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Cognitive DeclineEarly Phase 1PZACNCT05892627

A Supplement on Cognitive Function and Brain Activity in Middle Age and Older Healthy Adults

A Early Phase 1 study testing PoZibio in people with Cognitive Decline, run by Aberystwyth University at 1 site in United Kingdom.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

PoZibio™ capsules contains Lactobacillus paracasei which has been heat-killed (post-biotic). The researchers will recruit a cohort of middle aged and older adults (>50 years) who will be randomised into PoZibio™ (2 x capsules daily) or placebo (2 x capsules daily) supplementation for 6 weeks. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Cognitive Decline
What is being tested?
PoZibio
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
40 participants
Where
1 siteUnited Kingdom
Study dates
15 Jun 2023to 31 Dec 2023
Phase
Early Phase 1
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 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects over 50 years of age
  • Subjects with Mini-Mental State Exam (MMSE) of 25-30 inclusive (global cognitive function)
  • Subjects who are able to undergo EEG and to commit to visits to WARU/P5.
  • Subjects who are able to provide venous blood samples.
  • Subjects able to provide written informed consent PRIOR to performing any study procedures.

Who cannot join

  • Subjects with diagnosis of Alzheimer's disease or other dementia
  • Subjects taking medication for the treatment of dementia (such as acetylcholinesterase inhibitors (Aricept, Excelon), memantine (Namenda) or other medications with similar mechanisms of action) or medical foods (such as Cerefolin, Souvenaid, Axona) for the treatment of dementia.
  • Subjects who are already regularly taking probiotics, post-biotics, nutraceutical and/or vitamin supplements related to PoZibio ™ within 30 days of screening.
  • Subjects with Geriatric Depression Scale > 6
  • Subjects with a Mini Mental State Exam score below 25
  • Subjects who are pregnant or lactating
Show all 13Show fewer
  • Subjects with medical condition or disease that is life threatening
  • Subjects who smoke cigarettes or use other products containing nicotine.
  • Subjects diagnosed with diabetes.
  • Subjects taking warfarin.
  • Subjects who identify as being vegetarian or vegan
  • Subjects who have a diagnosed or suspected mental health condition, or who have any concerns surrounding their mental health
  • Subjects who have immediate family members with diagnosed mental health condition or suspected mental health concerns

Trial locations and contacts

1 site in 1 country.

Amanda J Lloyd, PhD, BSc contact

07811618109

abl@aber.ac.uk

Alina Warren, Ms, BSc contact

07539440811

arw21@aber.ac.uk

United Kingdom1 site, 1 recruiting
  • Well-being and Health Assessment Research Unit (WARU)

    Aberystwyth, Ceredigion, SY23 3FD

    Amanda J Lloyd, PhD, BSc, 07811618109, abl@aber.ac.uk

    Alina Warren, MSc, BSc, 07539440811, arw21@aber.ac.uk

    Recruiting

Other trials in United Kingdom

About this study

Official title: PoZibio a Post-biotic Supplement on Cognitive Function and Brain Activity in Middle Age and Older Healthy Adults

PoZibio™ capsules contains Lactobacillus paracasei which has been heat-killed (post-biotic).

The researchers will recruit a cohort of middle aged and older adults (>50 years) who will be randomised into PoZibio™ (2 x capsules daily) or placebo (2 x capsules daily) supplementation for 6 weeks. Subjects will be asked to take both capsules in the morning with their breakfast. The placebo will be matched to the active product by taste and texture.

Read more

Electroencephalography (EEG) shall be combined with 3 psychological tasks, to measure a variety of cognitive domains including attention, processing speed, accuracy, and response inhibition. These psychological tasks shall include the Stroop task, the Go/No-go task, and the Flanker task. Before taking part in the psychological tasks, participants shall be required to have their EEG resting state recorded, requiring them to participate in an Eyes Open/Closed Task.

The Mini Mental State Exam (MMSE) questionnaire shall be used as a digital screening tool to assess global cognitive function in participants both prior to and following the 6-week PoZibio trial. The geriatric depression scale (GDS) shall also be used as a digital screening tool to assess for depressive symptomatology in older adults. The EQ-5D questionnaire shall be used to obtain an overall profile of the health state and quality of life of participants before and after the trial.

The researchers will collect venous blood samples for the investigation into the chemical composition using metabolomics, the quantification of short chain fatty acids as well as clinical biochemistry, before and after the trial.

Aim:

A randomised, placebo controlled parallel human clinical trial of heat-treated Lactobacillus paracasei (post-biotics) in healthy middle aged and older subjects is proposed, to assess the potential for clinically relevant benefits in terms of cognitive function.

