ClinicalTrials.gg
CompletedNCT05305391Updated Apr 29, 2026

Low-grade Inflammation and Gut Symptoms From A2 and Hydrolyzed A1 Milk

An interventional study of Dietary intervention in Milk Intolerance, sponsored by University of Turku. Completed at 1 site in Finland. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-29.

Sponsored by University of Turku · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
37
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The aim of this study is to reveal how different forms of milk casein, lactose and moderate breakdown of proteins affect the symptoms that may arise from milk and markers of inflammation in volunteers receiving symptoms from milk. Research hypotheses are: 1) Protein hydrolyzed milk is as tolerated or better tolerated than A2 milk, and 2) Lactose is the main causative agent of stomach symptoms in milk-sensitive individuals.

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Conditions studied

  • Milk Intolerance

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03

In context

Lactose Intolerance

53 studies on the registry are indexed under Lactose Intolerance; 6 are open to participants now.

This study's enrollment of 37 is close to the median of 41 across 41 interventional studies indexed under Lactose Intolerance.

Browse Lactose Intolerance studies →

Lead sponsor

University of Turku is the lead sponsor of 122 studies on the registry; 16 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 65 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

  • Perceive disturbing gut symptoms from regular milk
  • Commits to the research diet for the whole research period
  • Age: 18-65
  • : 18.5-30
  • Healthy (normal kidney, liver and thyroid function and self-reported)

Exclusion criteria

Exclusion Criteria:

  • Milk allergy
  • Regular medication (other than ) or medication affecting the gut
  • Recent course of antibiotics (\< 3 months prior the study)
  • Pregnancy or lactation
  • Diagnosed bowel disease
Terms in these criteria, in plain language(2)

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    A2 milk + placebo

    A2 whole milk, 3.5% fat, heat-treated; placebo capsule without enzyme

    Other: Dietary intervention

  • Experimental
    A2 milk+ lactase enzyme

    A2 whole milk, 3.5% fat, heat-treated; lactase capsule

    Other: Dietary intervention

  • Experimental
    Protein-hydrolyzed A1 milk + placebo

    Protein-hydrolyzed lactose-free milk, 3% fat, heat-treated; placebo capsule without enzyme

    Other: Dietary intervention

Interventions

  • OtherDietary intervention

    The arising gastrointestinal symptoms and inflammation markers from consumption of milk + lactase capsule / placebo.

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What researchers measure

Primary outcomes

  1. Changes from baseline in Inflammation marker IL-4

    IL-4 (interleukin 4) is measured from fasting plasma samples at the baseline before the study and then after each 3-day study arm on the 4th day. It will be analysed as part of the Olink Target 48 Cytokine Panel (Olink Proteomics, Uppsala, Sweden) that provides absolute quantities for 45 different proteins, such as interleukins, interferons, chemokines and growth factors that are related to inflammation. Differences in plasma inflammation marker is measured as a baseline

    Time frame: after treatment (4th day)

Secondary outcomes

  1. Changes from Baseline in Inflammation markers

    Inflammation markers of 45 different proteins, such as interleukins, interferons, chemokines and growth factors are measured from fasting plasma samples as a baseline before the study and then on the 4th day after each 3-day study arm. The absolute quantities of the markers will be analysed with Olink Target 48 Cytokine Panel (Olink Proteomics, Uppsala, Sweden). Differences in inflammation markers (from plasma)

    Time frame: after treatment (4th day)

  2. Changes from Baseline in Calprotectin

    Faecal calprotectin (from faecal sample) is used to measure inflammation status of the gut. Participants collect the first stool of the day in a collection tube and bring it to the study facility in a cooled bag after each study arm.

    Time frame: after treatment (4th day)

  3. Changes from Baseline in Stool types and Bowel movements

    The changes in bowel movements and stool consistency are recorded using a defecation record with the 7-step Bristol stool chart during the consumption of milks (on each study arm). Participant will record the time of the bowel movement and the dominant type of the stool. The Bristol types will be categorized as hard (types 1 and 2), normal (types 3, 4, and 5), or loose stools (types 6 and 7).

    Time frame: 3 days during the treatment

  4. Changes from Baseline in Gastrointestinal symptoms

    Gastrointestinal symptoms (self-reported) as measured by a questionnaire. The questionnaire is divided into seven types of gastrointestinal discomfort, and also includes a possibility to describe a gastrointestinal discomfort outside these seven given alternatives. The severity of the symptoms is self-reported on a three-step scale. Participants fill the questionnaire during 3 days on the baseline and on each study arm (treatment).

    Time frame: 3 days during the treatment

  5. Changes from Baseline in high-sensitivity CRP

    Inflammation marker high-sensitivity CRP is measured from fasting plasma samples as a baseline before the study and then on the 4th day after each 3-day study arm.

    Time frame: after treatment (4th day)

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Study locations

1 site
  • Food Sciences, Department of Life Technologies, University of Turku
    Turku, Turku 20500, Finland
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References and documents

Publications

  • Mannila E, Hokkanen L, Ahonen E, Turpeinen AM, Kalliomaki M, Kortesniemi M, Linderborg KM. Tolerance of protein-hydrolyzed lactose-free A1 milk and A2 milk in lactose-tolerant and lactose-intolerant volunteers: A randomized crossover trial with 2 parallel groups. J Dairy Sci. 2025 Sep;108(9):9062-9077. doi: 10.3168/jds.2025-26712. Epub 2025 Jul 3. PubMed 40614809 ↗

Individual participant data

Plan to share: No — Sensitive volunteer data may only be shared for collaborative research purposes with a separate agreement with the data owner.

09

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 May 2022 to primary completion in Mar 2023, 9 months.

Of 22 interventional studies with no phase under Lactose Intolerance, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's 9 months is close to that.

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

Registered
Mar 22, 2022
First posted
Mar 31, 2022
StartActual
May 18, 2022
Primary completionActual
Mar 3, 2023
CompletionActual
Mar 3, 2023
Last update
Apr 29, 2026
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 Apr 29, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05305391
Responsible party
Kaisa Linderborg (Principal Investigator, University of Turku) — Principal investigator
First posted
Mar 31, 2022
Start date
May 18, 2022
Primary completion
Mar 3, 2023
Completion
Mar 3, 2023
Last update
Apr 29, 2026

Oversight

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

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This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

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