Benefits
Prostate-related urinary symptom scores in men
In a 12-week double-blind, placebo-controlled trial in 109 men aged 41 to 76 with medically diagnosed prostate enlargement, 250 mg a day was followed by a significant fall in the total International Prostate Symptom Score. The published summary describes change over time rather than a direct comparison with placebo, and this is the only human trial.
Daytime and night-time urination frequency
In the same trial, daytime and night-time urination frequency fell significantly over the 12 weeks, again reported as change over time. Testosterone, DHT, PSA, blood lipids and glucose stayed within normal ranges, and sexual function scores did not change. No second trial has checked these results.
Mechanism of action
5-alpha-reductase gene expression (cell study)
In cultured human prostate cells, the extract lowered messenger RNA for both types of 5-alpha-reductase, the enzyme that converts testosterone to dihydrotestosterone (DHT). In the human trial, blood DHT and testosterone stayed within normal ranges, so this cell finding has not been shown to change hormone levels in men.
Androgen signaling in a rat model
In rats given testosterone to enlarge the prostate, an ethanolic Ageratum conyzoides extract taken by mouth for 42 days reduced prostate weight and epithelial thickness, lowered androgen-related hormones and androgen receptor signaling, and increased markers of programmed cell death in prostate tissue. This is an animal result, and that extract may differ from AGEprost®.
Plant constituents
Ageratum conyzoides contains alkaloids, flavonoids, terpenes, chromenes and sterols. Its alkaloids include pyrrolizidine alkaloids, which are toxic to liver cells, so the way the extract is processed matters for safety.
Clinical trials
Double-blind, randomized, placebo-controlled trial of 250 mg a day of Ageratum conyzoides extract or placebo, taken once daily for 12 weeks (Detering et al. 2017, BioFactors).
109 men aged 41 to 76 with medically diagnosed benign prostatic hyperplasia.
The total International Prostate Symptom Score and daytime and night-time urination frequency fell significantly over time with the extract (p < 0.01); the abstract does not report a direct between-group comparison with placebo. Testosterone, DHT, oestradiol, SHBG, PSA, lipids and blood glucose stayed within healthy reference ranges in both groups, and Aging Males' Symptoms and sexual function scores did not change in either group. The trial has not been repeated.