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Memory DeclineCoProMNCT07165977

Anti-inflammatory Probiotics in Cognitive Functioning

A study of Memory Decline and Cognitive Decline, run by University of Social Sciences and Humanities, Warsaw at 1 site in Poland.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The goal of this study is to explore the potential impact of an anti-inflammatory probiotic mixture of psychobiotics including Bifidobacterium longum Rosell®-175 and Lactobacillus helveticus Rosell®-52 on cognitive functions in older adults following either pro-inflammatory or anti-inflammatory diets. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
Conditions the study is for
Memory Decline, Cognitive Decline, Cognitive Aging
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
110 participants
Where
1 sitePoland
Study dates
25 Jan 2024to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

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 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 50 or older
  • Signed written Informed Consent Form
  • Score ≥28 on the Mini-Mental State Examination (MMSE)
  • A willingness and motivation to follow the study protocol

Who cannot join

  • Regular use of prebiotics, antibiotics, or antifungal medications
  • Use of prebiotics, antibiotics, or antifungal medications within the past 3 months
  • Diagnosed neurological disorder
  • History of head injury with neurological consequences
  • Left-handedness

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • SWPS University

    Warsaw, Masovian Voivodeship, 03-815

Other trials in Poland

About this study

Official title: The Impact of an Anti-inflammatory Probiotic Supplementation on Cognitive Functioning in the Elderly Population - the Moderating Role of the Dietary Patterns and Gut Microbiota

The goal of this study is to explore the potential impact of an anti-inflammatory probiotic mixture of psychobiotics including Bifidobacterium longum Rosell®-175 and Lactobacillus helveticus Rosell®-52 on cognitive functions in older adults following either pro-inflammatory or anti-inflammatory diets. According to recent findings, even short-term exposure to foods with pro- or anti-inflammatory properties may lead to corresponding negative or beneficial effects on cognitive functioning .

The main questions this study aims to answer are:

Read more
  • How important is the initial dietary pattern for observing possible beneficial effects of probiotic supplementation? (Diet as a potential moderator)
  • How important is the initial state of the gut microbiota for observing possible beneficial effects of probiotic supplementation? (Microbiota as a potential moderator)
  • Is it possible to improve or slow down the decline in cognitive functions associated with aging with probiotic supplementation?
  • Can probiotic supplementation counteract the negative effects of pro-inflammatory dietary patterns?

The investigators will compare probiotic to a placebo (a look-alike substance that contains no active ingredients) to determine whether probiotic is effective in enhancing cognitive function.

Participants:

  • Take a probiotic or placebo capsule daily for 3 months
  • Undergo a crossover after 3 months - those who initially took probiotics will switch to the placebo, and vice versa
  • Visit SWPS University for screening (T0), baseline assessments before beginning supplementation (T1), and follow-up assessments at 3 months (T2) and 6 months (T3). The T2 visit occurs just before the crossover.
  • Complete neuropsychological testing, questionnaires, and EEG recordings during the T1, T2, and T3 visits.
  • Provide stool samples for gut microbiota analysis at the T1, T2, and T3 visits.
  • Maintain their usual dietary habits throughout the study.
Being tested
Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52) then placebo, Placebo Supplementation then Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52)
Keywords
dietary patterns, probiotic intervention, cognitive functioning, EEG, ERP, gut microbiota, gut brain axis
Medical subject headings
Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52) then placeboDietary supplement

    Each participant will take a probiotic mixture containing Bifidobacterium longum Rosell®-175 \& Lactobacillus helveticus Rosell®-52 and excipients: potato starch, magnesium stearate, and the capsule shell of hydroxypropyl methylcellulose. (Sanprobi Stress; Sanprobi sp. z o.o., sp.k., Szczecin, Poland) for 3 months.

    • Dosage: One capsule per day, containing 3 × 10⁹ (3 billion) CFU*.
    • Instructions: Take before 1:00 PM. Do not consume hot drinks immediately after taking the capsule.

