- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07371975
A Study to Evaluate the Effects of a Butyrate-Polyphenol Formulation on Gut Health and Associated Symptoms
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a double-blind, randomized, placebo-controlled study to evaluate the effects of a butyrate/polyphenol formulation on gut health and associated symptoms in healthy individuals.
Participants will be asked to complete a laboratory assessment and questionnaires. A total of up to 124 subjects (62 subjects per arm) will be enrolled for the 14-day period. Laboratory testing will include an assessment of the Gut Microbiome.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Steven Hirsh
- Phone Number: 9542027679
- Email: shirsh@lifeextension.com
Study Contact Backup
- Name: Barbara Martinez
- Phone Number: 9542842709
- Email: bmartinez@lifeextension.com
Study Locations
-
-
Florida
-
Fort Lauderdale, Florida, United States, 33304
- Recruiting
- Life Extension Clinical Research, Inc.
-
Principal Investigator:
- Andrew Swick, PhD
-
Contact:
- Barbara Martinez
- Phone Number: 9542842709
- Email: bmartinez@lifeextension.com
-
Contact:
- Steven Hirsh
- Phone Number: 954-202-7679
- Email: shirsh@lifeextension.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Male or female, age 25-70 years
- Body mass index 18.5-34.9 kg/m2
- A GSRS-IBS score ≥ 21 (identification as having moderate or severe gastrointestinal symptoms). If the GSRS-IBS score is < 20 (identification of minimal or mild), may be included at the discretion of the PI/Sub-I
- Experiencing at least three of the following conditions on a weekly basis (gastrointestinal discomfort, abdominal pain, gas, bloating, diarrhea, or constipation)
- Healthy based on medical history and without chronic disease (unless permitted in the judgment of the PI/Sub-I)
- Weight stable for the past six months (±6 lbs.)
- Willing and able to give written informed consent
- Ability to communicate and read in English
- Ability to comply with study requirements
Exclusion Criteria:
- Currently participating in another clinical research study
- Pregnant, planning pregnancy, or breastfeeding
- Unable to swallow capsules, tablets, or softgels
- Male participants and females of childbearing potential who are unwilling to use an acceptable method of contraception from screening through 30 days after study completion.
- Typically goes longer than 3 days without a bowel movement
- Current diagnosis of cardiovascular disease, history of an abnormal electrocardiogram (ECG), diabetes (Type 1 or Type 2), or cancer (except for non-melanoma skin cancer) within the past 5 years
- Having had a medical or surgical event in the past 5 years involving hospitalization, outpatient, or emergency care that requires ongoing monitoring.
- Planning to undergo a major medical procedure or surgical event within the next 30 days
- Currently being treated for any infectious disease
- Currently consuming more than 6 standard alcoholic drinks per week for women and 10 drinks per week for men (a standard alcoholic drink is defined as one bottle/can of beer, one glass of wine, or one ounce of hard liquor)
- Smoking or use of nicotine products daily within 30 days prior to screening
- Using substances of abuse or recreational drugs/substances, including tetrahydrocannabinol (THC), within the past 14 days
- History of intolerance or allergic reaction to product ingredients, including butyrate, tributyrin, polyphenols (Green tea extract, Grape Seed extract, Cinnamon extract, maltodextrin, silicon dioxide, magnesium stearate, or chlorophyllin)
- Having donated blood or received a blood/plasma transfusion within 30 days before baseline
- History of a major change in dietary habits within the past 1 month
- Currently taking any supplements containing butyrate, tributyrin, or polyphenols and not willing to stop for the duration of study participation
- Currently taking any laxatives on a daily basis
- Initiated (Glucagon-Like Peptide-1) GLP-1 medication within 3 months prior to screening.
- On a stable dose of a proton pump inhibitor (e.g., omeprazole, pantoprazole) within 3 months prior to screening.
- History of oral or IV antibiotic use within the past 3 months prior to Baseline
- Not willing to refrain from taking any over-the-counter medications or supplements for gastrointestinal concerns or discomfort (except if on a stable dose for > 3 months before Screening and unlikely to change) unless in the judgment of the PI/Sub-I
- Current or previous history of medically diagnosed and treated gastrointestinal disease, including gallbladder problems, gallstones, biliary obstruction, inflammatory bowel disease (IBD), Crohn's disease, Ulcerative Colitis, Celiac disease, or gastrointestinal cancer
- Currently diagnosed with and/or being treated for Irritable Bowel Syndrome (IBS)
- Currently experiencing or previously having a gastrointestinal infection (viral or bacterial) or food poisoning within the past month
- Currently experiencing or previously having a parasitic infection within the past 3 months
- Currently experiencing or having a history of severe endometriosis
- History of gastrointestinal surgery, which might influence gastrointestinal function
- History or presence of a clinically significant diagnosis or circumstance that, in the judgment of the Study Investigator/Sub-I, would interfere with the interpretation of the study results and preclude participation in the study -
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
Placebo
|
|
Active Comparator: Butyrate + Polyphenol Formulation
|
Butyrate + Polyphenol Formulation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Gastrointestinal Symptom Rating Scale (GSRS)-Irritable Bowel Syndrome (IBS) version
Time Frame: 14 days
|
Change in the Gastrointestinal Symptom Rating Scale-IBS from baseline.
