CClinicalTrials.gg
CompletedNCT03168503SAIMESUpdated May 30, 2017

Synbiotic Approach to Immunity and Metabolism in the Elderly Study

An interventional study of LGG+Promitor™ and Promitor™ in Healthy, sponsored by University of Roehampton. Completed at 1 site in United Kingdom. Open to participants aged 60 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-05-30.

Sponsored by University of Roehampton · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 years 5 months after the study started (first participant enrolled Dec 2013, registered May 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
60 Years to 80 Years
Sex
All
01

Study summary

The aging process leads to a marked decline in immune function (immunosenescence), causing a significant reduction in immune response after vaccination or infections. Dietary intervention is an attractive, safe and non-invasive way to impact on gut bacteria and subsequently the functioning of the immune system. The ability of the dietary supplementation to alter these functions can be of particular importance in those groups that have an underdeveloped, poorly functioning immune system such as infants, immuno-compromised subjects or elderly. Research over the past two decades has provided evidence that administration of probiotics (live microorganisms which, when administered in adequate amounts, confer a health benefit on the host) could enhance immune function. Lactobacilli and bifidobacteria are the most common probiotics used in humans and various strains have been shown to have immunostimulatory properties in vitro and in experimental models, these properties include modulation of cytokine production. evidence exists of the immunostimulating effects of certain probiotics and the potential to use prebiotics to increase the levels of beneficial bacteria (which are known to be reduced in elderly population). Furthermore, by providing a probiotic at the same time as a prebiotic conditions for survival are enhanced. To date, only a small number of studies conducted have been randomised and/or placebo controlled to unequivocally demonstrate efficacies.

Read the detailed description

The aim of this study is to investigate the effect of probiotic Lactobacillus rhamnosus GG (commercialised as LGG), a pilus-less derivative L. rhamnosus GG (LGG-PB12)combined with a putative prebiotic PromitorTM (soluble corn fiber) i.e. a synbiotics and PromitorTM (SCF alone) on the faecal microbiota composition, metabolism and immunity in healthy individuals aged 60-80 years.

It consists of a 3 week randomised intervention treatment periods with the synbiotics, prebiotic and placebo control. Any adverse medical events which occur during the trial (e.g. headache, gut symptoms) should be recorded in a diary along with medication taken.

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

University of Roehampton is the lead sponsor of 23 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • aged between 60 and 80 years of age.
  • in good general health, defined as no comorbidities requiring regular medical follow up
  • Ability to communicate well with the investigator and to comply with the requirements of the entire study

Exclusion criteria

Exclusion criteria:

  • History or evidence of organic disease of the gastrointestinal tract; such as tumour, irritable bowel syndrome, etc., within the previous 5 years
  • Consumed probiotic or prebiotic preparations on a regular basis (at least 3 times per week) in the last 2 weeks and during the trial period
  • Former participation in another study involving prebiotic or probiotic preparations or investigational drugs within the previous 6 months, or intention to use such drugs during the course of the study
  • Undergone surgical resection of any part of the bowel
  • History of malignancy within the previous 5 years (with exception of well-treated basal cell carcinoma or in situ cervical carcinoma).
  • Currently prescribed immunosuppressive drugs
  • Intention to use regularly other medication which affects gastrointestinal motility and/or perception
  • Current or recent history (within 12 months) of significant drug or alcohol abuse or dependence
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    LGG+Promitor™

    LGG:10\^12 CFU/g Lactobacillus rhamnosus GG (commercialised as LGG) combined with Promitor™:12g fibres/delivered of Soluble Corn Fibre (SCF) as dry powders to be consumed as 250 ml beverages at breakfast.

    Dietary Supplement: LGG+Promitor™

  • Experimental
    Promitor™

    Promitor™:12g fibres/delivered of Soluble Corn Fibre (SCF) as dry powders to be consumed as 250 ml beverages at breakfast.

    Dietary Supplement: Promitor™

  • Experimental
    LGG-PB12+Promitor™

    LGG-PB12:10\^12 CFU/g of a pilus-less derivative L. rhamnosus GG combined with Promitor™:12g fibres/delivered of Soluble Corn Fibre (SCF) as dry powders to be consumed as 250 ml beverages at breakfast.

    Dietary Supplement: LGG-PB12+Promitor™

  • Placebo comparator
    Maltodextrin

    Maltodextrin (an oligosaccharide without prebiotic effect) 12g delivered and served as dry powders to be consumed as 250 ml beverages at breakfast.

    Dietary Supplement: Maltodextrin

Interventions

  • Dietary supplementLGG+Promitor™

    synbiotic

  • Dietary supplementPromitor™

    Soluble Corn Fiber

  • Dietary supplementLGG-PB12+Promitor™

    synbiotic

  • Dietary supplementMaltodextrin

    Control

06

What researchers measure

Primary outcomes

  1. The modulation of the gut microbiota by synbiotics and PromitorTM inflammatory/immune biomarkers

    Fecal16S rRNA amplicon sequencing to assess changes in fecal bacterial abundance and species diversity

    Time frame: Changes from baseline to 21 days synbiotics and PromitorTM treatment

Secondary outcomes

  1. The modulation of immune function by synbiotics and PromitorTM

    Blood samples analysis to assess changes in cytokines production

    Time frame: Changes from baseline to 21 days synbiotics and PromitorTM treatment

Other outcomes

  1. Digestive symptoms

    Bristol diary form

    Time frame: Changes from baseline to 21 days synbiotics and PromitorTM treatment

  2. Microbiota activity (intestinal gas production)

    Intestinal gas evacuation on standardized diet

    Time frame: Changes from baseline to 21 days synbiotics and PromitorTM treatment

07

Study locations

1 site
  • Department of Food and Nutritional Sciences, University of Reading
    Reading, RG6 6AP, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 30, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03168503
Lead sponsor
University of Roehampton
Responsible party
DR ADELE COSTABILE (Health Sciences Research Centre, Life Science Department, University of Roehampton) — Principal investigator
First posted
May 30, 2017
Start date
Dec 2013
Primary completion
Oct 2014
Completion
Jan 2015
Last update
May 30, 2017

Study contacts

Glenn R Gibson
study director · The University of Reading

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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