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

Last updated: September 3, 2025
Sponsor: Liaquat University of Medical & Health Sciences
Overall Status: Completed

Phase

N/A

Condition

Strep Throat

Treatment

Oral probiotic Streptococcus salivarius eK12 sachet

Oral probiotic Streptococcus salivarius K12 sachet

Oral probiotic Streptococcus salivarius eK12

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 eK12 sachet
Phase:
Study Start date:
November 01, 2024
Estimated Completion Date:
August 25, 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

  • Jam Ghulam Qadir Civil Hospital

    Hub 12524485, 90250
    Pakistan

    Site Not Available

  • 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

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.