NCT07524270

Brief Summary

The goal of this clinical trial is to learn if a human equivalent lactoferrin supplement (effera®) can improve menstrual symptoms, mood, and quality of life in healthy women aged 18-40. The main questions it aims to answer are: Does effera® reduce the severity of menstrual symptoms? Does effera® improve mood, gastrointestinal symptoms, and overall well-being? Researchers will compare three different doses of effera® to a placebo (a look-alike supplement with no active ingredient) to see if the supplement improves these outcomes. Participants will: Take the assigned supplement (effera® or placebo) daily for 12 weeks Complete online questionnaires about menstrual symptoms, mood, and health Optionally share sleep and activity data from a wearable device

Trial Health

77
On Track

Trial Health Score

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

Enrollment
160

participants targeted

Target at P75+ for not_applicable

Timeline
7mo left

Started Apr 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Study Progress15%
Apr 2026Dec 2026

First Submitted

Initial submission to the registry

March 17, 2026

Completed
15 days until next milestone

Study Start

First participant enrolled

April 1, 2026

Completed
12 days until next milestone

First Posted

Study publicly available on registry

April 13, 2026

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2026

Last Updated

April 13, 2026

Status Verified

April 1, 2026

Enrollment Period

7 months

First QC Date

March 17, 2026

Last Update Submit

April 6, 2026

Conditions

Keywords

LactoferrinMenstrual healthDysmenorrheaEfferaGastrointestinal symptomsMoodQuality of life

Outcome Measures

Primary Outcomes (1)

  • Change in menstrual symptoms (MSQ-24 score)

    Menstrual symptoms will be assessed using the validated 24-item Menstrual Symptoms Questionnaire (MSQ-24), which measures the severity and frequency of physical, emotional, and behavioral symptoms associated with the menstrual cycle. Each item will be presented as a 5-level Likert scale (1=Never; 2=Rarely; 3=Sometimes; 4=Often; 5=Always). Higher scores indicate greater symptom burden.

    Baseline, Week 4, Week 8, and Week 12

Secondary Outcomes (4)

  • Change in global health (PROMIS Global Health-10)

    Baseline, Week 4, Week 8, and Week 12

  • Change in psychological distress (PHQ-4)

    Weekly from Baseline through Week 12

  • Change in gastrointestinal symptoms (PROMIS-GI Short Form)

    Baseline, Week 4, Week 8, and Week 12

  • Change in menstrual cycle-specific symptoms

    Baseline and monthly during the study (Weeks 4, 8, and 12)

Other Outcomes (1)

  • Sleep and physical activity metrics (wearable devices)

    Continuously collected throughout the 12-week study period

Study Arms (4)

Arm 1: Placebo Comparator

PLACEBO COMPARATOR

Participants receive a matched placebo supplement daily for 12 weeks.

Other: Placebo

Arm 2: Effera® 100 mg

ACTIVE COMPARATOR

Participants receive 100 mg of effera® (human equivalent lactoferrin) once daily for 12 weeks.

Dietary Supplement: Effera® (human equivalent lactoferrin)

Arm 3: Effera® 200 mg (Split Dose)

ACTIVE COMPARATOR

Participants receive 200 mg of effera® daily, administered as two 100 mg doses, for 12 weeks

Dietary Supplement: Effera® (human equivalent lactoferrin)

Arm 4: Effera® 300 mg

ACTIVE COMPARATOR

Participants receive 300 mg of effera® once daily for 12 weeks.

Dietary Supplement: Effera® (human equivalent lactoferrin)

Interventions

PlaceboOTHER

Matched placebo supplement identical in appearance and packaging to the active intervention, administered orally once daily for 12 weeks.

Arm 1: Placebo Comparator

Effera® is a human equivalent lactoferrin supplement administered orally once daily at varying doses (100 mg, 200 mg, or 300 mg) depending on randomized assignment. Lactoferrin is a naturally occurring protein involved in immune regulation, iron metabolism, and inflammation.

Arm 2: Effera® 100 mgArm 3: Effera® 200 mg (Split Dose)Arm 4: Effera® 300 mg

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale(Gender-based eligibility)
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Participants must meet all of the following criteria to be eligible for participation:
  • Women, 18 - 40 years of age
  • No changes in hormonal contraception use in the past 6 months
  • Regular or mildly irregular cycles (24-45 days) for the past 3 months
  • In the majority (\>3) of menstrual cycles over the past 6 months, experience menstrual cramps on a pain scale of at least 4 out of 10 (1=no pain at all and 10 = worst pain ever experienced)
  • In the majority (\>3) of menstrual cycles over the past 6 months, experience pain so significant that it requires over-the-counter pain medication for at least 2 days (on average) per period
  • In the majority (\>3) of menstrual cycles over the past 6 months, experience at least one day per cycle where menstrual symptoms either interfere with work or school performance, limit normal daily activities or exercise, or lead to staying home, leaving early, or modifying plans
  • Reports noticeable mood or physical changes in the 5-7 days before menses in most cycles (irritability, mood, bloating, breast tenderness, cravings, sleep changes, etc.)
  • Generally healthy and free of diseases or disorders that impact functioning of the gastrointestinal system.
  • No recent or acute infection in the past 30 days and no chronic systemic illness
  • No psychiatric condition that, in the investigator's judgment, would impair consent capacity, protocol adherence, or valid completion of questionnaires.
  • If psychiatric medication is used: stable regimen for ≥3 months with no anticipated changes during the study
  • Body mass index (BMI) 18.5 to 32.5 kg/m2 (Inclusive)
  • Non-smoker
  • Agrees to not use any new vitamin, mineral, or dietary supplement product until after study completion and to not take any vitamins, minerals or dietary supplements 24 hours prior to the exercise test visits.
  • +5 more criteria

