AzTrials
AzTrials

Gastrointestinal Disease SymptomsSYNNCT06834984

Ritual Synbiotic+, a Dietary Supplement Designed to Impact Gastrointestinal Health, Mood, and Behavior in Women

A study testing Prebiotic, probiotic, postbiotic combination in people with Gastrointestinal Disease Symptoms, run by Colorado State University at 1 site in United States.

Completed

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

Official record
Search all trials

Trial summary

The aim of this study is to determine how regular consumption of Synbiotic+, a dietary supplement that contains prebiotics, probiotics, and postbiotics, impacts functional gastrointestinal health, markers of intestinal inflammation and immune health, and influences mood and behavior. Read more about this study

Who is it for?
Ages 25 to 65 years, women only
Conditions the study is for
Gastrointestinal Disease Symptoms
What is being tested?
Prebiotic, probiotic, postbiotic combination
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
103 participants
Where
1 siteUnited States
Study dates
1 May 2025to 3 Sep 2026
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 25 to 65 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Healthy adult women (age 25-65, with target average age of 50).
  • BMI <30.
  • with moderate gastrointestinal symptoms.
  • Participants should be willing to follow the study protocol and attend clinic visits.

Who cannot join

  • less than 25 years of age or greater than 65 years of age.
  • have a BMI >30.
  • taken antibiotics within two months or any probiotic supplements within the past 14 days prior to the start of treatment.
  • current medications and dietary supplements will be assessed on a case-by- case basis and will result in exclusion if there is the possibility that the drugs or supplements used would influence the endpoints of the study. This would include statins, metformin, NSAIDs, MAO inhibitors, and hormone therapies.
  • Individuals with current disease diagnosis, including diagnosis of cancer, liver or kidney disease, gastrointestinal diseases, and cardiometabolic disorders (cardiovascular disease, diabetes, etc.)
  • pregnant and breastfeeding people.
  • overuse of alcohol as determined on a case-by-case self-reported alcohol use.
  • if the individual feels they are unable to adhere to the study requirements, which includes consuming capsules, providing stool or blood samples, tracking bowel movements and symptoms, and attending scheduled clinic visits.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Colorado State University Food and Nutrition Clinical Research Laboratory

    Fort Collins, Colorado, 80523

Other trials in United States

About this study

Official title: Ritual Synbiotic+, a Dietary Supplement

The aim of this study is to determine how regular consumption of Synbiotic+, a dietary supplement that contains prebiotics, probiotics, and postbiotics, impacts functional gastrointestinal health, markers of intestinal inflammation and immune health, and influences mood and behavior. The primary outcome will be to assess gastrointestinal health using bowel movement tracking, self-report and objective assessments of gastrointestinal symptom severity, stool levels of short chain fatty acids, changes in the gut microbiota, including recovery of LGG and BB-12, and functional measures of the microbiome. Secondary outcomes will include stool and blood markers of gut barrier function and intestinal inflammation, immune health, and self-assessments of stress, anxiety, sleep, and quality of life.

Read the detailed description

The trial will be a double-blinded, randomized, placebo-controlled parallel arm intervention study taking place at Colorado State University. In total, ~100 adult women (25-65 years old) with a BMI <30, with moderate digestive discomfort (as evidenced by a moderate score on a functional gastrointestinal questionnaire will be enrolled into the study. With an estimated 20% attrition rate, this will allow approximately 80 individuals to complete the study. Exclusion criteria include a BMI>30, any significant systemic diseases (including Crohn's, Ulcerative Colitis, but not including diagnosis of Irritable Bowel Syndrome), prescription medication for digestive symptoms, antibiotic or probiotic ingestion within the two months before entry into the study, and pregnancy or breastfeeding. Subjects will be provided with the consent form prior to the baseline visit and informed consent will be obtained prior to participating in the study. Participants will be compensated for their participation. Medical health history will be collected at the baseline visit. Quality of Life (QOL) and GI Health questionnaires, along with questionnaires to gauge mood and anxiety, will be collected from each enrolled participant at the baseline, mid-point ("check-in visit 2"), and final clinic visits; a GI health questionnaire will also be collected at the acute study visit (48-72 hours after treatment start). Anthropometric measures at the baseline visit will include seated blood pressure, height, weight, and waist:hip measurements; blood pressure will also be collected at the final visit. A stool sample will be collected from participants at each clinic visit, and a blood sample will be collected at the baseline and final clinical visits. Two 3-day diet records will be completed prior to the start and at completion of the study. In addition, participants will keep a daily record of their bowel movements and brief notes regarding any GI symptoms starting 7-days prior to beginning the treatment and for the duration of the study.

