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Androgen LevelsNCT07911813

Effects of Probiotic Supplementation on Androgen Levels

A study testing Bacillus coagulans BRCAS-C3 in people with Androgen Levels, run by National Taiwan University Hospital at 1 site in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate the feasibility, safety, and preliminary effects of a probiotic supplement, Bacillus coagulans strain BRCAS-C3, on androgen levels in adult men and women. Androgens are hormones that are naturally present in both men and women. Read more about this study

Who is it for?
Ages 18 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Androgen Levels
What is being tested?
Bacillus coagulans BRCAS-C3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteTaiwan
Study dates
30 Sep 2026to 30 Aug 2028
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 18 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Men and women aged between 18-45 y/o.
  • For women: Total testosterone > 0.7 ng/mL or free androgen index (FAI) > 6.1. For Men: Total testosterone level within NTUH Department of Laboratory Medicine reference ranges (2.40 - 8.71 ng/mL).
  • Willingness to maintain their baseline diet, physical activity levels and skin care routines throughout the 24 weeks study duration.
  • Understand the study protocols and provide written informed consent.
  • For female participants with childbearing potential: Agreement to use non-hormonal contraception throughout the study.

Who cannot join

  • Medication/Interventions: Use of hormonal contraceptives, ovulation induction agents, anti-androgens (e.g., spironolactone, finasteride, flutamide, oral retinoic acid, cyproterone acetate), metformin, GLP-1 receptor agonists, systemic steroids, or traditional Chinese medicine (TCM) formulations derived for endocrine, metabolic, or weight-loss purposes within the past 3 months.
  • History of benign prostatic hyperplasia (BPH), prostate cancer, or other urological diseases, with use of GnRH agonists (e.g., leuproreline, goserelin, triptorelin), first-generation anti-androgens (e.g., cyproterone acetate, bicalutamide), or second-generation anti-androgens (e.g., abiraterone, enzalutamide, apalutamide) within the past 6 months.
  • Antibiotics/Probiotics Washout: Use of systemic antibiotics, antifungals, or commercial high dose probiotic supplements within the past 4 weeks prior to baseline.
  • Gastrointestinal Disorders: History of severe chronic gastrointestinal diseases such as Inflammatory bowel disease, Celiac disease, colon cancer, or major bowel surgery that significantly alter nutrient absorption.
  • Endocrine pathologies as androgen-secreting tumor, Cushing syndrome, or untreated thyroid disorders.
  • Current pregnancy, lactation, or planning to become pregnant during the trial.
  • Known allergy or hypersensitivity to any components of the investigational product, including Bacillus coagulans, plant-based capsule ingredients (such as glycerol or pectin), or antioxidants including vitamin C and vitamin E.
  • Subjects who will be evaluated for androgenic alopecia should not use topical or oral minoxidil, oral finasteride, dutasteride, lower level laser therapy within the last 6 months, and should not use hair dyes, chemical perms or major changing of hair styling routine within 4 weeks of baseline and during the study.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Mei-Jou Chen, MD, PhD contact

+886 972651979

mjchen04@ntu.edu.tw

Yu-Yuan Chang, BS contact

+886 972802375

snakedeer317@gmail.com

Taiwan1 site, 1 recruiting
  • Department of Obstetrics and Gynecology, National Taiwan University Hospital

    Taipei, Taipei City, 100

    Mei-Jou Chen, MD, PHD, +886 972651979, mjchen04@ntu.edu.tw

    Recruiting

Other trials in Taiwan

About this study

Official title: Modulation of Androgen Levels Via Probiotics Supplementation: A Pilot Feasibility Study

The goal of this clinical trial is to evaluate the feasibility, safety, and preliminary effects of a probiotic supplement, Bacillus coagulans strain BRCAS-C3, on androgen levels in adult men and women. Androgens are hormones that are naturally present in both men and women. Abnormally high androgen levels in women may be associated with conditions such as polycystic ovary syndrome (PCOS), acne, and hair loss.

