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Can a Probiotic-Prebiotic blend stop deadly gut infections in ICU patients?
NCT ID NCT07813507
First seen Sep 10, 2026 · Last updated Sep 11, 2026 · Updated 1 time
Summary
Critically ill patients on breathing machines often develop dangerous gut bacteria that can lead to hospital-acquired infections. Researchers are testing a synbiotic medical food, a mix of probiotics and prebiotics, to see if it safely reduces these harmful bacteria. The trial enrolls 64 adults in intensive care and compares the synbiotic plus standard care against standard care alone.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a synbiotic medical food combining probiotics and prebiotics
- What this could lead to
- If it works, this could offer a way to reduce harmful gut bacteria in critically ill patients and lower their risk of hospital-acquired infections.
- What could go wrong
- This is an early-stage trial in a small number of very sick patients, so safety and effectiveness are not yet established. The synbiotic may not reduce pathogens or infections, and feeding it to critically ill patients carries unknown risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 64 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jan 2027
An estimate. Start dates often move.
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult (\>18 years old) admitted to FMC ICU within 48h of admission * Mechanically ventilated via endotracheal tube * Expected duration of mechanical ventilation \>72 hours from time of screening (as determined by attending ICU physician) Exclusion Criteria: * Goals of care designation that limits the use of life-sustaining interventions * Life expectancy \<72 hours (in the opinion of the attending ICU physician) * Unable to receive enteral administration of medications * Presence of ileus, discontinuous GI tract (including ileostomy), total or partial colectomy, bariatric surgery, inflammatory bowel disease, active graft-versus-host disease, cirrhosis with Child-Pugh Class C, or short bowel syndrome * Acute immunosuppression including recent (within 30 days) cytotoxic chemotherapy; chronic systemic steroids (≥20 mg prednisone equivalent/day for \>3 weeks); uncontrolled HIV infection (with CD4 count \<400/μl); neutropenia (absolute neutrophil count \<500/μL) * Pregnancy or breastfeeding * Concurrently taking pre-, pro-, synbiotic, or live biotherapeutic product, or other fermented food product and unwilling to discontinue these for the duration of the study * Concurrently enrolled in another clinical trial of pre-, pro-, synbiotic, or live biotherapeutic product, antimicrobial, or immune modulator therapy * History of lactose allergy (lactose intolerance not exclusionary) * Unsuitable for inclusion in study in the opinion of the attending physician or investigator
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Foothills Medical Centre
Calgary, Alberta, T2N 4N1, Canada
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