All enrolled participants will start with a baseline clinic visit and a 7-day lead in period, after which they will take one of the treatments for 12 weeks. To determine the acute effects of the treatment, participants will return a stool sample to the clinic 48-72 hours after the treatment start to establish acute effects (ie. changes in SCFA, microbial dysbiosis index). Subjects will randomly be assigned to a starting treatment (A or B) and capsules will be blinded and labeled by Ritual personnel who are not directly involved in the study. CSU clinical personnel will not be provided with the code for treatment groups until after all data analysis has been completed.

Being tested
Prebiotic, probiotic, postbiotic combination, Placebo
Keywords
Women with gastrointestinal symptoms, Probiotic, Prebiotic

What participants receive

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

  • Prebiotic, probiotic, postbiotic combinationDietary supplement

    The product consists of two probiotics, Lactobacillus rhamnosus LGG and Bifidibacterium animalis subsp. lactis BB-12, supplied at a total concentration of 11B CFU's, a prebiotic consisting of 1 × 106 Plaque Forming Units (PFU) LH01-Myoviridae, LL5-Siphoviridae, T4D-Myoviridae, and LL12-Myoviridae bacteriophages, marketed as PreforPro, and tributyrin- a stale form of butyrate

  • PlaceboDietary supplement

    Placebo pill containing stomach acid-resistant outer vegan capsule (hypromellose, gellan gum), hi oleic safflower oil, inner vegan capsule (hypromellose, gellan gum) microcrystalline cellulose, ascorbyl palmitate, silica

Study groups in NCT06834984
Study groupRoleWhat they receive
Treatment Group (probiotic supplement)ExperimentalThis group will take a once daily supplement containing pre-pro-post biotics.
Receives: Dietary Supplement: Prebiotic, probiotic, postbiotic combination
ControlPlacebo comparatorThis group will be taking a once daily placebo pill.
Receives: Dietary Supplement: Placebo

What is being measured

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

  1. Gastrointestinal Symptom Rating Scale

    Measures Abdominal Pain Heartburn Acid Regurgitation Sucking Sensations in the Epigastrium Nausea \& Vomiting Borborygmus (rumbling) Abdominal Distension (bloating) Eructation (burping) Flatus (gas) Decreased or Increased Passage of Stools Loose or Hard Stools Urgent Need for Defecation Feeling of Incomplete Evacuation Rated on a scale starting at "No Discomfort at all" to "Very severe discomfort", where better outcomes are associated with "No Discomfort At All" while worse outcomes are associated near(er) to "Very Severe Discomfort".

    Measured: 4X: baseline, acute (3 days), mid-point (6 weeks), final (12 weeks).

  2. Total number and types of bowel movements

    Defecation frequency and proportion of abnormal to normal bowel movements as recorded in a diary using the Bristol Stool Form Scale. The scale runs from 1-7 with healthier outcomes associated with 3-5 on the Bristol scale.

    Measured: Daily for 12 weeks

  3. Short Chain Fatty Acid concentration in stool

    Gas chromatography will be used to measure changes in SCFA production in stool.

    Measured: 4X: baseline, acute (3 days), mid-point (6 weeks), final (12 weeks).

  4. Fecal pH

    Stool sample pH will be measured before and after treatment.

    Measured: 4X: baseline, acute (3 days), mid-point (6 weeks), final (12 weeks).

  5. Microbial composition (alpha and beta diversity, dysbiosis index, differential taxa)

    Changes in microbiota profiles, ratio of pro-inflammatory to beneficial microbes, recovery of LGG \& BB-12 in stool; measured using 16s rRNA and targeted assays.

    Measured: 2X: baseline, and final (12 weeks)

Secondary outcomes (25)
  1. Fecal calprotectin

    Intestinal inflammation

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  2. Alpha-1 antitrypsin

    Gut permeability

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  3. Lipopolysaccharide binding protein and soluble CD14 in blood

    Barrier function: Lipopolysaccharide binding protein and soluble CD14 are involved in binding LPS and initiating systemic inflammatory cascades and have been used as a proxy for gut barrier function.

