About this trial
This randomized, double blind, placebo controlled clinical trial will test the efficacy of a probiotic/prebiotic combination ("synbiotic") on the skeleton in older women.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
1. Provided written informed consent.
2. Stated availability throughout entire study period and willingness to fulfill all details of the protocol.
3. Age 60 years and above.
4. DXA-BMD of the hip and spine (T-score) > -2.5. Women with a BMD T score ≤ -2.5 (i.e. women with low BMD indicating osteoporosis) will also be considered if they have decided not to accept the standard of care use of osteoporosis medications for the entire duration of their participation in the study.
Disqualifiers
1. BMI greater than 40 kg/m2.
2. Participants consuming dietary supplements (fish oil, probiotics/prebiotics, and fiber) in the prior month, and unwilling to avoid these supplements for the duration of the study.
3. Participants using osmotic laxatives >1 per week and unwilling to avoid use for the duration of the study.
4. Known or suspected allergies to probiotics, rice, edible fruit extract or berries.
Trial design
Parallel
Treatments tested in this trial
SBD111 medical food
Other interventionSBD111 medical food is a defined microbial assemblage (DMA) consisting of oligofructose and dried berry powder (prebiotics), a Pseudomonas fluorescens, a Lactobacillus brevis, a Leuconostoc mesenteroides, a Lactobacillus plantarum, and a Pichia kudriavzevii (yeast).
Placebo
Other interventionPlacebo
Treatment groups
Trial outcomes
Primary outcomes
Lumbar spine BMD (g/cm2)
BMD of the lumbar spine (L1-L4) will be measured at the baseline exam, 9-month, and 18-month final follow-up visit
Secondary outcomes
Vertebral compressive strength (N)
Quantitative computed tomography (QCT) scans acquired at baseline and 18-months will be used to estimate vertebral compressive bone strength using Biomechanical Computed Tomography (BCT, VirtuOst, O.N. Diagnostics, Berkeley, CA).
volumetric BMD
Measurements of integral and vertebral trabecular vBMD at L1-L3.
C-terminal cross-linked telopeptide of type I collagen (β-CTX)
A biochemical marker of bone resorption
Procollagen Type I Intact N-terminal Propeptide (P1NP)
A biochemical marker of bone formation
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Hebrew SeniorLife
Lead sponsor
Solarea Bio, Inc
Collaborator
Beth Israel Deaconess Medical Center
Collaborator
Tufts University
Collaborator
MaineHealth
Collaborator