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HealthySwissGutNCT06191224

SwissGut - The Healthy Swiss Microbiome

An observational study of Healthy, run by Benjamin Misselwitz at 1 site in Switzerland.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Objective: This study is designed to address the complex interplay between the gut microbiome, environmental factors, and inflammatory diseases, with a specific emphasis on serving as a healthy cohort for several related projects. Read more about this study

Who is it for?
Ages 18 to 90 yearsHealthy volunteers can take part
Conditions the study is for
Healthy
How many people
200 participants
Where
1 siteSwitzerland
Study dates
28 May 2023to 5 Jul 2025
Phase
Observational
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 90 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population will be recruited through convenience sampling at our institution in Bern and via outreach to the general population Switzerland-wide with a bias favouring the German speaking parts because documents are in German only. No members of the study team will be participants.

Who may be able to join

  • Signed informed consent
  • Age 18-90 years
  • General ability to give consent for study inclusion, understand and follow study procedures
  • No current or past diagnosis of IBD or colorectal carcinoma
  • No current medical complaints typical for IBD or other severe intestinal diseases (e.g. Diarrhea, severe constipation, abdominal pain, blood in stool, weight loss). Minor symptoms, (not impairing daily activities) are permitted.
  • No other current relevant gastrointestinal disease or condition plausibly interfering with microbiota assessment according to the discretion of the study physician.

Who cannot join

  • All patients with recent acute gastrointestinal disease (e.g., confirmed infectious diarrhea) within the last month or relevant intestinal symptoms (impairing daily activities).
  • Use of antibiotics within the last 3 months.
  • Current pouch or ileostomy/ colostomy.
  • Severe medical, surgical, or psychiatric comorbidities interfering with study procedure according to the judgement of the investigator (patients with comorbidities that would not interfere with the primary endpoints I-III but don't allow the assessment of HRV according to the judgement of the investigator (e.g. heart diseases) will be included in the study but the HRV will not be assessed).
  • Participation in an interfering clinical study.

Trial locations and contacts

1 site in 1 country.

Sebastian B. U. Jordi contact

+41 31 664 33 63

research.2omrx@passfwd.com

Benjamin Misselwitz, MD contact

+41 31 664 04 30

benjamin.misselwitz@insel.ch

Switzerland1 site, 1 recruiting
  • Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Switzerland

    Bern, 3010

    Benjamin Misselwitz, MD, +41 31 664 04 30, benjamin.misselwitz@insel.ch

    Sebastian B. U. Jordi

    Recruiting

Other trials in Switzerland

About this study

Official title: SwissGut - A Longitudinal Cohort Study of the Healthy Human Faecal Microbiome in Switzerland

Objective:

This study is designed to address the complex interplay between the gut microbiome, environmental factors, and inflammatory diseases, with a specific emphasis on serving as a healthy cohort for several related projects.

Read more

Primary hypotheses:

Since data from this study will be used as control data for four studies, four primary hypothesis will be defined.

Hypothesis H1: Levels of intestinal inflammation will be substantially higher in Zimbabweans living in rural areas and low-resource settings (i.e. high-density areas) compared to Zimbabwean and Swiss individuals living in high-resource settings.

Hypothesis H2: Bottlenecks and blooms of bacterial strains are less frequent in healthy participants than in inflammatory bowel disease (IBD) patients and bacterial strains will have lower mutation rates in healthy patients when compared to strains from IBD subjects (partner study: BASEC 2021-00871).

Hypothesis H3: Longitudinal changes of the faecal microbiome of healthy Swiss individuals differ systematically compared to longitudinal changes of the faecal microbiome of Swiss UC patients with active disease (partner study: BASEC 2022-02008).

Hypothesis H4: The HRV of healthy Swiss individuals differ systematically from HRV of Swiss IBD patients and can be associated with differentially abundant bacterial taxa (partner study: BASEC 2022-02008).

Read the detailed description

Objective:

This study investigates the relationship between lifestyle, gut bacteria, and diseases such as colorectal cancer and inflammatory bowel diseases (IBD). The investigators aim to understand how the gut microbiome, influenced by different environments, impacts disease development. Our research focuses on healthy Swiss individuals as a control group for ongoing projects.