    Measured: 2X: baseline, and final (12 weeks)

  4. Human high sensitivity T-cell panel/Peripheral blood mononuclear cells (PBMCs)

    Immune health: in supernatants from LPS-stimulated PBMC; uses Milliplex MAP

    Measured: 2X: baseline, and final (12 weeks)

  5. Alpha-1 antitrypsin in blood

    Gut permeability/malabsorption

    Measured: 2X: baseline, and final (12 weeks)

  6. Cortisol blood levels

    Cortisol levels

    Measured: 2X: baseline, and final (12 weeks)

  7. GLP-1

    GLP-1 levels, metabolic health, measured with ELISA assay.

    Measured: 2X: baseline, and final (12 weeks)

  8. Quality of Life as measured by Inflammatory Bowel Disease (IBD) Specific Quality of Life survey

    Online Survey measuring Helplessness, Embarrassment, Vulnerability, Discomfort, Enjoyment of Life, Body Image, Depression, Isolation, Behavior Change, Anger, and Irritability in regards to bowel problems.

    Survey scale starts at "not at all" and goes up to "extremely" with healthier outcomes associated with "not at all".

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  9. Generalized Anxiety Disorder 7 Item Survey

    The GAD-7 (Generalized Anxiety Disorder-7) is a self-report questionnaire designed to screen for generalized anxiety disorder (GAD) and assess the severity of anxiety symptoms in individuals. It consists of 7 questions that focus on the frequency of anxiety-related symptoms experienced over the past two weeks.

    Scoring:

    0-4: Minimal or no anxiety 5-9: Mild anxiety 10-14: Moderate anxiety 15-21: Severe anxiety

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  10. Positive and Negative Affect Schedule

    Subjective experience of mood (how you feel on average) rated on a scale from "very slightly or none at all" to "extremely". Moods can be positive (e.g inspiration) or negative (e.g. guilty), so the score does not reflect a better or worse outcome.

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  11. Perceived Stress Scale

    Subjective experiences of stress. The questions in this scale ask about your feelings and thoughts during the last month. In each case, you will be asked to indicate how often you felt or thought a certain way. The scale ranges from "never" to "very often". Questions are regarding positive and negative situations, so a total score is not indicative of a better or worse outcome.

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  12. Ritual Marketing Interest measuring the user experience of the probiotic supplement.

    Subjective experiences regarding smell, taste, ingestion, tolerability, nausea, burping, after taking the product. Also asks whether the participant would recommend the product, enjoyed the overall experience, easy to incorporate into daily routine, whether it improved skin and/or stomach discomfort.

    The survey uses a Likert Scale for all questions. Each question is situational in that the lower score, "Strongly Disagree" or the higher score "Strongly Agree" do not correlate as a "better" or "worse" outcome across all questions.

    Measured: 3X: baseline, mid-point (6 weeks), final (12 weeks)

  13. Blood Glucose levels

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, final (12 weeks)

  14. Alanine Aminotransferase (ALT) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  15. Aspartate Aminotransferase (AST) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  16. Alkaline Phosphatase (ALP) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  17. Blood Creatinine

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  18. Blood bilirubin

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  19. Total Cholesterol

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  20. High Density Lipoprotein (HDL) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  21. Blood Triglycerides

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  22. Non-HDL Cholesterol (nHDLc)

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  23. Total Cholesterol to HDL ratio (TC/H) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  24. Low Density Lipoprotein (LDL) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

  25. Very low density lipoprotein (VLDL) in blood

    Measured with a point of care instrument (Piccolo Express) using a disc-based photometric analysis.

    Measured: 2X: baseline, and final (12 weeks)

Timeline

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

  1. First posted19 Feb 2025
  2. Study start1 May 2025
  3. Primary completion1 Aug 2026
  4. Study completion3 Sep 2026

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
103 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06834984
Sponsor's protocol ID
6393
Acronym
SYN
Status last verified
Sep 2026
First submitted
3 Feb 2025
Last updated
10 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Prebiotic, probiotic, postbiotic combination in people with Gastrointestinal Disease Symptoms, run by Colorado State University at 1 site in United States.

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 4 inclusion and 8 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 10 Sep 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 United States. 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?

Gastrointestinal Symptom Rating Scale (time frame: 4X: baseline, acute (3 days), mid-point (6 weeks), final (12 weeks).). The study lists 5 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 10 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in