ISRCTN ISRCTN69551216
DOI https://doi.org/10.1186/ISRCTN69551216
Sponsor Innovation Labo Sciences Co., Ltd
Funder Innovation Labo Sciences Co., Ltd
Submission date
02/02/2026
Registration date
10/02/2026
Last edited
10/02/2026
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 of protocol

Background and study aims
Constipation and poor bowel function are common gut health problems that can affect quality of life. Biotra® is a dietary supplement combining probiotics and fermented seaweed polyphenols, designed to improve gut microbiota activity and digestive regularity. This study aimed to evaluate whether Biotra® improves bowel habits and inflammation compared with placebo.

Who can participate?
Adults aged 21–65 years with symptoms of functional constipation meeting Rome III criteria, with BMI <35 kg/m².

What does the study involve?
Participants were randomly assigned to receive either Biotra® or placebo for 4 weeks. They took capsules daily (two at night, one in the morning). Bowel movement frequency and stool consistency were recorded, and biological samples were collected to assess inflammation and gut microbiota-related markers.

What are the possible benefits and risks of participating?
Possible benefits include improved bowel regularity, stool consistency, and reduced inflammatory markers. Risks were minimal, with adverse events monitored throughout the study period. Serious adverse events were to be reported within 24 hours.

Where is the study run from?
Medica Tokyo Laboratories (Japan)

When is the study starting and how long is it expected to run for?
The supplementation period lasted 4 weeks, with total participant involvement approximately 6 weeks including screening and follow-up.

Who is funding the study?
Innovation Labo, which provided and blinded the investigational product Biotra®

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

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 (0)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 (0)335525335
Email coordinate@medica-labs.jp
Mrs Aki Honda
Public

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

Phone +81 (0)335525335
Email development@innovationlabo.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposeTreatment
Scientific titleA prospective, randomized, double-blind, two-arm, parallel-group, placebo-controlled clinical trial to evaluate the efficacy of Biotra® supplementation on gut health parameters, including bowel movement frequency and stool consistency
Study acronymIL/NG 21-1228
Study objectivesThe primary objective of this trial is to evaluate the effects of Biotra® supplementation on gut health parameters in adults with functional constipation, compared with placebo. Secondary objectives include assessing changes in fecal inflammatory markers, short-chain fatty acid (SCFA) levels, gut microbiota composition, and safety outcomes.
Ethics approval(s)

Approved 12/11/2021, Japanese Society of Anti-Aging Nutrition (Ginza, Chuo-ku, Tokyo, 104-0061, Japan; +81 (0)3 3552 5277; coordinator@jaan.jp), ref: JAAN/GH 21-125

Health condition(s) or problem(s) studiedGut health
InterventionParticipants were randomized 1:1 to receive either:
1. Biotra® supplementation (active treatment) OR
2. Placebo (control group)
Both were administered orally daily (two at night, one in the morning) for 4 weeks in a double-blind parallel-group design.
Block randomization was used to allocate participants to each group.
Intervention typeSupplement
Primary outcome measure(s)
  1. Frequency of defecation measured using daily participant self-recorded bowel movement frequency (number of defecations per week) at baseline (week 0) and end of intervention (week 4)
  2. Stool consistency measured using the Bristol Stool Consistency Chart (7-point scale) at baseline (week 0) and end of intervention (week 4)
Key secondary outcome measure(s)
  1. Inflammatory marker malondialdehyde (MDA) measured using thiobarbituric acid reactive substances (TBARS) assay, measured by spectrophotometric detection as an index of lipid peroxidation and oxidative stress, at baseline (week 0) and end of intervention (week 4)
  2. Fecal short-chain fatty acid (SCFA) levels measured using gas chromatography at baseline (Week 0) and week 4
  3. Gut microbiota composition measured using quantitative PCR at baseline (week 0) and week 4
  4. High-sensitivity C-reactive protein (hs-CRP) measured using ELISA assay at baseline (Week 0) and week 4
  5. Total antioxidant capacity (TAC) measured using ferric reducing antioxidant power (FRAP) assay at baseline (Week 0) and week 4
Completion date28/02/2022

Eligibility

Participant type(s)
Age groupMixed
Lower age limit21 Years
Upper age limit65 Years
SexAll
Target sample size at registration46
Total final enrolment42
Key inclusion criteria1. Healthy adult men or women aged 21 to 65 years (inclusive)
2. Individuals with general symptoms of constipation who met the ROME III criteria for functional constipation
3. Body Mass Index (BMI) less than 35 kg/m²
4. Female participants of child-bearing potential were required to: Use an approved method of contraception, and have a negative pregnancy test at screening
5. Female participants of non-childbearing potential had to be amenorrheic for at least 1 year or have undergone hysterectomy and/or bilateral oophorectomy
6. Ability and willingness to provide written informed consent
7. Willingness to comply with all trial procedures and study visits
8. Ability to understand the potential risks and benefits of participation
9. Availability for the full study duration (approximately 6 weeks including follow-up)
Key exclusion criteria1. Constipation due to organic or neurological lesions
2. History of pathological bowel diseases, including inflammatory bowel disease (IBD) or colon cancer
3. Abnormal liver or renal function
4. Use of any prebiotic, probiotic, or laxative supplements within 4 weeks prior to study start
5. Use of antibiotics, anti-inflammatory, or immunosuppressive drugs within the past 4 weeks
6. Known allergy to soy milk or other ingredients of the test product
7. History of alcoholism or drug abuse
8. Pregnant or lactating women
9. History of anxiety, depression, or recent intake of psychotropic drugs
10. Any other medical or personal condition that, in the investigator’s opinion, could jeopardize the study outcomes
Date of first enrolment10/01/2022
Date of final enrolment31/01/2022

Locations

Countries of recruitment

  • Japan

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing plan

Editorial Notes

03/02/2026: Study's existence confirmed by the Japanese Society of Anti-Aging Nutrition.