The responses to the questions range from no discomfort at all to very severe discomfort which would indicate a worse outcome
|
14 days
|
|
Gut Microbiome Stool Test
Time Frame: 14 days
|
Change in the Gut Microbiome (strain level, functional metrics, taxonomy abundance and composition) from baseline
|
14 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Digestion-Associated Quality of Life Questionnaire (DQLQ)
Time Frame: 14 days
|
Change in the Digestion-Associated Quality of Life Questionnaire (DQLQ) from baseline.
The lower score indicates an improved outcome.
|
14 days
|
|
Visual Analogue Scale (VAS) of abdominal pain
Time Frame: 14 days
|
Change in the Visual Analogue Scale (VAS) of abdominal pain from baseline.
The lower the value indicates an improved outcome.
|
14 days
|
|
Bristol Stool Form Scale (BSFS)
Time Frame: 14 days
|
Change in the stool form from baseline.
There are 7 various stool types to choose ranging from Type 1 to Type 7. Types 3 or 4 are the preferred types.
|
14 days
|
|
Gastrointestinal -Global Assessment of Improvement Scale (Gastrointestinal-GAI)
Time Frame: 14 days
|
Change in the Gastrointestinal-Global Assessment of Improvement Scale (Gastrointestinal-GAI) from baseline.
The responses range from substantially worse to substantially improved would indicate an improved outcome.
|
14 days
|
|
World Health Organization Quality of Life (WHOQOL-BREF)
Time Frame: 14 days
|
Change in the World Health Organization Quality of Life (WHOQOL-BREF) from baseline.
The higher score indicates a better perceived quality of life for each domain.(physical
health, psychological health, social relationship, environment)
|
14 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Andrew Swick, PhD, Life Extension
Publications and helpful links
General Publications
- Cleophas MCP, Ratter JM, Bekkering S, Quintin J, Schraa K, Stroes ES, Netea MG, Joosten LAB. Effects of oral butyrate supplementation on inflammatory potential of circulating peripheral blood mononuclear cells in healthy and obese males. Sci Rep. 2019 Jan 28;9(1):775. doi: 10.1038/s41598-018-37246-7.
- Conley BA, Egorin MJ, Tait N, Rosen DM, Sausville EA, Dover G, Fram RJ, Van Echo DA. Phase I study of the orally administered butyrate prodrug, tributyrin, in patients with solid tumors. Clin Cancer Res. 1998 Mar;4(3):629-34.
- Cory H, Passarelli S, Szeto J, Tamez M, Mattei J. The Role of Polyphenols in Human Health and Food Systems: A Mini-Review. Front Nutr. 2018 Sep 21;5:87. doi: 10.3389/fnut.2018.00087. eCollection 2018.
- Costa C, Tsatsakis A, Mamoulakis C, Teodoro M, Briguglio G, Caruso E, Tsoukalas D, Margina D, Dardiotis E, Kouretas D, Fenga C. Current evidence on the effect of dietary polyphenols intake on chronic diseases. Food Chem Toxicol. 2017 Dec;110:286-299. doi: 10.1016/j.fct.2017.10.023. Epub 2017 Oct 14.
- Hodgkinson K, El Abbar F, Dobranowski P, Manoogian J, Butcher J, Figeys D, Mack D, Stintzi A. Butyrate's role in human health and the current progress towards its clinical application to treat gastrointestinal disease. Clin Nutr. 2023 Feb;42(2):61-75. doi: 10.1016/j.clnu.2022.10.024. Epub 2022 Nov 2.
- Ljotsson B, Jones M, Talley NJ, Kjellstrom L, Agreus L, Andreasson A. Discriminant and convergent validity of the GSRS-IBS symptom severity measure for irritable bowel syndrome: A population study. United European Gastroenterol J. 2020 Apr;8(3):284-292. doi: 10.1177/2050640619900577. Epub 2020 Jan 14.
