ClinicalTrials.gg
CompletedNCT03427515Updated Feb 9, 2018

Probiotics and Examination-related Stress in Healthy Medical Students

An interventional study of Lactobacillus rhamnosus GG (ATCC 53103) and Saccharomyces boulardii (CNCM I-1079) in Healthy, Stress-related Problem and Anxiety, sponsored by Medical University of Lodz. Completed. Open to participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-09.

Primary conditionAnxiety Disorders(the registry's first term)UnverifiedIs this wrong?The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Medical University of Lodz · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 9 months after the study started (first participant enrolled Apr 2016, registered Feb 2018).

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Phase
Not applicable
Study type
Interventional
Enrollment
92
Allocation
Randomized
Ages
18 Years to 30 Years
Sex
All
01

Study summary

Probiotics are live microorganisms exhibiting multiple properties beneficial to health. An increasing body of evidence indicates that probiotics may support healthy brain function and may relieve stress. Recent research in this area has examined lactic acid bacteria in detail, but little is known about the stress-relieving effects of Saccharomyces, a yeast with probiotic properties.

Psychological stress is a factor that allows people to successfully cope with various daily life situations. On the other hand, excessive stress may lead to bodily harm and decrease performance, e.g. academic achievements. Probiotics may help manage stress, but little is known whether probiotics improve performance under stress.

The aim of this trial is to examine whether the healthy medical students may demonstrate better performance in academic examinations when supplementing their diet with a yeast probiotic strain Saccharomyces boulardii (CNCM I-1079) or bacterial probiotic strain Lactobacillus rhamnosus GG (ATCC 53103). The secondary aim of the trial is to evaluate the potential effects of this supplementation on state anxiety as well as on biochemical and physiological stress markers.

02

Conditions studied

  • Healthy
  • Stress-related Problem
  • Anxiety

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Keywords

  • Psychobiotics
  • Probiotics
  • Examination
  • Stress
03

In context

Anxiety Disorders Unverified

7,207 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

This study's enrollment of 92 is above the median of 80 across 6,062 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Medical University of Lodz is the lead sponsor of 107 studies on the registry; 10 are open to participants now.

Compared within Anxiety Disorders, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Being a third year medical student of the Faculty of Medicine or Faculty of Military Medicine, Medical University of Lodz

Exclusion criteria

Exclusion Criteria:

  • formal inability to sit the first attempt of the final examination of Basic Medical Pharmacology
  • chronic diseases: neurological, psychiatric, cardiological, gastroenterological, immunological, endocrine or infectious
  • state of
  • history of hospitalization (\< 3 months before entrance to the study)
  • presence of central venous catheter
  • parenteral nutrition
  • current pregnancy or intention to become pregnant within 3 months from the entrance to the study
  • current lactation
  • allergic reaction (\< 3 months before entrance to the study)
  • to yeast, maltodextrins, potato starch, magnesium stearate, hypromellose, gelatin, glycerol or titanium dioxide
  • over 30
  • chronic medication use (current or \< 3 months before entrance to the study)
  • systemic antibacterial or antifungal medication use (current or \< 3 months before entrance to the study)
  • overuse of alcohol or psychoactive substances (current or \< 3 months before entrance to the study)
  • tobacco smoking - more than 5 cigarettes (or equivalents) a day (currently or \< 3 months before entrance to the study)
  • pro- or prebiotic preparations intake (\< 3 months before entrance to the study)
  • vegan or other atypical diet
  • doing professional or extreme sports
Terms in these criteria, in plain language(3)

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

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

Study arms

  • Experimental
    Lactobacillus

    Lactobacillus rhamnosus GG (ATCC 53103) - encapsulated

    Dietary Supplement: Lactobacillus rhamnosus GG (ATCC 53103)

  • Placebo comparator
    Placebo

    Placebo - encapsulated mixture of maltodextrins

    Dietary Supplement: Placebo

  • Experimental
    Saccharomyces

    Saccharomyces boulardii (CNCM I-1079) - encapsulated

    Dietary Supplement: Saccharomyces boulardii (CNCM I-1079)

Interventions

  • 30 days of supplementation, 6x10\^9 CFU/day

  • Dietary supplementSaccharomyces boulardii (CNCM I-1079)

    30 days of supplementation, 5x10\^9 CFU/day

  • Dietary supplementPlacebo

    30 days of supplementation

06

What researchers measure

Primary outcomes

  1. Performance under examination-related stress

    Number of correctly-answered questions in the final examination in Basic Medical Pharmacology

    Time frame: The examination is held on the 30th day of the trial.

Secondary outcomes

  1. State anxiety under examination-related stress

    State anxiety measured with State-Trait Anxiety Inventory (STAI)

    Time frame: 30 minutes before the final examination in Basic Medical Pharmacology

  2. Cortisol

    Salivary cortisol level

    Time frame: Measured a day before the final examination in Basic Medical Pharmacology

  3. Pulse rate

    Individual, instructed measurement of pulse rate

    Time frame: 30 minutes before the final examination in Basic Medical Pharmacology

  4. Metanephrine

    Salivary metanephrine level

    Time frame: Measured a day before the final examination in Basic Medical Pharmacology

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Dinan TG, Stilling RM, Stanton C, Cryan JF. Collective unconscious: how gut microbes shape human behavior. J Psychiatr Res. 2015 Apr;63:1-9. doi: 10.1016/j.jpsychires.2015.02.021. Epub 2015 Mar 3. PubMed 25772005 ↗
  • Foster JA, Rinaman L, Cryan JF. Stress & the gut-brain axis: Regulation by the microbiome. Neurobiol Stress. 2017 Mar 19;7:124-136. doi: 10.1016/j.ynstr.2017.03.001. eCollection 2017 Dec. PubMed 29276734 ↗
  • McFarland LV. Systematic review and meta-analysis of Saccharomyces boulardii in adult patients. World J Gastroenterol. 2010 May 14;16(18):2202-22. doi: 10.3748/wjg.v16.i18.2202. PubMed 20458757 ↗
  • Karbownik MS, Kreczynska J, Kwarta P, Cybula M, Wiktorowska-Owczarek A, Kowalczyk E, Pietras T, Szemraj J. Effect of Supplementation with Saccharomyces Boulardii on Academic Examination Performance and Related Stress in Healthy Medical Students: A Randomized, Double-Blind, Placebo-Controlled Trial. Nutrients. 2020 May 19;12(5):1469. doi: 10.3390/nu12051469. PubMed 32438624 ↗
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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2016 to primary completion in Jun 2016, 2 months.

Of 3,841 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's 2 months is below that.

Counting every sponsor, half of 3,943 studies reached it within 12 months; a quarter within 5 and three quarters within 28.

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

Registered
Feb 2, 2018
First posted
Feb 9, 2018
StartActual
Apr 20, 2016
Primary completionActual
Jun 20, 2016
CompletionActual
Jun 20, 2016
Last update
Feb 9, 2018
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 Feb 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03427515
Responsible party
Michal Karbownik (Research assistant, Medical University of Lodz) — Principal investigator
First posted
Feb 9, 2018
Start date
Apr 20, 2016
Primary completion
Jun 20, 2016
Completion
Jun 20, 2016
Last update
Feb 9, 2018

Study contacts

Michał S. Karbownik, PhD
principal investigator · Medical University of Lodz

Oversight

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

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Studies of the drug tested here: Lacticaseibacillus rhamnosus GG

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