The main questions this study aims to answer are:

Read more

Is it feasible for participants to take the probiotic supplement daily for 24 weeks and complete all study visits?

Does probiotic supplementation change blood androgen levels after 24 weeks?

What side effects or medical problems, particularly gastrointestinal symptoms such as bloating, gas, or changes in bowel habits, occur during the study?

This is a single-center, open-label pilot study without a placebo or comparison group. Researchers will compare participants' measurements before and after probiotic supplementation to explore changes in hormone levels and other health indicators.

Participants will:

Take one capsule of the probiotic supplement daily for 24 weeks.

Visit the clinic at the beginning of the study, at 12 weeks, and at 24 weeks for health assessments and blood tests.

Provide blood samples to measure androgen levels and other hormone, metabolic, liver, and inflammation-related markers.

Provide stool samples at the beginning of the study, at 12 weeks, and at 24 weeks to assess the presence of the probiotic strain.

Report side effects and undergo assessments of supplement adherence and study completion.

The findings will help researchers evaluate the feasibility and safety of the intervention and obtain preliminary data to guide the design of future clinical trials.

Read the detailed description

Hyperandrogenemia refers to abnormally elevated levels of androgens, including testosterone and dihydrotestosterone (DHT). In women, elevated androgen levels may be associated with polycystic ovary syndrome (PCOS), acne, excessive hair growth, androgenic alopecia, ovulatory dysfunction, and metabolic disturbances. Current treatments targeting androgen production or action may have systemic adverse effects and may be unsuitable for some individuals, particularly women of reproductive age. Therefore, alternative or complementary approaches to modulating androgen levels warrant further investigation.

Emerging evidence suggests that the gut microbiota may influence sex hormone metabolism and circulating hormone levels. Certain gut bacteria can metabolize steroid hormones, potentially affecting the host's endocrine function. Probiotic supplementation may therefore represent a potential dietary approach to modulating the gut microbiota and its relationship with androgen metabolism.

Bacillus coagulans strain BRCAS-C3 is a probiotic strain that has demonstrated androgen-lowering effects in preclinical animal studies, including reductions in serum testosterone and DHT. However, its effects in humans have not been adequately established. This pilot study will explore the feasibility, safety, and preliminary effects of BRCAS-C3 supplementation on circulating androgen levels in adult men and women.

This is a single-center, open-label, exploratory pilot study using a pre-post design without a placebo or control group. The planned study population consists of 30 men and 30 women aged 18 to 45 years who meet the protocol-defined eligibility criteria. Participants will receive one capsule of BRCAS-C3 probiotic supplementation daily for 24 weeks.

Clinical assessments and laboratory evaluations will be performed at baseline, week 12, and week 24. Blood samples will be collected to evaluate androgen-related hormones and other hormonal, metabolic, liver, and inflammatory markers. Stool samples will be collected at the same time points to investigate the presence and proportion of the administered probiotic strain. Additional assessments will include anthropometric measurements, menstrual characteristics in female participants, and hair-loss evaluations in participants with androgenic alopecia.

Study feasibility will be assessed through recruitment, adherence to the intervention, and participant retention. Safety will be evaluated by monitoring reported adverse symptoms, particularly gastrointestinal intolerance. Changes in laboratory and clinical measurements from baseline to follow-up will be explored using paired statistical methods appropriate to the distribution of the data.

The findings are intended to provide preliminary information on study feasibility, intervention adherence, safety, and potential changes in androgen levels. These data will inform the design and planning of a future larger randomized controlled trial.

Conditions
Androgen Levels
Being tested
Bacillus coagulans BRCAS-C3
Keywords
Bacillus coagulans, BRCAS-C3, Probiotics, Androgen Levels, Testosterone, Dihydrotestosterone, Gut Microbiota, Pilot Study

What participants receive

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

  • Bacillus coagulans BRCAS-C3Dietary supplement

    Bacillus coagulans strain BRCAS-C3, provided as a powder-filled capsule containing a target viable count of 3 × 10^10 colony-forming units (CFU) per capsule. Participants will take one capsule orally once daily for 24 consecutive weeks. The product will be stored at room temperature in a cool, dry place, protected from direct sunlight.

