombo, Sri Lanka
0112789950
0711723286

ranganapradeep@fim.cmb.ac.lk

Contact Person for Public Queries

Prof.Dilshnai Dissanyake
Professor in Physiology
Faculty of Medicine University of Colombo, Sri Lanka
+94 112 695 300
0718232420

dilshanid@physiol.cmb.ac.lk


Primary study sponsor/organization

NA





Secondary study sponsor (If any)

NA





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

No


IPD sharing plan description


Study protocol available

Yes


Protocol version and date


Protocol URL


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results