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N/A N=120 Randomized Double-blind Basic Science

Stress & Anxiety Dampening Effects of a Probiotic Supplement Compared to Placebo in Healthy Subjects

Healthy · Stress, Psychological

Enrolled (actual)
120
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcome: Primary: Change of the Heart Rate (HR) in Response to the Trier Social Stress Test (TSST) — 74.84; 74.34; 88.15; 86.69 bpm — p=0.757

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Lpc-37 (Dietary_supplement); Placebo (Dietary_supplement)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Daacro
Primary completion
Oct 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Change of the Heart Rate (HR) in Response to the Trier Social Stress Test (TSST)
74.84; 74.34; 88.15; 86.69; 97.34; 97.62 0.757
SECONDARY
Changes in Pre and Post Treatment STAI-state Scores
33.65; 34.33; 35.18; 35.33
SECONDARY
Changes in Pre and Post Treatment Perceived Stress Scale (PSS) Scores
21.89; 20.72; 20.49; 21.56
SECONDARY
Changes in Pre and Post Treatment DASS Depression Scores
4.60; 5.21; 4.15; 5.10
SECONDARY
Changes in Pre and Post Treatment DASS Anxiety Scores
2.60; 3.07; 2.44; 3.45
SECONDARY
Changes in Pre and Post Treatment DASS Stress Scores
9.76; 9.41; 8.91; 10.09
SECONDARY
Changes in Pre and Post Treatment BAI Scores
5.51; 5.85; 4.75; 6.33
SECONDARY
Changes in Pre and Post Treatment VAS Stress Perception Scores
19.11; 19.34; 23.32; 20.67
SECONDARY
Changes in Pre and Post Treatment VAS Anxiety Scores
7.29; 7.58; 9.26; 7.85
SECONDARY
Changes in Pre and Post Treatment VAS Insecurity Scores
13.58; 15.91; 16.44; 17.30
SECONDARY
Changes in Pre and Post Treatment VAS Exhaustion Scores
29.56; 23.19; 24.66; 18.45
SECONDARY
Changes in Pre and Post Treatment Systolic BP
119.60; 119.66; 121.87; 122.86
SECONDARY
Changes in Pre and Post Treatment Diastolic BP
71.89; 71.68; 73.18; 74.62
SECONDARY
Change of STAI-State Scores in Response to the TSST
36.09; 36.83; 42.38; 43.60
SECONDARY
Change of Systolic BP in Response to the TSST
115.11; 114.33; 127.47; 129.19
SECONDARY
Change of Diastolic Blood Pressure (BP) in Response to the TSST
79.13; 78.41; 90.38; 88.36
SECONDARY
Change of VAS Stress Perception Scores in Response to the TSST
19.89; 18.52; 47.71; 51.51; 31.72; 32.85
SECONDARY
Change of VAS Anxiety Scores in Response to the TSST
6.80; 8.50; 20.85; 22.47; 10.68; 11.74
SECONDARY
Change of VAS Insecurity Scores in Response to the TSST
14.47; 17.19; 45.08; 52.19; 23.92; 23.69
SECONDARY
Change of VAS Exhaustion Scores in Response to the TSST
21.18; 19.79; 19.20; 21.30; 22.12; 25.68
SECONDARY
Change of Salivary Cortisol in Response to the TSST
4.79; 4.82; 6.96; 6.85; 9.48; 8.97
SECONDARY
Change of sAA in Response to the TSST
154.04; 161.67; 246.29; 270.55; 146.53; 158.85
SECONDARY
Change of Sleep Duration Over the Course of the Treatment
447.27; 447.45; 444.01; 448.13; 449.45; 456.90
SECONDARY
Change of Sleep Related Recovery Scores Over the Course of the Treatment
6.71; 6.91; 7.07; 7.15; 7.32; 7.27
SECONDARY
Change of Reported Sleep Disruptions Over the Course of the Treatment by Week (Proportion Yes/Total)
0.477; 0.465; 0.435; 0.426; 0.354; 0.418
SECONDARY
Change of Reported Number of Sleep Disruptions Over the Course of the Treatment
7.30; 6.09; 5.50; 5.49; 4.89; 5.11
SECONDARY
Change of Perceived Health Status Scores Over the Course of the Treatment
7.80; 7.86; 7.89; 7.92; 7.88; 7.92
SECONDARY
Change of Mood Scale Scores Over the Course of the Treatment
7.31; 7.27; 7.53; 7.49; 7.66; 7.46
SECONDARY
Change of Perceived Productivity Scores Over the Course of the Treatment
6.98; 7.15; 7.34; 7.29; 7.53; 7.30
SECONDARY
The Change of the Difference From Baseline and 5 Weeks of Treatment to the Respective Mean of CAR AUCg Measures
6; 12; 36; 30; 11; 13
SECONDARY
The Change of the Difference From Baseline and 5 Weeks of Treatment to the Respective Mean of Cortisol Awakening Response (CAR) AUCi Measures
16; 22; 34; 28; 3; 5
SECONDARY
The Change of the Difference From Baseline and 5 Weeks of Treatment to the Respective Mean of Cortisol at Awakening Measures
14; 16; 31; 26; 8; 13
SECONDARY
The Change of the Difference From Baseline and 5 Weeks of Treatment to the Respective Mean of CAR 8pm Measures
4; 6; 20; 23; 29; 26

