Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The study aims to evaluate the sub-chronic effects of colonic delivery of a post-biotic on stress response, mood state, sleep, and cognition in healthy young subjects with elevated self-reported stress levels. It is hypothesized that oral intake of the post-biotic, when released in the colonic intestinal site, leads to a blunted subjective and objective stress response after a stress induction.
Scientific findings over the past years suggest that certain bacteria in our gastrointestinal system have an influence on our mood, although, the mechanisms are not yet well understood. One of the possibilities is that bacteria produce compounds that interact with neurons in the gut. These neurons could subsequently send signals to the brain.
This study is a proof of principle study examining the effects of a post-biotic in the distal intestinal tract (terminal ileum, colon) on stress response, mood state, sleep, and cognition. The study is expected to provide key insights in the potential of treatment strategies aimed at stimulating the colonic enteric nervous system to exert mood enhancement. It is hypothesized that interactions with the local Enteric Nervous System leading to stress reduction, mood enhancement and sleep promotion effects. The study will employ an in-person clinic visit, in addition to traditional self-reported, behavioural, and physiological outcome measures; exploratory digital health outcomes will also be included to identify novel objective mood/stress measures.
This study seeks to recruit a total of 75 healthy males (25 in each arm), between the ages of 21-30 years old (inclusive) from local community outreach in Singapore over a period 12 months. This study is a hybrid study (partially decentralized).
The total duration of participation from each participant will be 9 days (excluding, the screening and enrolment days).
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Post-biotic, colonic delivery | Experimental | n=25, 250mg post-biotic once daily in a polymer coated vegan gelatine capsule (colonic delivery) |
|
| Post-biotic, regular administration | Active Comparator | n=25, 250mg post-biotic once daily in a regular uncoated vegan gelatine capsule |
|
| Placebo | Placebo Comparator | n=25, 250mg Maltodextrin once daily in a regular uncoated vegan gelatine capsule |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Post-biotic (Colonic-Delivery capsule) | Dietary Supplement | 250mg post-biotic once daily in a polymer coated vegan gelatine capsule (colonic delivery) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Salivary Cortisol | cortisol levels, as a marker of hypothalamic-pituitary-adrenal (HPA) axis activation | Day 7 (5/day) |
| Measure | Description | Time Frame |
|---|---|---|
| State Trait Anxiety Inventory (STAI-6) | The STAI-6 is a validated short-form version (6 items) of the 40-item STAI questionnaire, measuring current anxiety symptoms on a 4-point Likert scale. Total score is calculated (range 6-24). | Day 7 (2/day) |
| The Brunel Mood Scale (BRUMS) |
| Measure | Description | Time Frame |
|---|---|---|
| Ecological Momentary Assessments (EMA) | Subjects are asked to indicate their current state on a visual analogue scale ranging from 'not at all' to 'very much' using a slider. | Day 1-6 (4/day), Day 7 (2/day), Day 8 (1/day) |
| Salivary α-amylase |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Jeroen Schmitt, PhD | Singapore Institute of Clinical Sciences (SICS), A*STAR | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Human Development Research Centre, SICS, A*STAR | Singapore | 117597 | Singapore |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27510655 | Background | Boets E, Gomand SV, Deroover L, Preston T, Vermeulen K, De Preter V, Hamer HM, Van den Mooter G, De Vuyst L, Courtin CM, Annaert P, Delcour JA, Verbeke KA. Systemic availability and metabolism of colonic-derived short-chain fatty acids in healthy subjects: a stable isotope study. J Physiol. 2017 Jan 15;595(2):541-555. doi: 10.1113/JP272613. Epub 2016 Sep 18. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D015775 | Fractures, Stress |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
Not provided
Not provided
Study design: The study will be carried out according to a randomized, placebo-controlled, double-blind, 3 arm parallel-groups design. It will be executed as a hybrid study (partially decentralized). Total study duration is 9 days (day 0 to day 8), excluding screening and enrolment.
Not provided
Not provided
Not provided
| Post-biotic (Regular Administration capsule) | Dietary Supplement | 250mg post-biotic once daily in a regular uncoated vegan gelatine capsule |
|
| Placebo | Other | 250mg Maltodextrin once daily in a regular uncoated vegan gelatine capsule |
|
The BRUMS is a 24-item questionnaire of simple mood descriptors such as angry, nervous, unhappy, and energetic. The BRUMS has six subscales, with each of the subscales containing four mood descriptors. The subscales are anger, confusion, depression, fatigue, tension, and vigour. Responses are recorded using a 5-point Likert scale (0-4). |
| Day 7 (2/day) |
| Heart Rate | Measured as beats per minute. Continuous monitoring via a smart-watch. | Days 1-7 |
| Sleep Activity | During sleep, the activity will be monitored via a smart-watch throughout the sleep session. | Days 1-7 |
α-amylase levels, as a marker of autonomic nervous system activation
| Day 7 (5/day) |
| Gastrointestinal Symptoms | Participants will be asked to rate the average severity of the following five symptoms over the preceding 24 hours on a 5-point scale from 0 (absent) to 4 (very severe): bloating/distension, passage of gas, rumbling, feeling of fullness and abdominal discomfort/pain. A daily total score is calculated by summing all items recorded each day. A lower score is concomitant with lower severity of symptoms. | Days 1-7 (1/day) |
| Respiratory Rate | Measured as how many breaths per minute. Continuous monitoring via a smart-watch. | Days 1-7 |
| Electrodermal Activity (EDA) | 4 user-initiated 2 min sessions per day. Measured via a smart-watch and the total score per session is provided by the watch. | Days 1-7 |
| Speech Analysis for digital stress biomarkers | Subjects are requested to verbally reproduce an orally presented standard short story from Newcomer Story Set. A high-resolution video with audio will be recorded and exploratory analyses of speech characteristics will be performed. | Day 7 (2/day) |
| Eye Movement Analysis for digital stress biomarkers | Subjects are requested to verbally reproduce an orally presented standard short story from Newcomer Story Set. A high-resolution video with audio will be recorded and exploratory analyses of eye movements will be performed. | Day 7 (2/day) |
| Facial Expression Analysis for digital stress biomarkers | Subjects are requested to verbally reproduce an orally presented standard short story from the Newcomer Story Set. A high-resolution video with audio will be recorded and exploratory analyses of facial characteristics will be performed. | Day 7 (2/day) |
| Handwriting Analysis for digital stress biomarkers | Subjects are requested to write down words of a specific category with a specified starting letter. As an exploratory outcome, a digital picture of the written text will be analyzed for handwriting characteristics such as trace, calibre, slant, and distance. | Day 7 (2/day) |
| Cognitive performance | Cognitive performance will be assessed with a short (5 min) test battery consisting of tests of processing speed, spatial memory, and reaction time delivered through a mobile application that was developed to assess individuals' cognition in natural, non-laboratory, settings. | Days 1-8 |