ClinicalTrials.gg
RecruitingNCT07911813Updated Nov 3, 2026

Effects of Probiotic Supplementation on Androgen Levels

An interventional study of Bacillus coagulans BRCAS-C3 in Androgen Levels, sponsored by National Taiwan University Hospital. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by National Taiwan University Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Updated Nov 3, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
All
01

Study summary

The goal of this clinical trial is to evaluate the feasibility, safety, and preliminary effects of a probiotic supplement, Bacillus coagulans strain BRCAS-C3, on androgen levels in adult men and women. Androgens are hormones that are naturally present in both men and women. Abnormally high androgen levels in women may be associated with conditions such as polycystic ovary syndrome (PCOS), acne, and hair loss.

The main questions this study aims to answer are:

Is it feasible for participants to take the probiotic supplement daily for 24 weeks and complete all study visits?

Does probiotic supplementation change blood androgen levels after 24 weeks?

What side effects or medical problems, particularly gastrointestinal symptoms such as bloating, gas, or changes in bowel habits, occur during the study?

This is a single-center, open-label pilot study without a placebo or comparison group. Researchers will compare participants' measurements before and after probiotic supplementation to explore changes in hormone levels and other health indicators.

Participants will:

Take one capsule of the probiotic supplement daily for 24 weeks.

Visit the clinic at the beginning of the study, at 12 weeks, and at 24 weeks for health assessments and blood tests.

Provide blood samples to measure androgen levels and other hormone, metabolic, liver, and inflammation-related markers.

Provide stool samples at the beginning of the study, at 12 weeks, and at 24 weeks to assess the presence of the probiotic strain.

Report side effects and undergo assessments of supplement adherence and study completion.

The findings will help researchers evaluate the feasibility and safety of the intervention and obtain preliminary data to guide the design of future clinical trials.

Read the detailed description

Hyperandrogenemia refers to abnormally elevated levels of androgens, including testosterone and dihydrotestosterone (DHT). In women, elevated androgen levels may be associated with polycystic ovary syndrome (PCOS), acne, excessive hair growth, androgenic alopecia, ovulatory dysfunction, and metabolic disturbances. Current treatments targeting androgen production or action may have systemic adverse effects and may be unsuitable for some individuals, particularly women of reproductive age. Therefore, alternative or complementary approaches to modulating androgen levels warrant further investigation.

Emerging evidence suggests that the gut microbiota may influence sex hormone metabolism and circulating hormone levels. Certain gut bacteria can metabolize steroid hormones, potentially affecting the host's endocrine function. Probiotic supplementation may therefore represent a potential dietary approach to modulating the gut microbiota and its relationship with androgen metabolism.

Bacillus coagulans strain BRCAS-C3 is a probiotic strain that has demonstrated androgen-lowering effects in preclinical animal studies, including reductions in serum testosterone and DHT. However, its effects in humans have not been adequately established. This pilot study will explore the feasibility, safety, and preliminary effects of BRCAS-C3 supplementation on circulating androgen levels in adult men and women.

This is a single-center, open-label, exploratory pilot study using a pre-post design without a placebo or control group. The planned study population consists of 30 men and 30 women aged 18 to 45 years who meet the protocol-defined eligibility criteria. Participants will receive one capsule of BRCAS-C3 probiotic supplementation daily for 24 weeks.

Clinical assessments and laboratory evaluations will be performed at baseline, week 12, and week 24. Blood samples will be collected to evaluate androgen-related hormones and other hormonal, metabolic, liver, and inflammatory markers. Stool samples will be collected at the same time points to investigate the presence and proportion of the administered probiotic strain. Additional assessments will include anthropometric measurements, menstrual characteristics in female participants, and hair-loss evaluations in participants with androgenic alopecia.

Study feasibility will be assessed through recruitment, adherence to the intervention, and participant retention. Safety will be evaluated by monitoring reported adverse symptoms, particularly gastrointestinal intolerance. Changes in laboratory and clinical measurements from baseline to follow-up will be explored using paired statistical methods appropriate to the distribution of the data.

