ClinicalTrials.gg
Not yet recruitingNCT07830862LOOFAH2Updated Sep 21, 2026

The Effect of a Postbiotic on Oral Health in Healthy Adults

An interventional study of Postbiotic and Placebo in Healthy, sponsored by The Archer-Daniels-Midland Company. Not yet recruiting at 1 site in Canada. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-21.

Sponsored by The Archer-Daniels-Midland Company · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The goal of this randomised, placebo-controlled trial is to determine the effect of a chewable postbiotic tablet on the oral health of male and female healthy adults under conditions of short term oral-neglect (a short, temporary period during which participants do not perform their usual oral hygiene practices, such as tooth brushing and flossing).

The main questions the study aims to answer are:

  1. Does postbiotic ingestion impact dental plaque accumulation, gingival (gum) inflammation, and periodontal health compared with placebo?
  2. Does postbiotic ingestion alter the oral microbiome composition compared with placebo?
Read the detailed description

Participants will attend clinic visits at the beginning of the study and at weeks 2, 4, and 6. During these visits, examinations will be performed to assess the health of their teeth and gingivae (gums). Saliva and plaque samples will also be collected to investigate how the postbiotic may affect the oral microbiome (the bacteria that naturally live in the mouth).

02

Conditions studied

  • Healthy

Keywords

  • Oral health
  • Postbiotic
  • Oral microbiome
  • Chewable tablet
03

In context

Lead sponsor

The Archer-Daniels-Midland Company is the lead sponsor of 19 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 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

  1. Adults who are between 18 - 65 years of age (inclusive) at the time of signing the .
  2. In otherwise good general health, as deemed by the investigator (based on review of medical history, vital signs, and physical examination performed at screening and/or before the first dose of the study product).
  3. Are able to consume the study product completely within the specified timeframe.
  4. Have a (BMI) between 18.5 to 29.9 kg/m\^2 (inclusive).
  5. Have ≥24 natural, non-prosthetic teeth present at screening.
  6. Have good oral and dental health, as determined by examination at screening.
  7. Have maintained consistent dietary habits, including medication and supplement intake, and lifestyle for the last 3 months before screening and agree to maintain them throughout the study.
  8. Agrees to abstain from oral sex for at least 24 hours prior to each study visit.
  9. Agree to follow the restrictions on concomitant treatments.
  10. Agree to follow the restrictions on lifestyle, including oral hygiene.
  11. Participants must either be not of or, if of childbearing potential, must agree to comply with the following requirements:

    • Have a negative pregnancy test at the baseline visit prior to administration of the study product.
    • Use a highly effective method of .
  12. Female-born participants who are using hormonal contraception have been using hormonal contraception for at least 12 months.
  13. Female-born participants must agree to abstain from ovum donation, from screening through at least 30 days after the last dose of study product.
  14. Willing and able to comply with all study requirements and restrictions, including consumption of study products, biological sample collection procedures, and adherence to the study visit schedule; able to understand and complete questionnaires, provide written informed consent, and voluntarily participate in all study-related procedures.

Exclusion criteria

Exclusion Criteria:

  1. Individuals who are intending to breastfeed, intending to conceive, or are pregnant as confirmed by a positive pregnancy test during study visits.
  2. Have a known sensitivity, intolerability, or allergy to any of the study products or their .
  3. Have periodontal probing depths of ≥4 mm at any site at the screening visit.
  4. Have treatment-requiring oral diseases, including dental caries, gingivitis, or periodontitis.
  5. Have dental prosthetic or orthodontic devices, temporary or permanent, that, in the Investigator's discretion, are likely to interfere with study outcomes (e.g., bridges, retainers, implants).
  6. Have a history of use of antibiotics or acid sequestrants (e.g., cholestyramine, colestipol) within 3 months prior to the Screening Visit (Visit 1), or plan to use any of these during the study.
  7. Have Type I diabetes or Type II diabetes, high blood pressure (≥140 systolic or ≥90 diastolic mmHg), or uncontrolled thyroid disease ("uncontrolled" defined as being unmedicated, having an unstable use of medication within 3 months prior to screening, or having a stable use of medication for 3 months but still having uncontrolled conditions).
  8. Individuals with any abnormality, obstruction, or disorder of the gastrointestinal tract that may preclude swallowing (e.g., dysphagia) or impair gastrointestinal motility, digestion, or absorption (e.g., known intestinal malabsorption, celiac disease, inflammatory bowel disease [including Crohn's disease or ulcerative colitis], chronic pancreatitis, or steatorrhea). In addition, any history of gastrointestinal surgery or anatomical abnormality that, in the opinion of the Investigator, may affect the oral absorption of the study product.
  9. Have a history of heart/cardiovascular disease, renal disease (dialysis or renal failure), hepatic impairment/disease, immune disorders and/or immunocompromise (i.e., /AIDS).
  10. Have a history of cancer (except localized skin cancer without or in situ cervical cancer), unless recovery occurred more than 5 years before the screening visit.
  11. Are receiving treatments for or have been hospitalised in the last 12 months for psychiatric disorders (e.g., depression, bipolar disorder, schizophrenia, etc.).
  12. Reports a illness during the 28 days before the first dose of study product.
  13. Major surgery in 3 months prior to screening or planned major surgery during the study.
  14. Current users of tobacco products, including smoking or smokeless forms, or former users within 12 months prior to screening.
  15. Have a history of alcohol or substance abuse within the 24 months prior to screening, defined as any of the following:

