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

Last updated: March 24, 2025
Sponsor: Liaquat University of Medical & Health Sciences
Overall Status: Active - Recruiting

Phase

N/A

Condition

Strep Throat

Treatment

Oral probiotic Streptococcus salivarius eK12

Oral probiotic Streptococcus salivarius eK12 sachet

Oral probiotic Streptococcus salivarius K12 sachet

Clinical Study ID

NCT06380270
LUMHS/B12/Temp/14.04.2024
  • 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, has emerged as a promising oral probiotic due to its natural occurrence in the throat and mucosa, where it competes with pathogens and helps maintain microbial balance. Known for producing antimicrobial substances like salivaricins, S. salivarius K12 protects against common pathogens such as Streptococcus pyogenes, a cause of streptococcal pharyngitis, and supports oral hygiene by inhibiting odor-causing bacteria. S. salivarius K12, registered as a dietary supplement in Italy (EU) under trade name Bactoblis®, has been studied extensively, showing potential in preventing upper respiratory tract infections with a strong safety profile. Recent research has revealed that during co-colonization with group A streptococcus (GAS), S. salivarius K12's antimicrobial activity may be compromised by GAS-secreted protease SpeB. To counteract this, the researchers developed an enhanced (engineered) variant, called S. salivarius eK12, designed to prevent GAS interference, which showed increased effectiveness in preventing GAS colonization in vivo, advancing its potential as a therapeutic probiotic.

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: 54
Treatment Group(s): 4
Primary Treatment: Oral probiotic Streptococcus salivarius eK12
Phase:
Study Start date:
November 01, 2024
Estimated Completion Date:
December 31, 2025

Study Description

The aim of the present clinical study is to validate the safety and tolerability of S. salivarius eK12 in healthy adults. Through comprehensive assessments and close monitoring of participants' responses, this study will provide crucial insights into the probiotic modified strain's safety profile and tolerance in humans. The findings from this study will not only advance our understanding of S. salivarius eK12's safety but also offer valuable guidance for its future use in evidence-based therapeutic applications for oral health management and disease prevention.

Connect with a study center

  • Liaquat University of Medical and Health Sciences

    Jāmshoro, 76090
    Pakistan

    Active - Recruiting

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