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RecruitingNCT07875062TENDUpdated Oct 22, 2026

Trial Evaluating Nutritional Fiber in Digestive Symptoms of Endometriosis

An interventional study of Fiber and Placebo in Endometriosis, Microbiome Dysbiosis and Gastrointestinal Symptoms, sponsored by LOAM Science. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by LOAM Science · Not applicable, Interventional, and Other

Updated Oct 22, 2026Now RecruitingFirst site in United States+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This study is a double-blind, randomized, placebo-controlled study that evaluates the safety and tolerability of a fiber-based dietary supplement and the mechanistic and structure-function effects of that supplement on the gut and vaginal microbiome, gastrointestinal well-being, and quality-of-life parameters in 140 women with endometriosis and co-existing gastrointestinal symptoms over 12 weeks. The primary objective is to evaluate the safety and tolerability of the supplement, measured by the incidence and severity of gastrointestinal adverse events (AEs) and discontinuations. Secondary objectives include assessing the fibers impact on gastrointestinal symptoms and quality of life through the use of custom questionnaires built for the study population and evaluation of other endometriosis related parameters such as pelvic discomfort. Exploratory objectives focus on the exploration of the gut and vaginal microbiomes, their connection to endometriosis, and how they are impacted by the study product.

02

Conditions studied

  • Endometriosis
  • Microbiome Dysbiosis
  • Gastrointestinal Symptoms

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Keywords

  • Endometriosis
  • Fiber
  • Prebiotic
  • Gut Microbiome
  • Vaginal Microbiome
  • Gastrointestinal
03

In context

Endometriosis

925 studies on the registry are indexed under Endometriosis; 264 are open to participants now.

This study's planned enrollment of 140 is above the median of 65 across 539 interventional studies indexed under Endometriosis.

Browse Endometriosis studies →

Lead sponsor

LOAM Science is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 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

  • Confirmed diagnosis of endometriosis (by imaging, laparoscopy, or physician clinical assessment).
  • Enriched gastrointestinal phenotype: self-reported gastrointestinal symptoms on at least 3 days per week for the preceding 3 months, including at least one of bloating, constipation, or abdominal discomfort
  • Predominantly Bristol Stool Scale Type 1-3 (constipation-predominant), or self-reported bloating as a dominant symptom.
  • Stable hormonal status: either no hormonal therapy, or stable hormonal therapy (combined oral contraceptive, progestin, or GnRH analogue) for at least 3 months with no planned change during the study.
  • Estimated habitual dietary fiber intake below 25 g/day based
  • Willingness to share menstrual cycle data.
  • Willing to maintain stable diet, physical activity, and medication regimens throughout the study.
  • Able to provide electronic informed consent and to comply with stool and vaginal self-sampling procedures.
  • Ownership and consistent use of a home body-weight scale for the duration of the study, to support the standardized at-home morning weighing protocol.

Exclusion criteria

Exclusion Criteria:

  • Inflammatory bowel disease (Crohn's disease, ulcerative colitis), celiac disease, or other organic gastrointestinal disease.
  • Severe irritable bowel syndrome (IBS) requiring active pharmacological management. Mild-to-moderate overlap is permitted as part of the enrichment strategy.
  • Antibiotic use within 8 weeks prior to baseline or anticipated during the study.
  • Probiotic, prebiotic, or fiber supplement use within 4 weeks prior to baseline (washout required).
  • Major gastrointestinal surgery, excluding appendectomy or cholecystectomy more than 6 months prior, and excluding surgical intervention for endometriosis.
  • Current pregnancy, breastfeeding, or plans to conceive during the study.
  • Severe constipation requiring regular prescription laxatives.
  • Significant renal, hepatic, cardiac, or endocrine disease.
  • Active malignancy.
  • Known allergy or intolerance to any LOAM fiber component.
  • Significant dietary change or weight-loss intervention within the preceding 3 months.
  • Use of medications known to significantly alter gut motility or the microbiome (for example, recent metformin initiation, regular opioid use, or chronic proton-pump inhibitor use), per investigator judgment.
  • Any surgical intervention for endometriosis (including laparoscopy, laparotomy, or endometrioma excision) within the 6 months prior to screening, as post-surgical physiological changes may confound symptom and biomarker assessments.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Fiber Supplement

    Fiber supplement providing 20 grams/day of dietary fiber. Taken as a scoop of powder added to a drink twice daily.

    Dietary Supplement: Fiber

  • Placebo comparator
    Placebo Control

    Placebo control. Taken as a scoop of powder added to a drink twice daily.

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementFiber

    Dietary fiber blend containing six prebiotic fibers.

  • Dietary supplementPlacebo

    Placebo control

06

What researchers measure

Primary outcomes

  1. Incidence and severity of GI adverse events (AEs) and discontinuations.

    To evaluate the safety and tolerability of the fiber blend.

    Time frame: An adverse event questionnaire will be administered at baseline and at Week 4, Week 6, Week 8, and Week 12 of supplementation. Adverse events will also be collected ad hoc throughout the study period via a reporting form.

