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Stress OxidativePhase 4NCT06903195

Effect of Chokeberry Supplementation on Oxidative Stress and Gut Integrity in Swimmers.

A Phase 4 study testing Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules in people with Stress Oxidative and Intestinal Permeability, run by Poznan University of Physical Education at 1 site in Poland.

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

This study included 8 weeks of supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day) or a placebo product made from chokeberry fiber. Read more about this study

Who is it for?
Ages 12 to 16 years, women only
Conditions the study is for
Stress Oxidative, Intestinal Permeability
What is being tested?
Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
22 participants
Where
1 sitePoland
Study dates
1 Mar 2023to 28 Dec 2023
Phase
Phase 4
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 12 to 16 years
  • Women only
  • No healthy volunteers
  • Child

Who may be able to join

  • valid medical examination,
  • consent of the legal guardian of the underage athlete to participate in the study,
  • Training experience of a minimum of three years
  • Student of a sports championship school team,
  • completion of the exercise test in the swimming pool - crawl style intensive test (800 m + 200 m + 50 m) on two test deadlines

Who cannot join

  • antibiotic therapy,
  • supplementation, use of any drugs, or oral hormonal contraceptives
  • health problems within the last month

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • Poznań University of Physical Education

    Poznan, 61-871

Other trials in Poland

About this study

Official title: Effect of Chokeberry Supplementation on Oxidative Stress and Gut Microbiota in Swimmers.

This study included 8 weeks of supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day) or a placebo product made from chokeberry fiber. The first research data was collected among twenty-four homogeneous female swimmers who trained intensively and attended the Sports Championship School Complex. The second research data was collected among a group of twenty-two selective and homogeneous female swimmers who attended the Sports Championship School Complex extensively.

In this study, the athletes were subjected to intensive swimming tests in breaststroke crawl (800m + 200m + 50m) with 15 minutes of active rest between test sections in the water.

Blood samples were taken from the cubital vein at three time points: before stress test (pre-exercise), one minute after the end of the test (post-exercise), and after a 3-hour recovery period (3h recovery). Measurements of morphology, 4-Hydroxynonenal (4-HNE), 8-isoprostane, cortysol, Intestinal fatty acid binding protein (I-FABP), claudin3, lipopolysaccharide (LPS), lipopolysaccharide binding protein (LBP), and levels were determined using ELISA kits (SunRed Biotechnology Company).

Read the detailed description

This study included 8 weeks of supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day), or a placebo product made from chokeberry fiber. The first date of research completed the group of twenty-four homogeneous female swimmers, who train swimming intensively and attend the Sports Championship School Complex. The second date of research completed the group of twenty-two selective and homogeneous female swimmers, who train swimming intensively and attend the Sports Championship School Complex.

In this study, the athletes were subjected to intensive swimming tests in breaststroke crawl (800m + 200m + 50m) with 15 minutes of active rest between test sections in the water. Blood samples were taken from the cubital vein at three time points: before stress test (pre-exercise), one minute after the end of the test (post-exercise), and after a 1-hour recovery period (3h recovery).

Measurement: All determined parameters were measured with the available equipment in the ZWKF laboratory in Gorzów Wielkopolski and using commercial assay kits. Measurements were performed by the project contractors.

  1. Polyethylene tubes (2.7ml) containing dipotassium ethylenediaminetetraacetic acid (EDTA) anticoagulant were used for the following tests: (a) complete blood count (7 parameters) determined on the MYTHIC 18 hematology analyzer (Orphee Medical, Geneva, Switzerland). Red blood cell indices: RBC (Red Blood Cells), HGB (Hemoglobin), HCT (Hematocrit), MCV (Mean Corpuscular Volume), MCH (Mean Corpuscular Hemoglobin), MCHC (Mean Corpuscular Hemoglobin Concentration), RDW (Red Blood Cell Distribution Width); (b) a manual blood smear was made by placing a drop of blood on a slide and then spreading it with a uniform motion. After drying, it was colored by the May Grunwald-Giemsa method according to the procedure. After drying, the stained and fixed smear was viewed under a microscope for quantitative and qualitative assessment.
  2. Polyethylene clotting activator tubes (9 ml) were centrifuged to separate the morphotic elements from the serum using a centrifuge (3000 rpm for 10 min). The serum was pipetted into several Eppendorf tubes, which were then frozen (temp. -80 °C). All biochemical parameters were determined from the extracted serum: (a) using the ELISA method by the test manufacturer's instructions. The designations include the following parameters:

