MoodNCT05212545
Effects of Prebiotics on Intestinal Colonization and Mood in a University Cohort
A study testing Prebiotic supplement, Prebiotic combination and Prebiotic oligosaccharides in people with Mood, run by Beneo-Institute at 1 site in United Kingdom.
Trial summary
There is a growing interest within the scientific community of whether prebiotics can aid in clinical outcomes including mood via modulation of the gut microbiota and its resulting metabolites via the gut-brain axis. Read more about this study
- Who is it for?
- Ages 18 to 45 yearsHealthy volunteers can take part
- Conditions the study is for
- Mood
- What is being tested?
- Prebiotic supplement, Prebiotic combination and Prebiotic oligosaccharides
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 96 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- 12 Jan 2022to 19 Sep 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Volunteer is healthy at the time of pre-examination
- Possess mild/moderately elevated levels of stress
- Volunteer is aged ≥ 18 to ≤ 45 years at the time of pre-examination
- Volunteer's BMI is ≥ 18.5 and ≤ 29.9
- Volunteer has a stool frequency of at least 3 bowel movements per week
- Volunteer is able and willing to comply with the study instructions
- Volunteer is suitable for participation in the study according to the investigator/study personnel
- Written informed consent is given by volunteer
Who cannot join
- No command of any local language
- Previously or currently diagnosed neurological or psychiatric disorders
- Previous history of renal, hepatic, cardiovascular disease or clinically significant diabetes
- Gastrointestinal disorders including IBS, IBD or other conditions that might affect the gut environment
- Food allergies or intolerances
- Using drugs (e.g. antibiotics, aspirin, proton pump inhibitors) influencing gastrointestinal function (8 weeks before intervention)
Show all 13Show fewer
- Use of laxatives and labelled pre-and probiotics in the previous 4 weeks before the beginning of intervention
- Volunteers currently involved or will be involved in another clinical or food study
- History of drug (recreational) or alcohol abuse.
- Use of anti-depressants medication including selective serotonin receptor inhibitors or Amitriptyline for 3 months prior to commencing the trial
- Received bowel preparation for investigative procedures in the 4 weeks prior to the study
- Undergone surgical resection of any part of the bowel.
- pregnant or lactating
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Randomised Double-blind 4-arm Parallel, Placebo-controlled Trial Investigating the Effects of Prebiotics Alone or in a Combination on Intestinal Colonization and Ability to Influence Mood in a University Cohort
There is a growing interest within the scientific community of whether prebiotics can aid in clinical outcomes including mood via modulation of the gut microbiota and its resulting metabolites via the gut-brain axis. This is especially prevalent given that mental health conditions are associated with cost and burden on the health care system. Yet, to date very few studies have investigated the potential effects of prebiotics to influence mood via the modulation of the gut microbiota with previous studies recording mixed results indicating further work in this area would be highly beneficial.
Read the detailed description
Several reports have suggested that poor mental health among university students is on the increase. Factors driving this; including academic pressure, overdemanding workloads, financial concerns, and peer pressure; can adversely affect academic performance and self-worth. Thus, there is an increasing need to develop new strategies to help tackle these modalities while also reducing the burden on the health system.
In recent years there has been increasing interest in the bi-directional relationship that exists between the gut and the brain, a term coined the gut-brain axis, and it is suggested to play a role in influencing mood via chemical messengers.
As diet is key manipulator of the gut microbiota one way to influence the composition of the gut is via diet and the use of functional foods including prebiotic oligosaccharides.
The idea that functional foods like prebiotics may help to affect mood holds particular appeal due to them being relatively free of side effects, cheap, readily accessible and possessing additional health benefits including improving bowel transit function and improving satiety amongst others. Yet, to date previous research on the potential for prebiotics has produced mixed results due to differences in the populations tested, doses and types of prebiotics used, and means of assessing changes in mood suggesting further work in this area would be highly beneficial.
Therefore, this present study aims to address the question "can manipulation of the gut microbiota using prebiotic oligosaccharides alone or in combination influence mental state in a taught university student population?".
- Conditions
- Mood
- Being tested
- Placebo, Prebiotic supplement, Prebiotic combination, Prebiotic oligosaccharides
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDietary supplement
maltodextrin taken daily for 4 weeks with water
Prebiotic supplementDietary supplement
Prebiotic supplement taken daily for 4 weeks with water
Prebiotic combinationDietary supplement
prebiotic oligosaccharides mixture taken daily for 4 weeks with water
Prebiotic oligosaccharidesDietary supplement
Prebiotic oligosaccharides taken daily for 4 weeks with water
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | 10 g maltodextrin per day Receives: Dietary Supplement: Placebo |
| Prebiotic Supplement | Experimental | 10 g Prebiotic supplement + maltodextrin per day Receives: Dietary Supplement: Prebiotic supplement |
| Prebiotic combination | Experimental | 10 g prebiotic supplement+ prebiotic oligosaccharide per day Receives: Dietary Supplement: Prebiotic combination |
| prebiotic oligosaccharide | Experimental | 10 g maltodextrin + prebiotic oligosaccharide per day Receives: Dietary Supplement: Prebiotic oligosaccharides |
What is being measured
The primary outcome is the main question the study is designed to answer.
