NCT03494725

Brief Summary

The aim of this study is to assess whether a 5 week intake of a probiotic (Lpc-37) can modulate stress and anxiety experienced by healthy subjects during and after an acute stressor compared to placebo. To measure stress and anxiety, markers of the hypothalamic-pituitary-adrenal (HPA) axis activity and questionnaires will be assessed before, during and after the Trier Social Stress Test (TSST). The results of this study indicate if the chosen study design is suitable to discover stress-related effects of probiotics.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P75+ for not_applicable healthy

Timeline
Completed

Started Apr 2018

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 4, 2018

Completed
6 days until next milestone

Study Start

First participant enrolled

April 10, 2018

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 11, 2018

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 9, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 9, 2018

Completed
2.4 years until next milestone

Results Posted

Study results publicly available

February 25, 2021

Completed
Last Updated

February 25, 2021

Status Verified

February 1, 2021

Enrollment Period

6 months

First QC Date

April 4, 2018

Results QC Date

October 27, 2020

Last Update Submit

February 24, 2021

Conditions

Keywords

ProbioticGut-brain axisStressAnxiety

Outcome Measures

Primary Outcomes (1)

  • Change of the Heart Rate (HR) in Response to the Trier Social Stress Test (TSST)

    Efficacy was defined as a lower increase in HR in response to the TSST following intervention with Lpc-37, compared to placebo.

    Continuous measurement starting 20 minutes before and ending 20 minutes after the TSST after 5 weeks of product intake. Mean values were calculated per group at seven-time windows before, during and after the TSST

Secondary Outcomes (32)

  • Changes in Pre and Post Treatment STAI-state Scores

    Before and after 5 weeks of study product intake.

  • Changes in Pre and Post Treatment Perceived Stress Scale (PSS) Scores

    Before and after 5 weeks of study product intake.

  • Changes in Pre and Post Treatment DASS Depression Scores

    Before and after 5 weeks of study product intake.

  • Changes in Pre and Post Treatment DASS Anxiety Scores

    Before and after 5 weeks of study product intake.

  • Changes in Pre and Post Treatment DASS Stress Scores

    Before and after 5 weeks of study product intake.

  • +27 more secondary outcomes

Study Arms (2)

Lpc-37

ACTIVE COMPARATOR

Lacticaseibacillus paracasei Lpc-37 (Lpc-37), formerly Lactobacillus paracasei Lpc-37 1x 1 capsule in the morning for 5 weeks

Dietary Supplement: Lpc-37

Placebo

PLACEBO COMPARATOR

Placebo capsule manufactured to mimic Lpc-37 capsule 1x 1 capsule in the morning for 5 weeks

Dietary Supplement: Placebo

Interventions

Lpc-37DIETARY_SUPPLEMENT

Lacticaseibacillus paracasei Lpc-37 at 1.75 x 10\^10 colony forming units (CFU) per day, microcrystalline cellulose, magnesium stearate, silicon dioxide

Lpc-37
PlaceboDIETARY_SUPPLEMENT

microcrystalline cellulose, magnesium stearate, silicon dioxide

Placebo

Eligibility Criteria

Age18 Years - 45 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Voluntary, written, informed consent to participate in the study
  • Male or female aged between 18-45 years (inclusive)
  • Body mass index (BMI) between 18.5 - 29.9 kg/m2
  • Medical examination at baseline indicates they are healthy in the opinion of the investigator
  • 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
  • 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 to use contraceptives
  • Easy access to internet

You may not qualify if:

  • Self-reported diagnosis of one or more Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV axis 1 disorder(s), including but not limited to current major depression, anxiety disorder, bipolar spectrum disorder or schizophrenia
  • Have a significant acute or chronic coexisting illness (cardiovascular, gastrointestinal (irritable bowel syndrome (IBS), inflammatory bowel disease (IBD)), immunological, metabolic, neurodevelopmental or any condition which contraindicates, in the Investigator's judgement, entry to the study
  • Currently taking (from day of screening onwards) or have previously taken (last 4 weeks prior to screening) psychoactive medication (anxiolytics, sedatives, hypnotics, anti-psychotics, anti-depressants, anti-convulsants, centrally acting corticosteroids, opioid pain relievers)
  • Currently taking (from day of screening onwards) medication or dietary supplements that the 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, omega-3 dietary supplements, non-steroidal anti-inflammatory drugs (NSAIDS), over-the-counter (OTC) sleep medication (not categorized as sedatives, hypnotics or anti-depressants), anti-coagulants, proton pump inhibitors, anti-histamines, pseudoephedrine, cortisone, beta-blockers)
  • Recent (within last 4 weeks prior to screening) or ongoing antibiotic therapy during the intervention period
  • Daily consumption of concentrated sources of probiotics and/or prebiotics within 2 weeks of screening and throughout the intervention period other than the provided study products (e.g., probiotic/prebiotic tablets, capsules, drops or powders)
  • Pregnant or lactating female, or pregnancy planned during intervention period
  • Not fluent in German
  • Have self-reported dyslexia
  • History of alcohol, drug, or medication abuse
  • Self-declared illicit drug users (including cannabis and cocaine) for 3 weeks prior to screening and during the intervention period
  • Contraindication to any substance in the investigational product
  • Hypertension (systolic ≥ 140 mmHg, diastolic ≥ 90 mmHg)
  • Known hyper- or hypothyroidism unless treated and under control (stable for more than 3 months)
  • Subjects having previously participated in the TSST
  • +5 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

daacro GmbH & Co. KG

Trier, Rhineland-Palatinate, 54296, Germany

Location

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Related Links

MeSH Terms

Conditions

Stress, PsychologicalAnxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehaviorMental Disorders

Results Point of Contact

Title
Elaine Patterson, Ph. D.
Organization
DuPont Nutrition and Biosciences

Study Officials

  • Juliane Hellhammer, PhD

    Daacro GmbH & Co. KG

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Sponsor Type
NETWORK
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

April 4, 2018

First Posted

April 11, 2018

Study Start

April 10, 2018

Primary Completion

October 9, 2018

Study Completion

October 9, 2018

Last Updated

February 25, 2021

Results First Posted

February 25, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations