Evidence map›Paper›PMID 27147264›Full record

Trial reportHuman psychopharmacology2016

Effects of Ginkgo biloba extract EGb 761® on cognitive control functions, mental activity of the prefrontal cortex and stress reactivity in elderly adults with subjective memory impairment - a randomized double-blind placebo-controlled trial.

Stefanie M Beck, Hannes Ruge, Christoph Schindler, Martin Burkart, Robert Miller, Clemens Kirschbaum, Thomas Goschke

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Human psychopharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
10.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Journal of clinical medicine · 2025
    Article
  8. Review
  9. Alzheimer's Disease: Cellular and Pharmacological Aspects.Geriatrics (Basel, Switzerland) · 2024
    Review
  10. Antioxidants (Basel, Switzerland) · 2022
    Review
  11. Review
  12. Mild Cognitive Impairment and Mild Dementia: The Role ofPharmaceuticals (Basel, Switzerland) · 2021
    Review
  13. Strategies for the use of Ginkgo biloba extract, EGb 761CNS neuroscience & therapeutics · 2021
    Article
  14. Review
  15. Article
  16. Cytotoxic effect ofHeliyon · 2020
    Article
  17. Review
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Stefanie M BeckDepartment of Psychology, Technische Universität Dresden, Dresden, Germany.
Hannes RugeDepartment of Psychology, Technische Universität Dresden, Dresden, Germany.
Christoph SchindlerInstitute for Clinical Pharmacology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Martin BurkartDr. Willmar Schwabe GmbH & Co. KG, Karlsruhe, Germany.
Robert MillerDepartment of Psychology, Technische Universität Dresden, Dresden, Germany.
Clemens KirschbaumDepartment of Psychology, Technische Universität Dresden, Dresden, Germany.
Thomas GoschkeDepartment of Psychology, Technische Universität Dresden, Dresden, Germany.
TU Dresden · DEDr Willmar Schwabe (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCognitive control as well as stress reactivity is assumed to depend on prefrontal dopamine and decline with age. Because Ginkgo biloba extract EGb761 increases prefrontal dopamine in animals, we assessed its effects on cognitive functions related to prefrontal dopamine.

methodsEffects of 240-mg EGb761 daily on task-set-switching, response-inhibition, delayed response, prospective-memory, task-related fMRI-BOLD-signals and the Trier Social Stress-Test were explored in a randomized, placebo-controlled, double-blind pilot-trial in 61 elderly volunteers with subjective memory impairment.

resultsBaseline-FMRI-data showed BOLD-responses in regions commonly activated by the specific tasks. Task-switch-costs decreased with EGb761 compared to placebo (ANOVA-interaction: Group × Time × Switch-Costs p = 0.018, multiple tests uncorrected), indicating improved cognitive flexibility. Go-NoGo-task reaction-times corrected for error-rates indicated a trend for improved response inhibition. No treatment effects were found for the delayed response and prospective-memory tasks and fMRI-data. A non-significant trend indicated a potentially accelerated endocrine stress-recovery. EGb761 was safe and well tolerated.

conclusionWe observed indications for improved cognitive flexibility without changes in brain activation, suggesting increased processing efficiency with EGb761. Together with a trend for improved response inhibition results are compatible with mild enhancement of prefrontal dopamine. These conclusions on potential beneficial effect of EGb761 on prefrontal dopaminergic functions should be confirmed by direct measurements. © 2016 The Authors. Human Psychopharmacology: Clinical and Experimental published by John Wiley & Sons, Ltd.

Indexed as

AgedAgingCognitionDopamineDouble-Blind MethodFemaleGinkgo bilobaGinkgo ExtractHumansMagnetic Resonance ImagingMaleMemory DisordersMiddle AgedPilot ProjectsPlant ExtractsPrefrontal CortexDopamineGinkgo biloba extractGinkgo ExtractPlant Extractscognitive controldopamineEGb 761fMRIginkgotask switch

Identifiers

PMID27147264
PMCPMC5084772
OpenAlexW2345909855

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.