    After completion of the first phase, each participant will take a probiotic containing only the excipients, i.e. maize starch, maltodextrins, and the capsule shell for another 3 months.

    • Dosage: One capsule per day.
    • Instructions: Take before 1:00 PM. Do not consume hot drinks immediately after taking the capsule.
    • CFU = Colony Forming Units
  • Placebo Supplementation then Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52)Dietary supplement

    Each participant will take a probiotic containing only the excipients, i.e. maize starch, maltodextrins, and the capsule shell for 3 months.

    • Dosage: One capsule per day.
    • Instructions: Take before 1:00 PM. Do not consume hot drinks immediately after taking the capsule.

    After completion of the first phase, each participant will take a probiotic mixture containing Bifidobacterium longum Rosell®-175 \& Lactobacillus helveticus Rosell®-52 and excipients: potato starch, magnesium stearate, and the capsule shell of hydroxypropyl methylcellulose. (Sanprobi Stress; Sanprobi sp. z o.o., sp.k., Szczecin, Poland) for another 3 months.

    • Dosage: One capsule per day, containing 3 × 10⁹ (3 billion) CFU*.
    • Instructions: Take before 1:00 PM. Do not consume hot drinks immediately after taking the capsule.
    • CFU = Colony Forming Units
Study groups in NCT07165977
Study groupRoleWhat they receive
Anti-inflammatory diet + probiotic firstExperimentalThis is a group of participants whose everyday dietary pattern was assessed as anti-inflammatory based on the Shivappa et al. (2014) equation, and who will receive probiotics during the first 3 months of the study.
Receives: Dietary Supplement: Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52) then placebo
Anti-inflammatory diet + placebo firstExperimentalThis is a group of participants whose everyday dietary pattern was assessed as anti-inflammatory based on the Shivappa et al. (2014) equation, and who will receive placebo during the first 3 months of the study.
Receives: Dietary Supplement: Placebo Supplementation then Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52)
Pro-inflammatory diet + probiotic firstExperimentalThis is a group of participants whose everyday dietary pattern was assessed as pro-inflammatory based on the Shivappa et al. (2014) equation, and who will receive probiotics during the first 3 months of the study.
Receives: Dietary Supplement: Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52) then placebo
Pro-inflammatory diet + placebo firstExperimentalThis is a group of participants whose everyday dietary pattern was assessed as pro-inflammatory based on the Shivappa et al. (2014) equation, and who will receive placebo during the first 3 months of the study.
Receives: Dietary Supplement: Placebo Supplementation then Probiotic Supplementation (Bifidobacterium longum Rosell®-175 & Lactobacillus helveticus Rosell®-52)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Differentiation score in California Verbal Learning Test (CVLT) to assess long-term memory

    California Verbal Learning Test (CVLT) measure the verbal learning and memory. It measures how well individuals learn and recall verbal material, assessing both short-term and long-term memory. The Differentiation score measures the ability to distinguish between correct and incorrect responses. Scores range from 0 to 16, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  2. Change in d' score in old/new recognition test (ONR) to assess long-term memory

    The old/new word recognition task is designed to assess episodic memory. It is consisted of two phases: a learning phase and a recognition phase. During the learning phase, participants viewed 30 pictures on the computer. In the recognition phase, participants were presented with 30 "old" and 30 "new" pictures in random order and were asked to determine whether each picture had been shown during the learning phase.