Primary hypotheses:

Since data from this study will be used as control data for four studies, four primary hypothesis will be defined.

Hypothesis H1: Levels of intestinal inflammation will be substantially higher in Zimbabweans living in rural areas and low-resource settings (i.e. high-density areas) compared to Zimbabwean and Swiss individuals living in high-resource settings.

Hypothesis H2: Bottlenecks and blooms of bacterial strains are less frequent in healthy participants than in IBD patients and bacterial strains will have lower mutation rates in healthy patients when compared to IBD subjects (partner study: BASEC 2021-00871).

Hypothesis H3: Longitudinal changes of the faecal microbiome of healthy Swiss individuals differ systematically compared to longitudinal changes of the faecal microbiome of Swiss UC patients with active disease (partner study: BASEC 2022-02008).

Hypothesis H4: The heart rate variability (HRV) of healthy Swiss individuals differ systematically from HRV of Swiss IBD patients and can be associated with differentially abundant bacterial taxa (partner study: BASEC 2022-02008).

Secondary hypotheses Hypothesis H5: The faecal microbiome composition of healthy Swiss individuals differs systematically from the faecal microbiome composition of healthy Zimbabweans. (O1)

Hypothesis H6: The faecal microbiome composition of healthy Swiss individuals differs systematically from the faecal microbiome of Swiss UC patients experiencing a disease flare.

Hypothesis H7: The faecal microbiome composition of healthy Swiss individuals differs systematically from the faecal microbiome of Swiss UC patients after achieving disease remission.

Hypothesis H8: The faecal microbiome composition of healthy Swiss without symptoms of irritable bowel syndrome (Rome IV criteria) differs systematically from the faecal microbiome of healthy Swiss with symptoms of irritable bowel syndrome.

Design:

Observational cohort study with 200 healthy Swiss participants. Participants are followed-up during one year. During the study, 12 faecal samples, voluntary blood samples, and comprehensive data are collected from each participant. Assessed data include clinical assessments, detailed socio-economic information and voluntary heart rate variability (HRV) measurements. The study's longitudinal approach comprises 12 defined follow-ups at days 0, 3, 5, and 7; weeks 2, 3, 4, 8, and 12; and months 6, 9, and 12. The faecal samples will be collected by the participants at home with provided vials. In addition, each faecal sample is accompanied by a follow-up questionnaire to filled out by the patient. The questionnaires focus on gastrointestinal symptoms, fatigue, socio-economic variables, emotional well-being, five factor model (personality) assessment and type D personality, and a simple dietary assessment covering a 24-hour period. Participants will mail the stool vials and questionnaires, using a provided envelope, to Inselspital Bern via the Swiss postal service. Blood samples will be acquired only from a subset of the participants primarily at enrolment.

Recruitment:

Primarily at the Department of Visceral Surgery and Medicine of the University Hospital Bern (Inselspital Bern), and through outreach to the general population.

Conditions
Healthy
Keywords
microbiota, microbiome, health, hygiene, lifestyle, mental health, personality, inflammatory bowel disease, irritable bowel disease, nutrition
Medical subject headings
Psychological Well-Being, Inflammatory Bowel Diseases, Irritable Bowel Syndrome

What is being measured

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

  1. Intestinal inflammation - healthy Swiss vs. healthy Zimbabweans

    Difference in calprotectin levels of healthy Swiss individuals and healthy Zimbabweans in high-resource settings compared to calprotectin levels in Zimbabweans in low-resource settings.

    Measured: All sampling timepoints will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

  2. Evolutionary dynamics of bacterial strains - Swiss healthy vs. Swiss IBD

    The evolutionary dynamics of the most frequent and the most abundant bacteria in healthy Swiss individuals compared to Swiss IBD patients by assessing mutation rate per genome per generation.

    Comment: calculation of mutation rates is only feasible for abundant bacteria which can be found in a high fraction of participants over more than one timepoint. The investigators will thus determine the most suitable bacterial species and focus the analysis on this bacterial species.

    Measured: All timepoints with samples in both groups will be analysed.

