CClinicalTrials.gg
CompletedNCT05157425FLUVAC21Updated Jul 26, 2022

Effect of a Multi-strain Probiotic Formulation on Immune Response to Influenza Vaccination

An interventional study of Food Supplement and Placebo in Influenza Vaccine, sponsored by AB Biotics, SA. Completed at 5 sites in Spain. Open to participants aged 50 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-26.

Sponsored by AB Biotics, SA · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
50 Years to 80 Years
Sex
All
01

Study summary

Randomized clinical trial to determine whether a probiotic formulation containing 4 probiotic strains which belong to Lactiplantibacillus plantarum and Pediococcus acidilactici species can boost the immune response to influenza vaccination evaluated at 4 weeks in a population between 50 and 80 years of age. Secondary outcomes comprise evaluation of immune response at 8 weeks after vaccination, percentage of patients with seroconversion, incidence and duration of influenza-like infections and respiratory infections throughout a 4-month period and safety.

Read the detailed description

Double blind, randomized, placebo-controlled clinical trial to determine whether supplementation with a probiotic formulation containing 4 probiotic strains (L. plantarum CECT 30292, CECT7484, CECT7485 and P. acidilactici CECT7483) can improve immune response to seasonal influenza vaccination. Subjects with age comprised between 50 and 80 years who meet inclusion and exclusion criteria will be randomized 1:1 to one of the following study groups: one will receive probiotic formulation for 28 days (1 capsule/day) and the other will receive placebo, starting the same day of the influenza vaccination. Main study outcome will be immune response at 4 weeks after vaccination, which will be determined by analysis of specific IgG antibodies in serum against influenza A and B. Secondary outcomes comprise serum titers of specific IgG at 8 weeks after vaccination, percentage of patients with seroconversion at 4 and 8 weeks, evaluation of influenza-like infections or respiratory infections throughout a 4-month period and adverse events.

02

Conditions studied

  • Influenza Vaccine

Browse trials for

Keywords

  • influenza vaccination, probiotic
03

In context

Influenza, Human

2,214 studies on the registry are indexed under Influenza, Human; 163 are open to participants now.

This study's enrollment of 140 is below the median of 238 across 1,853 interventional studies indexed under Influenza, Human.

Browse Influenza, Human studies →

Lead sponsor

AB Biotics, SA is the lead sponsor of 25 studies on the registry; 3 are open to participants now.

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

04

Who can participate

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

Eligibility criteria

Inclusion Criteria:

  • Subjects 50 - 80 years old receiving seasonal Influenza vaccine in season 2021-2022
  • Body mass index (BMI) 18.5-34.9 kg/m2
  • Willing to provide informed consent
  • Able to follow study procedures, according to the criteria of study investigator

Exclusion Criteria:

  • Hypersensitivity to any of the components of influenza vaccine
  • Previous influenza infection in the same season (from 01/09/2021)
  • Having received influenza vaccination in the previous season less than 9 months before study entry (from 01/01/2021)
  • Having received another vaccine -different from COVID19 vaccine- up to 1 month before study inclusion or planning to receive it 1 month after study inclusion
  • Active infection at the moment of study entry as diagnosed by study physician
  • History of severe allergic reactions (food and non-food), including severe asthma.
  • Receiving immunosuppressant therapy, displaying neutropenia, lymphopenia, AIDS, immunoglobulin deficiency, active oncological disease.
  • Daily ingestion of any food complement or food added with probiotics (including Actimel o similar products) 2 weeks before inclusion in the study
  • Acute pancreatitis, short bowel syndrome or active inflammatory bowel disease
  • Diagnosed from other pathologies that according to study physician may compromise the immunological function of the individual (such as immunodeficiencies, lupus, multiple sclerosis, among others)
  • Having received antibiotic treatment in the previous month

Exclusion criteria during the study:

  • Withdrawal from the study as per study investigator criteria, in case that study procedures are not followed by the participant
  • In case of adverse event that prevents them from following study procedures or complying with the treatments under study.
  • Failure to comply with study procedures: Complete less than 70% of the days in the patient's diary and/or take less than 80% of the days of the study products.
  • Receive any of the unauthorized treatments indicated in the selection criteria, with the exception of antibiotics that will be allowed under medical prescription.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    Experimental

