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Cynara scolymus

Artichoke Extract

Research reviewed: Up until 03/2026

Artichoke Extract (Cynara scolymus) is a dietary supplement with 20 published peer-reviewed studies involving 3,748 participants, researched for Cholesterol Management, Liver Health, Digestive Support and 2 more areas.

20
Studies
3,748
Participants
2001–2026
Research Span

Evidence at a Glance

Strength is scored by study design, sample size, study type, and outcomes

Overall: Strong Evidence

Cholesterol Management

Moderate
3 studies 2 of 3 positive 131 participants 2 human

Liver Health

Strong
3 studies 3 of 3 positive 170 participants 2 human

Digestive Support

Moderate
4 studies 2 of 4 positive 455 participants 2 human

Clinical trials

Moderate
7 studies 2 of 7 positive 150 participants

Systematic reviews

Weak
3 studies 0 of 3 positive 2,842 participants 0 human

Research Visualised

Visual breakdown of the clinical data.

Study Quality Breakdown

What types of studies were conducted

12/20
Randomised
9/20
Double-Blind
9/20
Placebo-Controlled

Participants Per Study

Larger samples = more reliable results

Study 1 (2008)
75
Study 2 (2024)
0
Study 3 (2012)
56
Study 4 (2018)
80
Study 5 (2016)
90
Study 6 (2001)
0
Study 7 (2003)
247
Study 8 (2006)
208

Research Timeline

When the studies were published

2
2001
1
2003
1
2006
1
2008
2
2012
1
2016
1
2018
4
2022
1
2023
4
2024
1
2025
1
2026

All Studies

Detailed breakdown of each trial. Click to expand.

Cholesterol Management

1

To assess ALE on plasma cholesterol in hypercholesterolaemic adults

2008 75 participants 12 weeks 1.8 g/day ALE
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised double-blind placebo-controlled

Purpose

To assess ALE on plasma cholesterol in hypercholesterolaemic adults

Dose

1.8 g/day ALE

Participants

75 hypercholesterolaemic adults

Duration

12 weeks

Results

ALE significantly reduced total cholesterol by 4.2% and LDL-C by 6% compared to placebo. Well tolerated with no significant adverse effects. PMID: 18424099

How They Measured It

Total cholesterol, LDL-C, HDL-C, triglycerides

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2

To meta-analyze Cynara scolymus on cardiometabolic outcomes including cholesterol

2024 ? participants Various Various
Review/Other Positive

Study Type

Meta-analysis

Purpose

To meta-analyze Cynara scolymus on cardiometabolic outcomes including cholesterol

Dose

Various

Participants

Multiple RCTs pooled

Duration

Various

Results

ALE significantly reduced total cholesterol, LDL-C, and fasting blood glucose. Greater effects in hypercholesterolaemic and diabetic subgroups.

How They Measured It

LDL-C, total cholesterol, blood glucose, pooled analysis

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3

To evaluate ALE on lipid profile and oxidative stress in mixed dyslipidaemia

2012 56 participants 8 weeks 1.8 g/day
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To evaluate ALE on lipid profile and oxidative stress in mixed dyslipidaemia

Dose

1.8 g/day

Participants

56 dyslipidaemic patients

Duration

8 weeks

Results

ALE significantly reduced total cholesterol, LDL-C, and MDA while increasing HDL-C and antioxidant enzyme activity. PMID: 23195590

How They Measured It

Lipid profile, MDA, antioxidant enzymes

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Liver Health

4

To assess artichoke extract in NAFLD

2018 80 participants 8 weeks 600 mg/day
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomised double-blind placebo-controlled

Purpose

To assess artichoke extract in NAFLD

Dose

600 mg/day

Participants

80 NAFLD patients

Duration

8 weeks

Results

ALE significantly reduced AST, ALT, total cholesterol, and triglycerides in NAFLD patients compared to placebo. PMID: 29520889

How They Measured It

AST, ALT, liver ultrasound, lipid profile

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5

To evaluate ALE on liver enzymes in non-alcoholic steatohepatitis (NASH)

