ClinicalTrials.gg
CompletedNCT07782983Updated Aug 24, 2026

Multi-Strain Probiotic Supplementation, Salivary Immunity, and Upper Respiratory Symptoms in Trained Athletes

An interventional study of Multi-Strain Probiotic and Rice Flour Placebo in Upper Respiratory Symptoms and Mucosal Immunity, sponsored by University of Ulster. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-24.

Sponsored by University of Ulster · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled May 2025, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
15
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

This completed external pilot study assessed the feasibility of conducting a randomised, double-blind, placebo-controlled trial of four-week multi-strain probiotic supplementation in trained athletes. Participants were allocated to receive either one probiotic capsule containing 20 billion colony-forming units or a matched rice-flour placebo capsule daily for 28 days. Feasibility measures included recruitment, retention, supplementation adherence and completion of daily monitoring records. Preliminary biological and symptom outcomes included salivary secretory immunoglobulin A and upper respiratory symptom burden. The findings were intended to inform the design of a future definitive randomised controlled trial and were not intended to provide a definitive assessment of efficacy.

Read the detailed description

This study was conducted as a randomised, double-blind, placebo-controlled, parallel-group external pilot trial. Trained athletes were allocated in a 1:1 ratio to a probiotic group or a placebo group for 28 days.

Participants assigned to the probiotic group consumed one Elite Pro 20 Biotic capsule daily. Each capsule provided 20 billion colony-forming units and contained Bifidobacterium lactis Bl-04, Lactobacillus paracasei Lpc-37, Lactobacillus acidophilus NCFM, Bifidobacterium lactis Bi-07 and Bifidobacterium bifidum Bb-02. Participants assigned to the control group consumed one visually matched capsule containing rice flour daily. Participants and investigators remained blinded to treatment allocation during data collection.

Participants completed daily upper respiratory symptom and training-monitoring records throughout the intervention. Saliva samples were collected at baseline and after 28 days, both before and immediately after a standardised treadmill exercise challenge. Salivary secretory immunoglobulin A was assessed as a marker of mucosal immunity.

The principal purpose of this external pilot was to assess study feasibility, including recruitment, retention, supplementation adherence, capsule return and completion of monitoring records. Salivary secretory immunoglobulin A and upper respiratory symptom outcomes were examined to generate preliminary estimates and inform the methods and sample-size planning of a future definitive trial. A conventional efficacy-based sample-size calculation was therefore not undertaken, and the outcome findings were considered exploratory and hypothesis-generating.

02

Conditions studied

  • Upper Respiratory Symptoms
  • Mucosal Immunity

Keywords

  • Probiotics
  • Trained Athletes
  • Salivary Secretory Immunoglobulin A
  • sIgA
  • Upper Respiratory Symptoms
  • Mucosal Immunity
  • Exercise Immunology
  • External Pilot Randomized Controlled Trial
03

In context

Signs and Symptoms, Respiratory

64 studies on the registry are indexed under Signs and Symptoms, Respiratory; 9 are open to participants now.

This study's enrollment of 15 is below the median of 120 across 43 interventional studies indexed under Signs and Symptoms, Respiratory.

Browse Signs and Symptoms, Respiratory studies →

Lead sponsor

University of Ulster is the lead sponsor of 96 studies on the registry; 15 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
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

  • Male trained athletes aged 18-40 years.
  • Regularly participating in structured training and/or competitive sport.
  • Apparently healthy at enrolment, with no acute illness or injury that would prevent completion of the exercise testing protocol.
  • Able to complete high-intensity treadmill exercise testing.
  • Willing to consume the assigned supplement daily for the full intervention period.
  • Willing to avoid probiotic supplements, prebiotic supplements, and other new immune- or gut-health-related supplements during the study period.
  • Willing and able to provide saliva samples and complete daily upper respiratory symptom monitoring.
  • Able to provide written .

Exclusion criteria

Exclusion Criteria:

  • Current acute respiratory, gastrointestinal, or systemic illness at enrolment.
  • Use of antibiotics within the previous 4 weeks.
  • Regular use of probiotic or prebiotic supplements before enrolment, unless willing to stop before and during the study period.
  • Use of medication or supplements likely to affect immune, inflammatory, gastrointestinal, or salivary biomarker outcomes.
  • Known chronic gastrointestinal disease, immune disorder, metabolic disease, cardiovascular disease, or other medical condition that could affect study outcomes or exercise safety.
  • Known allergy or intolerance to any ingredient in the probiotic or placebo capsule.
  • Current smoker or regular nicotine user.
  • Any musculoskeletal injury or health condition limiting maximal or high-intensity treadmill exercise.
  • Participation in another intervention study during the study period.
  • Inability or unwillingness to comply with the study procedures.
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.

Informed consent

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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.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Probiotic

    Participants received one Elite Pro 20 Biotic multi-strain probiotic capsule containing 20 billion CFU once daily for 28 days.

    Dietary Supplement: Multi-Strain Probiotic

  • Placebo comparator
    Placebo

    Participants received one visually matched capsule containing rice flour once daily for 28 days.

    Dietary Supplement: Rice Flour Placebo

Interventions

  • Dietary supplementMulti-Strain Probiotic

    One oral capsule was taken daily for 28 days. Each capsule provided 20 billion colony-forming units and contained Lactobacillus acidophilus NCFM, Lactobacillus paracasei Lpc-37, Bifidobacterium lactis Bl-04, Bifidobacterium lactis Bi-07, and Bifidobacterium bifidum Bb-02

  • Dietary supplementRice Flour Placebo

    One visually matched oral capsule containing rice flour and no live microorganisms was taken daily for 28 days.

06

What researchers measure

Primary outcomes

  1. Resting Salivary Secretory Immunoglobulin A Concentration

    Saliva was collected immediately before a standardised treadmill exercise challenge at baseline and after 28 days of supplementation. Secretory immunoglobulin A concentration was measured using an enzyme-linked immunosorbent assay. Day 28 resting sIgA was compared between groups while accounting for baseline resting sIgA.

    Time frame: Baseline and Day 28

07

Study locations

1 site
  • Ulster University Belfast Campus, Human Physiology Laboratory, Room BC-04-409
    Belfast, Northern Ireland BT15 1ED, United Kingdom
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared publicly or with external researchers. Data will be stored securely in accordance with Ulster University research governance, GDPR requirements, and the approved ethics protocol. Only authorised members of the research team will have access to coded study data. Results will be reported only in anonymised aggregate form in publications and presentations.

No publications or documents are linked to this record.

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 2025 to primary completion in Dec 2025, 7 months.

Of 18 interventional studies with no phase under Signs and Symptoms, Respiratory, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 26. This study's 7 months is below that.

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

Registered
Aug 19, 2026
First posted
Aug 24, 2026
StartActual
May 13, 2025
Primary completionActual
Dec 19, 2025
CompletionActual
Dec 19, 2025
Last update
Aug 24, 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 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07782983
Lead sponsor
University of Ulster
Responsible party
Sponsor
First posted
Aug 24, 2026
Start date
May 13, 2025
Primary completion
Dec 19, 2025
Completion
Dec 19, 2025
Last update
Aug 24, 2026

Study contacts

Andrea McNeilly, PhD
principal investigator · Ulster University

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 Aug 2026. You cannot join it, but the record below documents what was studied.

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