ClinicalTrials.gg
CompletedNCT07759908Updated Aug 12, 2026

Effects of a Synbiotic Intervention on Perimenopausal/Menopausal Symptoms

An interventional study of Femmebiome Meno and Placebo in Menopause, Perimenopause and Perimenopausal Women, sponsored by University College Cork. Completed at 1 site in Ireland. Open to female participants aged 44 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-12.

Primary conditionAnxiety Disorders(the registry's first term)UnverifiedIs this wrong?The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by University College Cork · Not applicable, Interventional, and Treatment

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
49
Allocation
Randomized
Ages
44 Years to 55 Years
Sex
Female
01

Study summary

FemmeBiome Meno is a synbiotic supplement, meaning it contains both probiotics (beneficial bacteria) and prebiotics (a special kind of fiber that feeds these bacteria). It is made up of:

One capsule with 4 carefully selected bacterial strains and one sachet of powdered fiber.

Both the capsule and the fiber sachet are taken daily. There are also placebo versions (lookalike products with no active ingredients) for use in the clinical trial.

This specific combination of bacteria and fiber has not been studied before. However, previous research on the individual bacterial strains has shown several promising effects, such as:

Reducing inflammation in lab tests on vaginal cells.

Lowering stress-related hormones.

Supporting general feelings of well-being.

Helping maintain a healthy gut barrier, which is crucial for immune and digestive health.

The fiber helps nourish both the added bacteria and the helpful microbes already present in the body. Some of these bacteria are believed to be reduced during menopause, especially those involved in estrogen metabolism.

Why This Study Matters

The aim of this study is to see whether FemmeBiome Meno can ease some of the most common and disruptive symptoms of perimenopause and menopause. In a survey of over 100 women, the top concerns were:

Poor sleep

Anxiety

Brain fog (difficulty thinking clearly)

The study also aims to examine how the supplement affects gut and vaginal health, which are both influenced by the drop in reproductive hormones during this stage of life.

With so many women affected and such limited options currently available, there is a clear and urgent need for effective, science-backed natural solutions.

The FemmeBiome Meno study hopes to fill that gap by providing a validated product that can genuinely support women's health during midlife and beyond.

Read the detailed description

Menopause affects every person born female and by the year 2025 the number of post-menopausal women worldwide is estimated to reach 1.1bn. Yet, the number of women experiencing peri/menopause-like symptoms is likely to be much higher as women in the late-reproductive stage experience multiple symptoms often years before the official menopause transition. Because of increasing life expectancy women now spend up to 40% of their lives in perimenopause and menopause. Symptoms affect more than 85% of women with 25% of these describing their symptoms as severe. In a survey carried out by The Menopause Hub 61% of women said that menopause negatively impacted their relationship with their significant other and 84% said their work performance was negatively impacted. One third of women had considered giving up work due to symptoms. A recent Mayo Clinic study estimated that menopause costs American women $1.8 billion in lost working time per year.

The WHO have identified a major gender health gap with Women's Health not being prioritised. Women's health is chronically under-addressed by scientifically supported clinical and nutritional options today. There are several pharmaceutical options for peri/menopausal women, including hormone replacement therapy (HRT). HRT can be extremely effective in reducing some of the symptoms of hormonal fluctuations. Many women however wish to explore natural alternatives. Furthermore, women with history of blood clots, breast cancer and other risk factors may opt not to take HRT to avoid further risk. Despite the strong consumer demand for natural solutions to support women during perimenopause and menopause, there is a lack of scientifically and clinically validated, dietary supplements to support women during these stages of life. Hence, the FemmeBiome Meno project aims to develop and clinically validate a synbiotic supplement that works for women to address this demand and exploit a very large and growing market opportunity.

Study Product

FemmeBiome Meno is a proprietary blend of 4 bacteria (capsule) and 1 fibre (sachet). There is a placebo equivalent capsule and sachet. Both capsule and a sachet of fibre are to be consumed daily during the trial.

Potential mechanisms of action include reintroducing strains that are reduced during this stage of life associated with oestrogen metabolism as well as providing fibre to support this particular community of bacteria as well as the residing beneficial microbes.

The combination of these 4 strains has not been assessed previously as well as the inclusion of this fibre. Previous studies have shown that these bacteria alone can reduce inflammatory insults on a vaginal cell line, reduce stress-related hormones, improve well-being, and have positive effects on gut barrier function.

Rationale for conducting the study

This study seeks to determine if a synbiotic supplement can support some of the symptoms noted to be most troublesome for women. A survey of over 100 women identified sleep, anxiety, and brain fog were the most prevalent and worrisome symptoms experienced. This supplement also aims to improve gut and vaginal health as these are also impacted due to decreases in reproductive hormones.

02

Conditions studied

  • Menopause
  • Perimenopause
  • Perimenopausal Women

Browse trials for

Keywords

  • Perimenopause
  • Menopause
  • Microbiome
  • Brain health
  • Anxiety
  • Stress
03

In context

Anxiety Disorders Unverified

7,207 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

This study's enrollment of 49 is below the median of 80 across 6,062 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

University College Cork is the lead sponsor of 119 studies on the registry; 25 are open to participants now.

Compared within Anxiety Disorders, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

04

Who can participate

Ages eligible
44 Years to 55 Years
Sexes eligible
Female
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

  • To be eligible for inclusion, the Participant must fulfil all the following criteria:

    1. Be able to give .
    2. Be between 44 -55 years, inclusive.
    3. Experiencing a score of >4 on all of the symptoms below, within the past 12-months, measured by the MenQoL.

      1. sleep disturbances
      2. mood changes
      3. changes in sexual function
    4. Willing to consume the Study Product daily for the duration of the study.
    5. Is in general good health, as determined by the investigator.

Exclusion criteria

Exclusion Criteria:

Participants will be excluded from the study if they meet any of the following criteria:

<!-- -->

  1. Participants who are pregnant or wish to become pregnant during the study or who are lactating and/or currently breastfeeding.
  2. Has food allergies or other issues with foods that would preclude intake of the Study Products or any known severe allergies.
  3. Is experiencing surgical menopause (bilateral oophorectomy before natural menopause occurs).
  4. Has any significant acute or chronic coexisting health conditions that would prevent them from fulfilling the study requirements, put the Participant at risk or would confound the interpretation of the study results as judged by the investigator on the basis of medical history. Excluded health conditions include:

    1. Uterine fibroids (current or previous 12 months)
    2. Endometriosis (current or past history)
    3. Polycystic ovarian syndrome (current or past history)
    4. History of abnormal pap smear (current or previous 12 months)
    5. Enema (in the past 12-weeks)
  5. Planned invasive medical procedures 3-weeks prior to and for the duration of the study.
  6. Current or recent (in the past 4-weeks) use of a medication that the investigator believes would interfere with the objectives of the study or pose a safety risk or confound the interpretation of the study results. Prohibited medications include:

    1. Antibiotics
    2. Hormone replacement therapies (current or planned use)
    3. Hormonal (current or planned use)
    4. Laxatives
  7. Recent (in the past 12-weeks) initiation of supplements or herbal remedies commonly used to support perimenopause/menopause symptoms.
  8. Current or recent (in the past 4-weeks) use of prohibited nutritional or non-nutritional supplements, including:

    1. Probiotics
    2. Prebiotics
    3. Postbiotics
    4. Fibre supplements
  9. Planned major changes in lifestyle (i.e., diet, dieting, exercise level, travelling) during the duration of the study.
  10. Individuals who, in the opinion of the investigator, are considered to be poor attendees or unlikely for any reason to be able to comply with the study.
  11. Participants may not be participating in other clinical studies. If the participant has previously taken part in an experimental study, the Investigator must ensure sufficient time has elapsed before entry to this study to ensure the integrity of the results.
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.

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.

