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CompletedNCT03263104PROBIOCHOLUpdated Aug 28, 2017

The Cholesterol-lowering Efficacy of Probiotic Lactobacillus Plantarum in Hypercholesterolaemic Adults

An interventional study of Lactobacillus plantarum ECGC 13110402 and Maltodextrin in Healthy, sponsored by University of Roehampton. Completed. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-08-28.

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

Phase
Not applicable
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
All
01

Study summary

Coronary heart disease (CHD) is one of the major causes of death and disability in industrialised countries. Results from several epidemiological and clinical studies indicate a positive correlation between elevated total serum cholesterol levels, mainly reflecting the LDL-cholesterol fraction, and risk of CHD. It is thought that a reduction in total plasma cholesterol levels in populations suffering from primary hypercholesterolemia (elevated cholesterol) can lower the incidence of coronary thrombosis. Currently, therefore there is extensive interest in the management of serum cholesterol and other blood lipids. Diet is viewed as a major influencing factor that can reduce levels. This is largely driven by the expense of drug therapy, the large numbers of individuals affected and unwanted side effects of such treatments. Dietary strategies for prevention of CHD implicate adherence to a low-fat/low-saturated fat diet. Although such diets may present an effective approach, they are difficult to maintain on a long-term basis and efficacy diminishes over time. As such, new approaches towards identification of other dietary means of reducing blood cholesterol levels have been evaluated. These include, among others, the use of probiotics. Probiotics are 'live microbial feed supplements that offer a benefit to health'. They are marketed as health or functional foods whereby they are ingested for their purported positive advantages in the digestive tract and/or systemic areas like the liver, vagina or bloodstream. The main goal of the study was to test whether probiotics can directly degrade cholesterol as well as produce metabolites that interfere with its synthesis in the liver. The effect may also be partially ascribed to an enzymatic deconjugation of bile acids.

Read the detailed description

The aim of this human volunteer study was to establish tolerance, and the extent of the cholesterol lowering potential of Lactobacillus plantarum ECGC 13110402 in 49, healthy, normal to mildly hypercholesterolaemic adults (30-65 years old).

02

Conditions studied

  • Healthy
03

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • aged between 18 and 50 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
  • BMI 18.5 to 29.9 kg/m2
  • total cholesterol (TC) between 200 and 300 mg/dl (5.16 and 7.64 mmol/L).

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
  • high blood cholesterol or use of cholesterol lowering drugs
  • 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
04

Study design

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

Study arms

  • Experimental
    Lactobacillus plantarum ECGC 13110402

    Lactobacillus plantarum ECGC 13110402 equivalent to 2x10\^9 CFU (0.1 g) with the addition of filling carrier (0.12 g; 30% w/v maltodextrin and 5% w/v sucrose) as a capsular format (vegetable) to be consumed twice daily, before breakfast and dinner with 250mL of water.

    Dietary Supplement: Lactobacillus plantarum ECGC 13110402

  • Placebo comparator
    Maltodextrin

    Maltodextrin (an oligosaccharide without prebiotic effect) (0.12 g; 30% w/v maltodextrin and 5% w/v sucrose) as a capsular format (vegetable) to be consumed twice daily, before breakfast and dinner with 250mL of water.

    Dietary Supplement: Maltodextrin

Interventions

  • Dietary supplementLactobacillus plantarum ECGC 13110402

    Lactobacillus plantarum ECGC 13110402

  • Dietary supplementMaltodextrin
05

What researchers measure

Primary outcomes

  1. Modulation of the blood lipids by L. plantarum ECGC 13110402 The modulation of the blood lipids by L. plantarum ECGC 13110402

    Effects of the probiotic on TC, LDL-C, HDL-C and TAG

    Time frame: Changes from baseline to 6-12 week treatment period with the probiotic

Secondary outcomes

  1. Modulation of immune function by L. plantarum ECGC 13110402

    Blood samples analysis to assess changes in cytokines production Blood samples analysis to assess changes in cytokines production Blood samples analysis to assess changes in cytokines production

    Time frame: Changes from baseline to 6-12 week treatment period with the probiotic

Other outcomes

  1. Digestive symptoms

    Bristol diary form Bristol diary form

    Time frame: Changes from baseline to 6-12 week treatment period with the probiotic

  2. Microbiota changes

    DNA profiling from faeces

    Time frame: Changes from baseline to 6-12 week treatment period with the probiotic

06

Study locations

No study locations are listed for this record.

07

References and documents

Publications

  • Costabile A, Buttarazzi I, Kolida S, Quercia S, Baldini J, Swann JR, Brigidi P, Gibson GR. An in vivo assessment of the cholesterol-lowering efficacy of Lactobacillus plantarum ECGC 13110402 in normal to mildly hypercholesterolaemic adults. PLoS One. 2017 Dec 11;12(12):e0187964. doi: 10.1371/journal.pone.0187964. eCollection 2017. PubMed 29228000 ↗

Individual participant data

Plan to share: No

08

Registry details

Key details

Study ID
NCT03263104
Lead sponsor
University of Roehampton
Responsible party
DR ADELE COSTABILE (Health Sciences Research Centre, Life Science Department, University of Roehampton) — Principal investigator
First posted
Aug 28, 2017
Start date
Jan 2015
Primary completion
Jun 2015
Completion
Aug 2015
Last update
Aug 28, 2017

Study contacts

Glenn R Gibson
study director · The University of Reading

Oversight

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

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