NCT06594406

Brief Summary

The purpose of this clinical trial is to learn if Bifidobacterium has antidepressant-like effects by enhancing creatine absorption in adults. The main questions to be answered are Does Bifidobacterium combined with creatine have better antidepressant effects? Does Bifidobacterium enhance exogenous creatine uptake? Researchers will compare bifidobacterium combined with creatine with placebo to see if bifidobacterium combined with creatine has antidepressant effects. Participants will: Take bifidobacterium, creatine or placebo every day for 4 weeks. Keep a diary of their symptoms and collect blood samples.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
77

participants targeted

Target at P25-P50 for not_applicable depression

Timeline
Completed

Started Oct 2024

Shorter than P25 for not_applicable depression

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

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 6, 2024

Completed
1 month until next milestone

First Posted

Study publicly available on registry

September 19, 2024

Completed
21 days until next milestone

Study Start

First participant enrolled

October 10, 2024

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2025

Completed
28 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 27, 2025

Completed
Last Updated

August 3, 2025

Status Verified

July 1, 2025

Enrollment Period

8 months

First QC Date

August 6, 2024

Last Update Submit

July 30, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change from Baseline in Hamilton Depression Rating Scale

    Comparison of Hamilton Depression Rating Scale before and after treatment

    4 weeks

Secondary Outcomes (1)

  • Change from baseline in creatine level in blood

    4 weeks

Study Arms (4)

Healthy individuals with creatine

EXPERIMENTAL
Dietary Supplement: Creatine

Healthy individuals with creatine and bifidobacterium

EXPERIMENTAL
Dietary Supplement: Bifidobacterium and creatine

Depression individuals with placebo

PLACEBO COMPARATOR

Depressed individuals with placebo and antidepressants

Dietary Supplement: Placebo

Depression individuals with creatine and bifidobacterium

EXPERIMENTAL

Depression individuals with creatine and bifidobacterium and antidepressants

Dietary Supplement: Bifidobacterium and creatine

Interventions

CreatineDIETARY_SUPPLEMENT

The dosing schedule of creatine administration is 3 g daily for 4 weeks, and administration of a placebo.

Healthy individuals with creatine

The dosing schedule of creatine administration is 3 g daily for 4 weeks. In parallel, the dosing schedule of bifidobacterium administration is 200 million colony-forming units (CFU) /day for 4 weeks.

Depression individuals with creatine and bifidobacteriumHealthy individuals with creatine and bifidobacterium
PlaceboDIETARY_SUPPLEMENT

Administration of creatine placebo and bifidobacterium placebo for 4 weeks,

Depression individuals with placebo

Eligibility Criteria

Age18 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Adults age 18-60 years inclusive.
  • Current diagnosis of major depression disorder (MDD) identified by the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-5 (SCID-5).
  • Current Hamilton Depression Scale 17 score of \> 16.
  • BMI (body Mass Index) between 18 and 28 kg/m²
  • Right-handed

You may not qualify if:

  • Diagnosis of bipolar disorder, schizophrenia, or schizoaffective disorder, identified by the SCID-5.
  • History of or current diagnosis of acute kidney injury (AKI), chronic kidney disease (CKD) or end-stage renal disease (ESRD)
  • History of seizure disorder
  • Current serious suicide risk identified by the Columbia Severity Suicide Rating Scale
  • Previous diagnosis of creatine deficiency syndrome or evidence of creatine deficiency syndrome
  • Antibiotic use in last 30 days
  • Probiotics use in last 30 days
  • Positive pregnancy test
  • Breastfeeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Southern medical university

Guangzhou, Guangdong, 510515, China

Location

MeSH Terms

Conditions

Depression

Interventions

Creatine

Condition Hierarchy (Ancestors)

Behavioral SymptomsBehavior

Intervention Hierarchy (Ancestors)

GuanidinesAmidinesOrganic ChemicalsAmino AcidsAmino Acids, Peptides, and Proteins

Study Officials

  • Xiong Cao, Doctor

    Southern Medical University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

August 6, 2024

First Posted

September 19, 2024

Study Start

October 10, 2024

Primary Completion

May 30, 2025

Study Completion

June 27, 2025

Last Updated

August 3, 2025

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations