search
Back to results

Pilot Study to Assess the Effect of a Postbiotic Blend on Moderate Self-reported Anxiety (Anx)

Primary Purpose

Anxiety

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Postbiotic
Placebo
Sponsored by
The Archer-Daniels-Midland Company
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anxiety focused on measuring probiotic, microbiome, postbiotic

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Be able to give written informed consent.
  2. Be between 18 to 65 years inclusive.
  3. Mild to moderate self-reported anxiety
  4. Have a Beck Depression Inventory (BDI) score <20.
  5. Is in general good health, as determined by the investigator.
  6. Be willing to maintain stable dietary habits and physical activity levels throughout the study period.
  7. Be able to communicate well with the Investigator, to understand and comply with the requirements of the study and be judged suitable for the study in the opinion of the Investigator.
  8. Willing to consume the study product daily for the duration of the trial and comply with all trial procedures.
  9. Be able to give confirmation of ongoing informed consent from Part 1 of the trial.
  10. Has been allocated to the placebo arm of Part I of the trial
  11. Has been deemed a "non-responder" in Part I of the trial

Exclusion Criteria:

  1. Are less than 18 or greater than 65.
  2. Participants who are pregnant or wish to become pregnant during the trial.
  3. Participants who are lactating and/or currently breastfeeding
  4. Participants currently of childbearing potential, but not using an effective method of contraception, as outlined below:
  5. Complete abstinence from intercourse two weeks prior to administration of the study product, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the study product in cases where Participant discontinues the trial prematurely. (Participants utilising this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit).
  6. Has a male sexual partner who is surgically sterilised prior to the Screening Visit and is the only male sexual partner for that Participant.
  7. Sexual partner(s) is/are exclusively female.
  8. Use of acceptable method of contraception, such as a spermicide, mechanical barrier (e.g. male condom, female diaphragm), tubal ligation or contraceptive pill. The Participant must be using this method for at least 1 week prior to and 1 week following the end of the trial.
  9. Use of any intrauterine device (IUD) or contraceptive implant. The Participant must have the device inserted at least 2 weeks prior to the first Screening Visit, throughout the trial, and 2 weeks following the end of the trial.
  10. Are hypersensitive to any of the components of the study product.
  11. Has taken systemic antibiotics within the previous 8 weeks.
  12. Has taken probiotics or post-biotics within the previous 8 weeks.
  13. Has a current clinical diagnosis of depression - determined in their medical history.
  14. Has self-reported or suspected consumption of excess quantities of alcohol or recreational drugs
  15. Diagnosed with significant physical comorbidity that, in the investigator's judgment, precludes involvement in the study.
  16. Has an acute or chronic illness (e.g., heart disease, inflammatory bowel disease, cancer, HIV) that, in the Investigators judgment, precludes involvement in the study.
  17. Participants who have received cognitive behavioural therapy (CBT) or psychotherapy in the 8 weeks prior to baseline or plan to start during the period of the study.
  18. Participants who have taken anti-depressants or supplements known to impact mood (e.g., valerian, St. John's Wort) in the 8 weeks prior to baseline or planning to start in the study period.
  19. Taking dietary supplements or food products that the investigator believes would interfere with the objectives of the study within 8 weeks prior to baseline ;
  20. Participants who have taken psychotropics, anxiolytics, antipsychotics, anticonvulsants, systemic corticosteroids, opioid pain relievers, hypnotics, and/or prescribed sleep medication within 8-weeks of screening.
  21. Has a gastrointestinal disease or condition, that by the investigators judgement, could interfere with the intestinal barrier function.
  22. Are severely immunocompromised (transplant patient, on antirejection medications, on a steroid for 30 days, or chemotherapy or radiotherapy within the last year; HIV positive participants with undetectable viral loads would be allowed on the trial)
  23. Have an active malignant disease or any concomitant end-stage organ disease (in the last 12 months), which, in the Investigator's judgment, contraindicates participation in the study.
  24. Any immunosuppressant or chemotherapy medications, including mercaptopurine, azathioprine, or methotrexate;
  25. Have had any other condition or are taking a medication that the investigator believes would interfere with the objectives of the study, pose a safety risk, or confound the interpretation of the study results
  26. Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial.
  27. Participants may not be receiving treatment involving experimental drugs. If the Participant has been in a recent experimental trial, these must have been completed not less than 8 weeks prior to this trial.
  28. Any Participant who is an employee of the study site or an Atlantia Clinical Trials employee or their close family member or a member of their household.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    Active

    Placebo

    Arm Description

    Arm receiving investigational product (postbiotic)

    Arm receiving placebo

    Outcomes

    Primary Outcome Measures

    Change in Anxiety rating
    Level of anxiety measured with "Hamilton Anxiety Rating Scale". (max 56 points) where a lower score means better outcomes compared to baseline.

