Evidence map›Paper›PMID 40638707›Full record

Trial reportPloS one2025

A double-blind, placebo-controlled, randomized, multi-centre, phase III study of MLC901 (NeuroAiDTMII) for the treatment of cognitive impairment after mild traumatic brain injury.

Pavel I Pilipenko, Anna A Ivanova, Yulia V Kotsiubinskaya, Vera N Grigoryeva, Alexey Y Khrulev, Anatoly V Skorokhodov, Maxim M Gavrik, Nona N Mkrtchan, Marek Majdan, Peter Valkovic and 4 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04861688 (A Randomized Double-blind, Placebo-controlled, Multi-center Trial to Investigate the Efficacy and Safety of NeuroAiD II™), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04861688 phase3completednot on this map

A Randomized Double-blind, Placebo-controlled, Multi-center Trial to Investigate the Efficacy and Safety of NeuroAiD II™ (MLC901) to Improve Cognitive Functioning in Non-surgical Mild Traumatic Brain Injury Patients

TypeinterventionalSponsorMoleac Pte Ltd.Ran2021 to 2023Enrolled182ConditionsTraumatic Brain InjuryArmsTraditional Chinese Medicine (NeuroAiD II™ (MLC901), Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

14 authors.

Pavel I PilipenkoNovosibirsk State Medical University, Novosibirsk, Russia.
Anna A IvanovaMunicipal Polyclinic № 106 of St. Petersburg, St. Petersburg, Russia.ORCID https://orcid.org/0009-0003-3650-3558
Yulia V KotsiubinskayaX7 Research, St. Petersburg, Russia.
Vera N GrigoryevaNizhny Novgorod Regional Clinical Hospital named after N.A. Semashko, Nizhny Novgorod, Russia.
Alexey Y KhrulevNizhny Novgorod Regional Clinical Hospital named after N.A. Semashko, Nizhny Novgorod, Russia.ORCID https://orcid.org/0000-0003-0169-3956
Anatoly V SkorokhodovIvanovo Regional Clinical Hospital, Ivanovo, Russia.
Maxim M GavrikScientific Research Center Eco Safety LLC, St. Petersburg, Russia.
Nona N MkrtchanMedical Technologies Ltd, St. Petersburg, Russia.
Marek MajdanInstitute for Global Health and Epidemiology, Trnava University, Trnava, Slovakia.
Peter Valkovic2nd Department of Neurology, Faculty of Medicine, Comenius University in Bratislava, Bratislava, Slovakia.
Daria RabarovaInstitute for Global Health and Epidemiology, Trnava University, Trnava, Slovakia.
Suzanne Barker-ColloSchool of Psychology, The University of Auckland, Auckland, New Zealand.
Kelly JonesNational Institute for Stroke and Applied Neurosciences, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Valery L FeiginNational Institute for Stroke and Applied Neurosciences, School of Clinical Sciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID https://orcid.org/0000-0002-6372-1740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAbout half of the world population will suffer from a traumatic brain injury (TBI) during their lifetime, of which about 90% of cases are mild TBI. Although up to 40% of adults with mild TBI experience persistent functional deficits, there is no proven-effective treatment to facilitate recovery after it. METHODS AND ANALYSIS: This randomized placebo-controlled multi-centre study was aimed to examine the efficacy of herbal supplement MLC901 on complex attention following mild TBI at 6 months post-randomisation, as a primary outcome measured by CNS Vital signs (CNS-VS). Adults aged 18-65 years, who were 1-12-months post-mild TBI and experienced cognitive impairment, were randomly assigned to receive either MLC901 two capsules (0.4g/capsule) or placebo three times a day for 6 months using centralized stratified permuted block randomization. Secondary outcomes: Rivermead Post-Concussion Symptoms Questionnaire (RPQ; neurobehavioral sequelae); Health Related Quality of Life (QOLIBRI); Hospital Anxiety and Depression Scale (HADS); and safety. Mixed effects models of repeated measures with intention to treat analysis were employed. A Least Square Mean Difference (LSMD) from baseline to 3-, 6-, and 9-month follow-up was calculated with 95% confidence intervals (CI).

resultsIn the analysis, 182 participants (47.8% females) were included. Multivariable mixed effects model analysis did not reveal significant improvements in complex attention (LSMD = -1.18 [95% CI -5.40; 3.03; p = 0.58]) and other cognitive domains at 6 months in the MLC901 group compared to the Placebo group. There were significant improvements in RPQ, QOLIBRI, anxiety and depression in the MLC901 group compared to the Placebo group at 6 and 9 months (LSMD -4.36 [-6.46; -2.26] and -4.07 [-6.22; -1.92], 4.84 [1.58; 8.10] and 3.74 [0.44; 7.03], -1.50 [-2.29; -0.71 and -0.96 [-1.84; -0.08], -1.14 [-1.92; -0.35] and -1.14 [-1.94; -0.34]), respectively. MLC901 tested was proven safe.

conclusionsAlthough the 6-month treatment with MLC901 did not result in a statistically significant difference with placebo for CNS-VS measurement of cognitive domains in individuals with mild TBI, the study showed a clinically and statistically significant improvement in all clinical scales assessed by the investigators.

trial registrationClinicalTrials.gov identifier NCT04861688.

Indexed as

Brain ConcussionCognitive DysfunctionAdolescentAdultAgedDouble-Blind MethodDrugs, Chinese HerbalFemaleHumansMaleMiddle AgedQuality of LifeTreatment OutcomeYoung AdultDrugs, Chinese HerbalNeuroaid

Identifiers

PMID40638707
PMCPMC12244563

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Registered trials

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.