Synbiotic Supplementation in Cyclists
The Effect of a Synbiotic Formulation on Endurance Exercise Performance in Trained Cyclists: A Randomized, Double-Blinded, Placebo-Controlled, Parallel Trial
The goal of this clinical trial is to assess the efficacy of a synbiotic blend on exercise performance and other exercise parameters in trained adult cyclists. It is hypothesized that those taking the synbiotic blend will have improved endurance exercise performance.
The primary objective is to assess the impact of a synbiotic on 20km distance trial performance in 36 cyclists. Secondary objectives include assessing the impact of the synbiotic on exercise metabolism, body composition, gastrointestinal and immune health.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The goal of this randomized double-blinded clinical trial is to evaluate the potential beneficial effects of a synbiotic formulation on exercise performance in trained adult cyclists. The main questions it aims to answer are related to the Synbiotic effects on:
- Cycling performance
- Exercise metabolism
- Gastrointestinal health
- Immune system
- Body composition
- Fecal Short Chain Fatty Acids (SCFAs)
- Fecal microbiome composition
Participants will be recruited and, if consenting and eligible, will undergo the initial pre-testing phase for baseline assessment (4 on-site visits). Then, they will be randomized to receive the synbiotic or placebo and instructed to consume one sachet daily for 42 consecutive days. After 4-5 weeks of intervention (Day 33), post-testing phase will start, and participants will be asked to return to the site to perform post testing assessments (over 4 on-site visits). Study visits will occur as follows, V1 (Day -9), V2 (Day -6), V3 (Day -3), V4 (Day 0), V5 (Day 33), V6 (Day 36), V7 (Day 39), and V8 (Day 42).
Researchers will compare the assessed outcomes to baseline in each group and evaluate the difference between groups following the synbiotic consumption to highlight any statistically and clinically relevant observations.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Raylene A Reimer, PhD, RD
- Phone Number: 403-220-8218
- Email: reimer@ucalgary.ca
Study Locations
-
-
Alberta
-
Calgary, Alberta, Canada, T2N 1N4
- University of Calgary
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female between the ages of 18-45
- Currently cycling for at least 3 hours per week for the past 3 months
- Free of any contraindications to exercise and any medical condition that could interfere with or influence metabolic or cardiovascular responses to exercise
- Have a resting heart rate <100 bpm and resting systolic and diastolic blood pressures <160 mmHg and <90 mmHg, respectively.
Exclusion Criteria:
- Use of antibiotics or probiotic products within 4 weeks prior to study enrollment (note: participants will be eligible after a 2-week washout period)
- Current laxative use
- Are a smoker or use tobacco products
- Consume >21 units of alcohol per week
- Have donated blood in the previous 3 months
- Have a BMI ≥30kg/m2
- Are pregnant or lactating or planning to become pregnant for the duration of the study
- Are dieting for weight loss or are following a low carbohydrate diet
- Have participated in another clinical trial within the 30 days preceding study enrollment
- Are taking medications known to affect cardiovascular or metabolic responses to exercise
- Have a medical condition that could interfere with study intervention and assessment
- Have current musculoskeletal injuries that limit exercise capacity
- Are non-English speaking
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Synbiotic
Participants receive the synbiotic for 6 weeks.
|
Combination of a probiotic and prebiotic.
Daily administration in a single dose in powder form.
|
|
Placebo Comparator: Placebo
Participants receive the placebo for 6 weeks.
|
Placebo.
Daily administration in a single dose in powder form.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in endurance exercise performance measured during a 20km cycling distance trial
Time Frame: 42 Days
|
Assessed as time (minutes) to complete 20km cycling distance
|
42 Days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in maximal oxygen consumption (V̇O2max) measured during a Step-Ramp-Step Test
Time Frame: 36 Days
|
Assessed as mL·kg-1·min-1 measured through expired air collection
|
36 Days
|
|
Change in peak power output (PPO) measured during a Step-Ramp-Step Test
Time Frame: 36 Days
|
Assessed as highest power output in Watts
|
36 Days
|
|
Change in power output corresponding to the gas exchange threshold (GET) and respiratory compensation point (RCP)
Time Frame: 36 Days
|
Assessed as power output in Watts at GET and RCP
|
36 Days
|
|
Change in time to exhaustion measured during a cycling session at 85% of the peak power output
Time Frame: 39 Days
|
Assessed as time (minutes) to reach volitional exhaustion.
|
39 Days
|
|
Change in fat and carbohydrate oxidation measured during exercise sessions
Time Frame: 36, 39 and 42 Days
|
Assessed with the nonprotein respiratory quotient equation using expired air variables (VO2 and VCO2)
|
36, 39 and 42 Days
|
|
Change in blood lactate concentration measured via pinprick capillary blood test
Time Frame: 36, 39 and 42 Days
|
Assessed as mmol/L in capillary blood
|
36, 39 and 42 Days
|
|
Change in body composition measured by dual energy X-ray absorptiometry (DXA)
Time Frame: 33 Days
|
Assessed as percent fat and muscle mass (%) with a DXA scan
|
33 Days
|
|
Change in intestinal permeability markers measured in serum
Time Frame: 33 Days
|
Assessed in serum as pg/ml (Zonulin, Irisin, and Claudin2)
|
33 Days
|
|
Change in cytokines
Time Frame: 33 Days
|
Assessed in serum as fg/ml (IFN-γ, IL-10, IL-12p70, IL-17, IL-1β, IL-2, IL-4, IL-6, TNF-α)
|
33 Days
|
|
Change in gastrointestinal symptoms measured by self-report
Time Frame: 33 Days
|
Assessed via subjective ratings on a Patient-Reported Outcomes Measurement Information System® (PROMIS®)-GI scale
|
33 Days
|
|
Change in fecal SCFA concentration measured by gas chromatography
Time Frame: 33 Days
|
Assessed as µmol/L of fecal SCFAs (acetate, butyrate, propionate, and total SCFAs)
|
33 Days
|
|
Synbiotic strains quantification measured by qPCR in fecal matter
Time Frame: 33 Days from Day 0
|
Assessed as 16S rRNA gene copies determined with qPCR
|
33 Days from Day 0
|
|
Change in fecal microbiota composition
Time Frame: 33 Days
|
Assessed as relative abundance of the 16S rRNA amplicon obtained via sequencing
|
33 Days
|
|
Incidence of adverse events
Time Frame: 42 Days
|
Assessed as the number of adverse events and serious adverse events reported
|
42 Days
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Raylene A Reimer, PhD, RD, University of Calgary
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- REB23-1161
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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