Reducing Abundance of Human Papilloma Virus in Women by Taking Probiotic

NCT ID: NCT05316064

Last Updated: 2024-05-10

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

WITHDRAWN

Clinical Phase

PHASE2/PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2021-12-27

Study Completion Date

2023-11-28

Brief Summary

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The purpose of this study is to evaluate the efficacy of oral administration of probiotic at 9 log colony forming unit (CFU)/day to reduce vaginal abundance of HPV in women compared to placebo via the use of vaginal self-swab.

Detailed Description

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Probiotics have shown an antiviral activity and several mechanisms have been demonstrated. In respiratory tract infections (RTIs), the majority of probiotics can inhibit the most important respiratory viruses by immunomodulatory mechanisms. There are over 200 different types of viruses, which cause RTIs in humans. Human rhinoviruses (HRV) are the largest group of respiratory viruses, comprising over 150 serotypes. In humans, the predominant illness caused by HRV is the acute upper RTI, also known as the common cold. The second most common viruses infecting humans are the human enteroviruses (HEV), which are associated with clinical manifestations ranging from mild respiratory symptoms to serious conditions. Influenza viruses, respiratory syncytial virus (RSV), and adenoviruses are also major causative agents of both upper and lower RTIs. In addition, many other viruses or virus groups cause RTIs, e.g., parainfluenza viruses and coronaviruses can cause a broad spectrum of respiratory diseases, ranging from mild upper RTIs to pneumonia. In recent years, with the rapid development of high-throughput molecular techniques, several new viruses associated with respiratory diseases, such as human bocavirus, human metapneumovirus, and the new coronaviruses HKU1 and NL63, have been identified as well. Recently, COVID-19 had cause huge effect worldwide. With this, to reduce the burden and severity of this pandemic, the use of probiotic in preventing of COVID-19 has been ongoing. Probiotics also had given out significant outcome in gastroenteritis infections where a study suggested that probiotics had be effective in alleviating the duration and severity of acute rotavirus gastroenteritis. Apart from this, for viruses that cause hepatitis, skin virus infections, human immunodeficiency virus (HIV), or HPV, probiotics could directly or indirectly, help reduce their symptoms or prevent infection.

Probiotics are known as a good natural non-drug, which was widely used to boost immune cells in host to fight against infection. Generally, probiotic effects are mediated through immune regulation, particularly through balance control of proinflammatory and anti-inflammatory cytokines. The immune response is initiated by innate immunity following exposure to foreign substances or tissue injury. Innate immunity exerts protective roles in host homeostasis in part by priming adaptive immune responses against persisting insults and inducing inflammation. However, the unbalanced immune response leads to severe inflammation and uncontrolled tissue damage and disease. Probiotics have been found to enhance the innate immunity and modulate pathogen-induced inflammation via toll-like receptor-regulated signaling pathways.

Conditions

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Human Papilloma Virus Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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probiotic 9 log CFU/day

Intervention consists of daily oral administration of one sachet/day of probiotic for 12 weeks, where each sachet contains 9 log CFU of probiotic.

Group Type EXPERIMENTAL

probiotic

Intervention Type BIOLOGICAL

oral administration of probiotic at 9 log CFU/day for 12 weeks to reduce vaginal abundance of HPV in women compared to placebo via the use of vaginal self-swab.

placebo

placebo contains primarily carrier without probiotic and it is identical in taste and appearance and appear as light-yellow powder. It is also taken by the participants for 12 weeks.

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type OTHER

oral administration of primarily carrier without the probiotic for 12 weeks

Interventions

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probiotic

oral administration of probiotic at 9 log CFU/day for 12 weeks to reduce vaginal abundance of HPV in women compared to placebo via the use of vaginal self-swab.

Intervention Type BIOLOGICAL

placebo

oral administration of primarily carrier without the probiotic for 12 weeks

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Sexually active women
* Age above 26 years old
* Determined as HPV positive against L1 variant
* Willing to commit throughout the experiment

Exclusion Criteria

* On long term medication (6 months and above) for any illnesses
* Pregnant
* Uterus and/or cervix removed
* Prior HPV vaccination
* Cervical intraepithelial neoplasia
Minimum Eligible Age

26 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Universiti Sains Malaysia

OTHER

Sponsor Role lead

Responsible Party

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Min-Tze LIONG

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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MingTze Liong, Doctor

Role: STUDY_DIRECTOR

School of Industrial Technology USM

Binti Sany Salina, Doctor

Role: PRINCIPAL_INVESTIGATOR

Institut Perubatan & Pergigian Termaju USM

Locations

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Hospital Seberang Jaya

Pulau Pinang, Pulau Pinang, Malaysia

Site Status

Countries

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Malaysia

References

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Xu P, Mageswary MU, Nisaa AA, Samsudin SB, Rusdi NIBM, Jerip ARA, Oon CE, Sany SB, Tan CS, Zhu ZH, Liong MT. Probiotic Lactiplantibacillus plantarum Probio87 Improves Gut Microbial Profiles in HPV-Positive Women: A Randomized, Placebo-Controlled and Double-Blind Study. Mol Nutr Food Res. 2025 Aug 30:e70247. doi: 10.1002/mnfr.70247. Online ahead of print.

Reference Type DERIVED
PMID: 40884128 (View on PubMed)

Xu P, Mageswary U, Nisaa AA, Balasubramaniam SD, Samsudin SB, Rusdi NIBM, Jerip ARA, Oon CE, Bakar MHA, Rajendran D, Tan JJ, Roslan FF, Sreenivasan S, Balakrishnan V, Sany SB, Tan CS, Liong MT. Probiotic reduces vaginal HPV abundance, improves immunity and quality of life in HPV-positive women: a randomised, placebo-controlled and double-blind study. Benef Microbes. 2025 May 12:1-18. doi: 10.1163/18762891-bja00079. Online ahead of print.

Reference Type DERIVED
PMID: 40360161 (View on PubMed)

Other Identifiers

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NMRR-21-1819-61300 (IIR)

Identifier Type: -

Identifier Source: org_study_id

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