PRObiotic and Stress-related PERmeability

NCT ID: NCT03408691

Last Updated: 2019-06-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

117 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-23

Study Completion Date

2019-03-31

Brief Summary

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This is a single-site exploratory study aiming to demonstrate the effect of a fresh fermented dairy drink containing a probiotic strain on stress-related intestinal hyperpermeability in students defending a bachelor's or master's thesis in front of a jury at the University of Leuven (Belgium).

Detailed Description

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The study is conceived as a single-site exploratory study with a randomized, controlled, parallel group design. There will be a double blind with 2 intervention arms (Test product with probiotic and acidified milk Control) plus an extra open label arm without intervention in a 2:2:1 ratio. The goal of the open-label arm is to confirm our previous data on the effect of stress on small intestinal permeability (see reference), without powering the study to detect a significant difference within this open-label arm. The participants and the investigators are blinded to the allocation to the probiotic vs. acidified milk control arm. However, there is no blinding in the arm without intervention.

In vivo intestinal permeability and salivary markers of psychological stress and activation of the autonomous nervous system will be measured and questionnaires will be completed at 4 different test days: baseline (V2), two weeks after randomization (V3), during an oral defense of a master's or bachelor's thesis (V4) and finally after pretreatment with Indomethacin (V5).

The 5 study visits are organized around the thesis defence (D0):

V1 (screening + inclusion) takes place within 2 to 3 weeks prior to the randomization.

V2 (baseline + randomization) will take place between D-35 to D-27. V3 (randomization + 2 weeks) will take place at D-14 +/-1day. V4 (thesis defense) is D0 and organized by the University. V5 (Indomethacin) will take place at D+14 +/-1day.

For subjects in the intervention arm (Test product with probiotic and acidified milk Control), products will be supplied (for 1 week). In addition, alternate product supply will take place at D-21, D-7 and D+7 (each one +/-1day).

Conditions

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Permeability; Increased

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Single-site exploratory randomized, controlled interventional trial with a parallel group design: double blind with Test and Control arm + open label arm without intervention.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators
double blind only in Test and Control arm open label in arm without intervention

Study Groups

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Test product

Fresh fermented dairy drink containing probiotic strain consumed as follows: one bottle (100g) BID for 6 weeks

Group Type ACTIVE_COMPARATOR

Fresh fermented dairy drink containing probiotic strain

Intervention Type DIETARY_SUPPLEMENT

Fresh fermented dairy drink containing probiotic strain consumed as follows: one bottle (100g) BID for 6 weeks.

Control product

Acidified dairy drink without ferment consumed as follows: one bottle (100g) BID for 6 weeks

Group Type PLACEBO_COMPARATOR

Acidified dairy drink without ferment

Intervention Type OTHER

Acidified dairy drink without ferment consumed as follows: one bottle (100g) BID for 6 weeks.

No product

no product

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Fresh fermented dairy drink containing probiotic strain

Fresh fermented dairy drink containing probiotic strain consumed as follows: one bottle (100g) BID for 6 weeks.

Intervention Type DIETARY_SUPPLEMENT

Acidified dairy drink without ferment

Acidified dairy drink without ferment consumed as follows: one bottle (100g) BID for 6 weeks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Student defending a bachelor's or master's thesis in front of a jury
* Age 20 till 30 years (both included), both genders
* Subject, upon briefing of the content of the present study, fully understanding and agreeing to its objective and having given written (dated and signed) informed consent form to take part in the study
* Subject willing to consume 2 units of investigational product per day during the investigational product consumption period.
* For females: If of child bearing potential, female subjects must be using or complying with methods of contraception
* Subject willing to strictly follow dietary/medication instructions for the entire duration of the study
* Subject must have access to a refrigerator with adequate space to store the investigational products according to the labels' storage recommendations and a freezer for the cooling elements in the transport bag

Exclusion Criteria

* Subject with chronic gastrointestinal disorders or symptoms, type 1 or type 2 diabetes mellitus, psychiatric disease including but not limited to depression (screened by PHQ-9) and general anxiety disorder (screened by GAD-7), celiac disease, food allergy or a history of atopic conditions (eczema, allergic asthma, allergic rhinoconjunctivitis) requiring active treatment
* Subject with allergy or intolerance to non-steroidal anti-inflammatory drugs (NSAID)
* Subject with first degree relatives with coeliac disease, inflammatory bowel disease (IBD) or type 1 diabetes
* Subject with known or suspected lactose intolerance or suspected allergy or hypersensitivity to any component of the study product(s) (e.g. milk protein)
* Subject receiving (currently or in the 2 last weeks) systemic treatment or topical treatment likely to interfere with evaluation of the study parameters: antibiotics, intestinal or respiratory antiseptics, anti-rheumatics, NSAIDs and steroids prescribed in chronic inflammatory diseases.
* Active smoker with at least 7 cigarettes per week
* Subject consuming regularly (\>1/week) more than 3 units of alcohol per day.
Minimum Eligible Age

20 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tim Vanuytsel, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Universitaire Ziekenhuizen KU Leuven

Locations

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KU Leuven

Leuven, Belgie, Belgium

Site Status

Countries

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Belgium

References

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Vanuytsel T, van Wanrooy S, Vanheel H, Vanormelingen C, Verschueren S, Houben E, Salim Rasoel S, Tomicronth J, Holvoet L, Farre R, Van Oudenhove L, Boeckxstaens G, Verbeke K, Tack J. Psychological stress and corticotropin-releasing hormone increase intestinal permeability in humans by a mast cell-dependent mechanism. Gut. 2014 Aug;63(8):1293-9. doi: 10.1136/gutjnl-2013-305690. Epub 2013 Oct 23.

Reference Type BACKGROUND
PMID: 24153250 (View on PubMed)

Wauters L, Van Oudenhove L, Accarie A, Geboers K, Geysen H, Toth J, Luypaerts A, Verbeke K, Smokvina T, Raes J, Tack J, Vanuytsel T. Lactobacillus rhamnosus CNCM I-3690 decreases subjective academic stress in healthy adults: a randomized placebo-controlled trial. Gut Microbes. 2022 Jan-Dec;14(1):2031695. doi: 10.1080/19490976.2022.2031695.

Reference Type DERIVED
PMID: 35130109 (View on PubMed)

Other Identifiers

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S60969

Identifier Type: -

Identifier Source: org_study_id

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