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A Study to Assess the Safety and Efficacy of Probiotic to Modulate Psychological Stress

Primary Purpose

Stress, Psychological, Healthy

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Probiotic
Placebo
Sponsored by
Danisco
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stress, Psychological focused on measuring Probiotic, Stress, Gut-brain axis

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Voluntary, written, informed consent to participate in the study
  2. Currently enrolled in medical, dental or health science university/institute of technology course with intention to sit semester examination(s)
  3. Male or female aged between 18-40 years (inclusive)
  4. Body mass index (BMI) between 18.5 - 29.9 Kg/m2
  5. Blood, urine and gastrointestinal safety parameters and blood pressure measurement at baseline indicate they are healthy in the opinion of the Principal Investigator
  6. In good general health as estimated by the Principal Investigator, based on medical history (self-reported)
  7. Ability of the participant (in the Principal Investigator's opinion) to comprehend the full nature and purpose of the study including possible risks and side effects
  8. Ability of the participant (in the Principal Investigator's opinion) to fully comprehend and self-complete all participant reported outcomes (in UK English language)
  9. Participant is willing to maintain habitual diet (including caffeine and alcohol), physical activity patterns and smoking habits throughout the intervention period
  10. Agreement to comply with the protocol and study restrictions
  11. Available for all study visits
  12. Females of child-bearing potential required to provide a negative urine pregnancy test and be using effective contraception (e.g. surgically sterilized (tubal ligation or hysterectomy or partner is post-vasectomy, with sterility confirmed) or use an intrauterine device (IUD), a diaphragm or condom combined with contraceptive sponge, foam or jelly, or be using an oral contraceptive for at least 2 cycles before the screening visit (Visit 2). Women who are in same sex relationships or abstaining from sex are not required to take a pregnancy test or be using effective contraception
  13. Male participants must agree to use a condom during sexual intercourse from Visit 3 onwards
  14. Covered by health insurance system and / or in compliance with the recommendations of National Law in force relating to biomedical research

Exclusion Criteria:

  1. Suspected diagnosis of one or more DSM-IV axis 1 disorder(s), including but not limited to: current major depression, anxiety disorder, bipolar spectrum disorder or schizophrenia, as determined by MINI International Neuropsychiatric Interview (MINI) and/or currently diagnosed with one or more DSM-IV axis 1 disorder(s), per Diagnostic and Statistical Manual of Mental Disorders, 4th Edition.
  2. Have a significant acute or chronic coexisting illness (cardiovascular, gastrointestinal (irritable bowel syndrome (IBS), inflammatory bowel disease (IBD)), immunological, metabolic (including diabetes and cardiovascular disease), neurodevelopmental or any condition which contraindicates, in the Principal Investigator's judgement, entry to the study
  3. Currently taking (from Visit 1 onwards) or have previously taken (last 4 weeks prior to Visit 1) psychoactive medication (anxiolytics, sedatives, hypnotics, anti-psychotics, anti-depressants, anti-convulsants, centrally acting corticosteroids, opioid pain relievers)
  4. Currently taking (from Visit 1 onwards) medication or dietary supplements that the Principal Investigator believes would interfere with the objectives of the study, pose a safety risk or confound the interpretation of the study results (e.g. melatonin, St. John's Wort, Rescue® products including Rescue Remedy®, Rescue® Energy, Rescue® Pastilles, Rescue® Pearls, Rescue Sleep® Rescue PlusTM, omega-3 dietary supplements (including fish oil), Cannabidiol (CBD), non-steroidal anti-inflammatory drugs (NSAIDS), over-the-counter sleep medication (not categorized as sedatives, hypnotics or anti-depressants), anti-coagulants, anti-cholinergic drugs or acetylcholinesterase inhibitors, proton pump inhibitors, anti-histamines that cause drowsiness, pseudoephedrine)
  5. Recent (within last 4 weeks prior to Visit 1) or ongoing antibiotic therapy
  6. Currently taking (from Visit 1 onwards) concentrated sources of probiotics and/or prebiotics other than the provided study products (e.g., probiotic/prebiotic tablets, capsules, drops or powders), including yoghurt / yoghurt drinks
  7. Pregnant or lactating female, or pregnancy planned during the intervention period
  8. Have self-reported dyslexia
  9. History of or current alcohol, drug, or medication abuse (self-reported)
  10. Self-declared illicit drug users (including cannabis and cocaine) in the past 1 month prior to Visit 1
  11. Excessive alcohol consumption (consuming > 8 units of alcohol for men and > 6 units of alcohol for women in a single session) > 3 times per week for 3 weeks prior to Visit 1
  12. Significant change in tobacco, snuff, nicotine or e-cigarette usage habits in the past 1 month before Visit 1 or planned cessation of the use of these products during the intervention period
  13. Contraindication to any substance in the investigational product
  14. Participation in another study with any investigational product or drug within 60 days of Visit 1
  15. Principal Investigator believes that the participant may be uncooperative and/or noncompliant and should therefore not participate in the study
  16. Participant under administrative or legal supervision
  17. Previous participation in the ChillEx study

