- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06614166
Food Trial to Evaluate the Kinetics of the Medical Foods SBD111 and SBD121 Persistence in Healthy Adults
Study Overview
Status
Intervention / Treatment
Detailed Description
This DMA persistence food trial provides critical complimentary data to the ongoing efficacy food trials of SBD111 and SBD121 medical foods. While the SBD111 and SBD121 medical food products have been tested in multiple preclinical studies, GLP-Toxicity studies in Rats, and ongoing safety and efficacy trials, no study has yet examined how quickly these DMAs become detectable/active in human stool samples or the rate they clear from human stool following treatment cessation. The data provided by this study could inform the interpretation efficacy trial data with regard to subject adherence.
Objectives The primary goal of this study is to evaluate the prevalence and persistence of SBD111 and SBD121 medical foods, two novel combinations of probiotics and prebiotic dietary fibers, over time in stool samples. We will determine the effect of these Defined Microbial Assemblages (DMAs) on fecal microbiota composition and functional potential, as well as the duration of SBD111 and SBD121 product persistence in the gastrointestinal tract. DMAs will be administered for 7 days, and stool samples will be collected during DMA administration and up to 28 days post DMA cessation for microbial DNA extraction. Fecal microbial DNA will be subjected to qPCR and high throughput shotgun sequencing to determine the presence and amount of DMA microbes that are present before, during, and after DMA administration. We will also use the resulting shotgun sequencing data to determine whether any taxonomic shifts or functional changes occur in response to DMA administration and/or cessation. Finally, as an exploratory measure, we will attempt to isolate live DMA microbes from participants' fecal samples using microbiological techniques.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Massachusetts
-
Waltham, Massachusetts, United States, 02453-8400
- Solarea Bio Inc
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provide written informed consent.
- Stated availability throughout entire study period and willingness to fulfill all details of the protocol.
- Age 18-64 years.
- Be in general good health as determined by a screening evaluation within 30 days of the first dose of SBD111 or SBD121.
- Willing to comply with protocol and report on compliance and side effects during study period.
- Body Mass Index between 18.5 and 35 kg/m2.
Exclusion Criteria:
- Are currently taking probiotic or prebiotic supplements or have taken them in the past 30 days.
- Unwilling to avoid probiotics/prebiotics supplements for the duration of the study.
- Known or suspected allergies to probiotics, maltodextrin, or berries.
- Received oral or parenteral antibiotics within 3 months of enrollment or prescribed antibiotics on the day of enrollment.
- Major surgery on the intestines or endoscopy within last 3 months.
- Current smoker.
- History of drug and/or alcohol abuse at the time of enrollment.
- Presence of any of the following:
- Abnormal vital signs or clinically significant systems abnormalities based on screening questionnaire.
Indwelling catheter or implanted hardware/prosthetic device or feeding tube.
a. Excluding joint replacements
- Febrile illness (oral temperature >37 degrees Celsius) or one or more episodes of diarrhea within 72 hours of baseline (first dose of study article).
- Active bowel leak, acute abdomen, colitis, or active GI disease or history of gastric or intestinal dysmotility, slowed transit time, variable small intestinal permeability, pancreatitis, or inflammatory bowel disease.
- History of Hepatitis B or Hepatitis C infections, cirrhosis, or chronic liver disease.
- Underlying structural heart disease or previous history of endocarditis or valve replacement.
- Immunosuppression including HIV positive, solid organ or stem cell transplant recipient, receiving any oral or parenteral immunosuppressive therapy.
- History of Celiac disease.
- History of cancer.
- Excluding non-melanoma skin cancers or cancer more than 10 years ago.
- History of autoimmune disease and taking any immunosuppressant drugs.
- Active TB.
- Women only - pregnant, planning on becoming pregnant within the next 2 months, breastfeeding, positive urine pregnancy test within 24 hours of first dose of DMA.
- Participants may be excluded if, in the investigator's opinion, there is evidence of cognitive impairment or dementia which is sufficient to interfere with informed consent or adherence to the study protocol. Four questions will be asked during the informed consent process to confirm participant's understanding and ability to comply.
- Any other condition that in the opinion of the investigator would jeopardize the safety or rights of the volunteer participating in the study or would make it unlikely the volunteer could complete the study.
- Bowel movement frequency less than one per 36-hour period.
- If the subject has been in a recent experimental trial, these must have been completed not less than 60 days prior to this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Synbiotic Medical Food SBD111
Probiotic comprised of three lactic acid bacteria and one yeast
|
Medical food comprised of probiotics and prebiotic fibers
|
|
Experimental: Synbiotic Medical Food SBD121
Probiotic comprised of three lactic acid bacteria and one bacillus
|
Probiotic medical food comprised of three lactic acid bacteria and one bacillus
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Persistence of SBD111 and SBD121 microbes in fecal samples
Time Frame: 5 weeks
|
DNA isolated from fecal swabs will be used to determine the persistence of SBD111 and SBD121 microbes in stool samples up to 28 days following twice-daily oral administration of SBD111 or SBD121 to healthy adults.
|
5 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Microbial Community Structure Changes
Time Frame: 5 weeks
|
Using metagenomic sequencing, we will assess microbial community structural and functional changes that occur during and up to 28 days following twice-daily oral administration of SBD111 or SBD121 to healthy adults.
This will be done via sequence assessment of microbiota taxonomies and functional genes.
|
5 weeks
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Microbe Viability
Time Frame: 2 weeks
|
From frozen fecal samples we will assess the viability of SBD111 and SBD121 microbes in fecal samples after 0, 7, and 14 days of oral administration using standard microbiological plating techniques.
|
2 weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Alicia E Ballok, PhD, Solarea Bio, Inc
Publications and helpful links
General Publications
- Easson DD Jr, Murphy VA, Ballok AE, Soto-Giron MJ, Miller KJ, Charbonneau MR, Schott EM, Greene T, Rodricks J, Toledo GV. Food safety assessment and 28-day toxicity study of the synbiotic medical food consortium SBD121. Food Chem Toxicol. 2024 Sep;191:114839. doi: 10.1016/j.fct.2024.114839. Epub 2024 Jun 26.
- Easson DD Jr, Murphy VA, Ballok AE, Soto-Giron MJ, Schott EM, Rodricks J, Toledo GV. Food safety assessment and toxicity study of the synbiotic consortium SBD111. Food Chem Toxicol. 2022 Oct;168:113329. doi: 10.1016/j.fct.2022.113329. Epub 2022 Aug 7.
- Lawenius L, Gustafsson KL, Wu J, Nilsson KH, Moverare-Skrtic S, Schott EM, Soto-Giron MJ, Toledo GV, Sjogren K, Ohlsson C. Development of a synbiotic that protects against ovariectomy-induced trabecular bone loss. Am J Physiol Endocrinol Metab. 2022 Apr 1;322(4):E344-E354. doi: 10.1152/ajpendo.00366.2021. Epub 2022 Feb 14. Erratum In: Am J Physiol Endocrinol Metab. 2024 Apr 1;326(4):E481. doi: 10.1152/ajpendo.00366.2021_COR.
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 (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Pro00078728
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
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.
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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