- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06583395
Quest to Analyze One Thousand Humans Meditating (QUANTUM)
Effects Of Meditation On The Gut Microbiome And Human Health and Disease
Study Overview
Status
Conditions
- Depression
- Heart Failure
- Stroke
- Epilepsy
- Lymphoma
- Multiple Sclerosis
- Hypertension
- Ovarian Cysts
- Diabetes
- Cerebral Palsy
- Macular Degeneration
- Chronic Kidney Diseases
- Osteoarthritis
- Hypothyroidism
- Rheumatoid Arthritis
- Infertility
- Parkinson Disease
- Migraine
- Atrial Fibrillation
- Psoriasis
- Asthma
- Fibromyalgia
- Hyperthyroidism
- Anxiety
- Angina, Stable
- Eczema
- Crohn Disease
- Osteoporosis
- Ulcerative Colitis
- Deafness
- Spinal Stenosis
- Chronic Obstructive Pulmonary Disease (COPD)
- Amyotrophic Lateral Sclerosis (ALS)
- Chronic Fatigue Syndrome
- Tinnitus
- Lyme Disease
- Cancer, Breast
- Phantom Limb Pain
- Spinal Cord Injury
- Cluster Headache
- Post Traumatic Stress Disorder (PTSD)
- Irritable Bowel Syndrome (IBS)
- Cancer, Lung
- Throat Cancer
- Cancer Colon
- Cancer, Ovarian
- Fibroids
- Tension Headache
- Cancer Prostate
- Cancer, Other
- Cancer Brain
- Cancer Skin
- Sjogrens Disease
- Cancer, Thyroid
- Multiple Allergies
Intervention / Treatment
Detailed Description
Meditation and other mind-body interventions (MBIs) have been shown to have a range of health benefits, including an improved stress response, a reduction in inflammatory processes, and an enhanced innate immune response. While several studies on MBIs have been carried out to assess metabolomic, transcriptomic, epigenomic, or physiological outcomes, comprehensive studies including all of these components have not been reported. In addition, most studies have been small, comprised of less than 100 research subjects.
One particular area of meditation research that remains largely unexplored is the gut. A bi-directional communication occurs between the gut and the brain, thus, the gut microbiota can influence behavior, resulting in psychosocial stress and negatively impacting the microbiome. One would predict, then, that meditation-based reductions in stress would have positive effects on gut microbial makeup. Importantly, diseased states are characterized by specific gut microbiome profiles, thus, one can use the microbiome to assay for meditation-induced changes in these states.
In this study, a comprehensive multi-omic analysis will be carried out to determine the effect of an immersive 7-day meditation experience in a retreat setting in a large 2000+ person cohort. Metagenomic analysis will be performed on the gut microbiome, including healthy and clinical populations, to assess disease-specific improvements (Phase 1). In addition, Garmin wearable technology will be used to collect biometric health data, including heart rate, sleep, stress, and activity, for up to 10 months after the meditation retreat (Phase 1). In Phase 2 of this study, the biological analyses will be expanded to include blood and urine. Taken together, these data will be coupled with self-report surveys of physical and emotional health and integrated into a machine-learning platform to assess microbiome shifts tied with epigenetics, proteomics, metabolomics, transformational language, and improvements in health.
The advanced week-long meditation retreat will include approximately 25 hours of instruction and 35 hours of meditation. The meditations will include elements of focused attention, non-dual awareness, and loving kindness compassion techniques. While these meditations are unique to this meditation teacher, they are centered around Kundalini and Vipassana techniques. The meditations will be carried out seated, standing, lying down, and walking. The retreat setting allows for controlling many variables, including sleep schedule, meditation schedule, and diet.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
California
-
Palm Desert, California, United States, 92260
- VitaMed Research, LLC
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Must be at 21 years of age or older
- Must speak English
- Must be a registered attendee of the advanced 7-Day meditation retreat
- Must be willing to wear a Garmin device for the entire retreat
- Must complete the research consent to participate in the study
- Must be willing to complete self-report surveys for physical and emotional well-being
Exclusion Criteria:
- Younger than 21 years of age
- Non-English speaking
- Not a registered attendee of the advanced 7-Day meditation retreat
- Not willing to wear a Garmin device for the entire meditation retreat
- Did not complete the research consent
- Not willing or able to complete all self-report surveys
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Effect of Meditation in an Advanced Retreat Setting on Heart Rate Variability in a Global Population
Time Frame: 4 years
|
In Phases 1, 2, and 3 of this study, heart rate data will be collected using a Garmin wrist device at the beginning of the meditation retreat and continuously for up to ten months after the retreat.
