NCT07351175

Brief Summary

The goal of this intervention trial is to investigate the potential of an artisan cheese aged in hay to induce changes in the gut microbiota in a manner which mediates a reduction in total cholesterol in participants with elevated total cholesterol. The main questions it aims to answer are: Does daily consumption of a hay aged cheese over 12 weeks reduce total cholesterol by at least 0.5mmol/l when compared the control cheese (cheddar)? Are changes in total cholesterol level reflected in changes in gut microbiota composition and activity as measured by deoxyribonucleic acid (DNA) sequencing of stool composition and short chain fatty acid levels in urine? Participants will be asked to consume 30g portions of cheese every day for 12 weeks. This study is conducted in parallel, with participants either allocated onto the control arm (cheddar) or intervention arm (hay-aged cheese). Blood, stool, and urine samples will be taken throughout the trial, body mass index (BMI) and blood pressure will also be measured.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
8mo left

Started Jan 2026

Geographic Reach
1 country

1 active site

Status
recruiting

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

Study Progress30%
Jan 2026Jan 2027

First Submitted

Initial submission to the registry

January 2, 2026

Completed
18 days until next milestone

First Posted

Study publicly available on registry

January 20, 2026

Completed
6 days until next milestone

Study Start

First participant enrolled

January 26, 2026

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2026

Expected
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2027

Last Updated

February 11, 2026

Status Verified

February 1, 2026

Enrollment Period

9 months

First QC Date

January 2, 2026

Last Update Submit

February 10, 2026

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in total cholesterol concentration

    Total cholesterol levels will be measured at the beginning and end of the trial. Does the daily consumption of cheese have an effect on total cholesterol levels, and does consumption of a hay-aged cheese influence total cholesterol beyond that for cheddar?

    12 weeks

Secondary Outcomes (2)

  • Change in faecal microbiota composition

    12 weeks

  • Change in production of SCFA by the gut microbiota

    12 weeks

Study Arms (2)

Hay-aged cheese

EXPERIMENTAL

An artisan cheese aged in hay - this is a semi-hard cheese, aged for 9 months, with hay present on the rind.

Dietary Supplement: Hay-aged cheese

Cheddar

ACTIVE COMPARATOR

Industrial made cheddar, vintage aged. Vacuum packed.

Dietary Supplement: Cheddar control

Interventions

Hay-aged cheeseDIETARY_SUPPLEMENT

This cheese is speculated to have both probiotic properties, from the starter cultures present in the cheese, and prebiotic properties, from the hay on the rind, making this cheese synbiotic.

Hay-aged cheese
Cheddar controlDIETARY_SUPPLEMENT

This cheese is an industrial made cheddar, it still has potential probiotic properties due to the starter cultures used, but no prebiotic potential.

Cheddar

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants aged 18 to 65 years old
  • Regular consumer of cheese
  • In generally good health but with total cholesterol level between 5.5-7.5 mmol/l and body mass index (BMI) between 18-32 kg/m2 at screening visit
  • Willing and able to comply with study instructions

You may not qualify if:

  • Use of antibiotics in the last 6 months prior to the study.
  • Use of prebiotics, probiotics, laxatives, anti-spasmodic, anti-diarrhoeals, herb supplements in the last 4 weeks prior to or during the study period.
  • Any chronic gut disorders/disease such as irritable bowel syndrome, inflammatory bowel disease, etc or other conditions that might affect the gut environment e.g. coeliac disease.
  • High blood pressure, anaemia, high blood lipids (total cholesterol \>7.5mmol/l), or inflammatory conditions
  • Taking medication for anaemia, high blood pressure, high blood lipids , inflammatory conditions or depression
  • Anyone diagnosed with vitamin deficiencies, diabetes, heart disease (previous stroke or heart attack) or have a pacemaker, kidney, bowel or liver diseases, cancer or hormone abnormalities.
  • Pregnant, lactating, breast feeding or planning a pregnancy within the next 6 months
  • Peri- or postmenopausal women
  • Lost more than 3kg of body weight in the last 6 months
  • Food allergies and intolerances
  • Participants currently involved or will be involved in another clinical or food study in the previous 3 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Reading, Department of Food and Nutritional Sciences

Reading, RG6 6UR, United Kingdom

RECRUITING

MeSH Terms

Conditions

Hypercholesterolemia

Condition Hierarchy (Ancestors)

HyperlipidemiasDyslipidemiasLipid Metabolism DisordersMetabolic DiseasesNutritional and Metabolic Diseases

Study Officials

  • Anisha Wijeyesekera

    University of Reading

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Anisha Wijeyesekera

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participants will not be told which cheese they have been allocated, but the appearance of the cheese (hay-aged vs cheddar) will likely make it obvious to the participants.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 2, 2026

First Posted

January 20, 2026

Study Start

January 26, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

January 1, 2027

Last Updated

February 11, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations