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Trial registered on ANZCTR
Registration number
ACTRN12625000805471p
Ethics application status
Submitted, not yet approved
Date submitted
21/07/2025
Date registered
29/07/2025
Date last updated
29/07/2025
Date data sharing statement initially provided
29/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
An examination into the effects of Magtein on cognitive performance and sleep quality in adults experiencing subjective cognitive difficulties and sleep dissatisfaction
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Scientific title
An examination into the effects of Magtein on cognitive performance and sleep quality in adults experiencing subjective cognitive difficulties and sleep dissatisfaction: a randomised, double-blind, placebo-controlled trial
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Secondary ID [1]
314954
0
None
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Universal Trial Number (UTN)
U1111-1325-6298
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cognitive impairment
338272
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Sleep disturbance
338273
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Condition category
Condition code
Neurological
334570
334570
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0
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Other neurological disorders
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Alternative and Complementary Medicine
334571
334571
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0
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Other alternative and complementary medicine
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Mental Health
334572
334572
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Magnesium L-threonate (Magtein) (1 capsule taken orally, twice daily, with or without food, delivering 2g a day for 6 weeks). Adherence to capsule intake will be measured by a count of capsules returned at week 6.
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Intervention code [1]
331555
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Treatment: Other
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Comparator / control treatment
A matching placebo (containing rice flour) in terms of taste and appearance and containing all ingredients except the active ingredient (magnesium L-threonate)
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Cognitive Performance
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Assessment method [1]
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National Institute of Health (NIH) Toolbox Cognition Battery: total cognition composite score
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Timepoint [1]
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [1]
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Cognitive Performance
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Assessment method [1]
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National Institute of Health (NIH) Toolbox Cognition Battery: fluid composite score
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Timepoint [1]
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [2]
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Cognitive Performance
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Assessment method [2]
450083
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National Institute of Health (NIH) Toolbox Cognition Battery: Crystallized composite score
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Timepoint [2]
450083
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [3]
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Cognitive Performance
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Assessment method [3]
450084
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National Institute of Health (NIH) Toolbox Cognition Battery: Cognitive age equivalence
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Timepoint [3]
450084
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [4]
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Sleep quality
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Assessment method [4]
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PROMIS Sleep disturbance score
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Timepoint [4]
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Day 0 (the day before commencement of intervention), week 2, 4, and 6 post-intervention commencement
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Secondary outcome [5]
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Sleep quality
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Assessment method [5]
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PROMIS Sleep-related impairment score
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Timepoint [5]
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Day 0 (the day before commencement of intervention), week 2, 4, and 6 post-intervention commencement
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Secondary outcome [6]
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Brain Fog
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Assessment method [6]
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Brain Fog Assessment and Severity Scale: Total score
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Timepoint [6]
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Day 0 (the day before commencement of intervention), week 2, 4, and 6 post-intervention commencement
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Secondary outcome [7]
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Global impression of change
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Assessment method [7]
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Patient Global Impression of Change
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Timepoint [7]
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Week 2 (14 days after the commencement of intervention), 4, and 6 post-intervention commencement
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Secondary outcome [8]
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Cognitive performance
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Assessment method [8]
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National Institute of Health (NIH) Toolbox Cognition Battery: Dimensional Change Card Sort score
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Timepoint [8]
450089
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [9]
450090
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Cognitive performance
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Assessment method [9]
450090
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National Institute of Health (NIH) Toolbox Cognition Battery: List Sorting Working Memory score
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Timepoint [9]
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [10]
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Cognitive performance
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Assessment method [10]
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National Institute of Health (NIH) Toolbox Cognition Battery: List Sorting Flanker Inhibitory Control and Attention score
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Timepoint [10]
450091
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [11]
450092
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Cognitive performance
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Assessment method [11]
450092
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National Institute of Health (NIH) Toolbox Cognition Battery: Pattern Comparison score
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Timepoint [11]
450092
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [12]
450093
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Cognitive performance
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Assessment method [12]
450093
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National Institute of Health (NIH) Toolbox Cognition Battery: Picture Sequence Memory score
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Timepoint [12]
450093
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [13]
450094
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Cognitive performance
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Assessment method [13]
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National Institute of Health (NIH) Toolbox Cognition Battery: Rey Auditory Verbal Learning Task: immediate score
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Timepoint [13]
450094
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [14]
450095
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Cognitive performance
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Assessment method [14]
450095
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National Institute of Health (NIH) Toolbox Cognition Battery: Oral Symbol Digit Modalities Test score
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Timepoint [14]
450095
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Secondary outcome [15]
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Brain Fog
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Assessment method [15]
450096
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Brain Fog Assessment and Severity Scale: Cognitive impairment score
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Timepoint [15]
450096
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Day 0 (the day before commencement of intervention), week 2, 4, and 6 post-intervention commencement
