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HealthyBIOPOLISNCT05367427

Heat-treated Postbiotic Consumption in Healthy People With Mild to Moderate Gastrointestinal Symptoms

A study testing Heat treated postbiotic Bifidobacterium Longum consumption in people with Healthy and Gastrointestinal Dysfunction, run by Instituto de Investigación Hospital Universitario La Paz 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

The use of probiotics is a widespread clinical practice to improve the composition of the microbiota in healthy and pathological patients. However, in recent years, postbiotics have begun to be used that can exert a certain anti-inflammatory effect at the intestinal level. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Healthy, Gastrointestinal Dysfunction
What is being tested?
Heat treated postbiotic Bifidobacterium Longum consumption
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteSpain
Study dates
1 Feb 2022to 31 Oct 2022
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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects who obtain a score between 13 and 39 points with diarrhea predominance in the Gastrointestinal Symptoms Rating Scale (GSRS-IBS) corresponding to the last week.
  • Men and women between 18 and 65 years old.
  • Absence of a family or social environment that prevents compliance with treatment.
  • Adequate cultural level and understanding of the clinical study.
  • Agree to voluntarily participate in the study and give their informed consent in writing.

Who cannot join

  • Subjects with BMI <18.5 or >35 kg/m2.
  • Subjects who have participated in programs and/or clinical trials and who have lost or gained more than 4 kg in the last 3 months.
  • Subjects diagnosed with Diabetes Mellitus 1 or 2.
  • Subjects diagnosed with metabolic syndrome, hypothyroidism and/or hyperthyroidism.
  • Subjects with allergies to the excipients of the product/placebo.
  • Subjects with an established diagnosis of eating behavior disorder.
Show all 23Show fewer
  • Women who do not agree to continue with their contraceptive method during the study period.
  • Subjects who perform excessive physical exercise (>2 h more than 3 times per week).
  • Subjects who wish to start an exercise plan and/or dietary program during the study period.
  • Subjects with serious diseases (liver disease, kidney disease, heart disease, lung disease, cancer, etc.).
  • Subjects with chronic intestinal pathologies (gastritis, ulcerative colitis, irritable bowel syndrome, inflammatory bowel disease, Crohn's disease, intestinal perforation, history of gastroparesis, etc.).
  • Subjects with autoimmune diseases and/or subjects undergoing treatment with corticosteroids, immunosuppressants and/or biologicals in the last 12 months.
  • Subjects with major surgeries in the last 3 months or gastrointestinal surgery in the last 6 months.
  • Subjects with weight loss surgery (gastric bypass, lap band)
  • Subjects under treatment with oral antibiotics during the 30 days prior to the start of the study.
  • Subjects with recent episodes of acute gastrointestinal illness such as nausea, vomiting or acute gastroenteritis 2 weeks before the start of the study.
  • Subjects who wish to quit smoking during the duration of the study.
  • Subjects who consume antioxidant supplements, omega 3 supplements, vitamins, minerals, prebiotic, synbiotic, parabiotic or probiotic products in the 4 weeks prior to the start of the study and who do not agree to suppress their consumption during the study period.
  • Subjects with alcohol consumption greater than 30 g/day (equivalent to 300 ml of wine, about 3 beers or a glass (75 ml) of whisky, cognac, anise, etc.)).
  • Subjects with regular use of antidiarrheal medications (>2 per week) during the last 3 months prior to the start of the study.
  • Subjects on anticoagulant therapy.
  • Subjects with dementia, mental illness, or decreased cognitive function.
  • Pregnant or lactating women.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Institute for Health Research IdiPAZ

    Madrid, 28046

Other trials in Spain

About this study

Official title: Clinical Trial to Evaluate the Effect of Regular Consumption of a Heath-treated Postbiotic on the Improvement of Symptoms in People With Mild to Moderate Gastrointestinal Disorders Not Associated With Disease

