Ashwagandha Pharmacokinetics Study in Older Adults

Last updated: September 30, 2025
Sponsor: Oregon Health and Science University
Overall Status: Terminated

Phase

1

Condition

Aging

Treatment

Shoden 240 mg

Shoden

Shoden 480 mg

Clinical Study ID

NCT06171724
26055
KL2TR002370
  • Ages > 65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This study will measure the oral bioavailability and pharmacokinetics of known compounds from a standardized Withania somnifera botanical dietary supplement in healthy older adults.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age 65 and older, male and female

  2. Body Mass Index (BMI) greater than 17 and less than 35 at screening

  3. Sufficient vision and hearing to complete all tests

  4. Willingness to discontinue all botanical supplementation for one week prior to andthroughout study

  5. No known sensitivity to Withania somnifera or any of its derivatives

  6. Normal or clinically not significant 12-lead electrocardiogram (ECG) recording

  7. Hepatic (ALT, AST, bilirubin), renal (creatinine, estimated GFR), and TSH parameterswithin normal range

  8. Hemoglobin ≥13.0 g/dL or hematocrit ≥39% (males) OR hemoglobin ≥12.5 g/dL orhematocrit ≥38% (females), per FDA recommendations on blood donation

  9. General health status that will not interfere with the ability to complete the study

  10. Willingness to attend all study visits

  11. Willingness to avoid caffeine and xanthine-containing foods or beverages (e.g.,coffee, tea, chocolate, caffeine-containing sodas, colas, etc.), as well asgrapefruit juice and poppy-containing foods for 48 hours prior to baseline visits

  12. Willingness to adhere to special diet (no dairy, grapefruit products,poppy-containing foods, high-fat meals, caffeine, or xanthine-containing foods orbeverages) during baseline visits and until after 24-hour visit

  13. Mini-Mental State Exam (MMSE) score ≥26

Exclusion

Exclusion Criteria:

  1. Current smoking, alcohol, or substance abuse according to DSM-V criteria

  2. Participants who are currently pregnant, actively trying to conceive a child, orplanning to within three months of study completion

  3. Severe aversion to venipuncture

  4. Donation of blood within 90 days of screening

  5. Participation in drug research study within 90 days of screening

  6. Serious health condition (i.e., illness, injury, impairment, or physical or mentalcondition which requires a) overnight hospitalization or b) continuing treatmentthat may cause episodic periods of incapacity of more than 3 consecutive days)within 30 days of screening

  7. Allergy to nightshade plants (Solanaceae family)

  8. Abnormal labs indicating symptomatic and untreated urinary tract infection

  9. History of prostate cancer

  10. History of kidney transplant

  11. Cancer within the last five years, with the exception of non-metastatic skin cancers

  12. Comorbid conditions requiring medication such as diabetes, kidney failure, liverfailure, hepatitis, blood disorders, hypotension, thyroid disease, respiratorydisorders, or cardiovascular disease

  13. Presence of sleep apnea, moderate to severe restless leg syndrome, major circadianrhythm changes, or narcolepsy

  14. Significant disease of the Central Nervous System (CNS) such as brain tumor, seizuredisorder, subdural hematoma, cranial arteritis, or clinically significant stroke

  15. Diagnosis of major depression, schizophrenia, bipolar disorder, or other majorpsychiatric disorder as defined by DSM-V criteria

  16. Diseases associated with dementia such as Alzheimer's disease, vascular dementia,normal pressure hydrocephalus or Parkinson's disease

Study Design

Total Participants: 12
Treatment Group(s): 3
Primary Treatment: Shoden 240 mg
Phase: 1
Study Start date:
April 08, 2024
Estimated Completion Date:
December 09, 2024

Study Description

This is a randomized, double-blind, crossover trial evaluating (a) the pharmacokinetics of withanolides from two doses (240 and 480 mg) of a commercially available Withania somnifera root and leaf extract (Shoden®), (b) the safety and tolerability of these doses over four weeks' use and (c) the feasibility of remotely measuring sleep- and stress-related outcomes in older adults. Participants will be randomized to one of two dose sequence groups. There will be two four-week study periods separated by a two-week washout period. During each study period, participants will attend a 13-hour pharmacokinetics study visit and return for 24- and 48-hour blood and urine collections. After the 48-hour visit, they will continue taking Shoden® at the administered dose (240 or 480 mg) for four weeks, at which time they will return for a follow-up visit.

Connect with a study center

  • Oregon Health & Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health & Science University

    Portland 5746545, Oregon 5744337 97239
    United States

    Site Not Available

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