Study groups in NCT07911813
Study groupRoleWhat they receive
BRCAS-C3 Probiotic SupplementationExperimentalParticipants will receive one capsule of Bacillus coagulans strain BRCAS-C3 probiotic supplement daily for 24 weeks. Clinical and laboratory assessments will be conducted at baseline, week 12, and week 24 to evaluate study feasibility, safety, and preliminary changes in androgen levels and other health-related markers. Blood and stool samples will be collected at these time points for laboratory analyses.
Receives: Dietary Supplement: Bacillus coagulans BRCAS-C3

What is being measured

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

  1. Change in Serum Total Testosterone from Baseline to Week 24

    Serum total testosterone concentrations will be measured at baseline and week 24. The change will be calculated as the week 24 value minus the baseline value. Blood samples will be collected after an 8-hour fast.

    Measured: Baseline, Week 12 and Week 24

Timeline

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

  1. First posted3 Nov 2026
  2. Study start30 Sep 2026
  3. Primary completion13 Aug 2027 (estimated)
  4. Study completion30 Aug 2028 (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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07911813
Sponsor's protocol ID
202607031RIPB
Status last verified
Aug 2026
First submitted
28 Oct 2026
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared with other researchers because no data-sharing plan has been established for this pilot study. Study results may be disseminated in scientific publications in aggregate form.

Publications

  • Yang PK, Chou CH, Chang CH, Chen SU, Ho HN, Chen MJ. Changes in peripheral mitochondrial DNA copy number in metformin-treated women with polycystic ovary syndrome: a longitudinal study. Reprod Biol Endocrinol. 2020 Jul 13;18(1):69. doi: 10.1186/s12958-020-00629-5.

    PubMed 32660613
  • Yang PK, Hsu CY, Chen MJ, Lai MY, Li ZR, Chen CH, Chen SU, Ho HN. The Efficacy of 24-Month Metformin for Improving Menses, Hormones, and Metabolic Profiles in Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2018 Mar 1;103(3):890-899. doi: 10.1210/jc.2017-01739.

    PubMed 29325133
  • Hashemi S, Ramezani Tehrani F, Noroozzadeh M, Azizi F. Normal cut-off values for hyperandrogenaemia in Iranian women of reproductive age. Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:51-5. doi: 10.1016/j.ejogrb.2013.09.029. Epub 2013 Oct 19.

    PubMed 24220143
  • Zhou Z, Ni R, Hong Y, Li Y, Wang Y, Zhao X, Yang D. Defining hyperandrogenaemia according to the free androgen index in Chinese women: a cross-sectional study. Clin Endocrinol (Oxf). 2012 Sep;77(3):446-52. doi: 10.1111/j.1365-2265.2012.04395.x.

    PubMed 22443308
  • Wang PH, Wu TY, Chen YL, Gicana RG, Lee TH, Chen MJ, Hsiao TH, Lu MJ, Lai YL, Wang TY, Li JY, Chiang YR. Bacterial estrogenesis without oxygen: Wood-Ljungdahl pathway likely contributed to the emergence of estrogens in the biosphere. Proc Natl Acad Sci U S A. 2025 Mar 11;122(10):e2422930122. doi: 10.1073/pnas.2422930122. Epub 2025 Mar 7.

    PubMed 40053361
  • Hsiao TH, Chou CH, Chen YL, Wang PH, Brandon-Mong GJ, Lee TH, Wu TY, Li PT, Li CW, Lai YL, Tseng YL, Shih CJ, Chen PH, Chen MJ, Chiang YR. Circulating androgen regulation by androgen-catabolizing gut bacteria in male mouse gut. Gut Microbes. 2023 Jan-Dec;15(1):2183685. doi: 10.1080/19490976.2023.2183685.

