ClinicalTrials.gg
TerminatedNCT03277586EPSDUpdated Oct 17, 2024

Effects of Probiotics on Symptoms of Depression

A Phase 3 interventional study of Probio'Stick and Placebo in Depression and Anxiety, sponsored by Dr. Roumen Milev. Terminated at 1 site in Canada. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-10-17.

Sponsored by Dr. Roumen Milev · Phase 3, Interventional, and Treatment

Why this study was terminated
COVID-19

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Phase
Phase 3
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 532 studies in Depression with a site in Canada — 107 open to participants now, 124 under way, 7 of them phase 3. Depression · Canada.

Enrollment
382nd of 487
28 · median 76
Started
2018
with 34 others
Phase 3
51 of 532
6 open now
Registered
224th of 532
by date

Among the 532 studies in Depression with a site in Canada, this one is the 382nd largest by enrollment of the 487 interventional ones that give a count, is one of 35 that started in 2018, is one of 51 in phase 3, and was the 224th registered.

Depression

8,582 studies on the registry are indexed under Depression; 1,723 are open to participants now.

Browse Depression studies →

Open to participants now

107 of the 532 studies in Depression with a site in Canada are open now. Recruiting first, the newest first:

102 more — sign in →

All 107 open studies →

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 1,089 Depression studies recruiting now, 470 (43%) set no upper age limit and 519 (48%) stop at 75 or younger; 203 take children under 18; 311 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

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02

Study summary

Preclinical and clinical studies have shown that consuming probiotics can improve mood, anxiety, and cognition, as well as alter brain activity in both rodents and healthy humans. Data from our recent open-label, 8-week pilot study provided the first evidence of these effects in depressed patients, with significant improvements observed in overall mood, anhedonia, and sleep quality. To further support this evidence and expand upon the search for biomarkers in depression, data from this pilot study is being used to plan a 16-week, double-blind randomized placebo-controlled trial to assess the effects of probiotics on depression. Participants diagnosed with depression recruited from the greater Kingston area will orally consume a probiotic supplement containing Lactobacillus helveticus and Bifidobacterium longum (Probio'Stick, Lallemand Health Solutions) or placebo once daily. Participants will undergo clinical assessments measuring mood, anxiety, cognition, and sleep using a battery of validated clinical scales to assess efficacy of the probiotic alleviating depressive symptoms; sleep will also be assessed objectively with an ambulatory polysomnogram. Neuroimaging data will be collected using magnetic resonance imaging and electroencephalography to look at functional, structural, and electrical changes in the brain associated with consumption of the probiotic. Molecular data will be collected from blood, stool, and urine samples to look at levels of cytokines and serotonin, and explore potential genes and proteins that may predict outcomes in depression. An informatics-based approach will be used to integrate clinical, neuroimaging, and molecular data to look for biomarkers that indicate disease state and predict antidepressant-like response to the probiotic. Results: We expect results to replicate and expand on our pilot data, demonstrating that probiotics are effective in alleviating symptoms of depression, and to find biomarkers that will predict these outcomes. The findings from this study will contribute robust scientific data that is currently lacking in this emerging field.

03

Conditions studied

  • Depression
  • Anxiety
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Diagnosis of Major Depressive Disorder (MDD) according to as determined by MINI
  2. Current depressive episode with a MADRS score of 20
  3. Males and females between ages 18 and 65
  4. Able to understand and comply with the requirements of the study
  5. Provision of written

Exclusion criteria

Exclusion Criteria:

  1. Current use of any antidepressant drug
  2. Three or more previous episodes of depression
  3. Failure to respond to another treatment in the current episode
  4. Use of any antibiotic drug in the past 4 weeks (may be eligible to participate after a 1-month ). Should a participant require an antibiotic drug during the 16 week study period, they may continue with the study but must take the probiotic 4-6 hours before or after they take the antibiotic.
  5. Use of any sleep medication in the past 4 weeks (may be eligible to participate after a 1-month washout period)
  6. Milk, yeast, or soy allergy
  7. History of alcohol or substance dependence in the past 6 months
  8. Use of probiotic product in the past 2 weeks (may be eligible to participate after a 2-week washout period) and during the trial
  9. Use of any type of laxative
  10. Consumption of products fortified in probiotics 2 weeks before and during the trial
  11. High risk of suicide (score 4 or more on item 10 of MADRS)
  12. Psychotic symptoms determined by the MINI
  13. Bipolar Disorder determined by the MINI
  14. Women who are pregnant, breastfeeding, or planning to become pregnant during the course of the trial (determined by a pregnancy test performed at the screening visit and confirmation of the use of appropriate )
  15. Immunodeficiency (immuno-compromised and immuno-suppressed participants; e.g. AIDS, lymphoma, participants undergoing long-term treatment, chemotherapy and allograft participants)
  16. Unstable or severe medical conditions (e.g. cancer, cardiovascular, renal, lung, diabetes, psychiatric illness, bleeding disorders, etc.)
  17. The use of natural health products (NHPs; e.g. St. John's Wort, melatonin, passion flower, etc.) that affect depression or sleep is not allowed in the trial
  18. Electroconvulsive therapy (ECT) in the year prior to participation in the study
  19. Taking medication or other not-permitted treatment that cannot be safely discontinued
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

DSM diagnostic criteria

The American Psychiatric Association’s manual of mental health diagnoses. DSM-5 (2013, revised as DSM-5-TR in 2022) replaced DSM-IV, and some studies still name the older edition. “Meets DSM criteria for …” means diagnosed by that edition’s diagnostic criteria, usually by a clinician in an interview.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Probio'Stick

    Drug: Probio'Stick

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • DrugProbio'Stick

    Probiotic supplement containing Lactobacillus helveticus and Bifidobacterium longum

  • DrugPlacebo

    Identically formulated and packaged inactive substance

06

What researchers measure

Primary outcomes

  1. Mood

    Montgomery-Asberg Depression Rating Scale

    Time frame: 16 weeks

Secondary outcomes

  1. Anxiety

    Generalized Anxiety Disorder 7-item Scale

    Time frame: 16 weeks

  2. Anhedonia

    Snaith Hamilton Pleasure Scale

    Time frame: 16 weeks

  3. Cognition

    CNS Vital Signs

    Time frame: 16 weeks

  4. Cytokines

    Blood plasma

    Time frame: 16 weeks

  5. Serotonin

    Blood Plasma

    Time frame: 16 weeks

  6. Microbiome

    Stool

    Time frame: 16 weeks

  7. Brain structure/function

    fMRI

    Time frame: 8 weeks

07

Study locations

1 site
  • Providence Care Hospital
    Kingston, Ontario K7L 4X3, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2018 to primary completion in Nov 2020, 30 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 1, 2017
First posted
Sep 11, 2017
StartActual
May 29, 2018
Primary completionActual
Nov 30, 2020
CompletionActual
Nov 30, 2020
Last update
Oct 17, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 17, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03277586
Lead sponsor
Dr. Roumen Milev
Responsible party
Dr. Roumen Milev (Head, Department of Psychiatry, Queen's University) — Sponsor-investigator
First posted
Sep 11, 2017
Start date
May 29, 2018
Primary completion
Nov 30, 2020
Completion
Nov 30, 2020
Last update
Oct 17, 2024

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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