Sites / Locations

  • Atlantia Food Clinical Trials Ltd
  • MediNova Warwickshire Dedicated Research Centre
  • MediNova North London Dedicated Research Centre
  • MediNova Research East London Clinical Studies Centre
  • MediNova Yorkshire Dedicated Research Centre
  • MediNova South London Dedicated Research Centre, Queen Mary's Hospital
  • MediNova West London Dedicated Research Centre

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Probiotic

Placebo

Arm Description

Probiotic

Placebo

Outcomes

Primary Outcome Measures

State Trait Anxiety Inventory (STAI)-state total score
Absolute change in STAI-state total score between the active versus placebo group

Secondary Outcome Measures

Change in Cortisol awakening response (CAR)
The absolute changes in the CAR will be analyzed in the same fashion as described for the primary variable.
Change in perceived stress (Visual Analog Scale (VAS)-stress)
The absolute change in VAS-stress score will be analyzed in the same fashion as described for the primary variable. Visual Analog Scale (VAS)-stress. Participants indicate on a 100mm line how stressed they perceived themselves to be over the last week. The scale is anchored from 0 = felt not stressed at all to 100 = felt highly stressed. Scores are determined by measuring from the left end to the mark using a ruler.
Change in DASS-21, depression scale score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in DASS-21, depression scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Change in DASS-21, anxiety scale score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in DASS-21, anxiety scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Change in DASS-21, stress scale score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in DASS-21, stress scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Change in HADS, depression score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in HADS, depression score will be analyzed in the same fashion as described for the primary variable. Hospital anxiety and depression scale. The HADS is a 14 item self-report screening tool which is widely used in the clinic to assess levels of depression and anxiety.
Change in HADS, anxiety score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in HADS, anxiety score will be analyzed in the same fashion as described for the primary variable. Hospital anxiety and depression scale. The HADS is a 14 item self-report screening tool which is widely used in the clinic to assess levels of depression and anxiety.
Change in PSS, total score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in PSS, total score will be analyzed in the same fashion as described for the primary variable. Cohen's perceived stress scale. The PSS is a self-report measure in which participants rate, on a 5-point scale ranging from 0 (never) to 4 (very often), how often they have particular thoughts or feelings described by each of the 10 items. Scores range from 0-40, with higher scores indicating greater stress over the previous month.
Change in BL-VAS, alertness score from baseline (Visit 3) to 8 weeks (Visit 5)
The absolute changes in BL-VAS, alertness score will be analyzed in the same fashion as described for the primary variable. Bond-Lader visual analogue scale. The Bond-Lader VAS consist of 16 scales with anchors of related mood/ arousal dimensions (e.g. calm-excited; strong-feeble). Participants indicate on a 100mm line how they feel along each mood dimension at that specific time, and scores from the 16 scales are converted into three composite mood/ arousal dimensions; alertness, calmness and contentedness.
Change in BL-VAS, contentment score
The absolute changes in BL-VAS, contentment score will be analyzed in the same fashion as described for the primary variable.
Change in BL-VAS, calmness score
The absolute changes in BL-VAS, calmness score will be analyzed in the same fashion as described for the primary variable.
Change in Pittsburgh Sleep Quality Index (PSQI), total score
The absolute changes in the PSQI, total score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, duration of sleep score
The absolute changes in the PSQI, duration of sleep score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, sleep disturbance score
The absolute changes in the PSQI, sleep disturbance score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, sleep latency score
The absolute changes in the PSQI, sleep latency score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, daytime dysfunction due to sleepiness score
The absolute changes in the PSQI, daytime dysfunction due to sleepiness score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, sleep efficiency score
The absolute changes in the PSQI, sleep efficiency score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, subjective sleep quality score
The absolute changes in the PSQI, subjective sleep quality score will be analyzed in the same fashion as described for the primary variable.
Change in PSQI, use of medication sleep score
The absolute changes in the PSQI, use of medication sleep score will be analyzed in the same fashion as described for the primary variable.
Change in evening cortisol
Evening cortisol: Participants will provide x1 saliva sample each evening during two consecutive working days at approximately 8pm prior to Visit 3, Visit 4, Visit 5 and Visit 6. Concentrations of cortisol will be assayed in saliva supernatants using ELISA kits specifically designed for cortisol quantification, following manufacturer's instructions.