Secondary outcomes

  1. Changes in a custom gut health questionnaire

    A custom gut health questionnaire using a 5-point Likert Scale (1-5) where 1 is no symptoms and 5 is the worst symptoms designed to evaluate GI symptoms relevant to endometriosis.

    Time frame: From baseline sample collection through the end of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  2. DASS-21

    Self-reported mental health tool to evaluate depression, anxiety, and stress that uses a 4-point Likert Scale (0-3) where 0 is not applicable and 3 is highly applicable.

    Time frame: From baseline sample collection through the end of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  3. Pelvic discomfort duration over 24 hours

    Evaluation of pelvic discomfort associated with endometriosis over the previous 24 hours using a 0-24 scale, where 0 is no hours of pelvic discomfort and 24 is pelvic discomfort for the entire duration of the last 24 hours.

    Time frame: From baseline sample collection through the end of supplementation (Daily).

  4. Pelvic discomfort severity

    Pelvic discomfort severity assessed using a 10 point numerical rating scale (0-10) with zero being no discomfort and ten being the highest level of discomfort.

    Time frame: From baseline sample collection through the end of supplementation (daily).

  5. Body Weight

    Performed at home using a scale

    Time frame: From baseline sample collection through the end of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

Other outcomes

  1. Gut Microbiome Composition

    Evaluation of the gut microbiome composition using shotgun metagenomic sequencing.

    Time frame: Three separate samplings, one at baseline, one at six weeks, and one at 12 weeks.

  2. Gut Microbiome Function

    Evaluation of the gut microbiome function using shotgun metagenomic sequencing.

    Time frame: Three separate samplings, one at baseline, one at six weeks, and one at 12 weeks.

  3. Vaginal Microbiome Composition

    Evaluation of the vaginal microbiome composition using shotgun metagenomic sequencing.

    Time frame: Three separate samplings, one at baseline, one at six weeks, and one at 12 weeks.

  4. Custom endometriosis quality of life survey

    A custom survey designed to assess the impact of endometriosis on an individuals quality of life. Questions are scored using a 5-point Likert Scale (1-5) where 1 is no impact on quality of life and 5 is the highest level of impact.

    Time frame: From baseline sample collection through the end of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  5. Vaginal Microbiome Function

    Evaluation of the vaginal microbiome function using shotgun metagenomic sequencing.

    Time frame: Three separate samplings, one at baseline, one at six weeks, and one at 12 weeks.

  6. Endometriosis-related Medication Use

    Medication use assess by open-ended questionnaire.

    Time frame: From enrollment through the conclusion of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  7. Deep dyspareunia

    Deep dyspareunia severity assessed using a 10 point numerical rating scale (0-10) with zero being no discomfort and ten being the highest level of discomfort.

    Time frame: From baseline through the conclusion of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  8. Dysmenorrhea

    Dysmenorrhea severity assessed using a 10 point numerical rating scale (0-10) with zero being no discomfort and ten being the highest level of discomfort.

    Time frame: From baseline through the conclusion of supplementation (daily).

  9. Non-menstrual pelvic discomfort

    Non-menstrual pelvic discomfort severity assessed using a 10 point numerical rating scale (0-10) with zero being no discomfort and ten being the highest level of discomfort.

    Time frame: From baseline through the conclusion of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  10. Dyschezia

    Dyschezia severity assessed using a 10 point numerical rating scale (0-10) with zero being no discomfort and ten being the highest level of discomfort.

    Time frame: From baseline through the conclusion of supplementation (daily).

  11. Productivity Impairment

    Measured using the Work Productivity and Activity Impairment Questionnaire, which includes open ended questions to assess hours missed as well as personal assessments of productivity using a 10 point numerical rating scale (0-10) with zero being no effect and ten being highly impacted.

    Time frame: From baseline through the conclusion of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

  12. Bloating severity and abdominal girth

    Bloating severity assessed using a 10 point numerical rating scale (0-10) with zero being no bloating and ten being the highest level of bloating and abdominal girth measured by tape measure.

    Time frame: From baseline through the conclusion of supplementation (Baseline, Week 4, Week 6, Week 8, and Week 12).

07

Study locations

1 of 1 sites recruiting
  • Alethios
    San Francisco, California 94109, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — The data is proprietary data.

No publications or documents are linked to this record.

09

Updates

3 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 22, 2026
Sites
1 site added — first site in United States
Show site
  • Alethios · San Francisco, United States
Oct 22, 2026
Registered
First appeared on the registry
Oct 15, 2026
Show all 3 updates
  1. Oct 22, 2026
    Not yet recruiting→Recruiting
    1 site added — first site in United States
    Show site
    • Alethios · San Francisco, United States
  2. Oct 20, 2026
    Minor edits only
    + 1 other change: identifiers
  3. Oct 15, 2026
    First appeared on the registry

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
NCT07875062
Lead sponsor
LOAM Science
Collaborators
Alethios, Inc.
Responsible party
Sponsor
First posted
Oct 15, 2026
Start date
Oct 2026 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Sep 2027 (estimated)
Last update
Oct 22, 2026

Study contacts

Bryce Jarman, PhD
Contact
bryce@loamscience.com
323-325-1327
Bryce Jarman, PhD
principal investigator · LOAM Science

Oversight

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

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