4-Hydroxynonenal (4-HNE), 8-isoprostane, cortysol, Intestinal fatty acid binding protein (I-FABP), claudin3, lipopolysaccharide (LPS), lipopolysaccharide binding protein (LBP).

(3) The lactate (La) concentration was determined from the capillary blood immediately after collection using a commercially available kit (Dr. Lange, Germany).

A nutritionist thoroughly analyzed the athletes' diets before each exercise test. Using a commercially available program, the amount of energy, protein, carbohydrates, fats, and fiber was then analyzed.

The experiment was conducted in accordance with the Declaration of Helsinki. The Ethical Committee of the Medical University of Poznan approved the study protocol.

Being tested
Black chokeberry extract in capsules with 18% standardization of the anthocyanins content, Chokeberry fiber in capsules

What participants receive

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

  • Black chokeberry extract in capsules with 18% standardization of the anthocyanins contentDrug

    Supplement group: supplement of diet - black chokeberry extract (capsules) with 18% standardization of the anthocyanins content (one capsule contained 200 mg). Each capsule also contained: chokeberry fiber, E460b magnesium salts of stearic acid (anti-caking agent), E551 silicon dioxide (anti-caking agent), hydrocypropyl methylcellulose (capsule shell) and E171 titanium dioxide (shell colour).

    The producer of all capsules is MLD Biotrade in Poznan.

  • Chokeberry fiber in capsulesDrug

    Placebo group: placebo product - chokeberry fiber (placebo capsules, which were made from chokeberry fiber).

    The producer of all capsules is MLD Biotrade in Poznan.

Study groups in NCT06903195
Study groupRoleWhat they receive
supplementedExperimentalThe supplemented group (n=12) consumed capsules with highly concentrated 18% chokeberry extract (one capsule contained 200 mg). Each capsule also contained: chokeberry fiber, E460b magnesium salts of stearic acid (anti-caking agent), E551 silicon dioxide (anti-caking agent), hydrocypropyl methylcellulose (capsule shell) and E171 titanium dioxide (shell colour). The producer of all capsules is MLD Biotrade in Poznan. The swimmers took 2 capsules a day (before breakfast and dinner) for nearly 56 days (depending on length menstrual cycle phase). The swimmers sipped each capsule with glass of water.
Receives: Drug: Black chokeberry extract in capsules with 18% standardization of the anthocyanins content
PlaceboPlacebo comparatorThe control group (n=10) consumed capsules that were made from chokeberry fiber. The producer of all capsules is MLD Biotrade in Poznan. The swimmers took 2 capsules a day (before breakfast and dinner) for nearly 56 days (depending on length menstrual cycle phase). The swimmers sipped each capsule with glass of water.
Receives: Drug: Chokeberry fiber in capsules

What is being measured

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

  1. Changes from baseline in 4-Hydroxynonenal (4-HNE) level.

    Concentration of 4-Hydroxynonenal (4-HNE) [pg/ml]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  2. Changes from baseline in 8-isoprostane level.

    Concentration of 8-isoprostane [ng/mL]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  3. Changes from baseline in Cortysol level.

    Concentration of cortysol [ng/mL]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  4. complete blood count

    Red blood cell indices: RBC (Red Blood Cells) [106 × µL-1], HGB (Hemoglobin) [g/dL] , HCT (Hematocrit) [%], MCV (Mean Corpuscular Volume)[fl], MCH (Mean Corpuscular Hemoglobin) [pg], MCHC (Mean Corpuscular Hemoglobin Concentration) [g x dL-1] , RDW (Red Blood cells Distribution Width) [%] .

