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Healthy 70 Street Market Vendors Working in Highly-polluted Areas of TurinBIOREPAIRNCT07418489

Biotics Intervention Oriented to Rescue From Environmental Pollution Inflammatory Responses

A study testing pro-postbiotic in people with Healthy 70 Street Market Vendors Working in Highly-polluted Areas of Turin, run by University of Turin, Italy at 1 site in Italy.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

Improving air quality in urban areas represents a major public health challenge. In regions such as the Po Valley, airborne particulate matter (PM₁₀ and PM₂.₅) concentrations frequently exceed World Health Organization limits, contributing to an increased incidence of respiratory, cardiovascular, and also… Read more about this study

Who is it for?
Ages 40 to 55 yearsHealthy volunteers can take part
What is being tested?
pro-postbiotic
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
70 participants
Where
1 siteItaly
Study dates
24 Jan 2026to 30 Jun 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 40 to 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • BMI 18-27
  • Street market vendor working ≥4 days/week (≥3 days at the same market site)
  • Ability to provide written informed consent

Who cannot join

  • Chronic respiratory, cardiovascular, oncological, gastrointestinal, immunological or endocrine diseases
  • Smoking
  • Pregnancy or breastfeeding
  • Alcohol or substance abuse
  • Use of immunosuppressants, antibiotics or antacids within the last 6 months
  • Known immunodeficiency

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Italy1 site
  • University of Turin - Department of Public Health and Pediatrics

    Turin, 10126

Other trials in Italy

About this study

Official title: Effectiveness of a Blend Composed of Live and Inactivated Probiotic Microorganisms, Pro-post Blend, in Mitigating Early Biological Effects of Air Pollution in Healthy Subjects

Improving air quality in urban areas represents a major public health challenge. In regions such as the Po Valley, airborne particulate matter (PM₁₀ and PM₂.₅) concentrations frequently exceed World Health Organization limits, contributing to an increased incidence of respiratory, cardiovascular, and also gastrointestinal diseases.

Fine particulate matter can carry toxic compounds, including polycyclic aromatic hydrocarbons such as 1-nitropyrene (1-NP) and platinum group elements (PGE) released from catalytic converter abrasion. Due to their small size, these particles can penetrate the respiratory and gastrointestinal tracts, triggering pro-inflammatory responses and oxidative stress.

Read more

This study aims to evaluate whether a probiotic dietary supplement (pro-post blend) can mitigate air-pollution-induced inflammatory responses in healthy subjects by enhancing intestinal barrier function and modulating the gut-lung axis. The study is designed as a randomised, placebo-controlled interventional trial lasting 20 months (October 2025-June 2027, with the start of participant sampling scheduled for September 2026), involving 70 street market vendors working in highly-polluted areas of Turin.

Participants will undergo pre- and post-intervention assessments, including the measurement of plasma inflammatory markers (e.g. CRP, IL-6, IL-8, IL-1β, TNF-α, IFN-γ), blood PGE levels, urinary biomarkers of diesel exposure, DNA damage in peripheral lymphocytes assessed by the comet assay, and metagenomic analysis of the gut microbiome. Evaluations will be performed at baseline (T0), after 2 months (T1, medical follow-up only), 4 months of continuous daily supplementation (T2), and 2 months after treatment discontinuation (T3, medical follow-up only).

Overall, this study aims to provide experimental evidence on the potential protective role of a pro-postbiotic formulation against the adverse biological effects of air pollution, supporting the development of a complementary preventive strategy that complement emission-reduction policies.

Being tested
pro-postbiotic, Placebo
Keywords
air pollution, probiotics, postbiotics, street vendors, oxidative stress, inflammation mitigation, microbiome

What participants receive

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

  • pro-postbioticDietary supplement

    The blend consists of three viable lactic acid bacteria strains, Lactiplantibacillus plantarum (IMC 509), Lacticaseibacillus casei (BGP 93), and Lacticaseibacillus paracasei (BGP 1), combined with Bifidobacterium animalis subsp. lactis (BLC1) in heat-inactivated form. All species included in the blend are listed under the EFSA Qualified Presumption of Safety (QPS) framework. Each viable strain is present at a minimum concentration of 10⁹ cells per daily dose.

  • PlaceboDietary supplement

    The same capsules as aspect but without the pro-postbiotic formulation

Study groups in NCT07418489
Study groupRoleWhat they receive
Pro-postbioticExperimentalParticipants assigned to the active group will receive a pro-postbiotic blend in capsule form for 16 weeks.
Receives: Dietary Supplement: pro-postbiotic
ControlPlacebo comparatorParticipants assigned to the control group will receive a a placebo identical in appearance to the pro-postbiotic blend in capsule form for 16 weeks
Receives: Dietary Supplement: Placebo

What is being measured

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

  1. inflammatory markers

    Change in serum inflammatory markers (CRP, IL-6, IL-8, IL-1β, TNF-α, IFN-γ) from baseline (T0) to the end of treatment (T2) in the intervention group versus placebo.

    Measured: From enrollment to the end of treatment at 16 weeks

Secondary outcomes (4)
  1. PGE

    Change in urine platinum group elements

    Measured: From enrollment to the end of treatment at 16 weeks

  2. OH-Pyr

    Change in urinary PAH biomarkers

    Measured: From enrollment to the end of treatment at 16 weeks

  3. Comet

    Change in DNA damage in peripheral blood lymphocytes (comet assay)

    Measured: From enrollment to the end of treatment at 16 weeks

  4. Microbiota

    Change in alfa and beta diversity of the gut microbiota composition and calprotectin assessment

    Measured: From enrollment to the end of treatment at 16 weeks

Timeline

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

  1. First posted18 Feb 2026
  2. Study start24 Jan 2026
  3. Primary completion31 Mar 2027 (estimated)
  4. Study completion30 Jun 2027 (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
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will undergo pre- and post-intervention assessments, including the measurement of plasma inflammatory markers (e.g. CRP, IL-6, IL-8, IL-1β, TNF-α, IFN-γ), blood PGE levels, urinary biomarkers of diesel exposure, DNA damage in peripheral lymphocytes assessed by the comet assay, and metagenomic analysis of the gut microbiome. Evaluations will be performed at baseline (T0), after 2 months (T1, medical follow-up only), 4 months of continuous daily supplementation (T2), and 2 months after treatment discontinuation (T3, medical follow-up only).
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
70 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07418489
Sponsor's protocol ID
0699075
Acronym
BIOREPAIR
Status last verified
Oct 2025
First submitted
10 Feb 2026
Last updated
18 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Data will be securely stored on local servers within the University of Turin. Microbiome sequencing data will be transferred in anonymised form to the Illumina BaseSpace cloud platform (Frankfurt, Germany). Individual participant data will be managed using the MEDCap platform. All procedures comply with European and Italian legislation, as well as with internal policies of the University of Turin.

Questions about this trial

What is this clinical trial studying?

A study testing pro-postbiotic in people with Healthy 70 Street Market Vendors Working in Highly-polluted Areas of Turin, run by University of Turin, Italy at 1 site in Italy.

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 3 inclusion and 6 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: enrolling by invitation, as of the sponsor's last update on 18 Feb 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 Italy. 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?

This study is still under way. Results are not available in the source record yet.

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?

inflammatory markers (time frame: From enrollment to the end of treatment at 16 weeks). 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 18 Feb 2026; AzTrials last refreshed its copy on 30 Oct 2026.

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