    • Use of recreational drugs (e.g., cocaine, methamphetamine, marijuana) or nicotine dependence
    • High-risk alcohol consumption, defined as consuming excessive alcohol based on gender-specific thresholds (four or more drinks on any single day or eight or more drinks per week for women; five or more drinks on any single day or 15 or more drinks per week for men)
    • Hospitalisation for alcohol or substance abuse in an inpatient or outpatient intervention program
    • Any use that, in the opinion of the investigator, may be of concern for the study
  16. Current enrollment or past participation in another study with any product(s) with at least one active ingredient within 90 days before first dose of study product or longer, if the previous test product is deemed by the investigator to have lasting effects that might influence the eligibility criteria or outcomes of current study.
  17. Any other medical condition/situation or use of medications/supplements/therapies that, in the opinion of the investigator, may adversely affect the participant's ability to participate in the study or its measures or pose a significant risk to the participant.
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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

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.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
56 participants (estimated)

Study arms

  • Experimental
    Postbiotic

    2 tablets (10mg) per day

    Dietary Supplement: Postbiotic

  • Placebo comparator
    Placebo

    2 tablets (10mg) per day

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementPostbiotic

    1 tablet to be taken after brushing in the morning and 1 tablet to be taken after brushing in the evening for 6 weeks. Tablets should be chewed until fully dissolved. The active intervention provides 10mg of heat-treated postbiotic per day. The postbiotic is manufactured by heat treatment of a probiotic preparation equivalent to 3.0 × 10\^9 CFU.

  • Dietary supplementPlacebo

    1 tablet to be taken after brushing in the morning and 1 tablet to be taken after brushing in the evening for 6 weeks. Tablets should be chewed until fully dissolved. The placebo tablet is matched to the active tablet in packaging, appearance, and taste.

06

What researchers measure

Primary outcomes

  1. To determine the effect of the postbiotic on dental plaque formation compared to placebo

    The difference between postbiotic and placebo in change from Baseline to Week 4 in dental plaque score as measured by the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI; range: 0 to 5, with lower scores indicating less plaque accumulation and a better outcome).

    Time frame: Baseline and 4 weeks

Secondary outcomes

  1. To evaluate the effect of the postbiotic on dental plaque formation compared to placebo

    Change in dental plaque formation as measured by the Turesky Modification of the Quigley-Hein Plaque Index (TMQHPI; range: 0 to 5, with lower scores indicating less plaque accumulation and a better outcome).

    Time frame: Baseline to Week 2 and Week 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  2. To evaluate the effect of the postbiotic on dental calculus formation compared to placebo

    Change in dental calculus formation as measured by the Volpe-Manhold Index (VMI; units: mm, with lower scores indicating less calculus accumulation and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  3. To evaluate the effect of the postbiotic on gingival bleeding compared to placebo, as measured by an objective clinical assessment

    Change in gingival bleeding assessed by bleeding on probing (BOP), measured using the Ainamo and Bay method and defined as the % of sites with bleeding on probing out of the total number of sites examined (units: %, with range 0 to 100 % and lower percentages indicating a lower prevalence of gingival bleeding and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  4. To evaluate the effect of the postbiotic on gingival bleeding compared to placebo, as assessed through participant self-report

