CClinicalTrials.gg
Active, not recruitingNCT06592976Updated Sep 19, 2024

Effects of a Multi-strain Oral Probiotic on the Vaginal Microbiota Composition in Healthy Women and Women with Endometriosis

An interventional study of Multi-strain Oral Probiotic (CDS22-formula) in Endometriosis, Bacterial Vaginosis and Healthy Volunteer, sponsored by University of Roma La Sapienza. Active, not recruiting at 1 site in Italy. Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by University of Roma La Sapienza · Not applicable, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Dec 2024, 1 year 9 months ago, but the record still lists the study as active, not recruiting.
  • Registered 3 years 10 months after the study started (first participant enrolled Oct 2020, registered Sep 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
123
Allocation
Non-randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Endometriosis is a chronic inflammatory disease affecting approximately 10-15% of reproductive age women, and, in recent years, an association between this pathology and dysbiosis, either involving the gut or the genital microbiota, has been hypothesized.

Therefore, the aim of the study is to investigate the etiopathogenetic role of cervico-vaginal microbiota, and its relationship to the gut microbiota, in women with endometriosis. Furthermore, the effects of a multi-strain oral probiotic formulation will be evaluated on the composition of the genital microbiota in healthy women and patients with endometriosis.

02

Conditions studied

  • Endometriosis
  • Bacterial Vaginosis
  • Healthy Volunteer

Keywords

  • Gut microbiota
  • Vaginal microbiota
  • Probiotic
  • endometriosis
  • bacterial vaginosis
  • 16s metagenomic
03

In context

Vaginosis, Bacterial

220 studies on the registry are indexed under Vaginosis, Bacterial; 36 are open to participants now.

This study's enrollment of 123 is above the median of 100 across 187 interventional studies indexed under Vaginosis, Bacterial.

Browse Vaginosis, Bacterial studies →

Lead sponsor

University of Roma La Sapienza is the lead sponsor of 388 studies on the registry; 55 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • age between 20 and 40 years old;
  • clinical diagnosis of endometriosis via gynecological examination and transvaginal ultrasound (TVUS);
  • genital healthy condition as confirmed via gynecological examination.

Exclusion criteria

Exclusion Criteria:

  • pre-menarche or menopause status;
  • diabetes, neoplastic diseases, urinary or genital infections in the past 6 months
  • bowel and/or liver disorders;
  • current treatment with oral contraceptive or progestins, prokinetics, antacids or proton pump in-hibitors;
  • sexual activity in the week before sampling;
  • recent or current antibiotic treatment (oral or topical);
  • the use of probiotics and/or prebiotics for three months before the enrolment.
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Women with endometriosis

    Dietary Supplement: Multi-strain Oral Probiotic (CDS22-formula)

Interventions

  • Dietary supplementMulti-strain Oral Probiotic (CDS22-formula)

    All patients received the probiotic product CDS22-formula (also known under the tradenames Visbiome, De Simo-ne, Vivomixx) as acid-resistant oral capsules (twice daily for 2 months), containing 1.12 x 10\^11 live bacteria per capsule.

06

What researchers measure

Primary outcomes

  1. Comparison in the mean microbial diversity of the vaginal and gut microbiota between women with endometriosis and healthy volunteers, as assessed by Shannon Diversity Index (alpha-measure) and UniFrac analysis (beta measure), calculated in qiime2.

    Microbial diversity through Shannon diversity index and UniFrac analysis will be calculated from the number and type of bacterial species in the vaginal and gut microbiota as assessed by the sequencing of the hypervariable region (v3-v4) of the bacterial 16s rDNA via metagenomic analysis (Illumina MiSeq platform).

    Time frame: At the time of enrollment

Secondary outcomes

  1. Changes in the mean microbial diversity (Shannon Diversity Index and UniFrac analysis) of the vaginal microbiota at two month supplementation, from baseline, of the probiotic product in either healthy women or women with endometriosis.

    Microbial diversity through Shannon diversity index (alpha measure) and UniFrac analysis (beta measure) will be calculated in qiime2 from the number and type of bacterial species in the vaginal and gut microbiota as assessed by the sequencing of the hypervariable region (v3-v4) of the bacterial 16s rDNA via metagenomic analysis (Illumina MiSeq platform).

    Time frame: At the time of enrollment and after 2 months of probiotic supplementation

07

Study locations

1 site
  • Umberto I Hospital, University of Rome "Sapienza"
    Rome, Lazio 00185, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06592976
Lead sponsor
University of Roma La Sapienza
Responsible party
Marisa Di Pietro (Professor in Microbiology, University of Roma La Sapienza) — Principal investigator
First posted
Sep 19, 2024
Start date
Oct 21, 2020
Primary completion
Dec 31, 2024 (estimated)
Completion
May 31, 2025 (estimated)
Last update
Sep 19, 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 active, not recruiting, as verified in Sep 2024. 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