Beat-to-beat interval data will be used to calculate heart rate variability.
Time domain measures will include the mean of R-R intervals (mRR), standard deviation of all R-R intervals (SDRR), root mean square of successive R-R differences (RMSSD), and the percentage of R-R intervals that vary by at least 50 ms (pRR50).
Frequency domain measures will include very low frequency (VLF), low frequency (LF), and high frequency (HF) measures.
|
4 years
|
|
Effect of Meditation in an Advanced Retreat Setting on the Gut Microbiome and Metabolites in a Global Population.
Time Frame: 4 years
|
In Phases 1, 2, and 3 of this study, metagenomic analysis will be carried out on stool samples collected before and after the retreat.
This analysis will assess changes in gut microbes and metabolites as a function of multiple variables, including age and sex.
|
4 years
|
|
Effect of Meditation in an Advanced Retreat Setting on the Multi-omic Expression of Genes, Proteins, and Metabolites in the Blood in a Global Population
Time Frame: 4 years
|
In Phases 2 and 3 of this study, an integrative analysis of multi-omic assessments will be carried out in whole blood and plasma samples collected before and after the retreat.
Whole blood will be analyzed for gene expression while proteomic and metabolomic analysis will be carried out in blood plasma.
|
4 years
|
|
Effect of Meditation in an Advanced Retreat Setting on Physical and Emotional Health outcomes in a global population.
Time Frame: 4 years
|
In Phases 1, 2, and 3 of this study, physical and emotional states will be assessed using the Short Form (SF)-36 self-report survey instrument.
This scale includes measures for the following domains: bodily pain, general health, mental health, physical functioning, role emotional, role physical, social functioning, and vitality.
Data will be reported as the average percent change from baseline to follow-up for each domain.
When necessary, data will be rescaled such that positive values will indicate improvement from pre- to post-retreat.
|
4 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assess the Effect of Meditation in an Advanced Retreat Setting on Physical and Emotional Health for Multiple Disease States
Time Frame: 4 years
|
In Phases 1, 2, and 3 of this study, demographic data will be collected to assess the health status of each study subject including all physical and emotional conditions.
Physical and emotional health will be assessed using the Short Form (SF)-36 self-report survey instrument.
This scale includes measures for the following domains: bodily pain, general health, mental health, physical functioning, role emotional, role physical, social functioning, and vitality.
Data will be reported as the average percent change from baseline to follow-up for each domain.
When necessary, data will be rescaled such that positive values will indicate improvement from pre- to post-retreat.
|
4 years
|
|
Assess the Effect of Meditation in an Advanced Retreat Setting on the Gut Microbiome and Metabolites for Multiple Disease States
Time Frame: 4 years
|
In Phases 1, 2, and 3 of this study, metagenomic data generated in Primary Outcome #2 will be stratified by health condition.
These data will highlight specific changes in gut microbes and metabolites resulting from the meditation retreat.
|
4 years
|
|
Assess the Effect of Meditation in an Advanced Retreat Setting on the Differential Expression of Genes, Proteins, and Metabolites in Blood for Multiple Disease States
Time Frame: 4 years
|
In Phases 2 and 3 of this study, transcriptomic, proteomic, and metabolomic data generated in Primary Outcome #3 will be stratified by health condition.
These data will highlight specific changes in gene expression, protein expression, and metabolites resulting from the meditation retreat.
|
4 years
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Tobias Moeller-Bertram, MD, VitaMed Research LLC
Publications and helpful links
General Publications
- Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med. 2009 May;15(5):593-600. doi: 10.1089/acm.2008.0495.
