ISRCTN ISRCTN16659746
DOI https://doi.org/10.1186/ISRCTN16659746
Submission date
15/07/2024
Registration date
05/08/2024
Last edited
26/02/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
The gut microbiota plays an important role in regulating human health and diseases. A growing body of knowledge supports the involvement of Gut microbiota dysbiosis in diseases such as diabetes, obesity, inflammatory bowel disease IBD and constipation. This study evaluates the efficacy of a postbiotic metabolite complex OPTIMEALTH FOOD P developed by Innovation Labo, Tokyo. OPTIMEALTH® FOOD P was developed by studying the microbiota and health of healthy centenarians who have a particular microbiota profile. Innovation Labo discovered that the metabolites produced by the microbiota activate gene expression to inhibit and regulate inflammation and modulate the gut microbiome. The present study will evaluate the effect of OPTIMEALTH FOOD P on constipation. To evaluate this, parameters such as changes in defecation frequency, stool consistency, constipation-related symptom scores, changes in stool short-chain fatty acid (SCFA) content, gut microbiota composition and changes in levels of oxidative biomarkers in blood will be evaluated.

Who can participate?
Non-smoker adult subjects aged between 21 to 65 years old (inclusive) who have general symptoms of constipation and meet ROME III criteria for functional constipation

What does the study involve?
Participants will be randomly assigned to a once-daily OPTIMEALTH FOOD P supplement or a placebo/dummy supplement for 4 weeks.

What are the possible benefits and risks of participating:
Possible benefits are a reduction in constipation. No risk is expected.

Where is the study run from?
INNOVATION LABO Sciences Co., Ltd (Japan)

When is the study starting and how long is it expected to run for?
January 2023 to February 2024

Who is funding the study?
INNOVATION LABO Sciences Co., Ltd (Japan)

Who is the main contact?
Dr Yuki Ikeda, development@innovationlabo.com (Japan)

Contact information

Dr Yuki Ikeda
Scientific

Shintomi HJ bldg 5F
1-12-7 Shintomi
Tokyo
104-0041
Japan

ORCiD logoORCID ID 0000-0001-6067-4574
Phone +81 335525335
Email development@innovationlabo.com
Dr Taro Hirata
Principal Investigator

14-5 Kusunokichō, Nishi-ku
Yokohama-shi, Kanagawa-ken
Yokohama
220-0003
Japan

Phone +81 335525335
Email coordinate@medica-labs.jp
Mrs Aki Honda
Public

Shintomi HJ bldg 5F
1-12-7 Shintomi
Tokyo
104-0041
Japan

Phone +81 335525335
Email tokyo@innovationlabo.com

Study information

Study designInterventional double-blind placebo-controlled single-center randomized clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home
Study typeQuality of life
Participant information sheet No participant information sheet available
Scientific titleA prospective, randomized, double-blind, two-arm, parallel, placebo-controlled, clinical study to evaluate the efficacy of OPTIMEALTH® FOOD P supplementation on constipation symptoms, SCFAS content, and gut microbiota composition in healthy participants suffering from constipation
Study hypothesisOPTIMEALTH FOOD P is more efficient than an placebo in improving constipation symptoms, increasing SCFAs content and improving gut microbiota composition
Ethics approval(s)

1. Approved 10/10/2023, Japanese Society of Anti-Aging Nutrition (Ginza, Chuo-ku, Tokyo, 104-0061, Japan; +81 3 3552 5277; coordinator@jaan.jp), ref: ILOS24614-P782

2. Approved 17/10/2024, Swiss Association of Anti-aging Nutrition (Löwenstrasse 11, Zürich, 8001, Switzerland; +41 79 811 47 83; rfaber.saan@gmail.com), ref: 2023/10-GFR105

ConditionImprovement of constipation symptoms
InterventionThis study investigates 4 weeks of daily supplementation with Optimealth Food (300 mg/day, 150mg x 2 capsules) or a placebo (dextrin, 300 mg/day, 150mg x 2 capsules) taken orally at breakfast. Block randomization was used to allocate participants to each group.

Block randomization is used to divide potential patients into m blocks of size 2n, randomize each block such that n patients are allocated to A and n to B then choose the blocks randomly. This method ensures equal treatment allocation within each block if the complete block is used.
Intervention typeSupplement
Primary outcome measureDefecation frequency self-assessment measured using a daily chart at baseline and week 4
Secondary outcome measuresThe following secondary outcome measures are assessed at baseline and week 4:
1. Stool consistency by self-assessment measured using the Bristol stool chart
2. Constipation-related symptom scores measured using a self-assessment questionnaire
3. Stool short-chain fatty acid (SCFA) content measured using gas chromatography
4. Gut microbiota composition measured using quantitative PCR
5. Oxidative biomarker levels in blood measured using a ferric reducing antioxidant power (FRAP) assay
Overall study start date07/01/2023
Overall study end date05/02/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit21 Years
Upper age limit65 Years
SexBoth
Target number of participants60
Total final enrolment60
Participant inclusion criteria1. Healthy adult subjects between 21 and 65 years (inclusive) of age
2. General symptoms of constipation and meet ROME III criteria for functional constipation
3. BMI between 18.5 and 29.9 Kg/m²
4. Females of child-bearing potential must agree to use an approved form of birth control and to have a negative pregnancy test result at the screening visit. Female subjects of non-childbearing potential must be amenorrheic for at least 1 year or had a hysterectomy and/or bilateral oophorectomy.
5. Willing to give written informed consent and be willing to comply with trial protocol
6. The ability to understand the risks/benefits of the protocol
7. Available for the duration of the study period (6 weeks)
Participant exclusion criteria1. Constipation due to organic or neurological lesions
2. A history of pathological bowel diseases like IBD or colon cancer
3. Abnormal liver or renal function
4. Taken any prebiotic, probiotic or laxative supplements within 8 weeks from the start of the study period
5. Receiving any antibiotic, anti‑inflammatory or immunosuppressive drug within the past 4 weeks
6. Known allergies to soy milk or any other test product ingredients
7. Alcoholics and or drug abusers
8. Pregnant or lactating females
9. A history of anxiety or depression or recent intake of psychotropic drugs
10. Any other condition which the Principal Investigator thinks may jeopardize the study outcome
Recruitment start date07/11/2023
Recruitment end date25/12/2023

Locations

Countries of recruitment

  • Japan
  • Switzerland

Study participating centres

Medica Tokyo Laboratories
14-5 Kusunokichō, Nishi-ku
Yokohama-shi
Kanagawa-ken
Yokohama
220-0003
Japan
Swiss Biome Institute
Hegenheimermattweg 167A
Allschwil
4123
Switzerland

Sponsor information

INNOVATION LABO SCIENCES Co., Ltd
Industry

Shintomi HJ bldg 5F, 1-12-7 Shintomi
Tokyo
104-0041 Chuo-ku
Japan

Phone +81 (0)3 35525335
Email technologies@innovationlabo.com
Website https://www.innovationlabo.com

Funders

Funder type

Industry

INNOVATION LABO Sciences Co., Ltd

No information available

Results and Publications

Intention to publish date31/10/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Yuki Ikeda, development@innovationlabo.com. Anonymised IPD will be available upon publication of results and for a period of 2 years. Consent from participants was required and obtained.

Editorial Notes

26/02/2025: The following changes were made to the trial record:
1. The ethics approval (2) was added.
2. The country of recruitment Switzerland was added.
3. The study participating centre Swiss Biome Institute was added.
16/07/2024: Study's existence confirmed by the Ethics Review Committee (Human Research) of the Japanese Society of Anti-Aging Nutrition.