Evaluation of the Effect of L-Arginine on the Cognitive Function in Geriatric Patients

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age60+
SponsorGerman University in Cairo

About this trial

This study aims to evaluate the effect of L-arginine supplementation on cognitive function in geriatric patients. Eligible participants will receive either L-arginine (6 grams once daily) or placebo, and their cognitive performance will be assessed using validated cognitive assessment tools over the study period. The participants will receive the intervention for 4 weeks and followed up every 2 weeks. The primary outcome is improvement in cognitive function, while secondary outcomes include safety, tolerability, and quality of life measures. The findings may provide evidence for the potential role of L-arginine in supporting cognitive health in elderly populations.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age >60 years

Montreal Cognitive Assessment (MoCA) test score from 10-25 (mild to moderate cognitive impairment)

Disqualifiers

Presence of neurodegenerative diseases (e.g.: Alzheimer's disease, Parkinson's disease, Huntington's disease, Multiple Sclerosis)

Patients with history of L-arginine intolerance or allergy

Patients with asthma

Patients who recently had an acute myocardial infarction

Trial design

Design model

Parallel

Treatments tested in this trial

  • L-Arginine

    Dietary supplement

    6 grams L-arginine sachets taken orally once daily

  • Placebo

    Other intervention

    Matching Placebo of L-arginine

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: L-ArginineExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Montreal Cognitive Assessment (MOCA)

MOCA is a is a brief cognitive screening tool used to detect mild cognitive impairment (MCI) and early dementia. It assesses multiple cognitive domains including memory, attention, executive function, language, visuospatial skills, abstraction, calculation, and orientation. The score ranges from 0- 30. The higher the score the better the cognition. The normal range is from 26-30.

Time frame
at baseline, after 2 weeks, and after 4 weeks

Secondary outcomes

1

Depression, Anxiety, Stress Scales-21 (DASS-21)

DASS-21 is a short self-report questionnaire used to assess depression, anxiety, and stress over the past week. It consists of 21 items, with 7 items for each subscale, rated on a 4-point Likert scale. Each subscale has a raw score range of 0-21and the higher the score the worse the outcome of symptoms of depression, anxiety, or stress.

Time frame
at baseline, after 2 weeks, and after 4 weeks
2

The World Health Organization Quality of Life (WHOQOL-BREF)

WHOQOL-BREF is a brief, self-administered questionnaire that assesses an individual's perceived quality of life. It consists of 26 items covering four domains: physical health, psychological health, social relationships, and environment. Score can range from 0-100 for each domain with higher scores meaning a better quality of life.

Time frame
at baseline, after 2 weeks, and after 4 weeks
3

ADMA

Asymmetric dimethylarginine

Time frame
at baseline and after 4 weeks
4

MDA

Malondialdehyde

Time frame
at baseline and after 4 weeks

Other outcomes

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