ClinicalTrials.gg
RecruitingNCT07462767PreMISUpdated Oct 29, 2026

Precision Microbiota Interventions for Senoreduction Trial

A Phase 1/2 interventional study of Limosilactobacillus reuteri and Blueberry extract in HIV Infections, Alcohol Drinking and Aging, sponsored by Louisiana State University Health Sciences Center in New Orleans. Recruiting at 1 site in United States. Open to participants aged 40 Years and older. Per ClinicalTrials.gov, last updated 2026-10-29.

Sponsored by Louisiana State University Health Sciences Center in New Orleans · Phase 1/2, Interventional, and Basic science

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Oct 29, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓
Phase
Phase 1/2
Study type
Interventional
Enrollment
160
Allocation
Randomized
Ages
40 Years and older
Sex
All
01

Study summary

People with HIV who drink alcohol are at increased risk for accelerated aging biology, including increased immune senescence. This randomized, double-blind, crossover clinical trial evaluates two generally recognized as safe (GRAS) microbiota-targeted interventions on immune senescence biomarkers.

Read the detailed description

This is a randomized, double-blind, controlled, crossover mechanistic clinical trial in people with HIV who have recent alcohol use. Participants are randomized to receive either Limosilactobacillus reuteri probiotic or blueberry extract first for 4 weeks, followed by a 6-week washout period, then crossover to the alternate intervention for 4 weeks. Each participant receives both interventions.

Both interventions are generally recognized as safe (GRAS) dietary supplements and are not intended to diagnose, treat, cure, or prevent disease. This study is not conducted under an Investigational New Drug (IND) application and does not involve FDA-regulated investigational products.

Biospecimen collection and clinical assessments are performed at baseline and Week 4 of each intervention period. The primary analysis compares within-participant changes in immune senescence markers between interventions using a crossover design framework and accounts for period and sequence effects.

Participants will be recruited from HIV clinical care programs, affiliated clinics, and community outreach efforts in the New Orleans area.

A 6-week washout period is included to minimize potential carryover effects.

02

Conditions studied

  • HIV Infections
  • Alcohol Drinking
  • Aging
  • Immunosenescence

Keywords

  • People with HIV
  • Alcohol use
  • Immunosenescence
  • Senescence
  • Microbiome
  • Probiotic
  • Blueberry extract
  • Crossover trial
03

In context

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

This study's planned enrollment of 160 is above the median of 80 across 3,489 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Louisiana State University Health Sciences Center in New Orleans is the lead sponsor of 72 studies on the registry; 12 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 1 (14%) have results posted.

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

04

Who can participate

Ages eligible
40 Years and older
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

  • Age ≥40 years
  • People with
  • Recent alcohol use defined as ≥42 grams in the prior week and positive urine ethyl glucuronide (EtG)

Exclusion criteria

Exclusion Criteria:

  • Probiotic use in past 3 months
  • Recent antibiotics or immunosuppressives
  • Allergy to study products
  • Pregnancy or breastfeeding
  • Inability to comply
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
160 participants (estimated)

Study arms

  • Experimental
    Sequence A: Probiotic then Blueberry Extract

    Participants receive probiotic for 4 weeks, washout 6 weeks, then blueberry extract for 4 weeks.

    Dietary Supplement: Limosilactobacillus reuteri · Dietary Supplement: Blueberry extract

  • Experimental
    Sequence B: Blueberry Extract then Probiotic

    Participants receive blueberry extract for 4 weeks, washout 6 weeks, then probiotic for 4 weeks.

    Dietary Supplement: Limosilactobacillus reuteri · Dietary Supplement: Blueberry extract

Interventions

  • Dietary supplementLimosilactobacillus reuteri

    Administered as 8 capsules daily (4 twice daily) for 4 weeks. Each daily dose contains 1×10\^10 CFU total in a 1:1 ratio of two strains. This is a GRAS dietary supplement and not an FDA-regulated investigational product.

  • Dietary supplementBlueberry extract

    Administered as 8 capsules daily (4 twice daily) for 4 weeks, providing 500 mg anthocyanins per day. This is a GRAS dietary supplement and not an FDA-regulated investigational product.

06

What researchers measure

Primary outcomes

  1. Change in circulating senescent T cell numbers

    Change in circulating CD3+CD8+CD28-CD38+ T cell count (cells/µL) during treatment period. Measured by multiparameter flow cytometry. The primary endpoint is the within-participant difference in change from baseline.

    Time frame: Time 0 to Week 4 of treatment period

Secondary outcomes

  1. Change in additional senescent T cell phenotypes

    Flow cytometry-defined subsets

    Time frame: Baseline and Week 4

  2. Change in epigenetic age estimation

    Change in DNA methylation-based age estimates using epigenetic clock analyses.

    Time frame: Baseline and Week 4

Other outcomes

  1. Change in additional senescent T cell phenotypes

    Exploratory analyses of additional T cell phenotypes including assess additional senescence markers including lysosomal-β-galactosidase (GLB1), proinflammatory SASP (IL-1β, IL-2, IL17A, IL-18, TNFa, IFNg, HMBG1), proliferation (Ki67), CD27, CD57, and DNA damage (p-H2A.X) in T cells at multiple stages of maturation including naïve, effector, memory, and TEMRA.

    Time frame: time 0 to 4 weeks

  2. Microbiome and metabolite profiles

    Stool microbiome (phylogenetic analysis and bacterial genes quantification) and metabolite analyses.

    Time frame: Baseline and Week 4

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — De-identified individual participant data will be shared upon reasonable request following publication, subject to data use agreements.

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 29, 2026
Sites
LSU Health is now Recruiting
Oct 29, 2026
Start date
Apr 1, 2026→Sep 1, 2026 (actual)
moved 2 times, Oct 1, 2026 – Oct 29, 2026
Show all 2 updates
  1. Oct 29, 2026
    Not yet recruiting→Recruiting
    LSU Health is now Recruiting
    Start date Oct 1, 2026→Sep 1, 2026 (now actual)
    + 1 other change: verification date
  2. Oct 1, 2026
    Start date Apr 1, 2026→Oct 1, 2026
    + 2 other changes: verification date and arm descriptions

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07462767
Lead sponsor
Louisiana State University Health Sciences Center in New Orleans
Responsible party
David Welsh (Professor, Louisiana State University Health Sciences Center in New Orleans) — Principal investigator
First posted
Mar 10, 2026
Start date
Sep 1, 2026
Primary completion
Dec 1, 2029 (estimated)
Completion
Dec 1, 2029 (estimated)
Last update
Oct 29, 2026

Study contacts

David A Welsh, MD
Contact
dwelsh@lsuhsc.edu
United States ext. 5045684634
David A Welsh, MD
principal investigator · LSU Health New Orleans

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 drugs tested here: Lactobacillus reuteri · Blueberry extract

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