2016 90 participants 2 months 600 mg/day
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To evaluate ALE on liver enzymes in non-alcoholic steatohepatitis (NASH)

Dose

600 mg/day

Participants

90 NASH patients

Duration

2 months

Results

Artichoke extract significantly improved liver enzyme levels and reduced cholesterol and triglycerides in NASH patients. PMCID: PMC4879230

How They Measured It

AST, ALT, GGT, triglycerides, cholesterol

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6

To investigate ALE hepatoprotective mechanisms including LDL oxidation inhibition

2001 ? participants N/A Various concentrations
In Vitro Mixed

Study Type

In vitro study

Purpose

To investigate ALE hepatoprotective mechanisms including LDL oxidation inhibition

Dose

Various concentrations

Participants

Primary human hepatocyte cultures

Duration

N/A

Results

ALE inhibited cholesterol biosynthesis and LDL oxidation in hepatocytes. Anti-cholestatic and hepatoprotective effects confirmed through multiple pathways.

How They Measured It

Hepatocyte viability, antioxidant enzymes, LDL oxidation

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Digestive Support

7

To evaluate artichoke extract on functional dyspepsia in real-world practice

2003 247 participants 6 weeks 640 mg three times daily
Human Study Mixed

Study Type

Observational clinical study

Purpose

To evaluate artichoke extract on functional dyspepsia in real-world practice

Dose

640 mg three times daily

Participants

247 patients with functional dyspepsia

Duration

6 weeks

Results

Artichoke leaf extract reduced dyspeptic symptom burden by 41%. 80% of patients rated it effective. PMID: 14653829

How They Measured It

Dyspepsia symptom severity index, quality of life

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8

To evaluate ALE on IBS symptoms

2006 208 participants 8 weeks 320 mg/day
Human Study RCT Positive

Study Type

Randomised controlled trial

Purpose

To evaluate ALE on IBS symptoms

Dose

320 mg/day

Participants

208 patients with IBS

Duration

8 weeks

Results

ALE significantly reduced IBS symptom severity and improved bowel habit and quality of life vs placebo. PMID: 17127365

How They Measured It

IBS symptom score, bowel habit pattern

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9

To investigate choleretic and anti-cholestatic activity of artichoke extract in rats

2001 ? participants 7 days 200 mg/kg
Animal Study Mixed

Study Type

Animal study

Purpose

To investigate choleretic and anti-cholestatic activity of artichoke extract in rats

Dose

200 mg/kg

Participants

Rats

Duration

7 days

Results

Artichoke extract dose-dependently increased bile flow and bile acid output, confirming choleretic activity relevant to fat digestion and liver detoxification.

How They Measured It

Bile flow, bile acid composition

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10

To review artichoke effects on lipid metabolism, liver, and GI tract

2012 ? participants N/A Various
Review/Other Mixed

Study Type

Systematic review

Purpose

To review artichoke effects on lipid metabolism, liver, and GI tract

Dose

Various

Participants

N/A

Duration

N/A

Results

ALE inhibits HMG-CoA reductase, provides choleretic and hepatoprotective effects, and improves GI symptoms in dyspepsia and IBS. Strong evidence base for multiple indications. PMID: 23195590

How They Measured It

Literature review of clinical and preclinical studies

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Clinical trials

1

To investigate the effects of Artichoke Extract in effect of dietary supplementation with eufortyn(®) colesterolo plus on serum lipids, endothelial reactivity, indexes of non-alcoholic fatty liver dise

2022 60 participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in effect of dietary supplementation with eufortyn(®) colesterolo plus on serum lipids, endothelial reactivity, indexes of non-alcoholic fatty liver dise

Dose

Artichoke Extract (dose not specified)

Participants

60 healthy subjects

Duration

Duration not specified

Results

-C, lipid accumulation product and fatty liver index compared to placebo. The study shows that dietary supplementation with standardized bergamot polyphenolic fraction phytosome, artichoke extracts, Q10 phytosome and zinc safely exerts significant improvements in serum lipids, systemic inflammation, indexes of NAFLD and endothelial reactivity in healthy subjects with moderate hypercholesterolemia.

