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Trial registered on ANZCTR
Registration number
ACTRN12621001558819
Ethics application status
Approved
Date submitted
8/10/2021
Date registered
17/11/2021
Date last updated
23/02/2024
Date data sharing statement initially provided
17/11/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
The influence of kefir consumption on the intestinal microbiome of healthy adults – a pilot study
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Scientific title
The influence of kefir consumption on the intestinal microbiome of healthy adults – a pilot study
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Secondary ID [1]
305496
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prevention of gastrointestinal disease
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Condition category
Condition code
Oral and Gastrointestinal
321394
321394
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Commercially available kefir drink based on fermented full-cream cow milk. The kefir has no thickeners/gels and is made with unhomogenised fresh milk from free range pasture fed cows.
Participants take the kefir at home, 200ml per day in total, taken twice daily (100ml in the morning, 100ml in the evening)
The intervention is for 14 days in total, and consumption will be monitored via a diary, in which participants indicate whether they have used the intervention as directed
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Intervention code [1]
321898
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Lifestyle
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Intervention code [2]
322056
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Treatment: Other
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Comparator / control treatment
Commercially available kefir drink based on fermented full-cream cow milk. The kefir has no thickeners/gels and is made with unhomogenised fresh milk from free range pasture fed cows.
Participants take the kefir at home, 400ml per day in total, taken twice daily (200ml in the morning, 200ml in the evening)
The intervention is for 14 days in total, and consumption will be monitored via a diary, in which participants indicate whether they have used the intervention as directed
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Oral microbiome profile
Saliva swabs will be assessed using Amplicon Sequencing – 16S to determine the oral microbial profile
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Assessment method [1]
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Timepoint [1]
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14 days post-commencement of intervention
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Primary outcome [2]
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Gut microbiome profile
Stool samples will be assessed using Amplicon Sequencing – 16S to determine the gut microbial profile
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Assessment method [2]
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Timepoint [2]
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14 days post-commencement of intervention
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Secondary outcome [1]
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Oral microbiome profile
Saliva swabs will be assessed using Amplicon Sequencing – 16S to determine the oral microbial profile
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Assessment method [1]
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Timepoint [1]
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28 days post-commencement of intervention
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Secondary outcome [2]
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Gut microbiome profile
Stool samples will be assessed using Amplicon Sequencing – 16S to determine the gut microbial profile
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Assessment method [2]
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Timepoint [2]
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28 days post-commencement of intervention
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Secondary outcome [3]
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Compliance via consumption of recommended doses, data collected via participant diary
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Assessment method [3]
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Timepoint [3]
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Daily from baseline to 14 days post-commencement of intervention
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Secondary outcome [4]
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Acceptability via participant feedback, open question on participant's experiences with the trial intervention
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Assessment method [4]
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Timepoint [4]
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Daily from baseline to 14 days post-commencement of intervention
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Secondary outcome [5]
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Safety via adverse events (diary, phone interview)
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Assessment method [5]
401710
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Timepoint [5]
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14 days, and 28 days after commencement of the intervention
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Secondary outcome [6]
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Safety via gastrointestinal symptoms (Structured Assessment of Gastrointestinal Symptoms instrument - SAGIS, Koloski et al., 2017)
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Assessment method [6]
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Timepoint [6]
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14 days, and 28 days after commencement of the intervention
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Eligibility
Key inclusion criteria
Healthy
BMI 18.5-29.9
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
- Acute illness (injury, infection)
- Chronic gastrointestinal conditions (inflammatory or functional bowel diseases, celiac disease, food intolerance or allergies (especially milk), lactose intolerance
- Use of long-term medication
- Use of antimicrobial medication (incl. antibiotics) in the previous 6 months
- Regular use of pre-, pro-, or synbiotics in the previous 6 months, specifically natural yogurt, probiotic drinks, or products (at least once weekly)
- Consumption of fermented foods for health purpose within the last 2 months, specifically kefir, sauerkraut, kombucha, miso, kimchi (occasional consumption is acceptable)
- Diet prescribed for medical purposes
- Recent lifestyle changes (including new dietary regimen, or uptake of exercise regimen)
- Women currently undergoing menopause, and women who are pregnant, or breastfeeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/01/2022
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Actual
4/10/2022
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Date of last participant enrolment
Anticipated
30/11/2022
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Actual
7/09/2023
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Date of last data collection
Anticipated
31/12/2022
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Actual
20/10/2023
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Sample size
Target
24
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment postcode(s) [1]
35502
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2480 - Lismore
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Southern Cross University
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Address [1]
309855
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Military Rd
East Lismore NSW 2480
Australia
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Country [1]
309855
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Australia
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Primary sponsor type
University
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Name
Southern Cross University
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Address
Military Rd
East Lismore NSW 2480
Australia
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of New South Wales Microbiome Research Centre
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Address [1]
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St George and Sutherland Clinical School
Faculty of Medicine & Health
UNSW SYDNEY NSW 2052
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Country [1]
310890
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Southern Cross University Human Research Ethics Committee
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Ethics committee address [1]
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Southern Cross University PO Box 157, Lismore NSW 2480
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
309592
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Approval date [1]
309592
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24/09/2021
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Ethics approval number [1]
309592
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2021/129
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Ethics committee name [2]
309593
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The University of New South Wales Research Ethics Committee
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Ethics committee address [2]
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Research Ethics & Compliance Support UNSW Sydney Sydney NSW 2052 Australia
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
309593
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Approval date [2]
309593
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01/10/2021
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Ethics approval number [2]
309593
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2021/RL00200
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Summary
Brief summary
The human digestive tract, especially the gut, is populated by millions of microorganisms including bacteria, and fungi, the so-called microbiome. Many studies have shown that the microbiome is linked to health from digestive disorders, to heart health, or mental health. The microbiome can be modified by your diet, and probiotics are frequently advertised to alter the gut microbiome. One such product is kefir, a probiotic dairy beverage that has been consumed for over 2,000 years. Traditional kefir is produced by taking for example cow’s milk, and adding Kefir ‘grains’ which contain a diverse range of symbiotic bacteria and yeast species. Anecdotal statements in the media continue to link the consumption of Kefir to gut health, despite a lack of scientific evidence to support this. In order to advance the scientific understanding of Kefir, this study aims to examine whether kefir consumption leads to changes in the oral and gut microbiome, i.e. the bacteria living in the digestive tract. It is hypothesised, that kefir will increase the number of beneficial bacteria in the mouth and gut.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Romy Lauche
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Address
114702
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National Centre for Naturopathic Medicine
Southern Cross University
Military Rd
East Lismore NSW 2480
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Country
114702
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Australia
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Phone
114702
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+61 266203362
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Fax
114702
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Email
114702
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[email protected]
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Contact person for public queries
Name
114703
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Romy Lauche
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Address
114703
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National Centre for Naturopathic Medicine
Southern Cross University
Military Rd
East Lismore NSW 2480
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Country
114703
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Australia
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Phone
114703
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+61 266203362
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Fax
114703
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Email
114703
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[email protected]
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Contact person for scientific queries
Name
114704
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Romy Lauche
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Address
114704
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National Centre for Naturopathic Medicine
Southern Cross University
Military Rd
East Lismore NSW 2480
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Country
114704
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Australia
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Phone
114704
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+61 266203362
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Fax
114704
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Email
114704
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF