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| Name | Class |
|---|---|
| BioFortis | OTHER |
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The placebo-controlled, double blind parallel intervention trial "PostWelLB" aims to test whether 3 months of daily supplementation with the postbiotic product "Humiome® Post LB" (HPLB; 340 mg / day) can reduce self-reported stress (PSS10 questionnaire)- in an older (50 - 75 years; all genders) population in France.
The clinical study "PostWelLB" aims to test whether 3 months of daily supplementation with the postbiotic product "Humiome® Post LB" (HPLB) can reduce stress in an older population compared with placebo.
The investigational product (IP) HPLB is a postbiotic according to the International Scientific Association of Probiotics and Prebiotics (ISAPP), who defined postbiotics as "preparations of inanimate micro-organisms or components thereof that provide a health benefit on the host". In essence, HPLB is a fermentation product containing heat inactivated bacterial bodies of Limosilactobacillus fermentum (CNCM I-2998) and Lactobacillus delbrueckii (CNCM I-4831) and metabolite-rich spent fermentation medium (mainly lactic acid). The product also contains lactose, which is used as drying support.
HPLB was developed from an over-the-counter drug, Lactéol, which has been used for decades in more than 30 countries in support of oral rehydration in acute diarrhoea and to improve digestive comfort. Lactéol has an extensive safety record and has been studied in several clinical trials in which it has been shown to reduce digestive upset, improve abdominal comfort, reduce occasional bloating, and help achieve or maintain normal bowel movements.
In addition to effects on digestive health, recent preclinical studies on mice and dogs suggested that HPLB can also affect mood and stress, in line with the emerging concept that the intestinal microbiome may affect wellbeing.
In the present placebo-controlled, double blind clinical trial, the investigators therefore wish to test if daily supplementation with HPLB can reduce stress and improve wellbeing. This will be tested in older volunteers, because the risk of stress increases with age. Verum or placebo will each be administered daily for 12 weeks in capsules made from plant-based material which each also contain small amounts of a widely used flowing agent (magnesium stearate).
Additional endpoints of the trial relate to sleep quality, digestive health, and faecal microbiome composition.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active Treatment | Experimental | One-hundred participants will be randomized to the active treatment (verum) arm. Participants receive 2 capsules per day, taken simultaneously after breakfast, to provide a daily dose of 340 mg HPLB consistent with 10 billion heat-inactivated bacterial cell bodies. The opaque capsules are size 0 and produced from plant-based material (Hydroxy-Propyl Methyl Cellulose). Each capsule contains 2 mg Magnesium Stearate used as flowing agent for capsule filling. |
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| Placebo | Placebo Comparator | One-hundred participants will be randomized to the control arm and will receive placebo. Participants receive 2 capsules per day, taken simultaneously after breakfast, to provide a daily dose of 340 mg microcrystalline cellulose. The opaque capsules are size 0 and produced from plant-based material (Hydroxy-Propyl Methyl Cellulose). Each capsule contains 2 mg Magnesium Stearate used as flowing agent for capsule filling. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Humiome Post LB | Dietary Supplement | Humiome Post LB is a postbiotic preparation according to the 2021 ISAPP definition (PMID: 33948025). It contains heat-treated co-fermented Limosilactobacillus fermentum (CNCM I-4831) and Lactobacillus delbrueckii ssp. lactis (CNCM I-4831), dried together with heat-treated spent fermentation medium on lactose as carrier. |
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome measure is the Perceived Symtoms of Stress 10 (PSS10) questionnaire, which assesses perceived levels of stress | The PSS-10 questionnaire is a validated tool to assess self-reported levels of stress. It was originally developed in 1988 by Cohen and Williamson and published in "The social psychology of health" (pp. 31-67). S. Spacapan & S. Oskamp (Eds.), Newbury Park, CA: Sage. | PSS-10 will be assessed at baseline and at study end, 12 weeks later |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived stress (PSS-10) after 6 weeks | Stress will also be assesed with the PSS-10 tool half-way through the intervention (6 weeks) | Week 6 of 12 |
| Sleep quality after 6 and 12 weeks, assessed with the SHI (Sleep Hygiene Index) questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| Gut Microbiome diversity and function after 6 and 12 weeks | DNA from fecal samples will be shotgun-sequenced (Illumina Hiseq 150 x2) and taxonomic (alpha and beta-diversity) and functional composition assessed by aligning functional gene copy numbers with known database (Kegg). The gut metabolomic profile will be analysed using semi-polar LC-MS / MS methods to detect the abundance of metabolites known or hypothesized to be involved in stress such as GABA, serotonin or melatonin. The faecal organic acids (acetate, propionate, butyrate, valerate, lactate) will be analysed by a targeted quantitative SCFA method (GC-MS). |
INCLUSION CRITERIA:
EXCLUSION CRITERIA:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eleonora Rossi, PhD | Contact | +33 240205799 | eleonora.rossi@biofortis.fr | |
| Erik Eckhardt, PhD | Contact | +33 659328475 | erik.eckhardt@dsm-firmenich.com |
| Name | Affiliation | Role |
|---|---|---|
| Erik Eckhardt, PhD | dsm-firmenich Houdan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Biofortis | Recruiting | Saint-Herblain | 44800 | France |
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| ID | Term |
|---|---|
| C109691 | microcrystalline cellulose |
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Randomized, double-blind, placebo-controlled parallel intervention trial
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| Microcrystalline Cellulose | Other | MCC is typically sourced from wood pulp, or it can be chemically synthesized. It consists of linear chains of glucose, which are interlinked with β1,4-glycosidic bonds and cannot be broken by digestive enzymes. It is a very poor substrate for gut micro-organisms and is thus a good material to serve as placebo. |
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The SHI questionnaire is a likert-scale questionnaire developed in 2006 (Mastin, D. F., Bryson, J., & Corwyn, R. (2006). Assessment of sleep hygiene using the Sleep Hygiene Index. Journal of Behavioral Medicine).
| Baseline, week 6 and week 12 (study end) |
| Digestive health after 6 and 12 weeks | Digestive health will be assessed with the Gastrointestinal Symptom Rating Score questionnaire (GSRS). It is questionnaire with a 7-point Likert-scale (7 = most severe) with questions related to Reflux, Abdominal pain, Indigestion, Diarrhea and Constipation. It was developed by Svedlund et al. (Svedlund J, Sjödin I, Dotevall G. GSRS - A Clinical Rating Scale For Gastrointestinal Symptoms in Patients With Irritable Bowel Syndrome and Peptic Ulcer Disease. Digestive Diseases and Sciences 1988; 33:129-134) | Baseline, week 6 and week 12 |
| Depression, Anxiety and Stress | These are assessed with the DASS-21 questionnaire. It uses a 4-point Likert scale for 21 questions with 7 questions each in the field of depression, anxiety, and stress. It was developed by Lovibond et al. Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney: Psychology Foundation of Australia. | Baseline, 6 and 12 weeks. |
| Stool frequencies | Mean daily number of bowel movements during the last 3 days before each visit. Recorded in a diary by each participant. | Assessed at baseline, week 6, and week 12 |
| Stool consistency | Stool consistency is recorded with the Bristol Stool Scale as aid. The 7 point visual scale was developed in the UK by Stephen Lewis and Ken Heaton. Lewis, Heaton (1997). "Stool form scale as a useful guide to intestinal transit time". Scand. J. Gastroenterol. 32 (9): 920-924. It will be recorded in a diary for three days before each visit. | Baseline, week 6, week 12 |
| Baseline and weeks 6 and 12 |