Full Information

First Posted
August 30, 2019
Last Updated
March 24, 2020
Sponsor
Danisco
Collaborators
ICON plc, Daacro, 4Pharma Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04125810
Brief Title
A Study to Assess the Safety and Efficacy of Probiotic to Modulate Psychological Stress
Official Title
A Randomized, Triple-blind, Placebo-controlled, Parallel-groups Clinical Trial to Assess the Safety and Efficacy of Lactobacillus Paracasei (Lpc-37) to Modulate Psychological Stress
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
September 2, 2019 (Actual)
Primary Completion Date
February 7, 2020 (Actual)
Study Completion Date
February 7, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Danisco
Collaborators
ICON plc, Daacro, 4Pharma Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this clinical trial is to determine whether Probiotic can modulate the psychological stress experienced by healthy medical, dental and health science students preparing for university/institute of technology semester examination (s), measured by self-report scales and hypothalamic pituitary adrenal axis activity, compared with placebo.
Detailed Description
The purpose of this clinical trial is to determine whether Probiotic can modulate the psychological stress experienced by healthy medical, dental and health science students preparing for university/institute of technology semester examination (s), measured by self-report scales and hypothalamic pituitary adrenal axis activity, compared with placebo. The target group of the proposed study will consist of stress vulnerable / sensitive, healthy male and female adult participants currently enrolled in medical, dental or health science university course that are experiencing psychological stress induced by preparation for university/institute of technology semester examination (s).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stress, Psychological, Healthy
Keywords
Probiotic, Stress, Gut-brain axis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
190 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Probiotic
Arm Type
Experimental
Arm Description
Probiotic
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Biological
Intervention Name(s)
Probiotic
Intervention Description
Probiotic
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
State Trait Anxiety Inventory (STAI)-state total score
Description
Absolute change in STAI-state total score between the active versus placebo group
Time Frame
from baseline to 8 weeks
Secondary Outcome Measure Information:
Title
Change in Cortisol awakening response (CAR)
Description
The absolute changes in the CAR will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in perceived stress (Visual Analog Scale (VAS)-stress)
Description
The absolute change in VAS-stress score will be analyzed in the same fashion as described for the primary variable. Visual Analog Scale (VAS)-stress. Participants indicate on a 100mm line how stressed they perceived themselves to be over the last week. The scale is anchored from 0 = felt not stressed at all to 100 = felt highly stressed. Scores are determined by measuring from the left end to the mark using a ruler.
Time Frame
from baseline to 8 weeks
Title
Change in DASS-21, depression scale score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in DASS-21, depression scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Time Frame
from baseline to 8 weeks
Title
Change in DASS-21, anxiety scale score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in DASS-21, anxiety scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Time Frame
from baseline to 8 weeks
Title
Change in DASS-21, stress scale score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in DASS-21, stress scale score will be analyzed in the same fashion as described for the primary variable. Depression, anxiety, stress scale (21 items). The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Time Frame
from baseline to 8 weeks
Title
Change in HADS, depression score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in HADS, depression score will be analyzed in the same fashion as described for the primary variable. Hospital anxiety and depression scale. The HADS is a 14 item self-report screening tool which is widely used in the clinic to assess levels of depression and anxiety.
Time Frame
from baseline to 8 weeks
Title
Change in HADS, anxiety score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in HADS, anxiety score will be analyzed in the same fashion as described for the primary variable. Hospital anxiety and depression scale. The HADS is a 14 item self-report screening tool which is widely used in the clinic to assess levels of depression and anxiety.
Time Frame
from baseline to 8 weeks
Title