    Change in participant-reported gingival bleeding, measured using the Gingival Bleeding Self-Assessment Questionnaire (GBSAQ; lower scores indicate less gingival bleeding and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  5. To evaluate the effect of the postbiotic on periodontal health compared to placebo, as assessed by probing pocket depth (PPD)

    Change in periodontal health as assessed by full-mouth periodontal charting (six sites per tooth), measuring Probing Pocket Depth (PPD), summarized as the % of sites with PPD ≥ 4 mm and ≥ 5 mm (units: %, range 0 to 100%, with lower percentages indicating a lower prevalence of periodontal pockets and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  6. To evaluate the effect of the postbiotic on periodontal health compared to placebo, as assessed by gingival recession

    Change in periodontal health as assessed by full-mouth periodontal charting (six sites per tooth), measuring gingival recession (units: mm, lower values indicate less gingival recession and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  7. To evaluate the effect of the postbiotic on periodontal health compared to placebo, as assessed by Clinical Attachment Level (CAL)

    Change in periodontal health as assessed by full-mouth periodontal charting (six sites per tooth), measuring Clinical Attachment Level (CAL; units: mm, lower values indicate less periodontal attachment loss and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  8. To evaluate the effect of the postbiotic on gingival inflammation compared to placebo

    Change in gingival inflammation as measured by the Löe-Silness Gingival Index (GI; range 0 to 3, with lower scores indicating lower severity of gingival inflammation and a better outcome).

    Time frame: Baseline to Weeks 2, 4, and 6; Week 2 to Week 4 and Week 6; Week 4 to Week 6

Other outcomes

  1. Change in oral microbiome composition following postbiotic intervention compared with placebo

    To evaluate the effect of the postbiotic compared with placebo on oral microbiome composition, as measured by changes in alpha diversity and beta diversity over time.

    Time frame: Baseline to Weeks 2 and 4; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  2. Change in the abundance of beneficial versus pathogenic oral bacterial species following postbiotic intervention compared with placebo

    To evaluate the effect of the postbiotic compared with placebo on the abundance of beneficial versus pathogenic oral bacterial species over time. Significant changes will be reported using fold change and adjusted p-values.

    Time frame: Baseline to Weeks 2 and 4; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  3. Changes in the abundances of oral microbial genes contained in specific functional modules following postbiotic intervention compared with placebo

    To evaluate the effect of the postbiotic compared with placebo on changes in the abundance of genes within specific functional modules defined by the KEGG database. Gene Set Enrichment Analysis (GSEA) will be performed to determine which modules are enriched by the postbiotic throughout the study. Significant associations will be reported with the Normalized Enrichment score (NES) and adjusted p-values.

    Time frame: Baseline to Weeks 2 and 4; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  4. To evaluate the effect of the postbiotic on Streptococcus mutans counts compared to placebo

    Change in S. mutans counts

    Time frame: Baseline to Weeks 2 and 4; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  5. Change in the abundance of predefined oral microbial species associated with halitosis following postbiotic intervention as compared to placebo

    To evaluate the effect of the postbiotic on the abundance of predefined oral bacterial species associated with halitosis compared with placebo. Changes in bacterial abundance over time will be compared between treatment groups.

    Time frame: Baseline to Weeks 2 and 4; Week 2 to Week 4 and Week 6; Week 4 to Week 6

  6. To assess Adverse Events (AEs)

    Reports of Adverse Events (AEs)

    Time frame: Baseline, Weeks 2, 4, and 6

07

Study locations

1 site
  • Nutrasource Pharmaceutical and Nutraceutical Services, Inc.
    Guelph, Ontario N1G 0B4, Canada
    • Bisma Sharif, MD · Contactbsharif@nutrasource.ca · 226-706-8903
    • Anthony Bier, MD · Principal investigator
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

Start is estimated for Oct 2026; primary completion for Jun 2027, 8 months later.

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

Registered
Aug 27, 2026
First posted
Sep 21, 2026
StartEst.
Oct 1, 2026
Primary completionEst.
Jun 1, 2027
CompletionEst.
Jun 1, 2027
Last update
Sep 21, 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 Sep 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07830862
Lead sponsor
The Archer-Daniels-Midland Company
Collaborators
Nutrasource Pharmaceutical and Nutraceutical Services, Inc.
Responsible party
Sponsor
First posted
Sep 21, 2026
Start date
Oct 1, 2026 (estimated)
Primary completion
Jun 1, 2027 (estimated)
Completion
Jun 1, 2027 (estimated)
Last update
Sep 21, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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