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临床试验/NCT06645171
NCT06645171尚未招募不适用

Effect of an Oral Nutritional Supplement (ONS) with Prebiotic Fibre Compared to a Non-fibre Containing ONS Equal in Energy and Protein Content on Gut Microbiota Bifidobacteria in Older Adults with or At Risk of Disease Related Malnutrition

Nutricia Research0 个研究点目标入组 62 人开始时间: 2024年11月1日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
62
主要终点
Changes in gut microbiota bifidobacterial levels

研究概览

简要总结

This study assesses the effects of an oral nutritional supplement (ONS) with fibre compared to a non-fibre containing ONS equal in energy and protein content on gut microbiota bifidobacteria in older adults with or at risk of disease related malnutrition. It is a randomised controlled, double blind, parallel-group, multi-country study. Subjects will receive an ONS with or without (control group) fibre. They take it twice a day for 4 weeks and the change in their gut microbiota bifidobacterial levels is the primary outcome. They will be measured at day 1 (V1), day 15 (V2) and week 4 (V3).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
Double (Participant, Investigator)

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • 65 years of age or older
  • Identified as at medium or high risk of malnutrition based on:
  • a) MNA-SF score between 0 - 11 and / or b) are prescribed with ONS
  • In need of 2 servings of oral nutritional support/day (300 kcal; 12 gr protein per serving).
  • a) Not being prescribed with ONS or b) being prescribed with non-fibre containing ONS and willing and able to switch from pre-study prescribed ONS to the Test or Control Product for participation in the study.
  • Willing to maintain dietary habits for the duration of the study. Written informed consent from subject (or impartial witness after verbal consent of subject when subject is physically unable to sign and where allowed by local regulations).

排除标准

  • Requirement for a fibre-free diet.
  • Have used nutritional supplements with fibre/prebiotics and/or probiotics content at any point during 3 weeks prior to start study (Visit 1) and / or will not refrain from using these kinds of products during the study period.
  • Admitted to an intensive care unit.
  • Hemodynamically unstable.
  • Known allergy to cow's milk protein.
  • Known galactosaemia.
  • Known hepatic encephalopathy.
  • Known Irritable Bowel Syndrome.
  • Known severe lactose intolerance without using lactase.
  • Known history of GI surgery.
  • Known history of intestinal polyp removal within 3 months prior to the study.
  • Known history of Immunotherapy.
  • Known history of GI cancer.
  • Active cancer treatment or within 12 months prior the study
  • Diagnose of Celiac Disease.
  • Received antibiotics within 4 weeks prior to study.
  • Patients following a vegan or vegetarian diet.
  • Active flare of inflammatory bowel disease as defined by HBI >6 (Crohn's disease) or SCCAI >5 (ulcerative colitis).
  • Stricturing Crohn's disease.
  • Any contraindication to oral feeding per se being: gastrointestinal failure or suppressed gastrointestinal function, complete intestinal obstruction and major intra-abdominal sepsis.
  • Investigator's uncertainty about the willingness or ability of the subject to comply with the protocol requirements, for example due to the presence of a psychiatric disorder (e.g. major depression, psychoses), dementia or Alzheimer's disease.
  • Planned hospital admission during the study period in case not hospitalised at screening
  • Participation in any other studies involving investigational or marketed products concomitantly or within 6 weeks prior to baseline.
  • Severe disease with life expectancy less than a year.

结局指标

主要结局

Changes in gut microbiota bifidobacterial levels

时间窗: 4 weeks

次要结局

  • Changes in gut microbiota composition(4 weeks)
  • Fecal pH(4 weeks)
  • Stool frequency and consistency assessed by the Bristol Stool Form Scale (BSFS)(4 weeks)
  • Total short-chain fatty acids (SCFA)(4 weeks)

研究者

发起方
Nutricia Research
申办方类型
Industry
责任方
Sponsor

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