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

Primary Purpose

Anxiety

Status
Active
Phase
Not Applicable
Locations
Ireland
Study Type
Interventional
Intervention
Probiotic
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

Part 1 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.

Part 2 Inclusion Criteria (see separate trial):

  1. Be able to give confirmation of ongoing informed consent
  2. Has been allocated to the placebo arm of Part I of the trial
  3. Has been deemed a "non-responder"

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

  • Atlantia Food Clinical Trials

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Active

Placebo

Arm Description

Arm receiving investigational product (probiotic)

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
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1. Study Identification

Unique Protocol Identification Number
NCT05562752
Brief Title
Pilot Study to Assess the Effect of a Probiotic 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 Probiotic 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
Active, not recruiting
Study Start Date
December 20, 2022 (Actual)
Primary Completion Date
October 2023 (Anticipated)
Study Completion Date
October 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 probiotic administered in the form of a capsule in the management of moderate self-reported anxiety in adults aged 18-65

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
Study consists of 2 parts with the participants in part 2 being recruited from "Placebo non-responders" in Part 1.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Active
Arm Type
Experimental
Arm Description
Arm receiving investigational product (probiotic)
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Arm receiving placebo
Intervention Type
Dietary Supplement
Intervention Name(s)
Probiotic
Intervention Description
multistrain probiotic in the form of a capsule with a daily dose of 1E+9 Colony Forming Unit (CFU) per day for 12 weeks.
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo
Intervention Description
Matching placebo in a form of a capsule for 12 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, Day 84.
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 -7, Day 0, Day 28, Day 42, Day 84.
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 28, Day 42, Day 84.
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 28, Day 42, Day 84.
Title
Change in Stress
Description
Level of stress measured with "Salivary Cortisol awakening response" (ng/dL).
Time Frame
Day 0, Day 42, Day 84.
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 28, Day 42, Day 84.
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 28, Day 42, Day 84.
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 28, Day 42, Day 84.
Other Pre-specified Outcome Measures:
Title
Change in GI microbiome
Description
Faecal microbiome analysis assessed by metagenomics.
Time Frame
Day 0, Day 84.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Part 1 Inclusion Criteria: Be able to give written informed consent. Be between 18 to 65 years inclusive. Mild to moderate self-reported anxiety, defined as a Beck Anxiety Inventory (BAI) score ≥8 and ≤25. Have a Beck Depression Inventory (BDI) score <25. 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. Part 2 Inclusion Criteria (see separate trial): Be able to give confirmation of ongoing informed consent Has been allocated to the placebo arm of Part I of the trial Has been deemed a "non-responder" 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.
Facility Information:
Facility Name
Atlantia Food Clinical Trials
City
Cork
Country
Ireland

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

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

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