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Secondary outcome [16]
450097
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Brain fog
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Assessment method [16]
450097
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Brain Fog Assessment and Severity Scale: Somatic & affective experience score
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Timepoint [16]
450097
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Day 0 (the day before commencement of intervention), week 2, 4, and 6 post-intervention commencement
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Secondary outcome [17]
450323
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Cognitive performance
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Assessment method [17]
450323
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National Institute of Health (NIH) Toolbox Cognition Battery: Rey Auditory Verbal Learning Task: delayed score
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Timepoint [17]
450323
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Day 0 (the day before commencement of intervention) and week 6 post-intervention commencement
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Eligibility
Key inclusion criteria
1. Adults (male and female) aged between 18 to 70 years
2. Subjective complaints with memory and concentration abilities lasting at least 3 months, comprising a rating of 6 or lower on an 11-point scale ranging from 0 (terrible) to 10 (excellent)
3. Subjective complaints of sleep-related problems, lasting at least 4 weeks, comprising a rating of 6 or lower on an 11-point scale ranging from 0 (terrible) to 10 (excellent)
4. Non-smoker
5. BMI between 18 and 30 kg/m2
6. No plan to commence new treatments for cognition or sleep over the study period
7. Understand, willing and able to comply with all study procedures
8. Willing to provide a personally signed and dated informed consent form detailing all pertinent aspects of the trial.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Suffering from recently diagnosed or unmanaged medical conditions including but not limited to diabetes, hypertension, cardiovascular disease, gallbladder disease, autoimmune disease, renal disease, endocrine disease, or cancer/ malignancy
2. Have a psychiatric disorder (other than mild-to-moderate depression and/or anxiety), or a neurological condition/ disease including but not limited to Parkinson’s or Alzheimer’s disease
3. A score below the 5th percentile for age and educational level on the Modified Telephone Interview for Cognitive Status (TICS-M)
4. Regular medication intake including but not limited to anticonvulsants, benzodiazepines, opioids, corticosteroids, antibiotics or immunosuppressants.
5. Change in medication in the last 3 months or an expectation to change during the study duration
6. In the last 3 months, commenced or changed the dose of nutritional and/or herbal supplements that may influence cognitive function or sleep
7. Work or home conditions that may impact cognition or sleep (e.g., shift worker, caring for an infant, severe stress, recent divorce, the recent passing of a loved one, etc)
8. Current daily use of supplements that contain more than 25mg of elemental magnesium.
9. Alcohol intake greater than 14 standard drinks per week
10. Current or 12-month history of regular illicit drug use
11. Planned major lifestyle change in the next 2 months
12. Pregnant women, women who are breastfeeding, or women who intend to fall pregnant during the study period
13. Any significant surgeries over the last year that continue to affect daily function
14. Participation in any other clinical trial in the last month
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Numbered opaque containers
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software (i.e. computerised sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
25/08/2025
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Actual
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Date of last participant enrolment
Anticipated
22/12/2025
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Actual
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Date of last data collection
Anticipated
2/02/2026
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
319512
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Commercial sector/Industry
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Name [1]
319512
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AIDP Inc.
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Address [1]
319512
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Country [1]
319512
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United States of America
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Primary sponsor type
Commercial sector/Industry
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Name
Clinical Research Australia
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Address
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Country
Australia
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Secondary sponsor category [1]
322007
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Commercial sector/Industry
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Name [1]
322007
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AIDP Inc
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Address [1]
322007
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Country [1]
322007
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United States of America
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
318087
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National Institute of Integrative Medicine Human Research Ethics Committee
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Ethics committee address [1]
318087
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https://niim.com.au/research/niim-human-research-ethics-committee
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Ethics committee country [1]
318087
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Australia
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Date submitted for ethics approval [1]
318087
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07/07/2025
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Approval date [1]
318087
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Ethics approval number [1]
318087
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Summary
Brief summary
In this randomised, double-blind, placebo-controlled study, 100 adults aged 18 to 70 years with self-reported cognitive and sleep-related difficulties will be randomly assigned to receive magnesium L-threonate (Magtein) or a placebo for 6 weeks. Changes in cognitive performance will be assessed at baseline and week 6 by administering the NIH Toolbox Cognition Battery and related subtests. Moreover, self-report questionnaires will be administered to examine changes in sleep quality and brain fog.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Adrian Lopresti
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Address
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
143070
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Australia
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Phone
143070
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+61 8 94487376
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Fax
143070
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Email
143070
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[email protected]
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Contact person for public queries
Name
143071
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Adrian Lopresti
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Address
143071
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
143071
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Australia
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Phone
143071
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+61 8 94487376
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Fax
143071
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Email
143071
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[email protected]
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Contact person for scientific queries
Name
143072
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Adrian Lopresti
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Address
143072
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Clinical Research Australia, 38 Arnisdale Road Duncraig WA 6023
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Country
143072
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Australia
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Phone
143072
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+61 8 94487376
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Fax
143072
0
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Email
143072
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
•
Case-by-case basis at the discretion of Primary Sponsor
Conditions for requesting access:
•
No requirements
What individual participant data might be shared?
•
for IPD meta-analyses
What types of analyses could be done with individual participant data?
•
Systematic reviews and meta-analyses
When can requests for individual participant data be made (start and end dates)?
From:
After publication of main results
To:
A finite period of:
5
years
Where can requests to access individual participant data be made, or data be obtained directly?
•
Access subject to approvals by Principal Investigator (
[email protected]
)
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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