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Allergic RhinitisMICRORIN_2NCT05208528

Effect of the Probiotic ES1 and Its Inactivated Form (HT-ES1) Over Symptomatology Asociated With Allergic Rhinitis

A study testing ES1 group and HT-ES1 group in people with Allergic Rhinitis, run by Fundació Eurecat at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Allergic rhinitis (AR) is a health problem characterised by an inflammatory reaction in the nasal mucosa mediated by immunoglobulin (Ig) E and resulting from exposure to environmental allergens, such as pollen and dust mites. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Allergic Rhinitis
What is being tested?
ES1 group and HT-ES1 group
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
72 participants
Where
1 siteSpain
Study dates
23 Jan 2022to 27 Mar 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Men and women between 18 and 60 years of age.
  • Present a medical history of ARs defined according to the International Consensus on Rhinitis for at least 2 years.
  • Present a positive IgE sensitization test to dust mite allergen during the last 5 years.
  • Participants may present various sensitizations to different allergen in addition to allergy to dust mite.
  • Present the criteria for moderate-to-severe persistent AR phenotype according to the Allergic Rhinitis and its Impact on Asthma (ARIA) classification:
  • The intensity of signs and symptoms interferes with sleep; interferes with daily activities, sports and leisure; interferes with work activities; and symptoms present are troublesome.
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  • The symptoms are present more than 4 days a week and during more than 4 consecutive weeks.
  • Present symptomatology at the pre-selection visit. This is, present, according to ARIA criteria, 2 or more of the following symptoms during more than 1 hour a day: water rhinorrhoea; sneezing, especially paroxysmal; nasal obstruction; nasal puritis; with or without conjunctivitis.
  • Sign the informed consent form.

Who cannot join

  • Age under 18 or over 60 years old.
  • Present intolerances and/or food allergies related to the products of the study.
  • Being pregnant or intending to become pregnant.
  • Be in breastfeeding period.
  • Participate in or have participated in a clinical trial or nutritional intervention study in the last 30 days prior to inclusion in the study.
  • Present some chronic gastrointestinal disease.
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  • Clinical history of anemia.
  • Having received antibiotic treatment up to 30 days before the start of the study.
  • Having received immunotherapy treatment for dust mite allergen before the start of the study and during the study.
  • Having received immunotherapy treatment for allergens other than dust mites up to 30 days before the start of the study and during the study.
  • Taking probiotics, prebiotics and/or postbiotics up to 30 days before the start of the study and during the study.
  • Present any disease with immune system involvement (HIV, autoimmune disease, hepatitis, cancer, etc.).
  • Having received chemotherapy or other immunosuppressive therapy during the previous year.
  • Medical history of surgical procedures of nasal cavity and sinuses, recent surgery of gastrointestinal tract or bariatric surgery (ever).
  • Being unable to follow the study guidelines.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Eurecat

    Reus, Reus, 43204

Other trials in Spain

About this study

Official title: Effect of the Probiotic Bifidobacterium Longum ES1 and Its Inactivated Form by Heat (HT-Bifidobacterium Longum ES1) Over Symptomatology Asociated With Allergic Rhinitis. Parallel, Randomized, Controled, and Double-Blind Intervention Trial

Allergic rhinitis (AR) is a health problem characterised by an inflammatory reaction in the nasal mucosa mediated by immunoglobulin (Ig) E and resulting from exposure to environmental allergens, such as pollen and dust mites.

AR symptoms can significantly affect the quality of life of patients suffering from AR, causing substantial direct health care costs and indirect costs due to absenteeism from work.

Read more

The effects of pharmacological treatments are not always fully effective and have adverse effects, resulting in a significant proportion of AR patients continuing to experience symptoms or being dissatisfied.