    Secondary Outcome Measures

    Change in Depression score
    Level of depression measured with "Beck's Depression Inventory". (max 63 points) where a lower score means better outcomes compared to baseline.
    Change in trait anxiety
    Level of trait anxiety measured with "State-Trait Anxiety Inventory" (max 80 points) where a lower score means better outcomes compared to baseline.
    Change in perceived stress
    Level of perceived stress measured with "Cohen's perceived Stress scale" (max 40 points ) where a lower score means better outcomes compared to baseline.
    Change in Stress
    Level of stress measured with "Salivary Cortisol awakening response" (ng/dL).
    Change in Sleep Quality
    Change in sleep quality measured by "Pittsburgh Sleep Quality Index" (max 21 points) where a lower score means better outcomes compared to baseline.
    Change in Gastrotintestinal symptoms
    Degree of GI symptoms measured by "GI Symptom Rating Scale" where a lower score means better outcomes compared to baseline.
    Change in Quality of Life evaluation
    Change in quality of life score measured by the "SF-36 questionnaire" (max 100 points) where a higher score means better outcomes compared to baseline.

    Full Information

    First Posted
    September 28, 2022
    Last Updated
    July 14, 2023
    Sponsor
    The Archer-Daniels-Midland Company
    Collaborators
    Atlantia Food Clinical Trials
    search

    1. Study Identification

    Unique Protocol Identification Number
    NCT05562739
    Brief Title
    Pilot Study to Assess the Effect of a Postbiotic Blend on Moderate Self-reported Anxiety
    Acronym
    Anx
    Official Title
    A Randomized, Double-blinded, Placebo-controlled, Parallel Pilot Study, to Assess the Effect of a Postbiotic Blend on Symptoms of Anxiety in Healthy Adults With Self-reported Mild to Moderate Anxiety
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2023
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    September 2023 (Anticipated)
    Primary Completion Date
    December 2023 (Anticipated)
    Study Completion Date
    December 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    The Archer-Daniels-Midland Company
    Collaborators
    Atlantia Food Clinical Trials

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    This study evaluates the efficacy of a multistrain postbiotic administered in the form of a capsule in the management of moderate self-reported anxiety in adults aged 18-65
    Detailed Description
    The subjects will be placebo non-responders from part 1 of the trial, looking at the effect of a multistrain probiotic on anxiety.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Anxiety
    Keywords
    probiotic, microbiome, postbiotic

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    This is part 2 of a study with the participants being recruited from "Placebo non-responders" in Part 1 of the study
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    10 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Active
    Arm Type
    Experimental
    Arm Description
    Arm receiving investigational product (postbiotic)
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Arm receiving placebo
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Postbiotic
    Intervention Description
    multistrain postbiotic in the form of a capsule with a daily dose of 1E+9 Colony Forming Unit (CFU) per day for 6 weeks.
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Placebo
    Intervention Description
    Matching placebo in a form of a capsule for 6 weeks.
    Primary Outcome Measure Information:
    Title
    Change in Anxiety rating
    Description
    Level of anxiety measured with "Hamilton Anxiety Rating Scale". (max 56 points) where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Secondary Outcome Measure Information:
    Title
    Change in Depression score
    Description
    Level of depression measured with "Beck's Depression Inventory". (max 63 points) where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Title
    Change in trait anxiety
    Description
    Level of trait anxiety measured with "State-Trait Anxiety Inventory" (max 80 points) where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Title
    Change in perceived stress
    Description
    Level of perceived stress measured with "Cohen's perceived Stress scale" (max 40 points ) where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Title
    Change in Stress
    Description
    Level of stress measured with "Salivary Cortisol awakening response" (ng/dL).
    Time Frame
    Day 0, Day 42
    Title
    Change in Sleep Quality
    Description
    Change in sleep quality measured by "Pittsburgh Sleep Quality Index" (max 21 points) where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Title
    Change in Gastrotintestinal symptoms
    Description
    Degree of GI symptoms measured by "GI Symptom Rating Scale" where a lower score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Title
    Change in Quality of Life evaluation
    Description
    Change in quality of life score measured by the "SF-36 questionnaire" (max 100 points) where a higher score means better outcomes compared to baseline.
    Time Frame
    Day 0, Day 42
    Other Pre-specified Outcome Measures:
    Title
    Change in GI microbiome
    Description
    Faecal microbiome analysis assessed by metagenomics.
    Time Frame
    Day 0, Day 42