Bifidobacterium spp in stool samples
Bifidobacterium spp. will be assessed in stool samples by molecular biological methods
Measured: 4 weeks
Anxiety with State-Trait Anxiety Inventory questionnaire
Anxiety will be assessed with anxiety questionnaire at baseline and at the end of intervention
Measured: 4 weeks
Depression with Beck's Depression Inventory questionnaire
Depression will be assessed with depression questionnaire at baseline and at the end of intervention
Measured: 4 weeks
Salivary IgA
Salivary IgA will be assessed by ELISA at baseline and at the end of intervention
Measured: 4 weeks
Secondary outcomes (10)
Total bacteria in stool samples
Total bacteria will be assessed in stool samples by molecular biological methods
Measured: 4 weeks
Changes in microbiota composition
Microbiota composition at baseline and end will be assessed by 16S rRNA gene sequencing
Measured: 4 weeks
Stool frequency
Stool frequency will be assessed as effective number of bowel movements in a daily diary during baseline and intervention periods
Measured: 5 weeks
Stool consistency according to Bristol Stool Form Scale
Stool consistency will be assessed in a daily diary during baseline and intervention periods
Measured: 5 weeks
Urinary Metabolites (organic compounds) concentration
Urinary Metabolites concentration will be assessed at baseline and end with NMR
Measured: 4 weeks
Gastrointestinal sensations (bloating)
Gastrointestinal sensations (bloating) will be assessed in a daily diary during baseline and intervention periods on a 4-point Likert scale (higher scores indicate higher sensation)
Measured: 5 weeks
Gastrointestinal sensations (flatulence)
Gastrointestinal sensations (flatulence) will be assessed in a daily diary during baseline and intervention periods on a 4-point Likert scale (higher scores indicate higher sensation)
Measured: 5 weeks
Gastrointestinal sensations (abdominal pain)
Gastrointestinal sensations (abdominal pain) will be assessed in a daily diary during baseline and intervention periods on a 4-point Likert scale (higher scores indicate higher sensation)
Measured: 5 weeks
Gastrointestinal sensations (fullness)
Gastrointestinal sensations (fullness) will be assessed in a daily diary during baseline and intervention periods on a 4-point Likert scale (higher scores indicate higher sensation)
Measured: 5 weeks
Sleep quality via The Pittsburgh Sleep Quality Index
Sleep quality will be assessed at baseline and end with The Pittsburgh Sleep Quality Index questionnaire
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2022
- Study start12 Jan 2022
- Primary completion30 Jun 2022
- Study completion19 Sep 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MoodStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 96 participants (actual)
Sponsor and investigators
- Lead sponsor
- Beneo-Institute
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- University of Reading
- Responsible party
- Sponsor
- Investigators
- Robert A Rastall, Prof, Principal investigator, University of Reading
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05212545
- Sponsor's protocol ID
- 21017m-jhr
- Status last verified
- Dec 2022
- First submitted
- 3 Jan 2022
- Last updated
- 20 Dec 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Jackson PP, Wijeyesekera A, Williams CM, Theis S, van Harsselaar J, Rastall RA. Inulin-type fructans and 2'fucosyllactose alter both microbial composition and appear to alleviate stress-induced mood state in a working population compared to placebo (maltodextrin): the EFFICAD Trial, a randomized, controlled trial. Am J Clin Nutr. 2023 Nov;118(5):938-955. doi: 10.1016/j.ajcnut.2023.08.016. Epub 2023 Aug 30.
PubMed 37657523
Study at a glance
From the registry record, last updated by the sponsor on 20 Dec 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomised Double-blind 4-arm Parallel, Placebo-controlled Trial Investigating the Effects of Prebiotics Alone or in a Combination on Intestinal Colonization and Ability to Influence Mood in a University Cohort
- ClinicalTrials.gov ID
- NCT05212545
- Acronym / sponsor ID
- 21017m-jhr
- Conditions
- Mood
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 96 participants (actual)
- Lead sponsor
- Beneo-InstituteIndustry (pharma, biotech, devices)
- Collaborators
- University of Reading
- Study start
- 12 Jan 2022 (actual)
- Primary completion
- 30 Jun 2022 (actual)
- Study completion
- 19 Sep 2022 (actual)
- First posted
- 28 Jan 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
There is a growing interest within the scientific community of whether prebiotics can aid in clinical outcomes including mood via modulation of the gut microbiota and its resulting metabolites via the gut-brain axis. This is especially prevalent given that mental health conditions are associated with cost and burden on the health care system. Yet, to date very few studies have investigated the potential effects of prebiotics to influence mood via the modulation of the gut microbiota with previous studies recording mixed results indicating further work in this area would be highly beneficial.