Change in PSS, total score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in PSS, total score will be analyzed in the same fashion as described for the primary variable. Cohen's perceived stress scale. The PSS is a self-report measure in which participants rate, on a 5-point scale ranging from 0 (never) to 4 (very often), how often they have particular thoughts or feelings described by each of the 10 items. Scores range from 0-40, with higher scores indicating greater stress over the previous month.
Time Frame
from baseline to 8 weeks
Title
Change in BL-VAS, alertness score from baseline (Visit 3) to 8 weeks (Visit 5)
Description
The absolute changes in BL-VAS, alertness score will be analyzed in the same fashion as described for the primary variable. Bond-Lader visual analogue scale. The Bond-Lader VAS consist of 16 scales with anchors of related mood/ arousal dimensions (e.g. calm-excited; strong-feeble). Participants indicate on a 100mm line how they feel along each mood dimension at that specific time, and scores from the 16 scales are converted into three composite mood/ arousal dimensions; alertness, calmness and contentedness.
Time Frame
from baseline to 8 weeks
Title
Change in BL-VAS, contentment score
Description
The absolute changes in BL-VAS, contentment score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in BL-VAS, calmness score
Description
The absolute changes in BL-VAS, calmness score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in Pittsburgh Sleep Quality Index (PSQI), total score
Description
The absolute changes in the PSQI, total score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, duration of sleep score
Description
The absolute changes in the PSQI, duration of sleep score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, sleep disturbance score
Description
The absolute changes in the PSQI, sleep disturbance score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, sleep latency score
Description
The absolute changes in the PSQI, sleep latency score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, daytime dysfunction due to sleepiness score
Description
The absolute changes in the PSQI, daytime dysfunction due to sleepiness score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, sleep efficiency score
Description
The absolute changes in the PSQI, sleep efficiency score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, subjective sleep quality score
Description
The absolute changes in the PSQI, subjective sleep quality score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in PSQI, use of medication sleep score
Description
The absolute changes in the PSQI, use of medication sleep score will be analyzed in the same fashion as described for the primary variable.
Time Frame
from baseline to 8 weeks
Title
Change in evening cortisol
Description
Evening cortisol: Participants will provide x1 saliva sample each evening during two consecutive working days at approximately 8pm prior to Visit 3, Visit 4, Visit 5 and Visit 6. Concentrations of cortisol will be assayed in saliva supernatants using ELISA kits specifically designed for cortisol quantification, following manufacturer's instructions.
Time Frame
from baseline to 8 weeks
Other Pre-specified Outcome Measures:
Title
IPAQ-short, physical activity level score
Description
Changes in International Physical Activity Questionnaire (IPAQ)-short, physical activity level score
Time Frame
from baseline to 4 weeks, 8 weeks and 10 weeks
Title
Detection of Probiotic in feces
Description
Changes in detection of Probiotic in feces
Time Frame
from baseline to 8 weeks
Title
STAI-state
Description
Changes in State-trait anxiety inventory (STAI)-state, total score
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Changes in Cortisol awakening response (CAR)
Description
Cortisol awakening response: Participants will provide x3 saliva samples each morning during two consecutive working days prior to Visit 3, Visit 4, Visit 5 and Visit 6. Concentrations of cortisol will be assayed in saliva supernatants using ELISA kits specifically designed for cortisol quantification, following manufacturer's instructions.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Changes in evening cortisol
Description
Evening cortisol: Participants will provide x1 saliva sample each evening during two consecutive working days at approximately 8pm prior to Visit 3, Visit 4, Visit 5 and Visit 6. Concentrations of cortisol will be assayed in saliva supernatants using ELISA kits specifically designed for cortisol quantification, following manufacturer's instructions.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Changes in Visual Analog Scale (VAS)-stress (VAS-stress)
Description
Visual Analog Scale (VAS)-stress (VAS-stress): Participants will complete the VAS-stress at clinic visits 2, 3, 4, 5 and 6. Participants indicate on a 100mm line how stressed they perceived themselves to be over the last week. The scale is anchored from 0 = felt not stressed at all to 100 = felt highly stressed. Scores are determined by measuring from the left end to the mark using a ruler.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Depression, anxiety, stress scale (21 items) (DASS-21)
