Review Article

Mitochondria- and Oxidative Stress-Targeting Substances in Cognitive Decline-Related Disorders: From Molecular Mechanisms to Clinical Evidence

Table 2

Clinical trials on the effects of resveratrol. Ongoing trials are italicized.

Study designResveratrol dose/preparationDurationSubjectsPurposeMain resultsReferences

Young and aged healthy individuals
R, DB, PC, COTrans-resveratrol from Biotivia Bioceuticals 250 mg or 500 mg21 days(24)
18-25 years healthy
Ability to increase cerebral blood flow and modulate mental functionIncrease in cerebral flow, no effect in cognitive functionKennedy et al., 2010 [94]

R, DB, PC, COTrans-resveratrol 250 mg/day or trans-resveratrol 250 mg/day with 20 mg piperine21 days(23)
Healthy subjects aged 19-34 years
Effect of piperine on the efficacy and bioavailability of resveratrolPiperine enhances the effect of resveratrol on cerebral blood flow but no effect on bioavailability and cognitionWightman et al., 2014 [95]

Study in older adults200 mg of resveratrol per day26 weeks(46)
Healthy overweight subjects aged 50-75 years
Test whether resveratrol would improve memory performance in older adultsResveratrol ameliorates memory performance in combination with improved glucose metabolism and increased hippocampal functional connectivity in healthy overweight old peopleWitte et al., 2014 [107]

Patients with cognitive decline and postmenopausal women
R, DB, PC72 g of active grape formulation6 months(10) Adults with mild cognitive decline with mean age of 72.2 yearsEvaluate the effects of grapes on regional cerebral metabolismGrapes could possess a protective effect against early pathologic metabolic declineLee et al., 2017 [108]

R, PC, intervention trial75 mg twice daily of trans-resveratrol14 weeks(80) Postmenopausal women between 45 and 85 years oldTest the effects of resveratrol on cognition, mood, and cerebrovascular function in postmenopausal womenResveratrol was well tolerated and able to improve cognition which was related to the improvement of cerebrovascular function. Mood was improved but not significantly.Evans et al., 2017 [109]

Patients with MCI
R, DB, interventional study200 mg of resveratrol per day26 weeks(40)
Old patients with MCI
Assess if resveratrol improves long-term glucose control, resting-state functional connectivity of the hippocampus, and memory function in patients with MCIResveratrol supplementation decreased glycated hemoglobin A1c, preserved hippocampus volume, and improved hippocampus RSFC in patients with MCIKoebe et al., 2017 [112]

R, DB
Phase 1
Bioactive dietary polyphenol preparation (BDPP) at low, moderate, and high doses4 months(48)
55-85 years MCI
Safety and efficacy in treating mild cognitive impairmentNCT02502253 [110]

R, DB, PC
Phase 4
Resveratrol or omega-3 supplementation or caloric restriction6 months(330)
50-80 years MCI
Effects on brain functionNCT01219244 [111]

Patients with mild to moderate AD
R, DB, PC, MC
Phase 2
Resveratrol 500 mg/day with escalation by 500 mg increments ending with 2 g/day52 weeks(119)
Over 49 years mild to moderate AD
Assess efficacy and safetyNo effect on cognitive score, decrease of CSF and plasma Aβ40 levelsTurner et al., 2015 [113]

R, DB, PC Phase 2Resveratrol 500 mg daily (orally) with a dose elevation by 500 mg every 13 weeks until a final dose of 1000 mg twice daily was reached for the final 13 weeks.52 weeks(119)
Adults older than 49 years old with a diagnosis of mild to moderate dementia due to AD
Evaluation of safety and tolerability of resveratrol and its effects on AD biomarkers and also on clinical outcomesResveratrol was well tolerated and safe, it was detected in the cerebrospinal fluid (nM), it changed the AD biomarker paths, it modified the CNS immune response, and it maintained the BBB integrity; however, more research is neededSawda et al., 2017 [114]

R, DB, PC
Phase 3
Longevinex brand resveratrol supplement (resveratrol 250 mg/day)52 weeks(50)
50-90 years mild to moderate AD on standard therapy
Effects on cognitive and global functioningNCT00743743 [115]

R, DB, PC
Phase 3
Resveratrol with malate and glucose12 months(27)
50-90 years mild to moderate AD
Ability to slow the progression of ADNCT00678431 [116]

MCI, mild cognitive impairment; AD, Alzheimer’s disease; R, randomized; DB, double blind; PC, placebo controlled; CO, cross over; MC, multicenter; CSF, cerebrospinal fluid. The number of patients involved in the trials is indicated in parentheses.