UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060766
Receipt number R000069417
Scientific Title A before-and-after comparative study of the efficacy of synbiotic supplementation in the acute phase of severe heart disease
Date of disclosure of the study information 2026/03/31
Last modified on 2026/02/26 23:00:28

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Basic information

Public title

Efficacy of Synbiotic Supplementation in Acute Severe Cardiovascular Disease Patients

Acronym

Synbiotics in CCU

Scientific Title

A before-and-after comparative study of the efficacy of synbiotic supplementation in the acute phase of severe heart disease

Scientific Title:Acronym

Synbiotics in CCU

Region

Japan


Condition

Condition

severe cardiovascular disease

Classification by specialty

Cardiology Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficasy of administering synbiotic supplementation to critically ill cardiac patients admitted to the CCU under acute ventilator management, along with the initiation of enteral nutrition, on gastrointestinal symptoms such as constipation and diarrhea, and infectious complications.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Occurrence of diarrhea (more than three watery stools per day), constipation (no bowel movements for more than three days), or infectious complications (respiratory-associated pneumonia, bacteremia, urinary tract infection, pseudomembranous enterocolitis) within 30 days after enrollment

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Synbiotic supplementation (Synprotec, Yakult Honsha Co., Ltd.) will be administered three times a day via a nasogastric tube. The intervention will be continued during the patient's stay in the cardiac care unit, for up to a maximum of 10 days

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Adult patients with acute severe cardiac disease who required ventilator management and were admitted to our hospital's CCU and who were started on enteral nutrition via a nasogastric tube

Key exclusion criteria

Pregnant or nursing patients
Patients with medical conditions that preclude enteral nutrition (e.g., intestinal obstruction, gastrointestinal perforation)
Patients who have been continuously using synbiotic supplementation prior to the start of the study
Patients with a history of allergies to synbiotic supplementation
Patients (or their legal representatives) decline to participate in the study

Target sample size

360


Research contact person

Name of lead principal investigator

1st name Hiroyuki
Middle name
Last name Nakayama

Organization

Hyogo Prefectural Amagasaki General Medical Center

Division name

Department of Cardiology

Zip code

6608550

Address

2-17-77, Higashinaniwa, Amagasaki, Hyogo

TEL

0664807000

Email

hersh.snf6@gmail.com


Public contact

Name of contact person

1st name Hiroyuki
Middle name
Last name Nakayama

Organization

Hyogo Prefectural Amagasaki General Medical Center

Division name

Department of Cardiology

Zip code

660-8550

Address

2-17-77, Higashinaniwa, Amagasaki, Hyogo

TEL

06-6480-7000

Homepage URL


Email

hersh.snf6@gmail.com


Sponsor or person

Institute

Hyogo Prefectural Amagasaki General Medical Center

Institute

Department

Personal name

Hiroyuki Nakayama


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Hyogo Prefectural Amagasaki General Medical Center

Address

2-17-77, Higashinaniwa, Amagasaki, Hyogo

Tel

06-6480-7000

Email

hersh.snf6@gmail.com


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



Other administrative information

Date of disclosure of the study information

2026 Year 03 Month 31 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2023 Year 03 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 04 Month 01 Day

Last follow-up date

2029 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 02 Month 26 Day

Last modified on

2026 Year 02 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069417