Effect of Probiotic on Cognitive Function

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age50-64
SponsorCairo University

About this trial

The goal of this clinical trial is to learn if daily single-strain probiotic supplementation (Lactobacillus plantarum) works to improve cognitive function and depressive symptoms in Egyptian women aged 50-64 years with mild depression. It will also learn about its effects on systemic inflammation and autonomic nervous system function via the gut-brain axis

The main questions it aims to answer are:

Does a 12-week probiotic supplementation improve cognitive function (measured by MoCA-B) compared to a placebo? Does it reduce the severity of depressive symptoms (measured by BDI-II)? Does it reduce systemic inflammation (measured by hs-CRP levels in the blood)? Does it enhance autonomic nervous system function (measured by Heart Rate Variability - HRV via a smartphone app)? Researchers will compare the probiotic capsule (Lactobacillus plantarum, 10 billion CFU) to a placebo (a look-alike capsule containing starch) to see if the probiotic works better than placebo.

Participants will:

Take one probiotic or placebo capsule orally every morning with breakfast for 12 weeks.

Visit the Family Medicine outpatient clinic at baseline and at 12 weeks for cognitive and psychological tests, HRV measurements, and blood tests.

Receive weekly follow-up messages on WhatsApp to monitor adherence and report any dietary changes or potential side effects.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Presence of mild depressive symptoms, defined as a Beck Depression inventory II (BDI-II) total score between 14 and 19 (inclusive) at the screening visit.

Ability to give informed consent

Disqualifiers

Moderate and severe depression (BDI-II score > 19) or active suicidal ideation (assessed by clinical interview).

Diagnosis of bipolar disorder, schizophrenia, or other major psychotic disorder.

Regular consumption of probiotics, prebiotics, or synbiotic supplements within the past 4 weeks.

Use of antibiotics or antifungals within the past 4weeks.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Lactobacillus plantarum

    Dietary supplement

    Single-strain probiotic containing Lactobacillus plantarum (approximately 10 billion CFU per capsule). Manufactured by Pescado Pharmaceuticals, Cairo, Egypt. Administered as one capsule daily taken orally with breakfast for 12 weeks.

  • placebo capsule

    Other intervention

    Placebo capsule containing inert excipients (starch), manufactured by Faculty of Pharmacy, Cairo University. Identical in appearance, size, color, and packaging to the probiotic capsule. Administered as one capsule daily taken orally with breakfast for 12 weeks.

Treatment groups

88 Participants
are divided into 2 treatment groups
Group A: probiotic groupActive comparator 1 intervention
Group B: placebo groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in cognitive function

Assessed by change in Montreal Cognitive Assessment Basic (MoCA-B) total score. MoCA-B scores range from 0 to 30, with higher scores indicating better cognitive performance.

Time frame
Baseline and Week 12
2

Change in depressive symptom severity

Assessed by change in Beck Depression Inventory-II (BDI-II) total score. BDI-II scores range from 0 to 63, with higher scores indicating higher severity of depressive symptoms.

Time frame
Baseline and Week 12

Secondary outcomes

1

Change in serum high sensitivity C-reactive protein (hs-CRP) concentration

Measured in mg/L using serum samples to evaluate systemic inflammation.

Time frame
Baseline and Week 12
2

Change in heart rate variability (HRV)

Assessed via smartphone-based photoplethysmography application (Welltory) to evaluate autonomic nervous system regulation.

Time frame
Baseline and Week 12

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: