ClinicalTrials.gg
Active, not recruitingNCT05800704Updated Mar 28, 2025

Support of Colonization Resistance of the Gut Microbiota with the Synbiotic Food Supplement Nagasin®

An interventional study of Nagasin and maltodextrin in C. Difficile Enteritis, sponsored by University of Zurich. Active, not recruiting at 6 sites in Switzerland. Open to participants aged 18 Years to 95 Years. Per ClinicalTrials.gov, last updated 2025-03-28.

Sponsored by University of Zurich · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Mar 2025, 1 year 7 months ago, but the record still lists the study as active, not recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
18 Years to 95 Years
Sex
All
01

Study summary

Double blind, placebo-controlled, parallel, multicentric trial to investigat whether Nagasin® can support the colonization resistance against C.difficile.

Read the detailed description

The aim of this randomized, controlled, double-blind, parallel, multicentric trial is to investigate wether the synbiotic food supplement Nagasin® can support the colonization resistance of the gut microbiota after disturbance by antimicrobial treatment.

The main question is whether Nagasin® can prevent any increase in abundance of C.difficile within the first four weeks after antimicrobial treatment for a C. difficile infection.

Participants will receive Nagasin® or the comparator as a food supplement during the first four weeks after antimicrobial treatment for a C. difficile episode.

02

Conditions studied

  • C. Difficile Enteritis

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Keywords

  • Gut microbiota
  • Colonization resistance
  • Gut microbiota dysbiosis
03

In context

Enteritis

34 studies on the registry are indexed under Enteritis; 7 are open to participants now.

This study's planned enrollment of 49 is close to the median of 53 across 26 interventional studies indexed under Enteritis.

Browse Enteritis studies →

Lead sponsor

University of Zurich is the lead sponsor of 1,049 studies on the registry; 133 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 95 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

  • C. difficile infection (CDI) diagnosis
  • antimicrobial treatment (e.g. metronidazole, vancomycin or fidaxomicin) for C. difficile infection at ICF
  • Written by the participant after information about the research project

Exclusion criteria

Exclusion Criteria:

  • total parenteral nutrition
  • insulin-dependent (type 1) diabetes
  • severe disease defined as any of the following:

    • White blood cell count (WBC) > 30,000 or \< 1000 cells/mm3
    • Neutropenia \< 500 x 10\^9 per liter
    • Intensive care unit (ICU) patient at time C. difficile infection diagnosed
    • In case no hematology values are available, presence of severe can be evaluated by the local principal investigator or his designee
  • is severely as defined by any of the following:

    • active receiving severe immunosuppressive chemotherapy with subsequent leukopenia (as defined above)
    • long-term systemic therapy ≥ 30 mg / d
    • recipients of stem cell transfer (≤ 12 months)
    • severe inborn immune deficiency or severe immunosuppressive therapy as evaluated by the investigator
    • patients with low (\< 200 x 10\^9 per liter)
    • Inflammatory bowel disease patients if:
    • severe ulcerative colitis (classified as endoscopic Mayo = 3 (max. 30 days old) or as evaluated by investigator)
    • Severe Crohn's disease with acute penetrating complication (abscess and/or actively draining fistulae) or as evaluated by investigator
    • Liver cirrhosis (classified as Child C) with portal hypertension and/or low count (20 × 10\^9 per liter)
  • Acute pancreatitis
  • prosthetic heart valves or endocarditis
  • consumption of other high-dose (>10\^10 cfu/dose) probiotic products during the study period.
  • Inability to understand and follow study procedures
  • prosthetic heart valves or endocarditis
  • consumption of other high-dose (>10\^10 cfu/dose) probiotic products during the study period.
  • Inability to understand and follow study procedures
Terms in these criteria, in plain language(8)

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.

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.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

CD4 count

The number of CD4 cells, a type of white blood cell, in a given amount of blood. It is used to follow how well the immune system is doing in HIV.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

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

Study arms

  • Experimental
    Nagasin®

    consumption of Nagasin® (synbiotic food supplement) once per day for four weeks

    Dietary Supplement: Nagasin

  • Placebo comparator
    Comparator

    consumption of the comparator (maltodextrin) once per day for four weeks

    Dietary Supplement: maltodextrin

Interventions

  • Dietary supplementNagasin

    Lactobacillus, Lactococcus and Bifidobacteria strains with antimicrobial effect against C. difficile

  • Dietary supplementmaltodextrin

    maltodextrin (placebo comparator)

06

What researchers measure

Primary outcomes

  1. C. difficile relative abundance

    any change of C. difficile relative abundance during the first four weeks after antimicrobial treatment for CDI.

    Time frame: at 1, 2 and 4 weeks after completion of antimicrobial treatment for CDI

Secondary outcomes

  1. Gut microbiota

    Gut microbiota diversity and taxonomic composition

    Time frame: at 1, 2, 4 and 8 weeks after completion of antimicrobial treatment for CDI

  2. Abundance of antibiotic diarrhea associated pathogens

    Abundance of other pathogens that are involved in antibiotic associated diarrhea e.g. S. aureus and K. oxytoca

    Time frame: at 1, 2, 4 and 8 weeks after completion of antimicrobial treatment for CDI

  3. C. difficile toxins

    Presence and amount of C. difficile toxins

    Time frame: at 1, 2, 4 and 8 weeks after completion of antimicrobial treatment for CDI

  4. Toxin forming C. difficile strains

    Presence of toxin forming C. difficile strains

    Time frame: at 1, 2, 4 and 8 weeks after completion of antimicrobial treatment for CDI

07

Study locations

6 sites
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

Started Mar 2023 (actual). Primary completion is estimated for Mar 2025, 24 months after the start.

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

Registered
Mar 23, 2023
First posted
Apr 6, 2023
StartActual
Mar 10, 2023
Primary completionEst.
Mar 31, 2025
CompletionEst.
Mar 31, 2025
Last update
Mar 28, 2025
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 Mar 28, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05800704
Collaborators
Insel Gruppe AG, University Hospital Bern, Stadtspital Zürich, Kantonsspital Winterthur KSW, Luzerner Kantonsspital, Cantonal Hosptal, Baselland
Responsible party
Sponsor
First posted
Apr 6, 2023
Start date
Mar 10, 2023
Primary completion
Mar 31, 2025 (estimated)
Completion
Mar 31, 2025 (estimated)
Last update
Mar 28, 2025

Study contacts

Isabelle M Frey-Wagner, PhD
study chair · University or Zurich, Institute of Medical Microbiology

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 active, not recruiting, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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