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The purpose of the study is to evaluate the efficacy of a butyrate/polyphenol formulation on modulation of the gut microbiome and gastrointestinal symptoms using questionnaires in individuals with self-reported gastrointestinal discomfort.
This is a double-blind, randomized, placebo-controlled study to evaluate the effects of a butyrate/polyphenol formulation on gut health and associated symptoms in healthy individuals.
Participants will be asked to complete a laboratory assessment and questionnaires. A total of up to 124 subjects (62 subjects per arm) will be enrolled for the 14-day period. Laboratory testing will include an assessment of the Gut Microbiome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Butyrate + Polyphenol Formulation | Active Comparator | Butyrate + Polyphenol Formulation |
|
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Butyrate + Polyphenol Formulation | Dietary Supplement | Butyrate + Polyphenol Formulation |
|
| Measure | Description | Time Frame |
|---|---|---|
| The Gastrointestinal Symptom Rating Scale (GSRS)-Irritable Bowel Syndrome (IBS) version | Change in the Gastrointestinal Symptom Rating Scale-IBS from baseline. The responses to the questions range from no discomfort at all to very severe discomfort which would indicate a worse outcome | 14 days |
| Gut Microbiome Stool Test | Change in the Gut Microbiome (strain level, functional metrics, taxonomy abundance and composition) from baseline | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Digestion-Associated Quality of Life Questionnaire (DQLQ) | Change in the Digestion-Associated Quality of Life Questionnaire (DQLQ) from baseline. The lower score indicates an improved outcome. | 14 days |
| Visual Analogue Scale (VAS) of abdominal pain |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Steven Hirsh | Contact | 9542027679 | shirsh@lifeextension.com | |
| Barbara Martinez | Contact | 9542842709 | bmartinez@lifeextension.com |
| Name | Affiliation | Role |
|---|---|---|
| Andrew Swick, PhD | Life Extension | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Life Extension Clinical Research, Inc. | Recruiting | Fort Lauderdale | Florida | 33304 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Administration, D. o. H. a. H. S. U. S. F. a. D. (2005). Guidance for industry : estimating the maximum safe starting dose in initial clinical trials for therapeutics in adult healthy volunteers : pharmacology and toxicology. Center for Drug Evaluation and Research. | ||
| 30692581 | Background | Cleophas MCP, Ratter JM, Bekkering S, Quintin J, Schraa K, Stroes ES, Netea MG, Joosten LAB. Effects of oral butyrate supplementation on inflammatory potential of circulating peripheral blood mononuclear cells in healthy and obese males. Sci Rep. 2019 Jan 28;9(1):775. doi: 10.1038/s41598-018-37246-7. | |
| 9533530 |
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| ID | Term |
|---|---|
| D015746 | Abdominal Pain |
| D009085 | Mucopolysaccharidosis IV |
| D003967 | Diarrhea |
| D003248 | Constipation |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002087 | Butyrates |
| ID | Term |
|---|---|
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D005232 | Fatty Acids, Volatile |
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| Placebo | Dietary Supplement | Placebo |
|
Change in the Visual Analogue Scale (VAS) of abdominal pain from baseline. The lower the value indicates an improved outcome.
| 14 days |
| Bristol Stool Form Scale (BSFS) | Change in the stool form from baseline. There are 7 various stool types to choose ranging from Type 1 to Type 7. Types 3 or 4 are the preferred types. | 14 days |
| Gastrointestinal -Global Assessment of Improvement Scale (Gastrointestinal-GAI) | Change in the Gastrointestinal-Global Assessment of Improvement Scale (Gastrointestinal-GAI) from baseline. The responses range from substantially worse to substantially improved would indicate an improved outcome. | 14 days |
| World Health Organization Quality of Life (WHOQOL-BREF) | Change in the World Health Organization Quality of Life (WHOQOL-BREF) from baseline. The higher score indicates a better perceived quality of life for each domain.(physical health, psychological health, social relationship, environment) | 14 days |
| Background |
| Conley BA, Egorin MJ, Tait N, Rosen DM, Sausville EA, Dover G, Fram RJ, Van Echo DA. Phase I study of the orally administered butyrate prodrug, tributyrin, in patients with solid tumors. Clin Cancer Res. 1998 Mar;4(3):629-34. |
| 30298133 | Background | Cory H, Passarelli S, Szeto J, Tamez M, Mattei J. The Role of Polyphenols in Human Health and Food Systems: A Mini-Review. Front Nutr. 2018 Sep 21;5:87. doi: 10.3389/fnut.2018.00087. eCollection 2018. |
| 29042289 | Background | Costa C, Tsatsakis A, Mamoulakis C, Teodoro M, Briguglio G, Caruso E, Tsoukalas D, Margina D, Dardiotis E, Kouretas D, Fenga C. Current evidence on the effect of dietary polyphenols intake on chronic diseases. Food Chem Toxicol. 2017 Dec;110:286-299. doi: 10.1016/j.fct.2017.10.023. Epub 2017 Oct 14. |
| 40635319 | Background | Cristofori F, Calabrese FM, Iacobellis I, Santamaria M, Celano G, Ferrocino I, Di Sabato E, Pergola R, Dargenio VN, Paulucci L, De Angelis M, Francavilla R. Calcium butyrate efficacy in pediatric irritable bowel syndrome: Randomized placebo-controlled multiomics-based clinical trial. J Pediatr Gastroenterol Nutr. 2025 Sep;81(3):551-561. doi: 10.1002/jpn3.70154. Epub 2025 Jul 9. |
| Background | Grosicki, G. (2021). Effects of 3-week Tributyrin Supplementation on the Gut Microbiome: A Pilot Study. Journal of the Academy of Nutrition and Dietetics, 121(9), A23. |
| Background | Hodges, J. Z., M.; Cao, S.; Pokala, A.; Rezaei, S.; Sasaki, G.; Vodovotz, Y.; Bruno, R. (2022). Catechin-Rich Green Tea Extract Reduced Intestinal Inflammation and Fasting Glucose in Metabolic Syndrome and Healthy Adults: A Randomized, Controlled, Crossover Trial. Current Developments in Nutrition, 6, 981. https://doi.org/10.1093/cdn/nzac068.010 |
| 36502573 | Background | Hodgkinson K, El Abbar F, Dobranowski P, Manoogian J, Butcher J, Figeys D, Mack D, Stintzi A. Butyrate's role in human health and the current progress towards its clinical application to treat gastrointestinal disease. Clin Nutr. 2023 Feb;42(2):61-75. doi: 10.1016/j.clnu.2022.10.024. Epub 2022 Nov 2. |
| 32807722 | Background | Huang Q, Braffett BH, Simmens SJ, Young HA, Ogden CL. Dietary Polyphenol Intake in US Adults and 10-Year Trends: 2007-2016. J Acad Nutr Diet. 2020 Nov;120(11):1821-1833. doi: 10.1016/j.jand.2020.06.016. Epub 2020 Aug 15. |
| Background | Kapolou, A. K. H. R., N; Koutelidakis, A. (2021). Association of Mean Daily Polyphenols Intake with Mediterranean Diet Adherence and Anthropometric Indices in Healthy Greek Adults: A Retrospective Study. Applied Sciences, 11(10). https://doi.org/10.3390/app11104664 |
| 32213021 | Background | Ljotsson B, Jones M, Talley NJ, Kjellstrom L, Agreus L, Andreasson A. Discriminant and convergent validity of the GSRS-IBS symptom severity measure for irritable bowel syndrome: A population study. United European Gastroenterol J. 2020 Apr;8(3):284-292. doi: 10.1177/2050640619900577. Epub 2020 Jan 14. |
| Background | Ma G., C., Y. (2020). Polyphenol supplementation benefits human health via gut microbiota: A systematic review via meta-analysis. . Journal of Functional Foods, 66(103829). |
| 36655542 | Background | Park SY, Kim YD, Kim MS, Kim KT, Kim JY. Cinnamon (Cinnamomum cassia) water extract improves diarrhea symptoms by changing the gut environment: a randomized controlled trial. Food Funct. 2023 Feb 6;14(3):1520-1529. doi: 10.1039/d2fo01835g. |
| 36014789 | Background | Pietrzak A, Banasiuk M, Szczepanik M, Borys-Iwanicka A, Pytrus T, Walkowiak J, Banaszkiewicz A. Sodium Butyrate Effectiveness in Children and Adolescents with Newly Diagnosed Inflammatory Bowel Diseases-Randomized Placebo-Controlled Multicenter Trial. Nutrients. 2022 Aug 11;14(16):3283. doi: 10.3390/nu14163283. |
| 40577952 | Background | Qaisar R, Iqbal MS, Ahmad F, Karim A. Oral butyrate improves postural balance by repairing leaky gut in geriatric adults. Gait Posture. 2025 Sep;121:370-376. doi: 10.1016/j.gaitpost.2025.06.016. Epub 2025 Jun 24. |
| 37242159 | Background | Recharla N, Geesala R, Shi XZ. Gut Microbial Metabolite Butyrate and Its Therapeutic Role in Inflammatory Bowel Disease: A Literature Review. Nutrients. 2023 May 11;15(10):2275. doi: 10.3390/nu15102275. |
| Background | Rosner, B. (2006). Hypothesis Testing Two-Sample INference. In Fundamentals of Biostatistics (6th ed., pp. 331-334). Duxbury Press. |
| 35740109 | Background | Wang X, Qi Y, Zheng H. Dietary Polyphenol, Gut Microbiota, and Health Benefits. Antioxidants (Basel). 2022 Jun 20;11(6):1212. doi: 10.3390/antiox11061212. |
| D012817 | Signs and Symptoms, Digestive |
| D009083 | Mucopolysaccharidoses |
| D002239 | Carbohydrate Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D016464 | Lysosomal Storage Diseases |
| D017520 | Mucinoses |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D005227 |
| Fatty Acids |
| D008055 | Lipids |