  3. Intra-individual microbiome composition changes - Swiss healthy vs. Swiss UC with initial active disease

    Difference in absolute dissimilarity (weighted Unifrac index) changes within individuals over time between the faecal microbiomes of healthy Swiss individuals and the faecal microbiomes of Swiss UC patients initially experiencing a disease flare.

    Measured: Samples from enrolment and after 12 months will be analysed. Alternatively, samples from enrolment and a second timepoint (> 1 week later) with the most available samples and relevant metadata will be prioritised.

  4. Heart rate variability - Swiss healthy vs. Swiss IBD

    Heart rate variability (the root mean square of successive differences) measurements compared between healthy Swiss individuals and Swiss IBD patients.

    Measured: Measurments from the first timepoint with heart rate variability assessment will be analysed.

Secondary outcomes (5)
  1. Difference in healthy microbiome composition - Swiss vs. Zimbabweans

    Dissimilarity (weighted Unifrac index) between the microbiomes of healthy Swiss individuals and the microbiomes of healthy Zimbabweans. (H5) The endpoint will be tested by performing a permutational multivariate analysis of variance of the index with the adonis function of the vegan R package or another appropriate method.

    Measured: All sampling timepoints will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

  2. Difference in microbiome composition - Swiss healthy vs. Swiss UC active

    Dissimilarity (weighted Unifrac index) between the microbiomes of healthy Swiss individuals and the microbiomes of Swiss UC patients with active disease (i.e., in a disease flare). (H6) The endpoint will be tested by performing a permutational multivariate analysis of variance of the index with the adonis function of the vegan R package or another appropriate method.

    Measured: All sampling timepoints of defined subgroups will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

  3. Difference in microbiome composition - Swiss healthy vs. Swiss UC remission

    Dissimilarity (weighted Unifrac index) between the microbiomes of healthy Swiss individuals and the microbiomes of Swiss UC patients with inactive disease (i.e., remission). (H7) The endpoint will be tested by performing a permutational multivariate analysis of variance of the index with the adonis function of the vegan R package or another appropriate method.

    Measured: All sampling timepoints of defined subgroups will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

  4. Difference in microbiome composition - Swiss healthy no IBS vs. Swiss healthy IBS

    Dissimilarity (weighted Unifrac index) between the microbiomes of healthy Swiss with and without symptoms of irritable bowel syndrome (Rome IV criteria). (H8) The endpoint will be tested by performing a permutational multivariate analysis of variance of the index with the adonis function of the vegan R package or another appropriate method.

    Measured: All sampling timepoints of defined subgroups will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

  5. Difference in microbiome composition - Swiss low HRV vs. Swiss high HRV

    Dissimilarity (weighted Unifrac index) between the microbiomes of individuals with a low heart rate variability compared to individuals with a high HRV. (H8) The endpoint will be tested by performing a permutational multivariate analysis of variance of the index with the adonis function of the vegan R package or another appropriate method.

    Measured: All sampling timepoints of defined subgroups will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.

Timeline

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

  1. First posted5 Jan 2024
  2. Study start28 May 2023
  3. Primary completion5 Jul 2025 (estimated)
  4. Study completion5 Jul 2025 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06191224
Sponsor's protocol ID
BASEC 2023-00706
Acronym
SwissGut
Status last verified
Jan 2024
First submitted
20 Dec 2023
Last updated
23 Jan 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: A majority of participants are expected to provide consent for the continued use of their data and samples. These samples and data may be shared in collaborative efforts with other researchers upon reasonable request and subsequent review by the Principal Investigator (PI) and Study Director. The decision regarding sharing is always at the discretion of the PI and Study Director and does not need to be justified.

Questions about this trial

What is this clinical trial studying?

An observational study of Healthy, run by Benjamin Misselwitz at 1 site in Switzerland.

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 6 inclusion and 5 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 23 Jan 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 Switzerland. 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. 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?

Results are not available in the source record.

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

Contact Sebastian B. U. Jordi (+41 31 664 33 63, research.2omrx@passfwd.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Intestinal inflammation - healthy Swiss vs. healthy Zimbabweans (time frame: All sampling timepoints will be analysed, accounting for dependence between samples from the same individual. Alternatively, the timepoint with the most available samples and relevant metadata will be prioritised.). The study lists 4 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 23 Jan 2024.

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