You may not qualify if:

  • Participants will be excluded if any of the following apply:
  • Current or prior diagnosis from a licensed medical provider of Premenstrual Dysphoric Disorder (PMDD) or Premenstrual Syndrome (PMS) requiring ongoing medical or psychiatric treatment.
  • History of any food allergies or intolerances that could impact digestive outcomes and history of irritable bowel syndrome, inflammatory bowel disease (Crohn's, ulcerative colitis, celiac), gastroparesis, chronic constipation or diarrhea requiring medication, or GI surgery
  • Acute illness or infection within the past 30 days
  • History of cancer (except localized skin cancer without metastases) within 5 years prior to screening.
  • Recently started taking (within the past 90 days or has had their dosage adjusted in the past 90 days) antihypertensives, hypoglycemic medications, GLP1 agonists of any class or type, stimulatory asthma medications, or any other prescription or over-the-counter medication that confound the outcomes measured in this study
  • Habitual use of anti-inflammatory medications for 30 days prior to providing consent
  • Current or past diagnosis of bipolar I/II disorder, schizophrenia spectrum or other psychotic disorder; psychiatric hospitalization, suicidal ideation, attempt, or self-harm behavior in the past 12 months
  • Initiation, discontinuation, or dose change of any psychotropic medication within the past 3 months, including antidepressants, anxiolytics, antipsychotics, mood stabilizers, stimulants, or sedative-hypnotics
  • Subject has an allergy to any ingredients in the study product
  • Subject has a history of drug or alcohol abuse in the past 12 months
  • Excessive alcohol intake defined as greater than 7 drinks/week or binge episodes
  • Any condition or abnormality that in the expert opinion of the PI, participation in the study would compromise the safety of the subject or the quality of the study data.
  • Participating in or has participated in another research study within 30 days prior to the screening visit that could confound outcomes
  • Currently pregnant or lactating
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Alethios

San Francisco, California, 94104, United States

RECRUITING

Alethios, Inc.

San Francisco, California, 94109, United States

NOT YET RECRUITING

Related Publications (4)

  • Peterson RD, van der Made J, Kaplan N, Donovan SM, Wang M, Dilger RN, Clark AJ. Effects of human lactoferrin (effera) at two doses versus bovine lactoferrin on the adult gut microbiome and fecal short-chain fatty acids: A randomized, double-blind trial. medRxiv preprint. DOI: https://doi.org/10.64898/2025.12.31.25343278.

    BACKGROUND
  • Peterson RD, Guarneiri LL, Adams CG, Wilcox ML, Clark AJ, Rudemiller NP, Maki KC, Malinczak CA. A Randomized, Double-Blind, Controlled Trial to Assess the Effects of Lactoferrin at Two Doses vs. Active Control on Immunological and Safety Parameters in Healthy Adults. Int J Toxicol. 2025 Jan-Feb;44(1):12-28. doi: 10.1177/10915818241293723. Epub 2024 Oct 28.

    PMID: 39465888BACKGROUND
  • Ueno HM, Yoshise RE, Sugino T, Kajimoto O, Kobayashi T. Effects of a Bovine Lactoferrin Formulation from Cow's Milk on Menstrual Distress in Volunteers: A Randomized, Crossover Study. Int J Mol Sci. 2016 May 31;17(6):845. doi: 10.3390/ijms17060845.

    PMID: 27258249BACKGROUND
  • Kowalczyk P, Kaczynska K, Kleczkowska P, Bukowska-Osko I, Kramkowski K, Sulejczak D. The Lactoferrin Phenomenon-A Miracle Molecule. Molecules. 2022 May 4;27(9):2941. doi: 10.3390/molecules27092941.

    PMID: 35566292BACKGROUND

Related Links

MeSH Terms

Conditions

Dysmenorrhea

Condition Hierarchy (Ancestors)

Menstruation DisturbancesPathologic ProcessesPathological Conditions, Signs and SymptomsPelvic PainPainNeurologic ManifestationsSigns and Symptoms

Central Study Contacts

Chad Kerksick, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Blinding and randomization will be facilitated through the Alethios platform.
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Randomized assigment, double-blind administration, placebo-controlled
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 17, 2026

First Posted

April 13, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

December 1, 2026

Last Updated

April 13, 2026

Record last verified: 2026-04

Locations