Red Orange Complex® (Sicilian Red Orange Extract — Bionap)

Citrus sinensis
Evidence Level
Limited
3 Clinical Trials
3 Documented Benefits
2/5 Evidence Score

Red Orange Complex is a standardized extract from the juice of three Sicilian blood orange varieties (Moro, Tarocco and Sanguinello), made by Bionap. It supplies anthocyanins (mainly cyanidin 3-glucoside), hydroxycinnamic acids, flavanones such as hesperidin, and vitamin C. In a randomized, placebo-controlled trial of 110 Asian and Caucasian adults, 100 mg a day for 56 days raised the UV dose needed to redden the skin by about 22% and improved skin moisture, elasticity and wrinkle depth, while body measurements did not differ from placebo. A second placebo-controlled trial in 60 adults aged 45 to 60 found a better blood glutathione balance. Both trials were co-authored by a Bionap employee and the skin trial was funded by Bionap. It is meant to support the skin from within and does not replace sunscreen.

Studied Dose 100 mg a day, one capsule after breakfast, for 56 days in the skin trial and 8 weeks in the antioxidant trial. An older study in people with type 2 diabetes used 50 mg a day for 2 months.
Active Compound Standardized juice extract of Moro, Tarocco and Sanguinello red oranges (Citrus sinensis) containing about 2.8 to 3.2% anthocyanins (cyanidin 3-glucoside), 1.8 to 2.2% hydroxycinnamic acids, 8.5 to 9.5% flavanones (hesperidin, narirutin) and 5.5 to 6.5% vitamin C.

Benefits

Skin resistance to UV redness

In a 56-day placebo-controlled trial of 110 adults, 100 mg a day raised the minimal erythema dose (the UV dose needed to redden skin) by about 22%, a significantly larger change than placebo, and lessened UV redness. An earlier study also found less UV redness after 15 days. This is support from within and does not replace sunscreen.

Skin moisture, elasticity and wrinkle depth

In the same 110-person trial, skin moisture, elasticity and radiance improved and water loss through the skin fell over 56 days, and the depth of the deepest wrinkle dropped about 7% with no significant change on placebo. Other wrinkle measures (length, area and count) did not change. The trial was funded by the maker.

Antioxidant balance in the blood

In a placebo-controlled trial of 60 adults aged 45 to 60, 100 mg a day for 8 weeks raised red-cell glutathione and lowered oxidized glutathione and reactive oxygen metabolites compared with placebo. A Bionap employee co-authored the study. Older studies in people with type 2 diabetes and in traffic police officers also reported better oxidative stress markers.

Mechanism of action

1

Anthocyanin antioxidants

Its anthocyanins, flavanones and vitamin C are antioxidants. In the skin trial, skin antioxidant capacity rose and UVA-induced lipid peroxidation fell, which fits a role in limiting oxidative damage from UV light.

2

Inflammation signals

In the 60-person trial, serum TNF-alpha, a signal of inflammation, fell 2.5% after 8 weeks. This is a small change in one marker, and whether it matters for the skin is not known.

Clinical trials

1
Red Orange Complex Skin Trial in Asian and Caucasian Adults
PubMed

Multicenter, randomized, double-blind, placebo-controlled trial in Beijing and Milan of 100 mg a day for 56 days. Funded by Bionap (Nobile et al. 2022, Nutrients)

110 healthy adults aged 35 to 55 with mild to moderate skin aging, 55 per group.

The UV dose needed to redden skin (MED) rose 22.2% at day 56 on the extract, significantly more than placebo (p<0.001). In the UV test after about two weeks of use, skin redness in the following days was about 16% lower than on placebo. Skin moisture, elasticity and radiance improved, water loss and dark-spot pigmentation fell, and the deepest wrinkle became 6.9% shallower. Body measurements did not differ from placebo. No adverse reactions occurred.

2
Red Orange Complex Antioxidant Trial in Adults Aged 45 to 60
PubMed

Single-center, randomized, double-blind, placebo-controlled trial in Milan of 100 mg a day for 8 weeks; one author is a Bionap employee (Nobile et al. 2022, Nutrients)

60 healthy men and women aged 45 to 60, 30 per group.

Red-cell glutathione rose 28.8% and oxidized glutathione fell after 8 weeks, both changes significantly larger than placebo, so the glutathione ratio rose 89%. Reactive oxygen metabolites fell 17% (p=0.0207 versus placebo) and serum TNF-alpha fell 2.5%. The authors describe the wellbeing questionnaire results as preliminary. No adverse reactions occurred.

3
Red Orange Extract and UV Skin Redness (15 Days)
PubMed

Study in healthy volunteers of a red orange extract from Moro, Tarocco and Sanguinello oranges at 100 mg a day; the abstract does not name the brand, give the number of participants or describe a control group (Puglia et al. 2014, J Cosmet Dermatol)

Healthy volunteers; the number is not given in the abstract.

After 15 days, UV-induced skin redness, measured with a reflectance instrument, was significantly reduced. The authors also reported less pigmentation in age spots during solar-lamp exposure. Without the full text, the size and design of the study cannot be judged.

Side effects and drug interactions

Common Potential side effects

No adverse reactions were reported in the two 2022 placebo-controlled trials (170 people in total, up to 8 weeks), and blood and urine tests in the trial of adults aged 45 to 60 stayed normal.
Long-term safety beyond about 2 months has not been studied in published trials.
People allergic to oranges or other citrus fruit should avoid it.

Important Drug interactions

No drug interactions have been reported, but the published trials were small and not designed to look for them.
Ask your doctor before use if you are pregnant or breastfeeding or take prescription medicines.

Frequently asked questions about Red Orange Complex® (Sicilian Red Orange Extract — Bionap)

What is Red Orange Complex?

Red Orange Complex is a standardized extract from the juice of three Sicilian blood orange varieties (Moro, Tarocco and Sanguinello), made by Bionap. It supplies anthocyanins (mainly cyanidin 3-glucoside), hydroxycinnamic acids, flavanones such as hesperidin, and vitamin C.

What is Red Orange Complex used for?

Red Orange Complex is researched primarily for Hair, Skin & Nails and Antioxidant. In a 56-day placebo-controlled trial of 110 adults, 100 mg a day raised the minimal erythema dose (the UV dose needed to redden skin) by about 22%, a significantly larger change than placebo, and lessened UV redness.

What is the recommended dosage of Red Orange Complex?

The clinically studied dose is 100 mg a day, one capsule after breakfast, for 56 days in the skin trial and 8 weeks in the antioxidant trial. An older study in people with type 2 diabetes used 50 mg a day for 2 months. Always follow the product label and check with a healthcare provider for personal advice.

Is Red Orange Complex safe, and does it have side effects?

Side effects and cautions reported for Red Orange Complex include: No adverse reactions were reported in the two 2022 placebo-controlled trials (170 people in total, up to 8 weeks), and blood and urine tests in the trial of adults aged 45 to 60 stayed normal. Long-term safety beyond about 2 months has not been studied in published trials. It may also interact with some medications. Red Orange Complex is not right for everyone, so check with a healthcare provider first if you are pregnant or breastfeeding, have a medical condition, or take prescription medication.

Does Red Orange Complex interact with any medications?

Possible interactions include: No drug interactions have been reported, but the published trials were small and not designed to look for them. Ask your doctor before use if you are pregnant or breastfeeding or take prescription medicines. If you take prescription medication, check with a pharmacist or doctor before using it.

How strong is the scientific evidence for Red Orange Complex?

NutraSmarts rates the evidence for Red Orange Complex as Limited (2 out of 5). It is backed by 3 study summaries and 5 cited references summarized on this page. A higher rating reflects more, larger, and better-designed human studies.

References(5 citations)

Evidence ratings on NutraSmarts are based on the totality of human clinical research, with emphasis on randomized controlled trials, meta-analyses, and systematic reviews. The references below directly support claims made throughout this page.

  1. Nobile V, Burioli A, Yu S, Zhifeng S, Cestone E, Insolia V, Zaccaria V, Malfa GA. Photoprotective and Antiaging Effects of a Standardized Red Orange (Citrus sinensis (L.) Osbeck) Extract in Asian and Caucasian Subjects: A Randomized, Double-Blind, Controlled Study. Nutrients. 2022;14(11):2241. doi: 10.3390/nu14112241.PubMedUsed to support: Randomized, double-blind, placebo-controlled trial of Red Orange Complex 100 mg/day for 56 days in 110 Asian and Caucasian adults: minimal erythema dose +22.2% (p<0.001 vs placebo), less UV redness, better skin moisture, elasticity and wrinkle depth; no adverse reactions; body measurements did not differ from placebo. Funded by Bionap.
  2. Nobile V, Pisati M, Cestone E, Insolia V, Zaccaria V, Malfa GA. Antioxidant Efficacy of a Standardized Red Orange (Citrus sinensis (L.) Osbeck) Extract in Elderly Subjects: A Randomized, Double Blind, Controlled Study. Nutrients. 2022;14(20):4235. doi: 10.3390/nu14204235.PubMedUsed to support: Randomized, double-blind, placebo-controlled trial of Red Orange Complex 100 mg/day for 8 weeks in 60 adults aged 45 to 60: red-cell glutathione up and oxidized glutathione and reactive oxygen metabolites down versus placebo; TNF-alpha -2.5%; well tolerated. A Bionap employee is a co-author.
  3. Puglia C, Offerta A, Saija A, Trombetta D, Venera C. Protective effect of red orange extract supplementation against UV-induced skin damages: photoaging and solar lentigines. J Cosmet Dermatol. 2014;13(2):151-7. doi: 10.1111/jocd.12083.PubMedUsed to support: Study of a red orange extract (Moro, Tarocco and Sanguinello) at 100 mg/day: less UV-induced skin redness after 15 days and lower age-spot pigmentation under a solar lamp. The abstract does not give the sample size, control or brand name.
  4. Bonina FP, Leotta C, Scalia G, Puglia C, Trombetta D, Tringali G, Roccazzello AM, Rapisarda P, Saija A. Evaluation of oxidative stress in diabetic patients after supplementation with a standardised red orange extract. Diabetes Nutr Metab. 2002;15(1):14-9..PubMedUsed to support: Preliminary 2-month study of Red Orange Complex 50 mg/day in 33 people with type 2 diabetes compared with 28 healthy volunteers: protein thiol groups improved and serum free radicals fell; total antioxidant status did not change; no side effects reported.
  5. Bonina FP, Puglia C, Frasca G, Cimino F, Trombetta D, Tringali G, Roccazzello A, Insiriello E, Rapisarda P, Saija A. Protective effects of a standardised red orange extract on air pollution-induced oxidative damage in traffic police officers. Nat Prod Res. 2008;22(17):1544-51. doi: 10.1080/14786410701740401.PubMedUsed to support: Study of a standardized red orange extract (ROC) for 1 month in traffic police officers and controls: lipid hydroperoxides fell in non-smokers and thiol levels in officers returned to normal.