- Buric I, Farias M, Jong J, Mee C, Brazil IA. What Is the Molecular Signature of Mind-Body Interventions? A Systematic Review of Gene Expression Changes Induced by Meditation and Related Practices. Front Immunol. 2017 Jun 16;8:670. doi: 10.3389/fimmu.2017.00670. eCollection 2017.
- Kox M, van Eijk LT, Zwaag J, van den Wildenberg J, Sweep FC, van der Hoeven JG, Pickkers P. Voluntary activation of the sympathetic nervous system and attenuation of the innate immune response in humans. Proc Natl Acad Sci U S A. 2014 May 20;111(20):7379-84. doi: 10.1073/pnas.1322174111. Epub 2014 May 5.
- Alvarez-Lopez MJ, Conklin QA, Cosin-Tomas M, Shields GS, King BG, Zanesco AP, Kaliman P, Saron CD. Changes in the expression of inflammatory and epigenetic-modulatory genes after an intensive meditation retreat. Compr Psychoneuroendocrinol. 2022 Jun 23;11:100152. doi: 10.1016/j.cpnec.2022.100152. eCollection 2022 Aug.
- Venditti S, Verdone L, Reale A, Vetriani V, Caserta M, Zampieri M. Molecules of Silence: Effects of Meditation on Gene Expression and Epigenetics. Front Psychol. 2020 Aug 11;11:1767. doi: 10.3389/fpsyg.2020.01767. eCollection 2020.
- Househam AM, Peterson CT, Mills PJ, Chopra D. The Effects of Stress and Meditation on the Immune System, Human Microbiota, and Epigenetics. Adv Mind Body Med. 2017 Fall;31(4):10-25.
- Muehsam D, Lutgendorf S, Mills PJ, Rickhi B, Chevalier G, Bat N, Chopra D, Gurfein B. The embodied mind: A review on functional genomic and neurological correlates of mind-body therapies. Neurosci Biobehav Rev. 2017 Feb;73:165-181. doi: 10.1016/j.neubiorev.2016.12.027. Epub 2016 Dec 23.
- Chandran V, Bermudez ML, Koka M, Chandran B, Pawale D, Vishnubhotla R, Alankar S, Maturi R, Subramaniam B, Sadhasivam S. Large-scale genomic study reveals robust activation of the immune system following advanced Inner Engineering meditation retreat. Proc Natl Acad Sci U S A. 2021 Dec 21;118(51):e2110455118. doi: 10.1073/pnas.2110455118.
- Bhasin MK, Dusek JA, Chang BH, Joseph MG, Denninger JW, Fricchione GL, Benson H, Libermann TA. Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One. 2013 May 1;8(5):e62817. doi: 10.1371/journal.pone.0062817. Print 2013. Erratum In: PLoS One. 2017 Feb 21;12(2):e0172873. doi: 10.1371/journal.pone.0172873.
- Antoni MH, Lutgendorf SK, Blomberg B, Carver CS, Lechner S, Diaz A, Stagl J, Arevalo JM, Cole SW. Cognitive-behavioral stress management reverses anxiety-related leukocyte transcriptional dynamics. Biol Psychiatry. 2012 Feb 15;71(4):366-72. doi: 10.1016/j.biopsych.2011.10.007. Epub 2011 Nov 16.
- Black DS, Cole SW, Irwin MR, Breen E, St Cyr NM, Nazarian N, Khalsa DS, Lavretsky H. Yogic meditation reverses NF-kappaB and IRF-related transcriptome dynamics in leukocytes of family dementia caregivers in a randomized controlled trial. Psychoneuroendocrinology. 2013 Mar;38(3):348-55. doi: 10.1016/j.psyneuen.2012.06.011. Epub 2012 Jul 15.
- Ohnishi J, Ayuzawa S, Nakamura S, Sakamoto S, Hori M, Sasaoka T, Takimoto-Ohnishi E, Tanatsugu M, Murakami K. Distinct transcriptional and metabolic profiles associated with empathy in Buddhist priests: a pilot study. Hum Genomics. 2017 Sep 2;11(1):21. doi: 10.1186/s40246-017-0117-3.
