Microbial Colonization Clinical Trial
Official title:
The Effect of the Fermented Tea Beverage Kombucha on the Human Microflora: a Placebo-controlled Study
The purpose of the project is to investigate if consumption of the fermented tea beverage kombucha has an effect on the gut and/or oral microbiota, and further if it depends on the content of living bacteria or is inherent even to sterilized kombucha. This will be studied by a clinical trial in which healthy individuals will be given living kombucha, sterilized kombucha or water. The participants will consume one bottle (33 cl) of their designated drink per day for 21 days. Fecal and saliva samples will be collected before, directly and ten days after the intervention. These will then be examined to see if there is a change in the micro flora due to the kombucha.
The first part of the project focuses on studying the characteristics of the kombucha drink
and microbial composition. The amount of living organisms in the drink will be determined by
colony count. Apart from this, the culture will be studied to determine which organisms are
present and which are dominant. After isolation of colonies found from culturing, Sanger
sequencing will be used for characterization.
The second part, which consists of the human study, will be performed over a span of 3 weeks
and the aim is that 60 persons take part. The participants should be healthy, and have no
diagnosed gut or stomach problems, and be 18 years old or older. They will be divided into
groups, where one will be given living kombucha, one group kombucha sterilized by boiling
(placebo) and the final group plain water (control group). The participants will drink one
bottle (33 cl) of their designated beverage daily for two weeks. Fecal and saliva samples
will be collected before, directly after and 10 days after the intervention. The samples will
then be studied by sequencing the present organisms, after having extracted them. The library
preparation will be made using Illumina sequencing. If possible, the aim is also to
re-isolate a species from the kombucha after the study.
The participants will be registered for the study as they sign a consent form. These forms
will then be treated as confidential material, and therefore be kept locked away at the
institution. Only participating researchers will have access to the forms.
The participants will store the samples collected during the study until they are handed in
for analysis. The samples will be destroyed during analysis.
The sample size has been chosen to a maximum of 60 participants, due to economical
boundaries, but mainly because similar studied have used even fewer participants. As this is
a pilot study more is not necessary. The intervention time (three weeks) was determined by
comparison to other studies, but also restricted by the time scope of the project.
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