Pilot-study: Probiotics and the Gut Brain Axis- Do Probiotics Interact With the Vagal Nerve? ProBIO-HRV-study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Depressive Disorder, Major
- Sponsor
- Medical University of Graz
- Enrollment
- 86
- Locations
- 1
- Primary Endpoint
- Change of Vagal function
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is to investigate the effects of a multispecies probiotic on the function of the vagal nerve in patients with major depression and healthy participants in a single-center, randomized, placebo-controlled trial.
Detailed Description
After being informed about the study and potential risks, all participants giving written informed consent will be screened for eligibility for study entry and will be randomized in a double-blind manner to receive either a multistrain probiotic or a placebo for 3 months. At entry, 1 week after inclusion, 4 weeks after inclusion and 3 months (end of study) vagal activity will be measured using a 24hr electrocardiogram.
Investigators
Eligibility Criteria
Inclusion Criteria
- •informed consenct
- •confirmed diagnosis of depression according to ICD-10 or DSM-V
- •age between 18 and 65 years
Exclusion Criteria
- •Suicidality
- •no informed consent or no ability to provide consent
- •cardiovascular disease
- •pregnancy, breastfeeding
- •alcohol or drug dependency
- •other severe psychiatric or organic conditions (epilepsy, brain tumor, recent surgery)
- •malignant diseases
- •dementia (MMST\<20)
- •severe autoimmune-disorder or immunosuppression (systemic lupus, HIV, multiple sclerosis)
- •antibiotic therapy in the last month
Outcomes
Primary Outcomes
Change of Vagal function
Time Frame: 4 measurements with 24-hr heart rate variability at study entry, one week after, 1 month after and after 3 months
Heart rate variability parameters (logRSA; SDNN)
Secondary Outcomes
- Change in Hamilton Scale for Depression (HAMD)(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Change in Pittsburgh Sleep Quality Inventory (PSQI)(at study entry, after 7 days, after 4 weeks and after 3 months)
- Change of Interleukine-6 (IL-6)(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Change of Gut microbiome analysis(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Mini-international neuropsychiatric interview (M.I.N.I.)(at study entry)
- Change in Adult Attachment Scale(at study entry, after 7 days, after 4 weeks and after 3 months)
- Change in "Wiener Ernährungsprotokoll"(at study entry, after 7 days, after 4 weeks and after 3 months)
- Change of Oxytocin(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Change of C-reactive protein (CRP)(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Change of Body mass index(4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))
- Change in International Physical Activity Questionnaire(at study entry, after 7 days, after 4 weeks and after 3 months)
- Beck Depression Inventory (BDI)(Change in 4 time points at study entry, one week after, 1 month after and 3 months (completion of the study))