How They Measured It

See study for outcome measures

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2

To investigate the effects of Artichoke Extract in a new nutraceutical (livogen plus®) improves liver steatosis in adults with non-alcoholic fatty liver disease.

2022 ? participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in a new nutraceutical (livogen plus®) improves liver steatosis in adults with non-alcoholic fatty liver disease.

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

polyphenol fraction, artichoke leaf extract, black seed oil, concentrate fish oil, picroliv root, glutathione, S-adenosyl-L-methionine and other natural ingredients) have been associated with improved fatty liver disease. Starting from these evidences, our purpose was to evaluate the effects of a novel combination of abovementioned nutraceuticals as a treatment for adults with fatty liver disease.

How They Measured It

See study for outcome measures

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3

To investigate the effects of Artichoke Extract in the effects of a novel nutraceutical combination on low-density lipoprotein cholesterol and other markers of cardiometabolic health in adults with hyp

2025 ? participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in the effects of a novel nutraceutical combination on low-density lipoprotein cholesterol and other markers of cardiometabolic health in adults with hyp

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

nd artichoke leaf extract individually but their effect when combined is unknown. This study investigated the effects of a novel nutraceutical combining plant sterols, bergamot extract, artichoke leaf extract and hydroxytyrosol (referred to as 'Cholesterol Balance'), on serum LDL-cholesterol (primary outcome), other cardiometabolic and oxidative stress markers in adults with hypercholesterolaemia.

How They Measured It

See study for outcome measures

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4

To investigate the effects of Artichoke Extract in a randomized, double-blind, placebo-controlled clinical trial on the effect of a dietary supplement containing dry artichoke and bergamot extracts on

2024 90 participants 6 weeks Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in a randomized, double-blind, placebo-controlled clinical trial on the effect of a dietary supplement containing dry artichoke and bergamot extracts on

Dose

Artichoke Extract (dose not specified)

Participants

90 participants

Duration

6 weeks

Results

ovements in TC, LDL-C, Non-HDL-C, TG, fatty liver index (FLI), hs-CRP, and endothelial reactivity were also detected compared to placebo ( p < 0.05 for all). Overall, these findings support the use of the tested dietary supplement containing dry extracts of bergamot and artichoke as a safe and effective approach for the prevention and management of a broad spectrum of cardiometabolic disorders.

How They Measured It

See study for outcome measures

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5

To investigate the effects of Artichoke Extract in effects of inulin supplementation on body composition and metabolic outcomes in children with obesity.

2022 ? participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Positive

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in effects of inulin supplementation on body composition and metabolic outcomes in children with obesity.

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

#x2009;± 1.98 kg/m 2 , P = 0.009). There were no significant differences in the metabolic profiles between groups. Despite showing no substantial effect on adiposity, inulin may increase fat-free mass in obese children. Further research in the change of gut microbiota composition is needed to determine inulin's impact on host-microbe interaction in pediatric obesity.

How They Measured It

See study for outcome measures

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6

To investigate the effects of Artichoke Extract in enhancing gut microbiota and microbial function with inulin supplementation in children with obesity.

2024 ? participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in enhancing gut microbiota and microbial function with inulin supplementation in children with obesity.

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

iosis that resulted from the alteration between host-microbe interaction might worsen obesity-induced systemic inflammation. Gut microbiota manipulation by supplementation of prebiotic inulin may reverse metabolic abnormalities and improve obesity. This study aimed to determine whether inulin supplementation improved intestinal microbiota and microbial functional pathways in children with obesity.