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  5. a manual blood smear

    was made by placing a drop of blood on a slide and then spreading it with a uniform motion. After drying, it was colored by the May Grunwald-Giemsa method according to the procedure. The stained and fixed smear after drying was viewed under a microscope for quantitative and qualitative assessment.

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  6. Changes from baseline in Intestinal fatty acid binfing protein (I_FABP) level.

    Concentration of I-FABP [pg/ml]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  7. Changes from baseline in Claudin3 level.

    Concentration of Claudin3 [ng/ml]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  8. Changes from baseline in lipopolisacharide (LPS) level.

    Concentration of LPS [EU/l]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

  9. Changes from baseline in lipopolisacharide binding protein (LBP) level.

    Concentration of LBP [ug/ml]. ELISA method by the test manufacturer's instructions

    Measured: At rest (before the test), directly after the test, and after a 3-hour recovery period.

Secondary outcomes (7)
  1. Antropometric characteristic - height

    Prior to the exercise test, the investigators measured the anthropometric parameters, including height (Seca 213 Hamburg, Deutschland) [cm]

    Measured: Day 1 after overall fast

  2. Antropometric characteristic - weight

    Prior to the exercise test, the investigators measured the anthropometric parameters, including weight (Tanita BC 418 MA, Tanita Corporation, Tokyo, Japan) [kg]

    Measured: Day 1 after overall fast

  3. Food record - energy

    Participants prepared a food record. The results were calculated using the dietetykpro program: energy [kcal]

    Measured: Day before the Day 1, in the morning at Day 1

  4. Food record - protein

    Participants prepared a food record. The results were calculated using the dietetykpro program: protein [g]

    Measured: Day before the Day 1, in the morning at Day 1

  5. Food record - carobhydrates

    Participants prepared a food record. The results were calculated using the dietetykpro program: carobhydrates [g]

    Measured: Day before the Day 1, in the morning at Day 1

  6. Food record - fiber

    Participants prepared a food record. The results were calculated using the dietetykpro program: fiber [g]

    Measured: Day before the Day 1, in the morning at Day 1

  7. Food record - fat

    Participants prepared a food record. The results were calculated using the dietetykpro program:: fat [g]

    Measured: Day before the Day 1, in the morning at Day 1

Timeline

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

  1. First posted30 Mar 2025
  2. Study start1 Mar 2023
  3. Primary completion28 Dec 2023
  4. Study completion28 Dec 2023

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 4
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
All competitors were randomly divided into two groups (double-blind): A. supplemented (n = 12), who received two capsules with highly concentrated 18% chokeberry extract (one capsule contained 200 mg) twice a day. B. control (n = 10) received placebo. The supplementation period was 8 weeks.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06903195
Sponsor's protocol ID
SWIMMER- SUPL
Status last verified
Mar 2025
First submitted
24 Mar 2025
Last updated
8 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Cichon-Wozniak J, Dziewiecka H, Ostapiuk-Karolczuk J, Mydlowska M, Szymanczuk M, Skarpanska-Stejnborn A. Exercise-induced oxidative and hematological responses in adolescent female swimmers during the luteal phase. Front Physiol. 2026 Apr 22;17:1705876. doi: 10.3389/fphys.2026.1705876. eCollection 2026.

    PubMed 42099915

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules in people with Stress Oxidative and Intestinal Permeability, run by Poznan University of Physical Education at 1 site in Poland.

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 3 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 8 Jul 2025. 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 Poland. 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?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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

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?

Changes from baseline in 4-Hydroxynonenal (4-HNE) level. (time frame: At rest (before the test), directly after the test, and after a 3-hour recovery period.). The study lists 9 primary outcomes in all. 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 NCT06903195, 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 8 Jul 2025.

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