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    65 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Be able to give written informed consent. Be between 18 to 65 years inclusive. Mild to moderate self-reported anxiety Have a Beck Depression Inventory (BDI) score <20. Is in general good health, as determined by the investigator. Be willing to maintain stable dietary habits and physical activity levels throughout the study period. Be able to communicate well with the Investigator, to understand and comply with the requirements of the study and be judged suitable for the study in the opinion of the Investigator. Willing to consume the study product daily for the duration of the trial and comply with all trial procedures. Be able to give confirmation of ongoing informed consent from Part 1 of the trial. Has been allocated to the placebo arm of Part I of the trial Has been deemed a "non-responder" in Part I of the trial Exclusion Criteria: Are less than 18 or greater than 65. Participants who are pregnant or wish to become pregnant during the trial. Participants who are lactating and/or currently breastfeeding Participants currently of childbearing potential, but not using an effective method of contraception, as outlined below: Complete abstinence from intercourse two weeks prior to administration of the study product, throughout the clinical trial, until the completion of follow-up procedures or for two weeks following discontinuation of the study product in cases where Participant discontinues the trial prematurely. (Participants utilising this method must agree to use an alternate method of contraception if they should become sexually active and will be queried on whether they have been abstinent in the preceding 2 weeks when they present to the clinic for the Final Visit). Has a male sexual partner who is surgically sterilised prior to the Screening Visit and is the only male sexual partner for that Participant. Sexual partner(s) is/are exclusively female. Use of acceptable method of contraception, such as a spermicide, mechanical barrier (e.g. male condom, female diaphragm), tubal ligation or contraceptive pill. The Participant must be using this method for at least 1 week prior to and 1 week following the end of the trial. Use of any intrauterine device (IUD) or contraceptive implant. The Participant must have the device inserted at least 2 weeks prior to the first Screening Visit, throughout the trial, and 2 weeks following the end of the trial. Are hypersensitive to any of the components of the study product. Has taken systemic antibiotics within the previous 8 weeks. Has taken probiotics or post-biotics within the previous 8 weeks. Has a current clinical diagnosis of depression - determined in their medical history. Has self-reported or suspected consumption of excess quantities of alcohol or recreational drugs Diagnosed with significant physical comorbidity that, in the investigator's judgment, precludes involvement in the study. Has an acute or chronic illness (e.g., heart disease, inflammatory bowel disease, cancer, HIV) that, in the Investigators judgment, precludes involvement in the study. Participants who have received cognitive behavioural therapy (CBT) or psychotherapy in the 8 weeks prior to baseline or plan to start during the period of the study. Participants who have taken anti-depressants or supplements known to impact mood (e.g., valerian, St. John's Wort) in the 8 weeks prior to baseline or planning to start in the study period. Taking dietary supplements or food products that the investigator believes would interfere with the objectives of the study within 8 weeks prior to baseline ; Participants who have taken psychotropics, anxiolytics, antipsychotics, anticonvulsants, systemic corticosteroids, opioid pain relievers, hypnotics, and/or prescribed sleep medication within 8-weeks of screening. Has a gastrointestinal disease or condition, that by the investigators judgement, could interfere with the intestinal barrier function. Are severely immunocompromised (transplant patient, on antirejection medications, on a steroid for 30 days, or chemotherapy or radiotherapy within the last year; HIV positive participants with undetectable viral loads would be allowed on the trial) Have an active malignant disease or any concomitant end-stage organ disease (in the last 12 months), which, in the Investigator's judgment, contraindicates participation in the study. Any immunosuppressant or chemotherapy medications, including mercaptopurine, azathioprine, or methotrexate; Have had any other condition or are taking a medication that the investigator believes would interfere with the objectives of the study, pose a safety risk, or confound the interpretation of the study results Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the trial. Participants may not be receiving treatment involving experimental drugs. If the Participant has been in a recent experimental trial, these must have been completed not less than 8 weeks prior to this trial. Any Participant who is an employee of the study site or an Atlantia Clinical Trials employee or their close family member or a member of their household.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Pilot Study to Assess the Effect of a Postbiotic Blend on Moderate Self-reported Anxiety

    We'll reach out to this number within 24 hrs