Development of a Partially Hydrolyzed Guar Gum (PHGG) Based Synbiotic for Amelioration of Chronic Obstructive Pulmonary Disease (COPD)
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- FEV1/FVC%
Study Overview
Brief Summary
Some components of the diet could promote the growth of certain bacterial strains present in the intestine, which are closely associated with benefits for host health. An intestinal commensal Parabacteroides goldsteinii (Pg) was highlighted to be significantly negatively associated with severity of COPD. Furthermore, the investigators identify the potential prebiotics (PHGG) which may enrich the abundance of P. goldsteinii and increase the probiotic effect of P. goldsteinii.
The investigators designed a randomized control study, which enroll adults diagnosed with COPD. Then the two groups will receive PHGG or not. Stool samples will be collected. The ameliorative efficacy will be evaluated by questionnaire and lung function test. Intestinal microbiota and metabolome will be analyzed and the correlation with lung function indices will be further investigated.
Detailed Description
It is well known that some components of the diet could promote the growth of certain bacterial strains present in the intestine, which are closely associated with benefits for host health. In the previous study, the investigators found that an intestinal commensal Parabacteroides goldsteinii (Pg) was highlighted to be significantly negatively associated with severity of COPD. Furthermore, the investigators identify the potential prebiotics (PHGG) which may enrich the abundance of P. goldsteinii and increase the probiotic effect of P. goldsteinii. However, the effect of PHGG supplement on compositional and functional properties of the human microbiota with COPD still remains unclear.
In this proposal, the investigators designed a randomized control study, which enroll adults diagnosed with COPD. The investigators will review their past medical records and related image and lung function test. Then the two groups will receive PHGG or not. Stool samples will be collected. The ameliorative efficacy will be evaluated by questionnaire and lung function test. Intestinal microbiota and metabolome will be analyzed and the correlation with lung function indices will be further investigated. In the future, it may be used to investigate and analyze the change of microbiota and metabolome, then develop possible treatment options of COPD.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •age of 40-85 years
- •diagnosis of COPD made by pulmonologist
- •provision of written informed consent
Exclusion Criteria
- •severe and unstable comorbidities or active malignancy
- •COPD exacerbation within the 4 weeks prior
- •cognitive impairment or a psychiatric disorder
- •pregnancy
Arms & Interventions
COPD with PHGG
COPD patient PHGG 5g/day for 1 month
Intervention: Partially Hydrolyzed Guar Gum (PHGG) (Dietary Supplement)
COPD without PHGG
COPD patient without PHGG 5g/day for 1 month
Healthy with PHGG
Healthy PHGG 5g/day for 1 month
Intervention: Partially Hydrolyzed Guar Gum (PHGG) (Dietary Supplement)
Healthy without PHGG
Healthy without PHGG 5g/day for 1 month
Outcomes
Primary Outcomes
FEV1/FVC%
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV1/FVC%
St. George's Respiratory Questionnaire (SGRQ)
Time Frame: after PHGG 5 gram/day for 1 month
change of SGRQ score, 0 the best, 100 the worst
MMEF%
Time Frame: after PHGG 5 gram/day for 1 month
change of MMEF%
Microbiota of stool
Time Frame: after PHGG 5 gram/day for 1 month
change of stool microbiota contribution
FEV1
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV1
FEV3/FVC%
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV3/FVC%
PEF
Time Frame: after PHGG 5 gram/day for 1 month
change of PEF
Modified Medical Research Council Dyspnea Scale (mMRC)
Time Frame: after PHGG 5 gram/day for 1 month
change of mMRC scale, 0 the best, 4 the worst
COPD Assessment Test (CAT)
Time Frame: after PHGG 5 gram/day for 1 month
change of CAT (0 the best, 40 the worst)
FEV1%
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV1%
FVC
Time Frame: after PHGG 5 gram/day for 1 month
change of FVC
FVC%
Time Frame: after PHGG 5 gram/day for 1 month
change of FVC%
FEV3
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV3
FEV3%
Time Frame: after PHGG 5 gram/day for 1 month
change of FEV3%
MMEF
Time Frame: after PHGG 5 gram/day for 1 month
change of MMEF
PEF%
Time Frame: after PHGG 5 gram/day for 1 month
change of PEF%
blood cytokine
Time Frame: after PHGG 5 gram/day for 1 month
change of blood cytokine
Secondary Outcomes
No secondary outcomes reported