The findings are intended to provide preliminary information on study feasibility, intervention adherence, safety, and potential changes in androgen levels. These data will inform the design and planning of a future larger randomized controlled trial.

02

Conditions studied

  • Androgen Levels

Keywords

  • Bacillus coagulans
  • BRCAS-C3
  • Probiotics
  • Androgen Levels
  • Testosterone
  • Dihydrotestosterone
  • Gut Microbiota
  • Pilot Study
03

In context

Lead sponsor

National Taiwan University Hospital is the lead sponsor of 2,615 studies on the registry; 576 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 2 (18%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 45 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

  • Men and women aged between 18-45 y/o.
  • For women: Total testosterone > 0.7 ng/mL or free androgen index (FAI) > 6.1. For Men: Total testosterone level within NTUH Department of Laboratory Medicine reference ranges (2.40 - 8.71 ng/mL).
  • Willingness to maintain their baseline diet, physical activity levels and skin care routines throughout the 24 weeks study duration.
  • Understand the study protocols and provide written .
  • For female participants with : Agreement to use non-hormonal throughout the study.

Exclusion criteria

Exclusion Criteria:

  • Medication/Interventions: Use of hormonal , ovulation induction agents, anti-androgens (e.g., spironolactone, finasteride, flutamide, oral retinoic acid, cyproterone acetate), metformin, GLP-1 receptor agonists, systemic , or traditional Chinese medicine (TCM) formulations derived for endocrine, metabolic, or weight-loss purposes within the past 3 months.
  • History of benign prostatic hyperplasia (BPH), prostate cancer, or other urological diseases, with use of GnRH agonists (e.g., leuproreline, goserelin, triptorelin), first-generation anti-androgens (e.g., cyproterone acetate, bicalutamide), or second-generation anti-androgens (e.g., abiraterone, enzalutamide, apalutamide) within the past 6 months.
  • Antibiotics/Probiotics Washout: Use of systemic antibiotics, antifungals, or commercial high dose probiotic supplements within the past 4 weeks prior to baseline.
  • Gastrointestinal Disorders: History of severe chronic gastrointestinal diseases such as Inflammatory bowel disease, Celiac disease, colon cancer, or major bowel surgery that significantly alter nutrient absorption.
  • Endocrine pathologies as androgen-secreting tumor, Cushing syndrome, or untreated thyroid disorders.
  • Current pregnancy, lactation, or planning to become pregnant during the trial.
  • Known allergy or to any components of the product, including Bacillus coagulans, plant-based capsule ingredients (such as glycerol or pectin), or antioxidants including vitamin C and vitamin E.
  • Subjects who will be evaluated for androgenic alopecia should not use topical or oral minoxidil, oral finasteride, dutasteride, lower level laser therapy within the last 6 months, and should not use hair dyes, chemical perms or major changing of hair styling routine within 4 weeks of baseline and during the study.
Terms in these criteria, in plain language(6)

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.

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    BRCAS-C3 Probiotic Supplementation

    Participants will receive one capsule of Bacillus coagulans strain BRCAS-C3 probiotic supplement daily for 24 weeks. Clinical and laboratory assessments will be conducted at baseline, week 12, and week 24 to evaluate study feasibility, safety, and preliminary changes in androgen levels and other health-related markers. Blood and stool samples will be collected at these time points for laboratory analyses.

    Dietary Supplement: Bacillus coagulans BRCAS-C3

Interventions

  • Dietary supplementBacillus coagulans BRCAS-C3

    Bacillus coagulans strain BRCAS-C3, provided as a powder-filled capsule containing a target viable count of 3 × 10\^10 colony-forming units (CFU) per capsule. Participants will take one capsule orally once daily for 24 consecutive weeks. The product will be stored at room temperature in a cool, dry place, protected from direct sunlight.

