NCT07575529

Brief Summary

The DORA study is a single-arm, open-label, interventional exploratory study designed to evaluate the impact of a synbiotic-containing senior milk powder on the gut microbiome and selected biological, physiological, and digital health parameters in community-living adults in good health. The study enrolls adults aged 40 to 65 years and aims to investigate changes in gut microbial composition, with a primary focus on butyrate-producing microbial taxa, following at least 28 days of study product consumption. Secondary and exploratory objectives include assessment of stool metabolites, blood-based biomarkers, bowel patterns, sleep quality, physical activity, cognitive function, dietary patterns, and quality of life. Approximately 125 participants will be recruited in Singapore to achieve 100 study completers. Following informed consent and screening, participants undergo a baseline observation period of 14 days during which physiological and lifestyle data are collected using wearable digital health devices. Baseline assessments also include blood sampling, stool collection for microbiome analysis, digital imaging and videography, and completion of validated questionnaires. After completion of baseline assessments and collection of the first stool sample, participants initiate consumption of the study product, a senior milk powder containing a defined synbiotic formulation. The study product is consumed twice daily for a minimum of 28 days and up to 35 days to allow completion of study assessments. Participants return for end-of-intervention assessments following the study product phase, including repeat biological sampling, physical and digital assessments, and questionnaires. Stool microbiome profiles and other exploratory outcomes are compared between baseline and post-intervention time points. This exploratory study is intended to generate feasibility data and hypotheses regarding the effects of synbiotic nutritional intervention and the integration of biological and digital health data in the context of healthy aging.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
11mo left

Started Apr 2026

Status
not yet 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 Progress4%
Apr 2026Mar 2027

Study Start

First participant enrolled

April 27, 2026

Completed
7 days until next milestone

First Submitted

Initial submission to the registry

May 4, 2026

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 8, 2026

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 28, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2027

Last Updated

May 8, 2026

Status Verified

May 1, 2026

Enrollment Period

10 months

First QC Date

May 4, 2026

Last Update Submit

May 4, 2026

Conditions

Keywords

Healthy AgingGut MicrobiomeGut HealthProbioticsPrebioticsNutritional InterventionMicrobiome ProfilingDigital HealthWearable Devices

Outcome Measures

Primary Outcomes (1)

  • Change in relative abundance of gut microbiome composition

    Change from baseline in the relative abundance of gut microbiome composition following consumption of the synbiotic nutritional product.

    Baseline and end of intervention (after at least 28 days of study product consumption)

Study Arms (1)

Nutritional intervention

EXPERIMENTAL

Participants in this arm receive the study product, a synbiotic-based senior milk powder, consumed twice daily following a baseline observation period. The study product contains a defined combination of probiotic and prebiotic components and is administered to all participants for the duration of the intervention phase as part of an exploratory nutritional study in healthy adults.

Dietary Supplement: Synbiotic Nutritional Product

Interventions

Participants receive a nutritional product administered as a senior milk powder. The study product contains a defined combination of probiotic and prebiotic components and is consumed twice daily following a baseline observation period. The intervention is provided to all participants during the intervention phase as part of an exploratory nutrition study in healthy adults. No placebo or comparator intervention is included.

Nutritional intervention

Eligibility Criteria

Age40 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participants aged between 40 to 65 years (bounds included)
  • Participants who are community-living
  • Participants who are in good health (self-reported)
  • Participants own and are willing to use their personal non-shared mobile device (iPhone 8 or later, with iOS version 16 or later), to pair with the study-provided Apple Watch SE, for the duration of the study
  • Participant should be able to use mobile applications on smartphones to perform tasks in the study, have access to the internet and a smartphone or tablet to take and upload images and/or videos of stool, and other anatomical sites
  • Participant should be able to comprehend the content of the study and to complete the study questionnaires in English
  • Written and signed consent from participant
  • Currently reside in Singapore and with the intention to reside in Singapore for at least the duration of the study.
  • Note: Clinical trial participants may be permitted to undertake short-duration travel not exceeding 72 consecutive hours each time, provided such travel does not conflict with scheduled study visits, investigational product administration, or protocol-defined assessments. Prior notification to principal investigator or designated study personnel is required. The participant must be instructed on potential risks, adverse event reporting during the travel period.

You may not qualify if:

  • Pregnant or lactating, or wish to become pregnant during the period of the study (self-reported)
  • Participant with current or intended participation in a clinical study involving investigational or marketed products
  • Use of named prebiotics, probiotics or synbiotics (in a capsule or sachet) within the last 4 weeks prior to screening or are planning to use it during the study including but not limited to the products listed below:
  • BioGaia Probiotic Tablets
  • LACTO FIT Probiotics
  • Nano Singapore Digestive Wellness Formula
  • California Gold Nutrition LactoBif Probiotics
  • Life Space Probiotic
  • Vivomixx 112.5 Billion Live Probiotics
  • Duolac Daily Vitality Probiotic
  • ATOMY Probiotics 10+
  • Blackmores Ultra Max Probiotics+
  • Holistic Way High Strength Probiotic 75 Billion
  • Use of any commercial healthy aging milk powder within the last 4 weeks prior to screening or are planning to use it during the study including but not limited to:
  • Boost Optimum
  • +13 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Officials

  • Bryan Tan

    Woodlands Hospital

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Model Details: Exploratory analytical models are used in this study to examine relationships among gut microbiome profiles, stool- and blood-based biological markers, questionnaire-derived measures, and digital health data collected longitudinally in healthy adults. The modeling framework integrates multimodal data sources, including microbiome sequencing outputs and wearable- and sensor-derived physiological parameters, to support descriptive and associative analyses. The study follows a single-arm, open-label interventional model with a baseline observation period prior to initiation of the synbiotic nutritional intervention. This within-participant longitudinal design allows each participant to serve as their own reference, enabling exploratory comparison of post-intervention measures relative to baseline. All models are research-focused and exploratory in nature and are not designed, trained, or validated for diagnostic, prognostic, screening, or clinical decision-making purposes.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 4, 2026

First Posted

May 8, 2026

Study Start

April 27, 2026

Primary Completion (Estimated)

February 28, 2027

Study Completion (Estimated)

March 31, 2027

Last Updated

May 8, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Individual participant data will not be shared. Data collected in this study will be used solely for the purposes described in the protocol and handled in accordance with applicable data protection regulations and data processing agreements.