Description
DASS-21, depression scale score DASS-21, anxiety scale score DASS-21, stress scale score Participants will complete the DASS-21 at clinic visits 2, 3, 4, 5 and 6. The DASS gives information about negative emotional states of depression, anxiety and stress. The questionnaire includes 3 scales (depression, anxiety and stress) of which each scale includes 7 items that are divided into subscales of 2-5 items of similar content.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Hospital anxiety and depression scale (HADS)
Description
HADS, depression score HADS, anxiety score Participants will complete the HADS at clinic visit 2, 3, 4, 5 and 6. The HADS is a 14 item self-report screening tool which is widely used in the clinic to assess levels of depression and anxiety. It was developed as a tool for quick and easy use in a hospital setting, but has since been validated in primary care and in the community.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Cohen's perceived stress scale (PSS)
Description
o PSS, total score Participants will complete the PSS at clinic visits 2, 3, 4, 5 and 6. The PSS is a self-report measure in which participants rate, on a 5-point scale ranging from 0 (never) to 4 (very often), how often they have particular thoughts or feelings described by each of the 10 items. Scores range from 0-40, with higher scores indicating greater stress over the previous month.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Bond-Lader visual analogue scale (BL-VAS)
Description
BL-VAS, alertness score BL-VAS, contentment score BL-VAS, calmness score Participants will complete the BL-VAS at clinic visits 2, 3, 4, 5 and 6. The Bond-Lader VAS consist of 16 scales with anchors of related mood/ arousal dimensions (e.g. calm-excited; strong-feeble). Participants indicate on a 100mm line how they feel along each mood dimension at that specific time, and scores from the 16 scales are converted into three composite mood/ arousal dimensions; alertness, calmness and contentedness.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Pittsburgh sleep quality index (PSQI)
Description
PSQI, total score; PSQI, duration of sleep score PSQI, sleep disturbance score PSQI, sleep latency score PSQI, daytime dysfunction due to sleepiness score PSQI, sleep efficiency score PSQI, subjective sleep quality score PSQI, use of medication sleep score Participants will complete the PSQI at clinic visits 2, 3, 4, 5 and 6. The PSQI assesses sleep quality over the prior month. It is a self-report measure comprised of 19 items which are designed to measure 7 key components indicating either problematic or non-problematic sleep; sleep latency, sleep duration, sleep efficiency, sleep disturbances, subjective sleep quality, use of sleep medication and daytime dysfunction due to sleep disturbance. Scores on each component are combined to give a global score. Scores ≥5 indicate significant disturbances of sleep during the prior month.
Time Frame
from baseline to 4 weeks and 10 weeks
Title
Fecal microbiota composition
Description
Changes in fecal microbiota composition
Time Frame
from baseline to 8 weeks
Title
Compliance of study product
Description
Compliance of study product Participants will be asked to return the remaining study products to the study site at each visit during the intervention period (Visit 4, 5 and 6) for study product accountability and accurate determination of compliance throughout the intervention period. A study product inventory (dispensing records) will be used by site staff to record all study product dispensed and returned.
Time Frame
10 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Voluntary, written, informed consent to participate in the study Currently enrolled in medical, dental or health science university/institute of technology course with intention to sit semester examination(s) Male or female aged between 18-40 years (inclusive) Body mass index (BMI) between 18.5 - 29.9 Kg/m2 Blood, urine and gastrointestinal safety parameters and blood pressure measurement at baseline indicate they are healthy in the opinion of the Principal Investigator In good general health as estimated by the Principal Investigator, based on medical history (self-reported) Ability of the participant (in the Principal Investigator's opinion) to comprehend the full nature and purpose of the study including possible risks and side effects Ability of the participant (in the Principal Investigator's opinion) to fully comprehend and self-complete all participant reported outcomes (in UK English language) Participant is willing to maintain habitual diet (including caffeine and alcohol), physical activity patterns and smoking habits throughout the intervention period Agreement to comply with the protocol and study restrictions Available for all study visits Females of child-bearing potential required to