Considering the relationship between AR and intestinal microbiota (IM), the use of probiotics, live microorganisms that, when consumed in adequate amounts, confer beneficial effects on the host, emerges as a potential strategy to prevent or treat certain allergies. There are different mechanisms of action by which probiotics may exert their effects on the treatment or prevention of allergies through modulation of the immune system and stimulation of tolerance. Probiotics promote a change in IM. In addition, probiotics stimulate gut-associated lymphoid tissue, modulating inflammation and immune reactions present in AR, promoting a more favourable profile by increasing the production of the modulatory cytokines IL-10 and TGFβ by Treg cells. Probiotics can restore the Th1:Th2 balance by inducing Th1 responses through the production of IL-12 and interferon (IFN)-γ, or by suppressing Th2 responses through the depletion of IL-4. In addition, probiotics may exert immunomodulatory effects through stimulating mucosal IgA production.

The hypothesis of the present study is that supplementation with the probiotic Bifidobacterium longum ES1 and/or with the heat treated version of ES1 will decrease the symptomatology associated with AR and improve the quality of life of individuals by modulating IM and potentiating Treg cells and the Th1 response.

The main objective of the present study is to determine the effects of supplementation with the probiotic Bifidobacterium longum ES1 and the heat treated version of ES1 (HT-ES1) on the symptoms associated with AR.

The secondary objectives of the study are to determine the effects of the treatments over: 1) Quality of life; 2) Blood immunological markers (IFN-γ, IL-12, IL-10, TGF-β, IgE, IL-4, IL-13, IL-19 and IL-8); 3) Faecal immunological marker IgA; 4)Faecal microbiota composition.

Read the detailed description

Parallel, randomized, placebo-controlled, and double-blind intervention trial.

75 participants (25 in each group), men and women, aged between 18 and 60 years, with moderate-severe persistent AR symptoms and dust mite allergy.

The 75 study participants will be randomly divided into three groups depending on whether they receive supplementation with the probiotic Bifidobacterium longum ES1, supplementation with the heat treated version of ES1 (HT-ES1) or placebo during the 2-month study period. After the treatment period the volunteers will be followed up for one month.

During the study, patients will be able to continue using conventional drug treatment for AR, including oral and local antihistamines, oral and intranasal corticosteroids, and intranasal decongestants.

Intervention products are the probiotic Bifidobacterium longum ES1 (ES1), the heat treated version of ES1 (HT-ES1) and a placebo (maltodextrin). The delivery format of the products to the volunteers will be in capsules.

The total duration of the study will be of 92 days (13 weeks).

Each participant will perform 4 visits. The study visits will be the following:

  • a pre-selection visit to check inclusion/exclusion criteria (V0; day 1, week 1) and, in case of meeting the criteria,
  • a study start visit (V1; day 8 +/-3 days; week 2),
  • a final study visit (V2; day 64 +/- 3 days; week 10),
  • a study follow-up visit (V3; day 92 +/- 3 days; week 14).

At visits V0, V1, V2 and V3 the use of any medications, including over the counter, will be checked.

In visits V1, V2 participants must present themselves in fasting conditions of 8 hours to obtain blood. In addition, in visits V2 and V3, participants will be asked for the presence of adverse events that could be associated with the consumption or withdrawal of the study products.

The products will be given in the V1 visit so that the participants will have all the necessary treatment to carry out the 8 weeks of study with the corresponding product.

During the study and starting from visit V0 once the volunteer has been included in the study and signed the informed consent, participants will record AR symptomatology and/or the use of AR medication on a daily basis by using the CSMS questionnaire described by Pfaar O. et al. in an online format using the Microsoft Forms application. During the study, the research team will monitor compliance of the online questionnaire by the volunteer.

Volunteers will be encouraged to maintain their dietary habits and to maintain their regular practice of physical activity during the study.

Descriptive variables related to AR and demographic variables will be obtained from participants of the study by clinical history and interviewing at visit V0.

In visits V1, V2 and V3 of the study, health-related quality of life data will be obtained by means of the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) according to Juniper, E, et al.

For the collection of faeces in visits V1, V2 and V3, participants will be previously provided with a faeces collection kit (two different labelled tubes, one for metagenomic analysis and other for IgA determination will be provided).