The use of probiotics is a widespread clinical practice to improve the composition of the microbiota in healthy and pathological patients. However, in recent years, postbiotics have begun to be used that can exert a certain anti-inflammatory effect at the intestinal level. Among them, Bifidobacterium longum (CECT 7347) has been used in various clinical trials with promising results. It has immunoregulatory properties and an excellent ability to attenuate the activity of epithelial cells at the intestinal level. However, it is necessary to carry out clinical trials to verify its effects, preferably in healthy patients who show certain gastrointestinal discomfort. For this reason, a parallel, randomized, double-blind, controlled pilot clinical trial with 2 study arms has been proposed to assess the effect of habitual consumption of a heat treated postbiotic B. longum CECT 7347 on mild-moderate functional digestive disorders in a group of healthy people.

Read the detailed description

Recently, there has been a great advance in functional digestive disorders research by new methodological strategies development for their treatment. One of the most interesting line broads the use of microorganisms with the aim of reducing the gastrointestinal. The most studied in this context belong to the genus Bifidobacterium. These microorganisms have shown a remarkable capacity to modulate the inflammatory response, whose efficacy was previously evaluated in celiac patients. Subsequently, different in vitro studies and animal models has been carried out on Bifidobacterium strains, specifically B. longum CECT 7347. Its effect on inflammation caused by gliadins, has reported promising results. This strain is characterized by its anti-inflammatory activity and its ability to recover the intestinal barrier.

Clinical trials in humans took place once the genome of the B. longum CECT 7347 strain and its safety at the level of oral consumption were studied. Continuing with the work carried out in animal models, the efficacy of oral consumption in celiac patients was evaluated, although studies were also carried out on other individuals with liver or dermatological pathologies.

Gastrointestinal symptoms in adults are usually predominant and have important consequences for health and quality of life. In addition, recent studies suggest that the composition of the intestinal microbiota in those people who have gastrointestinal symptoms may come from intestinal dysbiosis, highlighting the role in the noticeable symptoms. Digestive disorders are characterized by compositional imbalances in the gut microbiota, particularly by a reduced number on both total bifidobacteria and Bifidobacterium longum ES1 (CECT 7347). Recent in vitro studies have shown that the presence of B. longum CECT 7347 reduces the toxic and inflammatory effects on intestinal cells.

The former evidences it has been hypothesised that the administration of a heat treated postbiotic B. longum CECT 7347 could modify the composition of the intestinal microbiota due to its immunoregulatory properties and the ability to attenuate the activity of epithelial cells. The proper administrations should attenuate the inflammatory effects, producing a decrease in the prevalence of gastrointestinal symptoms in undiagnosed groups, but which may suffer from a certain intestinal dysbiosis. Based on the above background, a parallel, randomized, double-blind, controlled pilot clinical trial with two study arms has been proposed to assess the effect of habitual consumption of heat treated postbiotic B. longum CECT 7347 on mild to moderate functional digestive disorders in a group of healthy people.

Being tested
Heat treated postbiotic Bifidobacterium Longum consumption, Placebo

What participants receive

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

  • Heat treated postbiotic Bifidobacterium Longum consumptionDietary supplement

    Also called Experimental

    Regular consumption in breakfast of heat treated postbiotic B. longum

  • PlaceboDietary supplement

    Also called Control

    Maltodextrin

Study groups in NCT05367427
Study groupRoleWhat they receive
Heat treated postbiotic Bifidobacterium LongumExperimentalConsumption of 2 capsules/day of Bifidobacterium Longum CECT 7347 (Total daily equivalent of 2.5 x 10^9 CFU)
Receives: Dietary Supplement: Heat treated postbiotic Bifidobacterium Longum consumption
PlaceboPlacebo comparatorConsumption of 2 placebo capsules/day filled with maltodextrin
Receives: Dietary Supplement: Placebo

What is being measured

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

  1. Occurrence of gastrointestinal symptoms

    Changes in the score obtained through the Gastrointestinal Symptom Rating of Irritable Bowel Syndrome (GSRS-IBS) scale (Score range: 0-78 points). A greater score means a higher occurrence of gastrointestinal symptoms.