Read the detailed description

Nowadays, the oral use of probiotics is widespread, in foods (i.e., yogurt), drinks (i.e., kombucha) and supplements. Heat-treated probiotics (essentially pasteurised or killed), cell-free supernatants, and purified key components can confer beneficial effects, mainly immune effects, protection against bacterial infections, and maintenance of gut health, which can positively impact on mental health and cognitive ability. Postbiotics, as they are called, have an advantage for food industry applications as they can easily be supplemented in several food lines/products and are shelf stable. PoZibio™ capsules contains the probiotics Lactobacillus paracasei which is a species of lactic acid bacteria often used in the fermentation of dairy products. It's found in the human intestinal tract and mouth, but also in foods such as yogurt and naturally fermented vegetables and milk. This has been heat-killed in PoZibio™(post biotic).

The researchers are aiming to recruit a cohort of middle aged and older adults (>50 years) who will be randomised into PoZibio™ (2 x capsules daily) or placebo (2 x capsules daily) supplementation for 6 weeks. Subjects will be asked to take both capsules in the morning with their breakfast. The placebo will be matched to the active product by taste and texture.

Electroencephalography (EEG) shall be combined with 3 psychological tasks in a computer program called E-Prime, to measure a variety of cognitive domains including attention, processing speed, accuracy, and response inhibition. These psychological tasks shall include the Stroop task, the Go/No-go task, and the Flanker task. Before taking part in the psychological tasks, participants shall be required to have their EEG resting state recorded, requiring them to participate in an Eyes Open/Closed Task.

The Mini Mental State Exam (MMSE) questionnaire shall be used as a digital screening tool to assess global cognitive function in participants both prior to and following the 6-week PoZibio™ trial. The geriatric depression scale (GDS) shall also be used as a digital screening tool to assess for depressive symptomatology in older adults. The EQ-5D questionnaire shall be used to obtain an overall profile of the health state and quality of life of participants, before and after the trial.

The researchers will collect venous blood samples for the investigation into the chemical composition using metabolomics, the quantification of short chain fatty acids as well as clinical biochemistry, before and after the trial.

Aim:

A randomised, placebo controlled parallel human clinical trial of heat-treated Lactobacillus paracasei (post-biotics) in healthy middle aged and older subjects is proposed, to assess the potential for clinically relevant benefits in terms of cognitive function.

Being tested
PoZibio, Placebo
Keywords
Electroencephalography, Post-biotic, Lactobacillus paracasei, Cognitive health, Mental function, Metabolomics
Medical subject headings
Cognitive Dysfunction

What participants receive

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

  • PoZibioDietary supplement

    PoZibio (50 x 10^9 CFUs/ CAPSULE)

  • PlaceboDietary supplement

    Placebo

Study groups in NCT05892627
Study groupRoleWhat they receive
PoZibioExperimentalPoZibio, twice daily (50 x 10^9 CFUs/ CAPSULE) for 6 weeks
Receives: Dietary Supplement: PoZibio
PlaceboPlacebo comparatorPlacebo, twice daily for 6 weeks
Receives: Dietary Supplement: Placebo

What is being measured

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

  1. Cognitive Control (Selective attention, processing speed, mental flexibility)

    Cognitive Control (Selective attention, processing speed, mental flexibility) measured using the Stroop task in E-Prime

    Measured: Improved score (faster response time and improved accuracy) from baseline score at 6 weeks after pozibio

  2. Cognitive Control (Selective attention, processing speed, mental flexibility)

    Cognitive Control (Selective attention, processing speed, mental flexibility) measured using the Stroop task in E-Prime

    Measured: Improved score (faster response time and improved accuracy) at 6 weeks after pozibio when compared with placebo after 6 weeks

  3. Response inhibition (core construct in cognitive control and self-regulation)

    Measured using the Go/No-go task in E-Prime

    Measured: Improved (fewer commission errors) score from baseline score at 6 weeks after pozibio

  4. Response inhibition (core construct in cognitive control and self-regulation)

    Response inhibition (core construct in cognitive control and self-regulation) measured using the Go/No-go task in E-Prime

    Measured: Improved (fewer commission errors ) score at 6 weeks after pozibio when compared with placebo after 6 weeks

  5. Selective attention and response inhibition (core constructs in cognitive control and self-regulation)

    Selective attention and response inhibition (core constructs in cognitive control and self-regulation) measured using the Flanker task in E-Prime

    Measured: Improved score (faster response time and improved accuracy) from baseline score at 6 weeks after pozibio