Being tested
ES1 group, HT-ES1 group, Control group
Keywords
Probiotics, Intestinal Microbiota, Immune system, Inflammation, Postbiotics
Medical subject headings
Rhinitis, Allergic, Inflammation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ES1 groupDietary supplement

    Participants will intake 2 capsules of Bifidobacterium longum ES1 (2E09 CFU of probiotic/day with maltodextrin as excipient).

  • HT-ES1 groupDietary supplement

    Participants will intake 2 capsules of HT-ES1 (2E09 cells/day equivalent to 20 mg/day when prepared from a postbiotic batch at a concentration of 1E11 cells/g with maltodextrin as excipient).

  • Control groupDietary supplement

    Participants will intake 2 capsules/day, with 250 mg maltodextrin/capsule.

Study groups in NCT05208528
Study groupRoleWhat they receive
ES1 groupExperimentalParticipants treated with Bifidobacterium longum ES1 for 2 months.
Receives: Dietary Supplement: ES1 group
HT-ES1 groupExperimentalParticipants treated with heat treated version of ES1 for 2 months.
Receives: Dietary Supplement: HT-ES1 group
Control groupPlacebo comparatorParticipants treated with maltodextrin for 2 months.
Receives: Dietary Supplement: Control group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Combined Symptoms and Medication Score

    Participants will complete the Combined Symptoms and Medication Score (CSMS) questionnaire daily in an online form. The CSMS questionnaire takes into account the severity of symptoms and the use of rescue medication to asses the efficacy of treatments for AR. The CSMS is the sum of daily symptom score (dSS) and the daily medication score (dMS) and has a range of 0 to 6. The mean CSMS will be calculated weekly for each study period, that is the basal period (first week until V1); the treatment period (period between V1 and V2 visits) and the follow-up period (period between V2 and V3 visits), from the sum of all daily CSMS during each week of the study and divided by the number of days of each week of the study.

    Measured: Daily for the thirteen weeks of the study.

Secondary outcomes (18)
  1. Nasal and conjunctival symptoms (dSS)

    The CSMS is the sum of the daily symptom score (dSS) and the daily medication score (dMS). The dSS is composed of 6 individual symptom scores: 4 nasal symptoms and 2 ocular symptoms, all rated on a scale of 0 to 3. The dSS is calculated as the mean of all daily dSS (range 0-18) and divided by the number of individual symptoms (6 symptoms). Therefore, the mean dSS can range from 0 to 3. The mean dSS will be calculated weekly for each study period, that is the basal period (first week until V1); the treatment period (period between V1 and V2 visits) and the follow-up period (period between V2 and V3 visits), from the sum of all daily CSMS during each week of the study and divided by the number of days of each week of the study.

    Measured: Daily for the thirteen weeks of the study.

  2. Nasal symptoms.

    4 nasal symptoms: itchy nose, sneezing, runny nose and stuffy nose. All nasal symptoms rated on a scale of 0 to 3. The Nasal symptoms is calculated as the mean of all daily nasal symptoms (range 0-12) and divided by the number of individual nasal symptoms (4 symptoms). Therefore, the mean Nasal symptoms can range from 0 to 3, being higher scores related to worse symptoms. The mean Nasal symptoms will be calculated weekly for each study period, that is the basal period (first week until V1); the treatment period (period between V1 and V2 visits) and the follow-up period (period between V2 and V3 visits), from the sum of all daily CSMS during each week of the study and divided by the number of days of each week of the study.

    Measured: Daily for the thirteen weeks of the study.

  3. Conjunctival symptoms

    2 ocular symptoms: itchy/red eyes and watery eyes. All conjunctival symptoms rated on a scale of 0 to 3. The conjunctival symptoms is calculated as the mean of all daily conjunctival symptoms (range 0-6) and divided by the number of individual conjunctival symptoms (2 symptoms). Therefore, the mean conjunctival symptoms can range from 0 to 3, being higher scores related to worse symptoms. The mean conjunctival symptoms will be calculated weekly for each study period, that is the basal period (first week until V1); the treatment period (period between V1 and V2 visits) and the follow-up period (period between V2 and V3 visits), from the sum of all daily CSMS during each week of the study and divided by the number of days of each week of the study.

    Measured: Daily for the thirteen weeks of the study.

  4. Use of rescue medication.

    The daily medication score (dMS) is based on the following scores: 0, no rescue medication; 1, oral and/or topical nonsedative H1 antihistamines (H1A); 2, Intranasal corticosteroids (INS) with/without H1A; and 3, oral corticosteroids with/without INS, with/without H1A.

    Measured: Daily for the thirteen weeks of the study.

  5. Number of days without medication.

    From CSMS questionnaire the number of days without rescue medication is quantified for each period of the study.

    Measured: Daily for the thirteen weeks of the study.

  6. Use of other medications for AR.

    Participants will record daily the use of other treatments for AR different that the medications described in the CSMS questionnaire using the online questionnaire.

    Measured: Daily for the thirteen weeks of the study.

  7. Change in experienced troublesome functional impairments.

    Quality of life will be estimated through Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ). The RQLQ is a validated questionnaire which has 28 questions in seven domains (sleep, non-rhinoconjunctivitis symptoms, practical problems, nasal symptoms, eye symptoms, activity limitations, and emotional function). Patients are asked to recall impairments experienced during the previous week and to respond to each item on a 7-point scale (0 = no impairment; 6 = maximum impairment). The overall RQLQ score is the mean of all 28 responses and higher scores reflect lower quality of life.

    Measured: At week 2, week 10 and week 14.

  8. Change in serum IL-10 levels.

    Serum IL-10 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  9. Change in serum TGF-β levels.

    Serum TGF-β levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  10. Change in serum IL-12 levels.

    Serum IL-12 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  11. Change in serum IFN-γ levels.

    Serum IFN-γ levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  12. Change in serum IgE levels.

    Serum IgE levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  13. Change in serum IL-4 levels.

    Serum IL-4 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  14. Change in serum IL-13 levels.

    Serum IL-13 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  15. Change in serum IL-8 levels.

    Serum IL-8 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  16. Change in serum IL-19 levels.

    Serum IL-19 levels will be measured by human ELISA kits.

    Measured: At week 2 and week 10.

  17. Change in stool IgA levels.

    Stool IL-19 levels will be measured by human ELISA kits.

    Measured: At week 2, week 10 and week 14.

  18. Metagenomic analysis.

    Total DNA extracted from stool samples will be sequenced on an Illumina platform. It will be analysed the taxonomic profile, toxin-producing genes, bacterial functions and presence of pathogens.

    Measured: At week 2, week 10 and week 14.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jan 2022
  2. Study start23 Jan 2022
  3. Primary completion17 Jan 2024
  4. Study completion27 Mar 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
72 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05208528
Sponsor's protocol ID
MICRORIN_2
Acronym
MICRORIN_2
Status last verified
Apr 2026
First submitted
12 Jan 2022
Last updated
4 May 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cardoso A, Naghibi M, Climent E, Rodenes-Gavidia A, Lamelas A, Llobregat L, Martinez-Blanch J, Friedman D, Vijayakumar V, Day R. Effects of Live and Heat-Treated Bifidobacterium longum CECT 7347 in Adults With Allergic Rhinitis: A Randomised, Double-Blind, Placebo-Controlled Trial. Allergy. 2026 Apr 28. doi: 10.1111/all.70360. Online ahead of print.

    PubMed 42047238

Questions about this trial

What is this clinical trial studying?

A study testing ES1 group and HT-ES1 group in people with Allergic Rhinitis, run by Fundació Eurecat at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Combined Symptoms and Medication Score (time frame: Daily for the thirteen weeks of the study.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05208528, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2026.

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