provide a negative urine pregnancy test and be using effective contraception (e.g. surgically sterilized (tubal ligation or hysterectomy or partner is post-vasectomy, with sterility confirmed) or use an intrauterine device (IUD), a diaphragm or condom combined with contraceptive sponge, foam or jelly, or be using an oral contraceptive for at least 2 cycles before the screening visit (Visit 2). Women who are in same sex relationships or abstaining from sex are not required to take a pregnancy test or be using effective contraception Male participants must agree to use a condom during sexual intercourse from Visit 3 onwards Covered by health insurance system and / or in compliance with the recommendations of National Law in force relating to biomedical research Exclusion Criteria: Suspected diagnosis of one or more DSM-IV axis 1 disorder(s), including but not limited to: current major depression, anxiety disorder, bipolar spectrum disorder or schizophrenia, as determined by MINI International Neuropsychiatric Interview (MINI) and/or currently diagnosed with one or more DSM-IV axis 1 disorder(s), per Diagnostic and Statistical Manual of Mental Disorders, 4th Edition. Have a significant acute or chronic coexisting illness (cardiovascular, gastrointestinal (irritable bowel syndrome (IBS), inflammatory bowel disease (IBD)), immunological, metabolic (including diabetes and cardiovascular disease), neurodevelopmental or any condition which contraindicates, in the Principal Investigator's judgement, entry to the study Currently taking (from Visit 1 onwards) or have previously taken (last 4 weeks prior to Visit 1) psychoactive medication (anxiolytics, sedatives, hypnotics, anti-psychotics, anti-depressants, anti-convulsants, centrally acting corticosteroids, opioid pain relievers) Currently taking (from Visit 1 onwards) medication or dietary supplements that the Principal Investigator believes would interfere with the objectives of the study, pose a safety risk or confound the interpretation of the study results (e.g. melatonin, St. John's Wort, Rescue® products including Rescue Remedy®, Rescue® Energy, Rescue® Pastilles, Rescue® Pearls, Rescue Sleep® Rescue PlusTM, omega-3 dietary supplements (including fish oil), Cannabidiol (CBD), non-steroidal anti-inflammatory drugs (NSAIDS), over-the-counter sleep medication (not categorized as sedatives, hypnotics or anti-depressants), anti-coagulants, anti-cholinergic drugs or acetylcholinesterase inhibitors, proton pump inhibitors, anti-histamines that cause drowsiness, pseudoephedrine) Recent (within last 4 weeks prior to Visit 1) or ongoing antibiotic therapy Currently taking (from Visit 1 onwards) concentrated sources of probiotics and/or prebiotics other than the provided study products (e.g., probiotic/prebiotic tablets, capsules, drops or powders), including yoghurt / yoghurt drinks Pregnant or lactating female, or pregnancy planned during the intervention period Have self-reported dyslexia History of or current alcohol, drug, or medication abuse (self-reported) Self-declared illicit drug users (including cannabis and cocaine) in the past 1 month prior to Visit 1 Excessive alcohol consumption (consuming > 8 units of alcohol for men and > 6 units of alcohol for women in a single session) > 3 times per week for 3 weeks prior to Visit 1 Significant change in tobacco, snuff, nicotine or e-cigarette usage habits in the past 1 month before Visit 1 or planned cessation of the use of these products during the intervention period Contraindication to any substance in the investigational product Participation in another study with any investigational product or drug within 60 days of Visit 1 Principal Investigator believes that the participant may be uncooperative and/or noncompliant and should therefore not participate in the study Participant under administrative or legal supervision Previous participation in the ChillEx study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Balgit Chhokar
Organizational Affiliation
Medinova East London Dedicated Research Center
Official's Role
Study Director
Facility Information:
Facility Name
Atlantia Food Clinical Trials Ltd
City
Cork
Country
Ireland
Facility Name
MediNova Warwickshire Dedicated Research Centre
City
Kenilworth
Country
United Kingdom
Facility Name
MediNova North London Dedicated Research Centre
City
Northwood
Country
United Kingdom
Facility Name
MediNova Research East London Clinical Studies Centre
City
Romford
Country
United Kingdom
Facility Name
MediNova Yorkshire Dedicated Research Centre
City
Shipley
Country
United Kingdom
Facility Name
MediNova South London Dedicated Research Centre, Queen Mary's Hospital
City
Sidcup
Country
United Kingdom
Facility Name
MediNova West London Dedicated Research Centre
City
Wokingham
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Assess the Safety and Efficacy of Probiotic to Modulate Psychological Stress

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