UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000025389
Receipt number R000029231
Scientific Title Preliminary study on the protective effects of habitual intake of BLP on the colorectal tumors
Date of disclosure of the study information 2017/03/31
Last modified on 2026/01/06 13:42:53

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Basic information

Public title

Preliminary study on the protective effects of habitual intake of BLP on the colorectal tumors

Acronym

Preliminary BLP Study

Scientific Title

Preliminary study on the protective effects of habitual intake of BLP on the colorectal tumors

Scientific Title:Acronym

Preliminary BLP Study

Region

Japan


Condition

Condition

Colorectal tumor (adenoma, adenocarcinoma)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To investigate the colorectal tumor regression effect of BLP and to investigate the mechanism of action of BLP

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

RNA from blood;Immunome analysis

Key secondary outcomes

"RNA from blood; IgA repartore analysis, PMBC; NK cell activity, Feces; IgA concentration, intestinal microbiota analysis
Normal tissue of the colon; Analysis of Mucosa-Associated Commensal Bacteria"


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

60 years-old <=

Age-upper limit

90 years-old >=

Gender

Male and Female

Key inclusion criteria

Case group;
The subjects who previously had at least two colorectal tumors removed,
and who have been taking BLP for more than 20 years
Control group;
The subjects who previously had at least two colorectal tumors removed,
and who have not been taking BLP and/or LcS containing products

Key exclusion criteria

In the case of treating antibiotics within 4 weeks

Target sample size

30


Research contact person

Name of lead principal investigator

1st name Hideki
Middle name
Last name Ishikawa

Organization

Graduate School of Medical Science, Kyoto Prefectural University of Medicine

Division name

Department of Molecular-Targeting Cancer Prevention

Zip code

541-0042

Address

3-2-17-2F Imabashi, Chuo-ku, Osaka 541-0042, Japan

TEL

+81-6-6202-5444

Email

cancer@gol.com


Public contact

Name of contact person

1st name Hideki
Middle name
Last name Ishikawa

Organization

Graduate School of Medical Science, Kyoto Prefectural University of Medicine

Division name

Department of Molecular-Targeting Cancer Prevention

Zip code

541-0042

Address

3-2-17-2F Imabashi, Chuo-ku, Osaka 541-0042, Japan

TEL

+81-6-6202-5444

Homepage URL


Email

cancer@gol.com


Sponsor or person

Institute

Graduate School of Medical Science, Kyoto Prefectural University of Medicine

Institute

Department

Personal name



Funding Source

Organization

Yakult Honsha Co.,Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor

Ishikawa Gastroentelogcal Clinic

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyoto Prefectural University of Medicine

Address

Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, JAPAN.

Tel

075-251-5337

Email

rinri@koto.kpu-m.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

石川消化器内科(大阪府)


Other administrative information

Date of disclosure of the study information

2017 Year 03 Month 31 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/41418790/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/41418790/

Number of participants that the trial has enrolled

30

Results

The faecal and mucosal microbiota of the BLP group revealed a high detection rate and abundance of Coprococcus genus and a rich population of butyrate-producing bacteria. RNA-seq of the colon mucosa of BLP-consuming patients revealed high expression of genes related to the oxidative phosphorylation (OXPHOS) pathway, including those of the mitochondrial electron transfer system. Additionally, T cell- and G-protein-coupled receptor-related genes were overexpressed in BLP-consuming patients.

Results date posted

2026 Year 01 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 12 Month 17 Day

Baseline Characteristics

Participants who had previously enrolled in clinical study designed to evaluate the effects of wheat bran and BLP in preventing colorectal cancer (wheat bran biscuit (WBB)/BLP study) (Ishikawa et al., 2005) were included in this study. Approximately 200 individuals voluntarily continued taking BLP after the (WBB)/BLP study concluded.
They were asked to continue taking the BLP regardless of whether they had been in the BLP group. Participants who desired to continue received BLP. BLP was recommended to be consumed at a dosage of one packet, which contained one gram of LcS preparation, per three times daily following meals. In terms of intake monitoring, participants visited the principal physician's clinic every three months for health evaluations and to verify their adherence to the intake regimen. Most participants adhered to a regimen of three packets per day. In order to avoid rendering the trial infeasible due to overly restrictive exclusion criteria, the exclusion criteria were established to include individuals who had taken antibiotics within one month prior to specimen collection.

Participant flow

Prior to enrolment, participants provided both oral and written informed consent. After obtaining informed consent prior to the trial, nutritional assessments were conducted on the participants using a questionnaire regarding nutritional status over the past one year using Food Frequency Questionnaire (FFQ short version: commissioned from Kenpakusha Co., Ltd.) (Yokoyama et al., 2016). For uniform age and sex distribution, 15 participants who had been taking BLP for more than 20 years were recruited as the intake group, and 15 participants in the non-intake group were recruited as the control group. The principal physician confirmed through medical interviews that, although some participants had chronic conditions, these did not impede their involvement in this trial.

Adverse events

There were no adverse events.

Outcome measures

Analysis of microbiota in feces and colonic mucosa
RNA-seq analysis using colonic mucosa, etc.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2018 Year 07 Month 02 Day

Date of IRB

2018 Year 10 Month 05 Day

Anticipated trial start date

2018 Year 10 Month 29 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Randomized trial of dietary fiber and Lactobacillus casei administration for prevention of colorectal tumors.
Int. J. Cancer 116(5)p762-767, 2005 Ishikawa, H., Akedo, I., Otani, T., Suzuki, T., Nakamura, T., Takeyama, I., Ishiguro, S., Miyaoka, E,. Sobue, T., and Kakizoe, T.


Management information

Registered date

2016 Year 12 Month 23 Day

Last modified on

2026 Year 01 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029231