Evaluation of Safety and Human Tolerance of Oral Probiotic Streptococcus Salivarius eK12

Last updated: June 19, 2025
Sponsor: Liaquat University of Medical & Health Sciences
Overall Status: Active - Not Recruiting

Phase

N/A

Condition

Strep Throat

Treatment

Oral probiotic Streptococcus salivarius K12 sachet

Oral probiotic Streptococcus salivarius eK12

Oral probiotic Streptococcus salivarius eK12 sachet

Clinical Study ID

NCT06380270
MMC/ERC/03.03.2025
  • Ages 18-60
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

The human oral cavity contains a diverse community of microorganisms essential for oral and overall health. Streptococcus salivarius K12 (eK12) has emerged as a promising oral probiotic due to its natural colonization of the throat and its ability to inhibit pathogens such as Streptococcus pyogenes, a major cause of streptococcal pharyngitis. It supports oral hygiene by producing antimicrobial substances like salivaricins and inhibiting odor-causing bacteria. The engineered eK12 variant (Bactoblis® Evol) has been developed to overcome inactivation by GAS-secreted protease SpeB, thereby enhancing its prophylactic potential against Group A Streptococcus (GAS) colonization.

This clinical study includes a randomized, double-blind, placebo-controlled trial in Pakistan to evaluate the safety and human tolerance of eK12 in healthy adults. To enhance generalizability, an additional open-label cohort of healthy adults in Italy will receive eK12 without a control group.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Adults, both male and female, aged 18 to 60 years.

  • Stable health condition with no acute illness at the time of enrollment.

  • BMI 18.5-35 kg/m2

  • No known food allergies or intolerances to probiotics

  • All clinical chemistry, hematology and urinalysis parameters and vital signs (bloodpressure, respiratory rate, temperature, heart rate) within clinically acceptableranges.

  • Ability and willingness to provide informed consent.

  • Must be willing to comply with study procedures and attend scheduled visits.

Exclusion

Exclusion Criteria:

  • Individuals with a history of severe allergies or adverse reactions to probiotics orany of the components of the study product.

  • Participants with a recent history of oral surgery or dental procedures within thepast 4 weeks.

  • Individuals with severe dental problems or undergoing active dental treatment.

  • Individuals with a known diagnosis of systemic diseases affecting the oral cavity (e.g., oral cancer, Sjögren's syndrome).

  • Individuals with compromised immune systems, or a history of immunodeficiencydisorders or undergoing immunosuppressive therapy.

  • Pregnant or breastfeeding females.

  • Current smokers or individuals who have quit smoking within the past 6 months.

  • Individuals currently using antibiotics or have used them within the past 4 weeks.

  • Individuals with a history of gastrointestinal disorders (e.g., inflammatory boweldisease, irritable bowel syndrome).

  • Individuals with unstable metabolic diseases/disorders, heart failure or a historyof endocarditis.

  • Frequent user of alcohol or over the counter laxatives, or herbal-based supplements (but not vitamin supplements), or prescription drugs that may potentially influencethe biomarkers to be measured in the study.

  • Those with any chronic systemic illness that might affect participation in the trialor interpretation of results.

  • Participants currently enrolled in another clinical trial involving probiotics ororal health interventions.

  • Those unable to adhere to the study protocol or unlikely to complete the studyperiod due to anticipated relocation or other personal reasons.

  • Any other condition or circumstances that, in the opinion of the investigator, mightcompromise the safety of the participant or the validity of the study results.

Study Design

Total Participants: 29
Treatment Group(s): 4
Primary Treatment: Oral probiotic Streptococcus salivarius K12 sachet
Phase:
Study Start date:
November 01, 2024
Estimated Completion Date:
September 30, 2025

Study Description

The aim of the present clinical study is to evaluate the safety and tolerability of Streptococcus salivarius eK12 in healthy adults. The study consists of a randomized, double-blind, placebo-controlled arm in Pakistan involving 29 participants (allocated 1:1 to eK12 or placebo).

In addition, an open-label cohort of 20 healthy adults will be enrolled in Italy, all of whom will receive eK12, to assess tolerability in a separate population without a control group. This complementary cohort is included to enhance the generalizability of the findings across different populations and to obtain supportive safety data in a real-world setting where the product (commercially available in the EU as Bactoblis® Evol) is already in use.

Through comprehensive assessments and close monitoring of participants, this study will provide critical insights into the safety profile and human tolerance of the probiotic-modified strain. The findings will contribute to the growing body of knowledge needed to support its use in oral health management.

Connect with a study center

  • Liaquat University of Medical & Health Sciences (LUMHS)

    Jāmshoro, 76090
    Pakistan

    Site Not Available

  • Liaquat University of Medical and Health Sciences

    Jāmshoro, 76090
    Pakistan

    Site Not Available

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