NCT05388630

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

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
2,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jun 2022

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
unknown

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

May 19, 2022

Completed
5 days until next milestone

First Posted

Study publicly available on registry

May 24, 2022

Completed
8 days until next milestone

Study Start

First participant enrolled

June 1, 2022

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 11, 2023

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2023

Completed
Last Updated

December 14, 2022

Status Verified

December 1, 2022

Enrollment Period

10 months

First QC Date

May 19, 2022

Last Update Submit

December 12, 2022

Conditions

Keywords

LifestyleGut bacteria4-ethylphenyl sulfate 4EPSCognitive OrientationGut Brain AxisMicrobiomeAnxietyDepression

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

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

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

Study Sites (1)

Endominance Inc.

Irvine, California, 92618, United States

RECRUITING

Related Links

Biospecimen

Retention: SAMPLES WITHOUT DNA

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

Anxiety DisordersMood DisordersNerve DegenerationDepressionOrientation, Spatial

Condition Hierarchy (Ancestors)

Mental DisordersPathologic ProcessesPathological Conditions, Signs and SymptomsBehavioral SymptomsBehaviorSpatial Behavior

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.

Locations