Ergothioneine and its congeners: anti-ageing mechanisms and pharmacophore biosynthesis.
Li Chen, Liping Zhang, Xujun Ye...
https://pubmed.ncbi.nlm.nih.gov/37561026/Actively Recruiting
Led by Stanford University · Updated on 2026-04-01
28
Participants Needed
1
Research Sites
87 weeks
Total Duration
This research aims to learn how well a daily ergothioneine supplement replenishes ergothioneine levels in the blood of people with kidney failure who are undergoing dialysis. Dialysis removes harmful chemicals but can also reduce valuable chemicals like ergothioneine, which comes from the diet and is usually low in these patients. The study is led by Stanford University and focuses on people with end-stage renal disease ESRD. Participants in this randomized, triple-blinded study will receive either a daily ergothioneine capsule ranging from 5 mg to 25 mg or a matching placebo for up to 12 weeks. The study compares the effects of the supplement versus placebo on blood levels of ergothioneine during and after treatment. During the study, researchers will measure ergothioneine levels in red blood cells and plasma at multiple time points weeks 1, 2, 4, 8, and 12 while taking the supplement or placebo, and weeks 16 and 20 after stopping treatment. Participants will be monitored for changes in these levels to understand how well the supplement replenishes ergothioneine. The total participation includes both the supplementation period and follow-up after stopping the treatment.
CONDITIONS
Repletion of Ergothioneine in Patients With Kidney Failure
T
Tammy Sirich, MD
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Stanford University
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Ergothioneine Capsule (Trial Arm) | Placebo Capsule (Trial Arm) |
|---|---|---|
| What is it? | This is a regimen where participants with ESRD receive a daily ergothioneine capsule over 12 weeks, aiming to study the effects of replenishing ergothioneine levels. | This is a regimen where participants with ESRD receive a matching placebo capsule daily for 12 weeks, serving as the control arm in the study. |
| Role in the trial | Acts as the experimental arm to test whether ergothioneine repletion alters biochemical levels compared to placebo. | Serves as the control arm, providing a comparator for changes in ergothioneine and other outcomes. |
| Primary use | Investigational use of ergothioneine to replenish antioxidant levels in patients receiving dialysis for kidney failure. | Placebo used to control for non-specific effects and allow comparison with the investigational arm. |
| How is it given/performed? | Taken orally as a daily capsule for 12 weeks alongside usual dialysis care. | Taken orally as a daily capsule for 12 weeks, identical in schedule to the active intervention. |
| Evidence status | Clinical efficacy remains under investigation. Ergothioneine is recognized as a potent antioxidant in the literature, but evidence for benefit in kidney failure or on patient outcomes is limited and primarily exploratory. | Placebo is used to establish the baseline and measure changes in ergothioneine levels and other outcomes, but it is not intended to confer therapeutic benefit. |
| Important limitations | Evidence for ergothioneine supplementation in ESRD is limited mainly to mechanistic and early-stage studies; clinical outcome benefits are not established. The small trial size and lack of long-term safety or efficacy data constrain interpretation. | Placebo groups do not offer clinical benefit and can only control for non-specific effects. The trial's placebo comparison does not address whether ergothioneine is superior to other antioxidants or current-care strategies. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 12 weeks
Participants take ergothioneine or placebo capsules daily for up to 12 weeks.
Visits at weeks 1, 2, 4, 8, and 12 for assessments
Duration - 8 weeks after treatment ends
Participants are monitored after stopping ergothioneine or placebo to assess lasting effects.
Visits at weeks 16 and 20
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Li Chen, Liping Zhang, Xujun Ye...
https://pubmed.ncbi.nlm.nih.gov/37561026/Barry Halliwell, Richard M Y Tang, Irwin K Cheah
https://pubmed.ncbi.nlm.nih.gov/36623925/Stanford University
Lead Sponsor