NCT07774546

Brief Summary

Healthy foods, including peanuts, may improve brain function, which is essential for cognitive and metabolic health, and may contribute to improved food intake regulation. It is therefore important to investigate the specific effects of peanut butter on cerebral blood flow responses, as well as the potential associated functional benefits. The researchers hypothesize that long-term peanut butter consumption improves vascular function in the brain, thereby enhancing cognitive performance and appetite control in middle aged and older adults. Objective: The primary objectives are to investigate in middle aged and older men and women the effect of 16-week peanut butter consumption on brain vascular function, while we will also assess changes in cognitive performance and appetite-related brain reward activity (secondary objectives). Cerebral blood flow responses (brain vascular function) will be non-invasively quantified by the non-invasive gold standard magnetic resonance imaging (MRI)-perfusion method Arterial Spin Labeling (ASL).Study design: This intervention study will have a randomized, controlled, cross-over design. The total study duration will be 40 weeks, including two 16-week interventions, separated by a washout period of at least 8 weeks. Study population: Forty-five middle-aged and older men and women (aged 45-75 years) without a history of cardiovascular diseases or complaints will participate. This population is expected to have a decreased cerebral blood flow at baseline and are also at increased risk of cognitive impairment, allowing for improvement by the intervention. Intervention: Study participants will receive, in random order, 45 g of peanut butter daily (peanut intervention) or no peanut butter (control) for a total of 16 weeks, separated by a wash-out period of at least 8 weeks. Main study parameters/endpoints: At baseline, first anthropometric measurements will be performed and blood pressure will be determined. In addition, a fasting blood sample will be drawn. Another fasting blood sample will be drawn at eight weeks, while participants have to attend the research facilities to perform follow-up measurements after sixteen weeks. The primary endpoint is the difference at follow-up in the cerebral blood flow response between peanut butter intervention and control periods. Cognitive performance will be assessed, while the researchers will also focus on appetite-related brain reward activity (secondary outcomes).

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
45

participants targeted

Target at P25-P50 for not_applicable

Timeline
21mo left

Started Sep 2026

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress5%
Sep 2026Jul 2028

First Submitted

Initial submission to the registry

August 5, 2026

Completed
14 days until next milestone

First Posted

Study publicly available on registry

August 19, 2026

Completed
13 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2028

Last Updated

August 19, 2026

Status Verified

August 1, 2026

Enrollment Period

1.8 years

First QC Date

August 5, 2026

Last Update Submit

August 17, 2026

Conditions

Keywords

PeanutsPeanut butterBrainCognitive healthMetabolic health

Outcome Measures

Primary Outcomes (1)

  • Cerebral blood flow by pseudo-continuous arterial spin labeling magnetic resonance imaging

    Cerebral blood flow (CBF) will be non-invasively measured using the gold-standard methodology pseudo-continuous arterial spin labeling magnetic resonance imaging (pCASL MRI).

    At the end of both the 16-week peanut butter intervention and the 16-week control periods.

Secondary Outcomes (3)

  • Cognitive function by the Cambridge Neuropsychological Test Automated Battery

    At the beginning and end of both the 16-week peanut butter intervention and the 16-week control periods.

  • Daily cognitive function by the ecological momentary assessment instruments

    A 7-day period prior to the beginning and at the end of the 16-week peanut butter intervention and the 16-week control periods.

  • Blood oxygen level-dependent functional magnetic resonance imaging activity

    At the end of both the 16-week peanut butter intervention and the 16-week control periods.

Other Outcomes (28)

  • Perceived hunger and satiety by visual analogue scales

    At the end of both the 16-week peanut butter intervention and the 16-week control periods

  • Concentration of postprandial glucagon-like peptide 1 level in plasma

    At the end of both the 16-week peanut butter intervention and the 16-week control periods

  • Mood score by Profile of Mood States (POMS)

    At the beginning and end of both the 16-week peanut butter intervention and the 16-week control periods.

  • +25 more other outcomes

Study Arms (2)

Peanut butter

EXPERIMENTAL

Study participants will receive daily 45 g of peanut butter during the 16-week intervention period.

Other: Peanut butter

Control

NO INTERVENTION

Study participants will not consume the study peanut butter during the 16-week control period.

Interventions

Study participants will receive daily 45 g of peanut butter for 16 weeks.

Peanut butter

Eligibility Criteria

Age45 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Men and women, aged between 45-75 years
  • Women postmenopausal: two or more years after last menstruation
  • Fasting plasma glucose \< 7.0 mmol/L
  • Fasting serum total cholesterol \< 8.0 mmol/L
  • Fasting serum triacylglycerol \< 4.5 mmol/L
  • Systolic blood pressure \< 160 mmHg and diastolic blood pressure \< 100 mmHg
  • Stable body weight (weight gain or loss \< 3 kg in the past three months)
  • Willingness to give up being a blood donor from 8 weeks before the start of the study, during the study and for 4 weeks
  • after completion of the study
  • No difficult venipuncture as evidenced during the screening visit

You may not qualify if:

  • Allergy or intolerance to peanuts
  • Left-handedness (effects on brain health differ between left- and right-handed adults)
  • Current smoker, or smoking cessation \< 12 months
  • Diabetic patients
  • Familial hypercholesterolemia
  • Abuse of drugs
  • More than 3 alcoholic consumptions per day
  • Use of products or dietary supplements known to interfere with the main outcomes as judged by the principal investigators
  • Use of medication to treat blood pressure, lipid, or glucose metabolism
  • Use of an investigational product within another biomedical intervention trial within the previous 1-month
  • Severe medical conditions that might interfere with the study, such as epilepsy, asthma, kidney failure or renal insufficiency, chronic obstructive pulmonary disease, inflammatory bowel diseases, auto inflammatory diseases, and rheumatoid arthritis
  • Active cardiovascular disease like congestive heart failure or cardiovascular event, such as an acute myocardial infarction or cerebrovascular accident
  • Contra-indications for MRI imaging (e.g., pacemaker, surgical clips/material in body, metal splinter in eye, claustrophobia)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Maastricht University Medical Center

Maastricht, Netherlands

Location

Study Officials

  • Peter J Joris

    Maastricht University Medical Center

    PRINCIPAL INVESTIGATOR
  • Muzi Na

    Penn State

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Muzi Na, PhD, MHS, FASN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
CROSSOVER
Model Details: This intervention study will have a randomized, controlled, cross-over design. Participants will receive, in random order, 45 g of peanut butter daily (peanut intervention) or no peanut butter (control) for a total of 16 weeks, separated by a wash-out period of at least 8 weeks.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

August 5, 2026

First Posted

August 19, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

July 1, 2028

Study Completion (Estimated)

July 1, 2028

Last Updated

August 19, 2026

Record last verified: 2026-08

Locations