Microbiome, Anxiety and Cognitive Orientation Study
MACO
The Impact of a Gut-derived Metabolite on Anxiety Behavior of Human Subjects Based on Their Cognitive Orientation Variation
1 other identifier
observational
2,000
1 country
1
Brief Summary
Mounting evidence shows that the gut microbiome plays an important role in communication within the gut-brain axis. However, the relationship between gut microbiota and their influence on anxiety is still not fully understood. Recent studies on mice found a specific microbe-produced molecule, 4-ethylphenyl sulfate (4EPS), can induce anxious behavior. 4EPS is produced by gut microbes in mice and humans. Research suggests higher 4EPS levels may strongly be associated with anxiety levels. However, anxiety is far more complicated than changes in a single molecule. There are many more factors to consider when it comes to anxiety, including various aspects of one's lifestyle and how humans perceive their environment (cognitive orientation). The primary research goal is to better understand the effects 4EPS has on human anxiety behavior and the role cognitive orientation has in connection to anxiety.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2022
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2022
CompletedFirst Posted
Study publicly available on registry
May 24, 2022
CompletedStudy Start
First participant enrolled
June 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 11, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2023
CompletedDecember 14, 2022
December 1, 2022
10 months
May 19, 2022
December 12, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
4EPS
Stool samples will be lab processed and analyzed for 4-EPS levels
up to 2 weeks
Cognitive Orientation Social-Emotional Competency (COSEC) Assessment
An online cognitive propensity and behavioral preference diagnostic tool. COSEC is designed to understand people's various tendencies that occur during the process between perceiving the environment and responding in action. It illustrates an individual's personality and aptitude as an outcome shaped by their environment and the perception of the world around them. COSEC incorporates the environmental impact on the individual by looking at the unique process of a person's perception, conception, and behavior process. Assessments are scored using an algorithm to generate quantified measurements based on multifactorial relationships between a subject's responses. Results are presented in a descriptive format, called the COBI Report (Cognitive Orientation Behavior Inventory).
up to 1 week
Anxiety Assessment
GAD-7: Generalized Anxiety Disorder 7 is a self-reported questionnaire for screening and severity measuring of generalized anxiety disorder. Scores of 5, 10, and 15 represent cut points for mild, moderate, and severe anxiety, respectively.
up to 1 week
Depression Assessment
PHQ-9: Patient Health Questionnaire is a self-administered, 9 question diagnostic tool that rates depression using 9 DSM-V criteria for depression based on the mood.A PHQ-9 score total of 0-4 points equals "normal" or minimal depression. Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression.
up to 1 week
Lifestyle and Health Survey
Demographic, health, and lifestyle data.
up to 1 week
Eligibility Criteria
Nationwide population of adults 18 years of age and older. Participation is fully remote.
You may qualify if:
- Participants must be 18 years of age and older
- Participants must be able to read and write English
- Participants must be able to provide consent independently
- Participants must provide a legitimate postal address/P.O Box
- Participants must have access to a device such as a computer or a smartphone
You may not qualify if:
- Unable to provide a stool sample due to health status or functional impairment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Endominancelead
- Dr. John J. Rateycollaborator
- HEM Pharma Inc.collaborator
Study Sites (1)
Endominance Inc.
Irvine, California, 92618, United States
Related Links
Biospecimen
4-ethylphenyl sulfate (4EPS) is a molecule produced by gut microbes in mice and humans. An enzyme in the colon and liver converts 4EP to 4EPS, allowing it to circulate in the blood. Research has shown that higher 4EPS levels may strongly be associated with anxiety levels in both humans and mice, through its degenerative effects on oligodendrocyte function and myelin patterning in the brain. This metabolite can be measured in stool and blood.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Please visit: www.endominance.com/maco_study
CONTACT
Study Design
- Study Type
- observational
- Observational Model
- ECOLOGIC OR COMMUNITY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2022
First Posted
May 24, 2022
Study Start
June 1, 2022
Primary Completion
April 11, 2023
Study Completion
May 30, 2023
Last Updated
December 14, 2022
Record last verified: 2022-12
Data Sharing
- IPD Sharing
- Will not share
All data will be anonymized and shared in aggregate data sets.