    Measured: Day 0 - Day 60

Secondary outcomes (35)
  1. Frequency of gastrointestinal symptoms

    Changes in the score obtained through the Irritable Bowel Syndrome Severity Scoring System (IBS-SSS) scale (Score range: 0-500 points). A greater score punctuation means a higher frequency of gastrointestinal symptoms.

    Measured: Day 0 - Day 60

  2. Gastrointestinal quality of life

    Changes in the score obtained in the gastrointestinal quality of life questionnaire (GIQLI) (Score range: 0-144 points). A higher score means a better perception of gastrointestinal quality of life.

    Measured: Day 0 - Day 60

  3. Defecation pattern

    Modifications in the defecation pattern of the Bristol Scale, decreasing stools with a 5-7 assessment and observing a greater presence of stools with a 3-4 value. Ideal scores range between 3-4; constipation occurs in 1-2 scores and the presence of diarrhoea in highlighted with stools of 5, 6 and 7 description.

    Measured: Day 0-Day 60

  4. Visceral sensitivity

    Changes in Visceral Sensitivity Index (VSI) score (Range: 15-90). A lower score means an undesirable visceral sensitivity.

    Measured: Day 0- Day 60

  5. Zonulin concentration

    Changes in fecal zonulin concentration, as a biomarker related to increased intestinal permeability

    Measured: Day 0 - Day 60

  6. Faecal microbiome analysis

    Changes in feacal microbiome after heat treated postbiotic

    Measured: Day 0 vs Day 60

  7. Glucose

    Maintenance of biochemical parameters within normal concentrations (74-106 mg/dL)

    Measured: Day 0 - Day 60

  8. Total serum protein

    Maintenance of biochemical parameters within normal concentrations of total serum proteins (range from 6.4 to 8.3 g/dL)

    Measured: Day 0 - Day 60

  9. Serum albumin

    Maintenance of biochemical parameters within normal concentrations of serum albumin (range from 3.4 to 5.4 g/dL)

    Measured: Day 0 - Day 60

  10. HDL-cholesterol

    Maintenance of biochemical parameters within normal serum concentrations of HDL-cholesterol (♂: >40, ♀: >50 mg/dL)

    Measured: Day 0 - Day 60

  11. Serum prealbumin

    Maintenance of biochemical parameters within normal concentrations of serum prealbumin (range from 17 to 42 mg/dL)

    Measured: Day 0 - Day 60

  12. Cholesterol

    Maintenance of biochemical parameters within normal serum concentrations of total cholesterol (<200 mg/dL)

    Measured: Day 0 - Day 60

  13. LDL-cholesterol

    Maintenance of biochemical parameters within normal serum concentrations of LDL-cholesterol (<130 mg/dL)

    Measured: Day 0 - Day 60

  14. Triglycerides

    Maintenance of biochemical parameters within normal serum concentrations of triglycerides (TG) (<150 mg/dL)

    Measured: Day 0 - Day 60

  15. Vitamin A

    Maintenance of biochemical parameters within normal serum concentrations of vitamin A (0.3-0.7 ug/mL)

    Measured: Day 0 - Day 60

  16. Vitamin E

    Maintenance of biochemical parameters within normal serum concentrations of vitamin E (5-20 ug/mL)

    Measured: Day 0 - Day 60

  17. Vitamin D

    Maintenance of biochemical parameters within normal serum concentrations of vitamin D (30-100 ng/mL)

    Measured: Day 0 - Day 60

  18. Calcium

    Maintenance of biochemical parameters within normal serum concentrations of Calcium (8.6-10,2 mg/dL)