Summary

The aim of this study is to assess whether a 5 week intake of a probiotic (Lpc-37) can modulate stress and anxiety experienced by healthy subjects during and after an acute stressor compared to placebo. To measure stress and anxiety, markers of the hypothalamic-pituitary-adrenal (HPA) axis activity and questionnaires will be assessed before, during and after the Trier Social Stress Test (TSST). The results of this study indicate if the chosen study design is suitable to discover stress-related effects of probiotics.

Eligibility Criteria

Inclusion Criteria

  • Voluntary, written, informed consent to participate in the study
  • Male or female aged between 18-45 years (inclusive)
  • Body mass index (BMI) between 18.5 - 29.9 kg/m2
  • Medical examination at baseline indicates they are healthy in the opinion of the investigator
  • Ability of the participant (in the Principal Investigator's opinion) to comprehend the full nature and purpose of the study including possible risks and side effects
  • Agreement to comply with the protocol and study restrictions
  • Available for all study visits
  • Females of child-bearing potential required to provide a negative urine pregnancy test and to use contraceptives
  • Easy access to internet

Exclusion Criteria

  • Self-reported diagnosis of one or more Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV axis 1 disorder(s), including but not limited to current major depression, anxiety disorder, bipolar spectrum disorder or schizophrenia
  • Have a significant acute or chronic coexisting illness (cardiovascular, gastrointestinal (irritable bowel syndrome (IBS), inflammatory bowel disease (IBD)), immunological, metabolic, neurodevelopmental or any condition which contraindicates, in the Investigator's judgement, entry to the study
  • Currently taking (from day of screening onwards) or have previously taken (last 4 weeks prior to screening) psychoactive medication (anxiolytics, sedatives, hypnotics, anti-psychotics, anti-depressants, anti-convulsants, centrally acting corticosteroids, opioid pain relievers)
  • Currently taking (from day of screening onwards) medication or dietary supplements that the Investigator believes would interfere with the objectives of the study, pose a safety risk or confound the interpretation of the study results (e.g. melatonin, omega-3 dietary supplements, non-steroidal anti-inflammatory drugs (NSAIDS), over-the-counter (OTC) sleep medication (not categorized as sedatives, hypnotics or anti-depressants), anti-coagulants, proton pump inhibitors, anti-histamines, pseudoephedrine, cortisone, beta-blockers)
  • Recent (within last 4 weeks prior to screening) or ongoing antibiotic therapy during the intervention period
  • Daily consumption of concentrated sources of probiotics and/or prebiotics within 2 weeks of screening and throughout the intervention period other than the provided study products (e.g., probiotic/prebiotic tablets, capsules, drops or powders)
  • Pregnant or lactating female, or pregnancy planned during intervention period
  • Not fluent in German
  • Have self-reported dyslexia
  • History of alcohol, drug, or medication abuse
  • Self-declared illicit drug users (including cannabis and cocaine) for 3 weeks prior to screening and during the intervention period
  • Contraindication to any substance in the investigational product
  • Hypertension (systolic ≥ 140 mmHg, diastolic ≥ 90 mmHg)
  • Known hyper- or hypothyroidism unless treated and under control (stable for more than 3 months)
  • Subjects having previously participated in the TSST
  • Smoking > 5 cigarettes/day
  • Employee of the sponsor or contract research organization (CRO)
  • Participation in another study with any investigational product within 60 days of screening and during the intervention period
  • Investigator believes that the participant may be uncooperative and/or noncompliant and should therefore not participate in the study
  • Participant under administrative or legal supervision
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03494725). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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