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
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
49 participants (actual)

Study arms

  • Active comparator
    Synbiotic arm

    This arm will receive a capsule with the 4 probiotics and a sachet with the fibre to be consumed together

    Dietary Supplement: Femmebiome Meno

  • Placebo comparator
    Placebo

    This arm will receive a placebo filled capsule as well as a placebo filled sachet

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementFemmebiome Meno

    FemmeBiome Meno is a proprietary blend of carefully selected probiotics and a targeted prebiotic, specifically designed to address the unmet health needs of women in the perimenopausal and menopausal stages of life. Developed by experts in women's health and microbiome science, this synbiotic formula supports the unique physiological changes women experience during this transition. The probiotic strains in FemmeBiome Meno have been chosen based on scientific evidence. FemmeBiome Meno is a natural, non-hormonal solution developed to meet the growing demand for safe, effective, and science-backed support for women navigating this important life stage.

  • Dietary supplementPlacebo

    Placebo capsule and placebo sachet

06

What researchers measure

Primary outcomes

  1. Participants in the active arm to show a change from baseline score on the Menopause-Specific Quality of Life questionnaire.

    The MenoQoL questionnaire will be used to measure menopause specific symptoms at 0, 4, 8 weeks.

    Time frame: 0-56 days

Secondary outcomes

  1. Participants in the active arm to show a change in vaginal pH compared to baseline.

    Change from Baseline in Vaginal pH on a self-administered pH strip at 8 Weeks.

    Time frame: 0-56 days

  2. Participants in the active arm to show a change from baseline in mental health.

    Change from Baseline in DASS-21 score at 4 and 8 Weeks.

    Time frame: 0-56 days

  3. Participants in the active arm to show a change from baseline in sleep behaviour.

    Change from Baseline in sleep behaviour on the LSEQ at 4 and 8 weeks.

    Time frame: 0-56 days

Other outcomes

  1. Participants in the active arm to show a change from baseline in vaginal and gut microbiome.

    Change from Baseline in vaginal and gut microbiome using 16S sequencing at 8 weeks.

    Time frame: 0-56 days

07

Study locations

1 site
  • Atlantia Clinical Trials
    Cork, Ireland
08

References and documents

Publications

  • Hay K, McDougal L, Percival V, Henry S, Klugman J, Wurie H, Raven J, Shabalala F, Fielding-Miller R, Dey A, Dehingia N, Morgan R, Atmavilas Y, Saggurti N, Yore J, Blokhina E, Huque R, Barasa E, Bhan N, Kharel C, Silverman JG, Raj A; Gender Equality, Norms, and Health Steering Committee. Disrupting gender norms in health systems: making the case for change. Lancet. 2019 Jun 22;393(10190):2535-2549. doi: 10.1016/S0140-6736(19)30648-8. Epub 2019 May 30. PubMed 31155270 ↗
  • Santoro N, Roeca C, Peters BA, Neal-Perry G. The Menopause Transition: Signs, Symptoms, and Management Options. J Clin Endocrinol Metab. 2021 Jan 1;106(1):1-15. doi: 10.1210/clinem/dgaa764. PubMed 33095879 ↗
  • Talaulikar V. Menopause transition: Physiology and symptoms. Best Pract Res Clin Obstet Gynaecol. 2022 May;81:3-7. doi: 10.1016/j.bpobgyn.2022.03.003. Epub 2022 Mar 16. PubMed 35382992 ↗

Individual participant data

Plan to share: Undecided

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 Jun 2025 to primary completion in Sep 2025, 3 months.

Of 3,841 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's 3 months is below that.

Counting every sponsor, half of 3,943 studies reached it within 12 months; a quarter within 5 and three quarters within 28.

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

Registered
Jun 6, 2025
First posted
Aug 12, 2026
StartActual
Jun 6, 2025
Primary completionActual
Sep 30, 2025
CompletionActual
Dec 30, 2025
Last update
Aug 12, 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 Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07759908
Collaborators
Atlantia Food Clinical Trials
Responsible party
Siobhan O'Mahony (Professor, University College Cork) — Principal investigator
First posted
Aug 12, 2026
Start date
Jun 6, 2025
Primary completion
Sep 30, 2025
Completion
Dec 30, 2025
Last update
Aug 12, 2026

Study contacts

Siobhain M O'Mahony, PhD
principal investigator · University College Cork

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 completed, as verified in Aug 2026. 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