- Park SY, Kim YD, Kim MS, Kim KT, Kim JY. Cinnamon (Cinnamomum cassia) water extract improves diarrhea symptoms by changing the gut environment: a randomized controlled trial. Food Funct. 2023 Feb 6;14(3):1520-1529. doi: 10.1039/d2fo01835g.
- Pietrzak A, Banasiuk M, Szczepanik M, Borys-Iwanicka A, Pytrus T, Walkowiak J, Banaszkiewicz A. Sodium Butyrate Effectiveness in Children and Adolescents with Newly Diagnosed Inflammatory Bowel Diseases-Randomized Placebo-Controlled Multicenter Trial. Nutrients. 2022 Aug 11;14(16):3283. doi: 10.3390/nu14163283.
- Recharla N, Geesala R, Shi XZ. Gut Microbial Metabolite Butyrate and Its Therapeutic Role in Inflammatory Bowel Disease: A Literature Review. Nutrients. 2023 May 11;15(10):2275. doi: 10.3390/nu15102275.
- Rosner, B. (2006). Hypothesis Testing Two-Sample INference. In Fundamentals of Biostatistics (6th ed., pp. 331-334). Duxbury Press.
- Wang X, Qi Y, Zheng H. Dietary Polyphenol, Gut Microbiota, and Health Benefits. Antioxidants (Basel). 2022 Jun 20;11(6):1212. doi: 10.3390/antiox11061212.
- Administration, D. o. H. a. H. S. U. S. F. a. D. (2005). Guidance for industry : estimating the maximum safe starting dose in initial clinical trials for therapeutics in adult healthy volunteers : pharmacology and toxicology. Center for Drug Evaluation and Research.
- Cristofori F, Calabrese FM, Iacobellis I, Santamaria M, Celano G, Ferrocino I, Di Sabato E, Pergola R, Dargenio VN, Paulucci L, De Angelis M, Francavilla R. Calcium butyrate efficacy in pediatric irritable bowel syndrome: Randomized placebo-controlled multiomics-based clinical trial. J Pediatr Gastroenterol Nutr. 2025 Sep;81(3):551-561. doi: 10.1002/jpn3.70154. Epub 2025 Jul 9.
- Grosicki, G. (2021). Effects of 3-week Tributyrin Supplementation on the Gut Microbiome: A Pilot Study. Journal of the Academy of Nutrition and Dietetics, 121(9), A23.
- Hodges, J. Z., M.; Cao, S.; Pokala, A.; Rezaei, S.; Sasaki, G.; Vodovotz, Y.; Bruno, R. (2022). Catechin-Rich Green Tea Extract Reduced Intestinal Inflammation and Fasting Glucose in Metabolic Syndrome and Healthy Adults: A Randomized, Controlled, Crossover Trial. Current Developments in Nutrition, 6, 981. https://doi.org/10.1093/cdn/nzac068.010
- Huang Q, Braffett BH, Simmens SJ, Young HA, Ogden CL. Dietary Polyphenol Intake in US Adults and 10-Year Trends: 2007-2016. J Acad Nutr Diet. 2020 Nov;120(11):1821-1833. doi: 10.1016/j.jand.2020.06.016. Epub 2020 Aug 15.
- Kapolou, A. K. H. R., N; Koutelidakis, A. (2021). Association of Mean Daily Polyphenols Intake with Mediterranean Diet Adherence and Anthropometric Indices in Healthy Greek Adults: A Retrospective Study. Applied Sciences, 11(10). https://doi.org/10.3390/app11104664
- Ma G., C., Y. (2020). Polyphenol supplementation benefits human health via gut microbiota: A systematic review via meta-analysis. . Journal of Functional Foods, 66(103829).
- Qaisar R, Iqbal MS, Ahmad F, Karim A. Oral butyrate improves postural balance by repairing leaky gut in geriatric adults. Gait Posture. 2025 Sep;121:370-376. doi: 10.1016/j.gaitpost.2025.06.016. Epub 2025 Jun 24.
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
- Pain
- Neurologic Manifestations
- Metabolism, Inborn Errors
- Genetic Diseases, Inborn
- Metabolic Diseases
- Signs and Symptoms, Digestive
- Connective Tissue Diseases
- Carbohydrate Metabolism, Inborn Errors
- Lysosomal Storage Diseases
- Mucinoses
- Mucopolysaccharidoses
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Skin and Connective Tissue Diseases
- Signs and Symptoms
- Abdominal Pain
- Constipation
- Diarrhea
- Mucopolysaccharidosis IV
- Organic Chemicals
- Fatty Acids
- Lipids
- Acids, Acyclic
- Carboxylic Acids
- Fatty Acids, Volatile
- Butyrates
Other Study ID Numbers
- CL116
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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