Detailed description
Several reports have suggested that poor mental health among university students is on the increase. Factors driving this; including academic pressure, overdemanding workloads, financial concerns, and peer pressure; can adversely affect academic performance and self-worth. Thus, there is an increasing need to develop new strategies to help tackle these modalities while also reducing the burden on the health system.
In recent years there has been increasing interest in the bi-directional relationship that exists between the gut and the brain, a term coined the gut-brain axis, and it is suggested to play a role in influencing mood via chemical messengers.
As diet is key manipulator of the gut microbiota one way to influence the composition of the gut is via diet and the use of functional foods including prebiotic oligosaccharides.
The idea that functional foods like prebiotics may help to affect mood holds particular appeal due to them being relatively free of side effects, cheap, readily accessible and possessing additional health benefits including improving bowel transit function and improving satiety amongst others. Yet, to date previous research on the potential for prebiotics has produced mixed results due to differences in the populations tested, doses and types of prebiotics used, and means of assessing changes in mood suggesting further work in this area would be highly beneficial.
Therefore, this present study aims to address the question "can manipulation of the gut microbiota using prebiotic oligosaccharides alone or in combination influence mental state in a taught university student population?".
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Dietary Supplement: Placebo10 g maltodextrin per day |
| Prebiotic Supplement | Experimental | Dietary Supplement: Prebiotic supplement10 g Prebiotic supplement + maltodextrin per day |
| Prebiotic combination | Experimental | Dietary Supplement: Prebiotic combination10 g prebiotic supplement+ prebiotic oligosaccharide per day |
| prebiotic oligosaccharide | Experimental | Dietary Supplement: Prebiotic oligosaccharides10 g maltodextrin + prebiotic oligosaccharide per day |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (8 listed)
- Volunteer is healthy at the time of pre-examination
- Possess mild/moderately elevated levels of stress
- Volunteer is aged ≥ 18 to ≤ 45 years at the time of pre-examination
- Volunteer's BMI is ≥ 18.5 and ≤ 29.9
- Volunteer has a stool frequency of at least 3 bowel movements per week
Key exclusion criteria (13 listed)
- No command of any local language
- Previously or currently diagnosed neurological or psychiatric disorders
- Previous history of renal, hepatic, cardiovascular disease or clinically significant diabetes
- Gastrointestinal disorders including IBS, IBD or other conditions that might affect the gut environment
- Food allergies or intolerances
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Placebomaltodextrin taken daily for 4 weeks with water | Dietary supplement | Placebo |
| Prebiotic supplementPrebiotic supplement taken daily for 4 weeks with water | Dietary supplement | Prebiotic Supplement |
| Prebiotic combinationprebiotic oligosaccharides mixture taken daily for 4 weeks with water | Dietary supplement | Prebiotic combination |
| Prebiotic oligosaccharidesPrebiotic oligosaccharides taken daily for 4 weeks with water | Dietary supplement | prebiotic oligosaccharide |
Primary outcome
Bifidobacterium spp in stool samples
Time frame: 4 weeks
Bifidobacterium spp. will be assessed in stool samples by molecular biological methods
Anxiety with State-Trait Anxiety Inventory questionnaire
Time frame: 4 weeks
Anxiety will be assessed with anxiety questionnaire at baseline and at the end of intervention
Depression with Beck's Depression Inventory questionnaire
Time frame: 4 weeks
Depression will be assessed with depression questionnaire at baseline and at the end of intervention
Salivary IgA
Time frame: 4 weeks
Salivary IgA will be assessed by ELISA at baseline and at the end of intervention
10 secondary outcomes
Total bacteria in stool samples
Time frame: 4 weeks
Changes in microbiota composition
Time frame: 4 weeks
Stool frequency
Time frame: 5 weeks
Stool consistency according to Bristol Stool Form Scale
Time frame: 5 weeks
Urinary Metabolites (organic compounds) concentration
Time frame: 4 weeks
Gastrointestinal sensations (bloating)
Time frame: 5 weeks
Gastrointestinal sensations (flatulence)
Time frame: 5 weeks
Gastrointestinal sensations (abdominal pain)
Time frame: 5 weeks
Gastrointestinal sensations (fullness)
Time frame: 5 weeks
Sleep quality via The Pittsburgh Sleep Quality Index
Time frame: 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Dec 2022.
- Derived from this study: PubMed 37657523Jackson PP, Wijeyesekera A, Williams CM, Theis S, van Harsselaar J, Rastall RA. Inulin-type fructans and 2'fucosyllactose alter both microbial composition and appear to alleviate stress-induced mood state in a working population compared to placebo (maltodextrin): the EFFICAD Trial, a randomized, controlled trial. Am J Clin Nutr. 2023 Nov;118(5):938-955. doi: 10.1016/j.ajcnut.2023.08.016. Epub 2023 Aug 30.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert A Rastall, Prof principal investigator
University of Reading
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Prebiotic supplement, Prebiotic combination and Prebiotic oligosaccharides in people with Mood, run by Beneo-Institute at 1 site in United Kingdom.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Bifidobacterium spp in stool samples (time frame: 4 weeks). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05212545, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2022.