06

What researchers measure

Primary outcomes

  1. Change in Serum Total Testosterone from Baseline to Week 24

    Serum total testosterone concentrations will be measured at baseline and week 24. The change will be calculated as the week 24 value minus the baseline value. Blood samples will be collected after an 8-hour fast.

    Time frame: Baseline, Week 12 and Week 24

07

Study locations

1 of 1 sites recruiting
  • Department of Obstetrics and Gynecology, National Taiwan University Hospital
    Taipei, Taipei City 100, Taiwan
    Recruiting
08

References and documents

Publications

  • Yang PK, Chou CH, Chang CH, Chen SU, Ho HN, Chen MJ. Changes in peripheral mitochondrial DNA copy number in metformin-treated women with polycystic ovary syndrome: a longitudinal study. Reprod Biol Endocrinol. 2020 Jul 13;18(1):69. doi: 10.1186/s12958-020-00629-5. PubMed 32660613 ↗
  • Yang PK, Hsu CY, Chen MJ, Lai MY, Li ZR, Chen CH, Chen SU, Ho HN. The Efficacy of 24-Month Metformin for Improving Menses, Hormones, and Metabolic Profiles in Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2018 Mar 1;103(3):890-899. doi: 10.1210/jc.2017-01739. PubMed 29325133 ↗
  • Hashemi S, Ramezani Tehrani F, Noroozzadeh M, Azizi F. Normal cut-off values for hyperandrogenaemia in Iranian women of reproductive age. Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:51-5. doi: 10.1016/j.ejogrb.2013.09.029. Epub 2013 Oct 19. PubMed 24220143 ↗
  • Zhou Z, Ni R, Hong Y, Li Y, Wang Y, Zhao X, Yang D. Defining hyperandrogenaemia according to the free androgen index in Chinese women: a cross-sectional study. Clin Endocrinol (Oxf). 2012 Sep;77(3):446-52. doi: 10.1111/j.1365-2265.2012.04395.x. PubMed 22443308 ↗
  • Wang PH, Wu TY, Chen YL, Gicana RG, Lee TH, Chen MJ, Hsiao TH, Lu MJ, Lai YL, Wang TY, Li JY, Chiang YR. Bacterial estrogenesis without oxygen: Wood-Ljungdahl pathway likely contributed to the emergence of estrogens in the biosphere. Proc Natl Acad Sci U S A. 2025 Mar 11;122(10):e2422930122. doi: 10.1073/pnas.2422930122. Epub 2025 Mar 7. PubMed 40053361 ↗
  • Hsiao TH, Chou CH, Chen YL, Wang PH, Brandon-Mong GJ, Lee TH, Wu TY, Li PT, Li CW, Lai YL, Tseng YL, Shih CJ, Chen PH, Chen MJ, Chiang YR. Circulating androgen regulation by androgen-catabolizing gut bacteria in male mouse gut. Gut Microbes. 2023 Jan-Dec;15(1):2183685. doi: 10.1080/19490976.2023.2183685. PubMed 36843073 ↗
  • Chen MJ, Chou CH, Hsiao TH, Wu TY, Li CY, Chen YL, Chao KH, Lee TH, Gicana RG, Shih CJ, Brandon-Mong GJ, Lai YL, Li PT, Tseng YL, Wang PH, Chiang YR. Clostridium innocuum, an opportunistic gut pathogen, inactivates host gut progesterone and arrests ovarian follicular development. Gut Microbes. 2024 Jan-Dec;16(1):2424911. doi: 10.1080/19490976.2024.2424911. Epub 2024 Nov 7. PubMed 39508647 ↗
  • Chen MJ, Chen CD, Yang JH, Chen CL, Ho HN, Yang WS, Yang YS. High serum dehydroepiandrosterone sulfate is associated with phenotypic acne and a reduced risk of abdominal obesity in women with polycystic ovary syndrome. Hum Reprod. 2011 Jan;26(1):227-34. doi: 10.1093/humrep/deq308. Epub 2010 Nov 18. PubMed 21088016 ↗
  • Chen MJ, Yang WS, Chen CL, Wu MY, Yang YS, Ho HN. The relationship between anti-Mullerian hormone, androgen and insulin resistance on the number of antral follicles in women with polycystic ovary syndrome. Hum Reprod. 2008 Apr;23(4):952-7. doi: 10.1093/humrep/den015. Epub 2008 Feb 6. PubMed 18256110 ↗