    PubMed 36843073
  • Chen MJ, Chou CH, Hsiao TH, Wu TY, Li CY, Chen YL, Chao KH, Lee TH, Gicana RG, Shih CJ, Brandon-Mong GJ, Lai YL, Li PT, Tseng YL, Wang PH, Chiang YR. Clostridium innocuum, an opportunistic gut pathogen, inactivates host gut progesterone and arrests ovarian follicular development. Gut Microbes. 2024 Jan-Dec;16(1):2424911. doi: 10.1080/19490976.2024.2424911. Epub 2024 Nov 7.

    PubMed 39508647
  • Chen MJ, Chen CD, Yang JH, Chen CL, Ho HN, Yang WS, Yang YS. High serum dehydroepiandrosterone sulfate is associated with phenotypic acne and a reduced risk of abdominal obesity in women with polycystic ovary syndrome. Hum Reprod. 2011 Jan;26(1):227-34. doi: 10.1093/humrep/deq308. Epub 2010 Nov 18.

    PubMed 21088016
  • Chen MJ, Yang WS, Chen CL, Wu MY, Yang YS, Ho HN. The relationship between anti-Mullerian hormone, androgen and insulin resistance on the number of antral follicles in women with polycystic ovary syndrome. Hum Reprod. 2008 Apr;23(4):952-7. doi: 10.1093/humrep/den015. Epub 2008 Feb 6.

    PubMed 18256110
  • Chen MJ, Chou CH, Chen SU, Yang WS, Yang YS, Ho HN. The effect of androgens on ovarian follicle maturation: Dihydrotestosterone suppress FSH-stimulated granulosa cell proliferation by upregulating PPARgamma-dependent PTEN expression. Sci Rep. 2015 Dec 17;5:18319. doi: 10.1038/srep18319.

    PubMed 26674985
  • Wu CE, Huang CC, Hsiao YJ, Hsu CL, Chen TH, Chen MJ, Ho HN. Pathophysiology of androgen-associated endothelial cell dysfunction in phenotype A polycystic ovarian syndrome revealed by iPSCs modeling. Front Endocrinol (Lausanne). 2026 Feb 12;17:1682793. doi: 10.3389/fendo.2026.1682793. eCollection 2026.

    PubMed 41767389
  • Chou CH, Chen MJ. The Effect of Steroid Hormones on Ovarian Follicle Development. Vitam Horm. 2018;107:155-175. doi: 10.1016/bs.vh.2018.01.013. Epub 2018 Feb 9.

    PubMed 29544629
  • Chen MJ, Yang WS, Yang JH, Hsiao CK, Yang YS, Ho HN. Low sex hormone-binding globulin is associated with low high-density lipoprotein cholesterol and metabolic syndrome in women with PCOS. Hum Reprod. 2006 Sep;21(9):2266-71. doi: 10.1093/humrep/del175. Epub 2006 Jun 6.

    PubMed 16757555
  • Huang CC, Tien YJ, Chen MJ, Chen CH, Ho HN, Yang YS. Symptom patterns and phenotypic subgrouping of women with polycystic ovary syndrome: association between endocrine characteristics and metabolic aberrations. Hum Reprod. 2015 Apr;30(4):937-46. doi: 10.1093/humrep/dev010. Epub 2015 Feb 6.

    PubMed 25662806
  • Chen MJ, Yang WS, Yang JH, Chen CL, Ho HN, Yang YS. Relationship between androgen levels and blood pressure in young women with polycystic ovary syndrome. Hypertension. 2007 Jun;49(6):1442-7. doi: 10.1161/HYPERTENSIONAHA.106.083972. Epub 2007 Mar 26.

    PubMed 17389259

Questions about this trial

What is this clinical trial studying?

A study testing Bacillus coagulans BRCAS-C3 in people with Androgen Levels, run by National Taiwan University Hospital at 1 site in Taiwan.

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 5 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 3 Nov 2026. 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 Taiwan. 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?

Contact Mei-Jou Chen, MD, PhD (+886 972651979, mjchen04@ntu.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Serum Total Testosterone from Baseline to Week 24 (time frame: Baseline, Week 12 and Week 24). 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 NCT07911813, which also lists 16 linked publications.

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 3 Nov 2026.

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