    Measured: Day 0 - Day 60

  19. Phosphorus

    Maintenance of biochemical parameters within normal serum concentrations of Phosphorus (2.5-4.5 mg/dL)

    Measured: Day 0 - Day 60

  20. Sodium

    Maintenance of biochemical parameters within normal serum concentrations of Sodium (136-145 mmol/L)

    Measured: Day 0 - Day 60

  21. Potassium

    Maintenance of biochemical parameters within normal serum concentrations of Potassium (3.5-5.1 mmol/L)

    Measured: Day 0 - Day 60

  22. Magnesium

    Maintenance of biochemical parameters within normal serum concentrations of Magnesium (1.60-2.60 mg/dL)

    Measured: Day 0 - Day 60

  23. Chlorine

    Maintenance of biochemical parameters within normal serum concentrations of Chlorine (99-109 mmol/L)

    Measured: Day 0 - Day 60

  24. Folic Acid

    Maintenance of biochemical parameters within normal serum concentrations of Folic Acid (>2,6 ng/dL)

    Measured: Day 0 - Day 60

  25. Vitamin B12

    Maintenance of biochemical parameters within normal serum concentrations of Vitamin B12 (211-911 pg/mL).

    Measured: Day 0 - Day 60

  26. Interleukins

    Changes in inflammatory m. These biomarkers are measured in pg/mL

    Measured: Day 0 - Day 60

  27. C-reactive protein (CRP)

    Modifications in the C-reactive protein (CRP). This biomarker is measured in mg/L

    Measured: Day 0 - Day 60

  28. Body weight

    Changes produced in body weight measured in kilograms

    Measured: Day 0 - Day 60

  29. Waist circumference

    Data referring to the waist circumference of the Spanish population allow to estimate cardiovascular risk parameters from 95 cm in men and 82 cm in women, and very high risk from 102 cm in men and 90 cm in women. The measurement is taken at the narrowest point between the last rib and the iliac crest, with the tape against the skin but not compressed. The person should be kept in an upright position, distributing the weight equally on both legs and their arms relaxed at the sides of the body.

    Measured: Day 0 - Day 60

  30. Body mass index (BMI)

    Relationship between body weight (kg) and height (m) squared of the individual: Weight/(Height)2

    Measured: Day 0 - Day 60

  31. Fat mass percentage

    Changes or maintenance of the fat mass % measured by electrical bioimpedance

    Measured: Day 0 - Day 60

  32. Muscle Mass percentage

    Changes or maintenance of the muscle mass % measured by electrical bioimpedance

    Measured: Day 0 - Day 60

  33. Blood pressure

    Maintenance in systolic pressure and diastolic pressure measured by blood pressure monitor

    Measured: Day 0 - Day 60

  34. Heart rate

    Heart rate maintenance measured in beats per minute (bpm) using blood pressure monitor

    Measured: Day 0 - Day 60

  35. Tolerance

    Changes measured by applying a tolerance questionnaire that evaluates qualitative information on possible symptoms associated with the consumption of the product such as: nausea, heartburn, diarrhea, abdominal distension or halitosis.

    Measured: Day 0 - Day 60

Timeline

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

  1. First posted10 May 2022
  2. Study start1 Feb 2022
  3. Primary completion31 Jul 2022
  4. Study completion31 Oct 2022

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
Model description
Parallel, randomized, double-blind, controlled pilot clinical trial
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05367427
Sponsor's protocol ID
HULP 6010
Acronym
BIOPOLIS
Status last verified
Jun 2024
First submitted
10 Feb 2022
Last updated
15 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Heat treated postbiotic Bifidobacterium Longum consumption in people with Healthy and Gastrointestinal Dysfunction, run by Instituto de Investigación Hospital Universitario La Paz 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 5 inclusion and 23 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 15 Aug 2024. 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?

Occurrence of gastrointestinal symptoms (time frame: Day 0 - Day 60). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Aug 2024.

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