    Probiotic multi-strain formulation comprising L. plantarum CECT30292, CECT7484, CECT7585 and P. acidilactici and maltodextrin (E1400, qs) as excipient in hydroxymethylpropyl-cellulose (HPMC) capsules. Probiotic strains have Qualified Presumption of Safety (QPS) status by European Food Safety Authority

    Dietary Supplement: Food Supplement

  • Placebo comparator
    Placebo

    Maltodextrin (E1400, qs) in HPMC capsules

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementFood Supplement

    Probiotic multistrain formulation containing Lactiplantibacillus plantarum CECT30292, CECT7484, CECT7485 and P. acidilactici CECT7483 for 28 days, starting the same day of influenza vaccination

    Also known as: Probiotic

  • Dietary supplementPlacebo

    One maltodextrin-containing capsule/day for 28 days, starting the same day of influenza vaccination

06

What researchers measure

Primary outcomes

  1. IgG antibodies against vaccine influenza antigens

    Titer of specific total IgG antibodies against vaccine influenza A and B antigens at day 28

    Time frame: 4 weeks (day 1 and day 28)

Secondary outcomes

  1. IgG antibodies against vaccine influenza antigens

    Titer of specific total IgG antibodies against vaccine influenza A and B antigens at day 56

    Time frame: 8 weeks (day 1 and day 56)

  2. IgM antibodies against vaccine influenza antigens

    Titer of specific total IgM antibodies against vaccine influenza A and B antigens at day 28 and 56

    Time frame: 8 weeks (day 1 and day 56)

  3. Seroconversion

    Percentage of patients with seroconversion (defined as 4 fold change in influenza IgG antibodies concentration compared to baseline) at day 28 and 56

    Time frame: 8 weeks (day 1,day 28 and 56)

  4. Incidence of influenza like infections (ILI)

    Cumulative incidence of influenza like infection (ILI), according to the European Diseases Prevention and Control Center (ECDC) criteria

    Time frame: 16 weeks (day 1, day 56)

  5. Incidence of any other respiratory infections (including COVID-19)

    Cumulative incidence of any other respiratory infections

    Time frame: 16 weeks (day 1, day 56)

  6. Incidence of fever

    Cumulative number of days with fever (\> 37.5ºC)

    Time frame: 16 weeks (day 1, day 56)

  7. Use of analgesics and antibiotics

    Cumulative number of days using analgesics and antibiotics

    Time frame: 16 weeks (day 1, day 56)

  8. Duration of vaccine-related symptoms: injection-site pain, swelling, redness

    Duration (in days) of symptoms after receiving the flu vaccine.

    Time frame: 1 week (day 1, day 7)

  9. Severity of vaccine-related symptoms: injection-site pain, swelling, redness

    Severity of symptoms after receiving the flu vaccine. Measured on a 4-point scale: 0 = none , 1 = mild, 2 = moderate, and 3 = severe

    Time frame: 1 week (day 1, day 7)

  10. Gastrointestinal symptoms

    Gastrointestinal manifestations documented through questionnaire in participants diary. Measured on a 4-point scale: 0 = none , 1 = mild, 2 = moderate, and 3 = severe.

    Time frame: 4 weeks (day 1, day 28)

  11. Adverse events

    Frequency of adverse events reported in medical visits or patient diary

    Time frame: 8 weeks (day 56)

  12. Albumin

    Albumin concentration in blood

    Time frame: 4 weeks (day 1, day 28)

  13. Alkaline phosphatase (ALP)

    Alkaline phosphatase (ALP) concentration in blood

    Time frame: 4 weeks (day 1, day 28)

  14. Gamma-glutamil transpeptidase (GGT)

    Gamma-glutamil transpeptidase (GGT) concentration in blood

    Time frame: 4 weeks (day 1, day 28)

  15. Aspartate aminotransferase (GOT)

    Aspartate aminotransferase (AST) concentration in blood

    Time frame: 4 weeks (day 1, day 28)

  16. Alanine aminotransferase (AST)

    Aspartate aminotransferase (AST) concentration in blood

    Time frame: 4 weeks (day 1, day 28)

  17. Basic hemogram

    Blood cell count

    Time frame: 4 weeks (day 1, day 28)

07

Study locations

5 sites
  • Hospital General de Granollers
    Granollers, Barcelona 08401, Spain
  • Hospital Parc Tauli
    Sabadell, Barcelona 08208, Spain
  • IDIAP Jordi Gol-Centro de Atención Primaria La Mina
    Sant Adrià De Besòs, Barcelona 08930, Spain
  • Mutua de Terrassa
    Terrassa, Barcelona 08221, Spain
  • FIBAO- Fundación para la Investigación Biosanitaria de Andalucia Oriental
    Granada, 18002, Spain
08

References and documents

Publications

  • Lambert ND, Ovsyannikova IG, Pankratz VS, Jacobson RM, Poland GA. Understanding the immune response to seasonal influenza vaccination in older adults: a systems biology approach. Expert Rev Vaccines. 2012 Aug;11(8):985-94. doi: 10.1586/erv.12.61. PubMed 23002979 ↗
  • Ng TWY, Cowling BJ, Gao HZ, Thompson MG. Comparative Immunogenicity of Enhanced Seasonal Influenza Vaccines in Older Adults: A Systematic Review and Meta-analysis. J Infect Dis. 2019 Apr 19;219(10):1525-1535. doi: 10.1093/infdis/jiy720. PubMed 30551178 ↗
  • Harper A, Vijayakumar V, Ouwehand AC, Ter Haar J, Obis D, Espadaler J, Binda S, Desiraju S, Day R. Viral Infections, the Microbiome, and Probiotics. Front Cell Infect Microbiol. 2021 Feb 12;10:596166. doi: 10.3389/fcimb.2020.596166. eCollection 2020. PubMed 33643929 ↗
  • Trombetta CM, Remarque EJ, Mortier D, Montomoli E. Comparison of hemagglutination inhibition, single radial hemolysis, virus neutralization assays, and ELISA to detect antibody levels against seasonal influenza viruses. Influenza Other Respir Viruses. 2018 Nov;12(6):675-686. doi: 10.1111/irv.12591. Epub 2018 Aug 11. PubMed 30019448 ↗
  • Lynn DJ, Benson SC, Lynn MA, Pulendran B. Modulation of immune responses to vaccination by the microbiota: implications and potential mechanisms. Nat Rev Immunol. 2022 Jan;22(1):33-46. doi: 10.1038/s41577-021-00554-7. Epub 2021 May 17. PubMed 34002068 ↗
  • Zimmermann P, Curtis N. The influence of probiotics on vaccine responses - A systematic review. Vaccine. 2018 Jan 4;36(2):207-213. doi: 10.1016/j.vaccine.2017.08.069. Epub 2017 Sep 18. PubMed 28923425 ↗
  • Yeh TL, Shih PC, Liu SJ, Lin CH, Liu JM, Lei WT, Lin CY. The influence of prebiotic or probiotic supplementation on antibody titers after influenza vaccination: a systematic review and meta-analysis of randomized controlled trials. Drug Des Devel Ther. 2018 Jan 25;12:217-230. doi: 10.2147/DDDT.S155110. eCollection 2018. PubMed 29416317 ↗
  • Darbandi A, Asadi A, Ghanavati R, Afifirad R, Darb Emamie A, Kakanj M, Talebi M. The effect of probiotics on respiratory tract infection with special emphasis on COVID-19: Systemic review 2010-20. Int J Infect Dis. 2021 Apr;105:91-104. doi: 10.1016/j.ijid.2021.02.011. Epub 2021 Feb 9. Erratum In: Int J Infect Dis. 2021 Sep;110:337. doi: 10.1016/j.ijid.2021.08.002. PubMed 33578007 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05157425
Lead sponsor
AB Biotics, SA
Responsible party
Sponsor
First posted
Dec 15, 2021
Start date
Oct 26, 2021
Primary completion
Feb 28, 2022
Completion
May 31, 2022
Last update
Jul 26, 2022

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 Jul 2022. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion