ISRCTN ISRCTN56831337
DOI https://doi.org/10.1186/ISRCTN56831337
IRAS number 352166
Submission date
08/08/2025
Registration date
12/08/2025
Last edited
12/08/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Menopause can have a significant impact on the quality of life. Many women struggle with mental and physical menopause symptoms, including problems with sleeping, forgetfulness and mood swings. Hormone replacement therapy is an effective solution for helping with menopause symptoms, but a balanced diet and exercise can also help. There is some evidence suggesting that menopause may reduce the diversity of the gut microbiome, which is the microorganisms living in the gut. However, more research is needed to understand the possible benefits of gut health supplements such as probiotics during menopause. This pilot study aims to assess the impact of a gut supplement called Symprove on early menopause symptoms. Symprove is a water-based solution that contains billions of live and active bacteria, which can help stimulate the good bacteria already in the gut.

Who can participate?
Perimenopausal women who are experiencing symptoms related to perimenopause.

What does the study involve?
All participants will be recruited through Harley Street at Home (https://www.harleystathome.com). This is a virtual study that does not involve any study visits or allocation to groups. After providing consent to take part using an online consent form, all participants will receive a 12-week course of Symprove to take once a day. Participants will also receive a link to complete an online study survey about their perimenopause and gut symptoms at the beginning of the study before starting Symprove (Baseline), and at weeks 4, 8 and 12 (follow-up). To assess the impact of Symprove on menopause symptoms, we will compare the follow-up data to the Baseline.

What are the possible benefits and risks of participating?
Although participants may not receive any health benefit from taking part, research like this can improve our understanding of menopause and help develop new ways to manage it in the future.

A small number of people may experience mild gut disturbances (such as bloating or a change in bowel habit) when they first start taking Symprove. Disturbances will usually resolve in the first few weeks.

Where is the study run from?
Symprove Ltd, UK

When is the study starting and how long is it expected to run for?
December 2024 to December 2025

Who is funding the study?
Symprove Ltd, UK

Who is the main contact?
Mr Nigel Denby, nigel@harleystathome.com

Contact information

Dr Sammie Gill
Public, Scientific

Symprove Ltd
Sands Rd, The Sands
Farnham
GU10 1PX
United Kingdom

Phone +44(0)1252413600
Email sammie@symprove.com
Mr Nigel Denby
Principal Investigator

Unit 8a Wingbury Courtyard Business Village
Aylesbury
HP22 4LW
United Kingdom

ORCiD logoORCID ID 0009-0001-4892-294X
Phone +44 (0)7941396610
Email nigel@harleystathome.com

Study information

Study designSingle-arm virtual real-world evidence pilot study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Home, Internet/virtual
Study typeQuality of life, Treatment, Safety, Efficacy
Scientific titleA single-arm, virtual, real-world evidence pilot study to assess the impact of Symprove in women with perimenopause symptoms
Study objectivesTo explore the effects of Symprove (70 ml per day) in perimenopausal women
Ethics approval(s)

Approved 30/05/2025, North West - Preston Research Ethics Committee (2 Redman Place, Stratford, London, E20 1JQ, United Kingdom; +44 (0)2071048364; preston.rec@hra.nhs.uk), ref: 25/NW/0123

Health condition(s) or problem(s) studiedMenopause
InterventionAll participants will receive a 12-week course of Symprove to take 70ml once a day. Symprove is a gut supplement that contains billions of live and active bacteria.
Intervention typeSupplement
Primary outcome measureQuality of life measured using the Menopause-Specific Quality of Life (MENQOL) questionnaire at baseline, and weeks 4, 8 and 12 (follow-up)
Secondary outcome measuresThe following secondary outcome measures are assessed at baseline, and weeks 4, 8 and 12 (follow-up):
1. Quality of life measured using the Menopause-Specific Quality of Life (MENQOL) questionnaire
2. Gastrointestinal symptoms measured using the Gastrointestinal Symptom Index for Midlife Women (MSI-GI)
3. Other perimenopausal symptoms measured using the Midlife Women's Symptom Index (MSI)
4. Sleep disturbances measured using the Sleep Regularity Questionnaire (SRQ)
Overall study start date01/12/2024
Completion date31/12/2025

Eligibility

Participant type(s)Service user, Other
Age groupMixed
SexFemale
Target number of participants100
Key inclusion criteria1. Had a period in the last 12 months
2. Experienced menstrual cycles of variable length, skipped cycles and/or had no period for 60 days or more
3. Experiencing regular (e.g. daily or weekly) symptoms related to perimenopause (e.g. night sweats, hot flushes, gut symptoms, mood changes, trouble with concentration/memory, sleep disturbances, headaches) NB: this is not an exhaustive
list
4. Symptoms are affecting quality of life
Key exclusion criteria1. Currently taking probiotics or prebiotics supplements (e.g. Bimuno) or yogurts containing probiotics (e.g. Yakult, Actimel)
2. Took Symprove in the last 6 months
3. Started taking hormone replacement therapy (HRT) within the last 3 months
4. Diagnosed with gut conditions other than Irritable Bowel Syndrome, such as inflammatory bowel disease (e.g. Crohn’s disease or ulcerative colitis), coeliac disease, hepatitis, gallstones, acid reflux/dyspepsia. NOTE: Irritable Bowel Syndrome is not an exclusion criterion
5. Diagnosed with any significant psychological issues (such as depression, bipolar illness, psychosis)
6. Diagnosed with any significant heart, lung or kidney issues
7. Receiving treatment for cancer
8. Currently pregnant or breastfeeding
Date of first enrolment11/08/2025
Date of final enrolment31/08/2025

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Harley Street at Home
Unit 8a Wingbury Courtyard Business Village
Wingrave
Aylesbury
HP22 4LW
United Kingdom

Sponsor information

Symprove Ltd
Industry

Sands Rd, The Sands
Farnham
GU10 1PX
England
United Kingdom

Website https://www.symprove.com/

Funders

Funder type

Industry

Symprove Ltd

No information available

Results and Publications

Intention to publish date01/04/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in non-publicly available repository
Publication and dissemination planPlanned publication in a peer-reviewed journal and Harley Street at Home's website.
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a non-publicly available repository (Symprove Ltd).

Editorial Notes

12/08/2025: Plain English summary of protocol updated with benefits and risks.
08/08/2025: Study's existence confirmed by Health Research Authority (HRA) (UK)