- Chaix R, Fagny M, Cosin-Tomas M, Alvarez-Lopez M, Lemee L, Regnault B, Davidson RJ, Lutz A, Kaliman P. Differential DNA methylation in experienced meditators after an intensive day of mindfulness-based practice: Implications for immune-related pathways. Brain Behav Immun. 2020 Feb;84:36-44. doi: 10.1016/j.bbi.2019.11.003. Epub 2019 Nov 13.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vector Borne Diseases
- Synucleinopathies
- Trauma and Stressor Related Disorders
- Neuroinflammatory Diseases
- Urogenital Diseases
- Genital Diseases
- Pain
- Neurologic Manifestations
- Endocrine System Diseases
- Bone Diseases
- Musculoskeletal Diseases
- Mouth Diseases
- Stomatognathic Diseases
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Muscular Diseases
- Mental Disorders
- Wounds and Injuries
- Postoperative Complications
- Pathologic Processes
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Heart Diseases
- Encephalomyelitis
- Neuromuscular Diseases
- Chronic Disease
- Disease Attributes
- Arthritis
- Joint Diseases
- Rheumatic Diseases
- Metabolic Diseases
- Intestinal Diseases
- Connective Tissue Diseases
- Autoimmune Diseases
- Immune System Diseases
- Infections
- Respiratory Tract Diseases
- Disease
- Arrhythmias, Cardiac
- Digestive System Diseases
- Gastrointestinal Diseases
- Neurobehavioral Manifestations
- Genital Diseases, Female
- Lung Diseases
- Eye Diseases
- Demyelinating Autoimmune Diseases, CNS
- Autoimmune Diseases of the Nervous System
- Demyelinating Diseases
- Endocrine Gland Neoplasms
- Head and Neck Neoplasms
- Headache Disorders, Primary
- Headache Disorders
- Neurodegenerative Diseases
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Spinal Diseases
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Skin Diseases
- Gastroenteritis
- Inflammatory Bowel Diseases
- Breast Diseases
- Renal Insufficiency
- Bone Diseases, Metabolic
- Otorhinolaryngologic Diseases
- Sensation Disorders
- Colonic Diseases, Functional
- Bacterial Infections
- Bacterial Infections and Mycoses
- Movement Disorders
- Gram-Negative Bacterial Infections
- Borrelia Infections
- Spirochaetales Infections
- Tick-Borne Diseases
- Cysts
- Trauma, Nervous System
- Arthritis, Rheumatoid
- Xerostomia
- Salivary Gland Diseases
- Dry Eye Syndromes
- Lacrimal Apparatus Diseases
- Ear Diseases
- Brain Damage, Chronic
- Parkinsonian Disorders
- Basal Ganglia Diseases
- Spinal Cord Diseases
- TDP-43 Proteinopathies
- Proteostasis Deficiencies
- Myocardial Ischemia
- Thyroid Diseases
- Retinal Diseases
- Hearing Loss
- Hearing Disorders
- Retinal Degeneration
- Chest Pain
- Perceptual Disorders
- Angina Pectoris
- Pain, Postoperative
- Trigeminal Autonomic Cephalalgias
- Fatigue Syndrome, Chronic
- Irritable Bowel Syndrome
- Syndrome
- Lung Diseases, Obstructive
- Pulmonary Disease, Chronic Obstructive
- Multiple Sclerosis
- Sclerosis
- Lung Neoplasms
- Fibromyalgia
- Headache
- Ovarian Neoplasms
- Breast Neoplasms
- Osteoporosis
- Lyme Disease
- Spinal Stenosis
- Atrial Fibrillation
- Sjogren's Syndrome
- Cerebral Palsy
- Crohn Disease
- Parkinson Disease
- Infertility
- Motor Neuron Disease
- Amyotrophic Lateral Sclerosis
- Spinal Cord Injuries
- Kidney Diseases
- Renal Insufficiency, Chronic
- Hyperthyroidism
- Macular Degeneration
- Deafness
- Stress Disorders, Traumatic
- Stress Disorders, Post-Traumatic
- Thyroid Neoplasms
- Angina, Stable
- Hypothyroidism
- Ovarian Cysts
- Tinnitus
- Phantom Limb
- Cluster Headache
- Tension-Type Headache
Other Study ID Numbers
- 20211477A
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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