  6. Selective attention and response inhibition (core constructs in cognitive control and self-regulation)

    Selective attention and response inhibition (core constructs in cognitive control and self-regulation) measured using the Flanker task in E-Prime

    Measured: Improved score (faster response time and improved accuracy) at 6 weeks after pozibio when compared with placebo after 6 weeks

  7. Electroencephalogram (EEG) during the Stroop task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with baseline

  8. Electroencephalogram (EEG) during the Stroop task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with 6 weeks of placebo

  9. Electroencephalogram (EEG) during the Flanker task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with baseline

  10. Electroencephalogram (EEG) during the Flanker task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with 6 weeks of placebo

  11. Electroencephalogram (EEG) during the go/no-go task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with baseline

  12. Electroencephalogram (EEG) during the go/no-go task

    Assessing event related potentials (ERP's) in the P3 component and the N2 component across the frontal and parietal regions

    Measured: After 6 weeks of pozibio, no delay of the P3 component and more N2 components when compared with 6 weeks of placebo

  13. Electroencephalogram (EEG) during the stroop task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with baseline

  14. Electroencephalogram (EEG) during the Flanker task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with baseline

  15. Electroencephalogram (EEG) during the go/no-go task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with baseline

  16. Electroencephalogram (EEG) during the stroop task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with 6 weeks of placebo

  17. Electroencephalogram (EEG) during the Flanker task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with 6 weeks of placebo

  18. Electroencephalogram (EEG) during the go/no-go task

    Assessing alpha and delta activity

    Measured: After 6 weeks of pozibio, increased alpha and delta activity when compared with 6 weeks of placebo

  19. EuroQol 5 Dimension 5L (combined score)

    EuroQol 5 Dimension 5 5L questionnaire: Generic quality of life. Mobility- Level 1-5 Self-Care- Level 1-5, Usual Activities- Level 1-5, Pain/Discomfort- Level 1-5, Anxiety/Depression- Level 1-5. The digits for the five dimensions will be combined into a 5-digit number that describes the patient's health state.

    Measured: Reduced score from baseline EuroQol 5 Dimension 5 score at 6 weeks after pozibio

  20. EuroQol 5 Dimension 5L (combined score)

    EuroQol 5 Dimension 5 5L questionnaire: Generic quality of life. Mobility- Level 1-5 Self-Care- Level 1-5, Usual Activities- Level 1-5, Pain/Discomfort- Level 1-5, Anxiety/Depression- Level 1-5. The digits for the five dimensions will be combined into a 5-digit number that describes the patient's health state.

    Measured: Reduced EuroQol 5 Dimension 5 score at 6 weeks after pozibio when compared with placebo after 6 weeks

Secondary outcomes (2)
  1. Changes in short chain fatty acids concentrations in plasma

    Changes in short chain fatty acids concentrations in plasma measured using Gas Chromatography-Flame Ionization Detection

    Measured: Increased concentration of total short chain fatty acids after the pozibio at 6 weeks compared with the baseline

  2. Changes in short chain fatty acids concentrations in plasma

    Changes in short chain fatty acids concentrations in plasma measured using Gas Chromatography-Flame Ionization Detection

    Measured: Increased concentration of total short chain fatty acids after the pozibio at 6 weeks compared with that after placebo at 6 weeks

Timeline

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

  1. First posted7 Jun 2023
  2. Study start15 Jun 2023 (estimated)
  3. Primary completion31 Dec 2023 (estimated)
  4. Study completion31 Dec 2023 (estimated)

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
Early Phase 1
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
A cohort who will be randomised into PoZibio™ (2 x capsules daily) or placebo (2 x capsules daily) supplementation for 6 weeks.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05892627
Sponsor's protocol ID
23766
Acronym
PZAC
Status last verified
Apr 2023
First submitted
28 Apr 2023
Last updated
7 Jun 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No plan to make individual participant data (IPD) available to other researchers

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing PoZibio in people with Cognitive Decline, run by Aberystwyth University at 1 site in United Kingdom.

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 13 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: status not confirmed, as of the sponsor's last update on 7 Jun 2023. 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 United Kingdom. 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.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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

Contact Amanda J Lloyd, PhD, BSc (07811618109, abl@aber.ac.uk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cognitive Control (Selective attention, processing speed, mental flexibility) (time frame: Improved score (faster response time and improved accuracy) from baseline score at 6 weeks after pozibio). The study lists 20 primary outcomes in all. 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 7 Jun 2023; AzTrials last refreshed its copy on 27 Oct 2026.

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