How They Measured It

See study for outcome measures

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7

To investigate the effects of Artichoke Extract in artichoke leaf extract reduces steatosis and decreases liver size in prebariatric patients: a randomized placebo-controlled pilot trial-the "steatocho

2026 ? participants Duration not specified Artichoke Extract (dose not specified)
Human Study RCT Double-Blind Placebo Mixed

Study Type

Randomized, double-blind, placebo-controlled

Purpose

To investigate the effects of Artichoke Extract in artichoke leaf extract reduces steatosis and decreases liver size in prebariatric patients: a randomized placebo-controlled pilot trial-the "steatocho

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

id-lowering properties. While ALE has been studied for its impact on liver metabolism, its specific effectiveness in individuals with obesity and MASLD remains unclear. This study investigates the effectiveness of ALE in reducing liver steatosis in patients scheduled for bariatric surgery. To our knowledge, this is the first study to examine ALE's "antisteatotic" efficacy in this clinical context.

How They Measured It

See study for outcome measures

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Systematic reviews

1

To investigate the effects of Artichoke Extract in effects of different natural products in patients with non-alcoholic fatty liver disease-a network meta-analysis of randomized controlled trials.

2024 2509 participants Duration not specified Artichoke Extract (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Artichoke Extract in effects of different natural products in patients with non-alcoholic fatty liver disease-a network meta-analysis of randomized controlled trials.

Dose

Artichoke Extract (dose not specified)

Participants

2509 participants

Duration

Duration not specified

Results

ls (SUCRA: 98.5%) compared with the placebo. The Ranking Plot of the Network indicated that artichoke leaf extract and naringenin performed better than the other natural products in facilitating patient recovery. Therefore, we propose that artichoke leaf extract and naringenin may exert a better therapeutic effect on NAFLD. This study may help guide clinicians and lead to further detailed studies.

How They Measured It

See study for outcome measures

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2

To investigate the effects of Artichoke Extract in non-chinese herbal medicines for functional dyspepsia.

2023 ? participants Duration not specified Artichoke Extract (dose not specified)
Review/Other Mixed

Study Type

Systematic review

Purpose

To investigate the effects of Artichoke Extract in non-chinese herbal medicines for functional dyspepsia.

Dose

Artichoke Extract (dose not specified)

Participants

Participants not specified

Duration

Duration not specified

Results

One-third of people with gastrointestinal disorders, including functional dyspepsia, use some form of complementary and alternative medicine, including herbal medicines.

How They Measured It

See study for outcome measures

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3

To investigate the effects of Artichoke Extract in therapeutic potential of artichoke in the treatment of fatty liver: a systematic review and meta-analysis.

2022 333 participants Duration not specified Artichoke Extract (dose not specified)
Review/Other Mixed

Study Type

Systematic review and meta-analysis

Purpose

To investigate the effects of Artichoke Extract in therapeutic potential of artichoke in the treatment of fatty liver: a systematic review and meta-analysis.

Dose

Artichoke Extract (dose not specified)

Participants

333 participants

Duration

Duration not specified

Results

y lipoprotein (SMD: 0.96; 95% CI, 0.3-1.62; P  < .001) and triglycerides (SMD: 0.95; 95% CI, 0.58-1.32; P  < .001). The current review provides evidence from RCTs to support the use of ALE as a hepatoprotective agent in NAFLD patients. The study was registered on the PROSPERO database with the Registration No. CRD42020182502 ( https://www.crd.york.ac.uk/prospero).

How They Measured It

See study for outcome measures

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Frequently Asked Questions

Common questions about Artichoke Extract research

What does the research say about Artichoke Extract?

There are currently 20 peer-reviewed studies on Artichoke Extract (Cynara scolymus), involving 3,748 total participants. Research covers Cholesterol Management, Liver Health, Digestive Support and 2 more areas. The overall evidence strength is rated as Strong.

How strong is the evidence for Artichoke Extract?

The evidence is currently rated as "Strong Evidence". This rating is based on study design quality (randomisation, blinding, placebo controls), sample sizes, study types (13 human studies, 1 animal study), and reported outcomes.

What health goals has Artichoke Extract been studied for?

Artichoke Extract has been researched for: Cholesterol Management, Liver Health, Digestive Support, Clinical trials, Systematic reviews. Each area has its own body of evidence which you can explore in the study breakdowns above.

Are the studies on Artichoke Extract based on human trials?

Yes, 13 out of 20 studies are human trials. The remaining 1 is an animal study. Human trials carry more weight in our evidence scoring system.