    To analyze episodic memory task we followed Macmillan and Creelman (2005) signal detection theory, where d' is the ability to discriminate between signal and noise (between old and new stimuli), H stands for the proportion of correct changes detected (hit rate), and F stands for the proportion of changes incorrectly reported (false alarm rate).

    d' = zH - zF

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  3. Change in N400 event-related potential (ERP) component amplitude to assess long-term memory

    The N400 ERP component will be measured during an old/new word recognition task designed to assess episodic memory. The task involves presenting participants with previously studied ("old") and novel ("new") words while EEG is recorded. The N400 component-typically observed as a negative deflection peaking around 400 ms post-stimulus-is sensitive to familiarity and memory retrieval. A reduced N400 amplitude for old versus new words is interpreted as successful recognition. Changes in N400 amplitude over time will indicate modulation of episodic memory performance across the intervention.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

Secondary outcomes (17)
  1. Changes in Beck Depression Inventory (BDI) total score to assess symptoms of depression

    Scores range from 0 to 63, with higher scores indicating more severe depressive symptoms.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  2. Changes in the Fatigue Assessment Scale (FAS) total score to assess symptoms of chronic fatigue

    Scores range from 10 to 50, with higher scores indicating greater fatigue.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  3. Change in the number of correctly marked target characters in the d2 Test of Attention (d2-R) - to assess attention.

    Scores range from 0 to 308, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  4. Change in Concentration score in d2 Test of Attention (d2-R) - to assess attention

    Scores range from 0 to 308, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  5. Change in Wechsler Adult Intelligence Scale (WAIS) Digit Symbol Substitution subtest total score to assess cognitive processing speed, visual-motor coordination, and sustained attention

    Scores range from 0 to 39, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  6. Change in Wechsler Adult Intelligence Scale (WAIS) Digit Span Forward subset total score to assess short-term auditory memory

    Scores range from 0 to 14, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  7. Change in Wechsler Adult Intelligence Scale (WAIS) Digit Span Backward subset total score to assess short-term auditory memory

    Scores range from 0 to 14, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  8. Change in Wechsler Adult Intelligence Scale (WAIS) Block Design subtest total score to assess visual domains such as visuoperceptive, visuospatial and visuoconstructive functions

    Scores range from 0 to 54, with higher scores indicating better outcome.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  9. Change in Color Trails Test (CTT) total mistakes - CTT1 to assess several attention and executive functions especially perceptual tracking, sustained and divided attention

    There is no predefined maximum number of errors in the test.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  10. Change in Color Trails Test (CTT) total mistakes - CTT2 to assess several attention and executive functions especially perceptual tracking, sustained and divided attention

    There is no predefined maximum number of errors in the test.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  11. Change in Color Trails Test (CTT) completion time - CTT1 to assess several attention and executive functions especially perceptual tracking, sustained and divided attention

    A maximum time limit of 240 seconds (4 minutes) is applied.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  12. Change in Color Trails Test (CTT) completion time - CTT2 to assess several attention and executive functions especially perceptual tracking, sustained and divided attention

    A maximum time limit of 240 seconds (4 minutes) is applied.

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  13. Change in Color Trails Test (CTT) Interference score - to assess several attention and executive functions especially perceptual tracking, sustained and divided attention

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  14. Change in P300 event-related potential (ERP) component amplitude to assess attention

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  15. Changes in diversity in microbial community in a single sample (alpha-diversity)

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  16. Changes in diversity in microbial community between samples (beta-diversity)

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

  17. Changes in differential abundance of microbial community

    Measured: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Sep 2025
  2. Study start25 Jan 2024
  3. Primary completion30 Sep 2025 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

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
Crossover
Model description
Randomized, double-blind, and placebo-controlled study
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
110 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07165977
Sponsor's protocol ID
Cognition-Probiotic-Microbiota
Other IDs
2021/43/O/HS6/02074
Acronym
CoProM
Status last verified
Sep 2025
First submitted
2 Sep 2025
Last updated
17 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A study of Memory Decline and Cognitive Decline, run by University of Social Sciences and Humanities, Warsaw at 1 site in Poland.

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 4 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 17 Sep 2025. 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 Poland. 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. 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?

This study is still under way. Results are not available in the source record yet.

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?

Change in Differentiation score in California Verbal Learning Test (CVLT) to assess long-term memory (time frame: Baseline (prior to intervention), at the end of the 3-month probiotic/placebo supplementation period, and again 3 months after the crossover.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 17 Sep 2025.

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