  • Chen MJ, Chou CH, Chen SU, Yang WS, Yang YS, Ho HN. The effect of androgens on ovarian follicle maturation: Dihydrotestosterone suppress FSH-stimulated granulosa cell proliferation by upregulating PPARgamma-dependent PTEN expression. Sci Rep. 2015 Dec 17;5:18319. doi: 10.1038/srep18319. PubMed 26674985 ↗
  • Wu CE, Huang CC, Hsiao YJ, Hsu CL, Chen TH, Chen MJ, Ho HN. Pathophysiology of androgen-associated endothelial cell dysfunction in phenotype A polycystic ovarian syndrome revealed by iPSCs modeling. Front Endocrinol (Lausanne). 2026 Feb 12;17:1682793. doi: 10.3389/fendo.2026.1682793. eCollection 2026. PubMed 41767389 ↗
  • Chou CH, Chen MJ. The Effect of Steroid Hormones on Ovarian Follicle Development. Vitam Horm. 2018;107:155-175. doi: 10.1016/bs.vh.2018.01.013. Epub 2018 Feb 9. PubMed 29544629 ↗
  • Chen MJ, Yang WS, Yang JH, Hsiao CK, Yang YS, Ho HN. Low sex hormone-binding globulin is associated with low high-density lipoprotein cholesterol and metabolic syndrome in women with PCOS. Hum Reprod. 2006 Sep;21(9):2266-71. doi: 10.1093/humrep/del175. Epub 2006 Jun 6. PubMed 16757555 ↗
  • Huang CC, Tien YJ, Chen MJ, Chen CH, Ho HN, Yang YS. Symptom patterns and phenotypic subgrouping of women with polycystic ovary syndrome: association between endocrine characteristics and metabolic aberrations. Hum Reprod. 2015 Apr;30(4):937-46. doi: 10.1093/humrep/dev010. Epub 2015 Feb 6. PubMed 25662806 ↗
  • Chen MJ, Yang WS, Yang JH, Chen CL, Ho HN, Yang YS. Relationship between androgen levels and blood pressure in young women with polycystic ovary syndrome. Hypertension. 2007 Jun;49(6):1442-7. doi: 10.1161/HYPERTENSIONAHA.106.083972. Epub 2007 Mar 26. PubMed 17389259 ↗
  • Chen MJ, Chiu HM, Chen CL, Yang WS, Yang YS, Ho HN. Hyperandrogenemia is independently associated with elevated alanine aminotransferase activity in young women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2010 Jul;95(7):3332-41. doi: 10.1210/jc.2009-2698. Epub 2010 Apr 28. PubMed 20427499 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers because no data-sharing plan has been established for this pilot study. Study results may be disseminated in scientific publications in aggregate form.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Aug 2027, 10 months after the start.

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

Registered
Oct 28, 2026
First posted
Nov 3, 2026
StartActual
Sep 30, 2026
Primary completionEst.
Aug 13, 2027
CompletionEst.
Aug 30, 2028
Last update
Nov 3, 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.
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 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
NCT07911813
Collaborators
GeneFerm Biotechnology Co., Ltd.
Responsible party
Sponsor
First posted
Nov 3, 2026
Start date
Sep 30, 2026
Primary completion
Aug 13, 2027 (estimated)
Completion
Aug 30, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Mei-Jou Chen, MD, PhD
Contact
mjchen04@ntu.edu.tw
+886 972651979
Yu-Yuan Chang, BS
Contact
snakedeer317@gmail.com
+886 972802375
Mei-Jou Chen
principal investigator · Department of Obstetrics and Gynecology, National Taiwan University Hospital, Taipei 100, Taiwan

Oversight

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

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