UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000060343
Receipt number R000069027
Scientific Title Effects of Synbiotic Supplementation on Muscle Health, and Activities of Daily Living in Hospitalized Older Patients with Sarcopenia a randomized controlled trial
Date of disclosure of the study information 2026/01/13
Last modified on 2026/01/13 22:18:48

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Basic information

Public title

Effects of Synbiotic Supplementation on Muscle Health, and Activities of Daily Living in Hospitalized Stroke Patients with Sarcopenia

Acronym

SYN-Musclle Health Study

Scientific Title

Effects of Synbiotic Supplementation on Muscle Health, and Activities of Daily Living in Hospitalized Older Patients with Sarcopenia a randomized controlled trial

Scientific Title:Acronym

SYN-Musclle Health Study

Region

Japan


Condition

Condition

Patients with post-stroke sarcopenia

Classification by specialty

Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study evaluates whether adding synbiotics (Yakult 400W) to standard rehabilitation improves skeletal muscle mass, muscle strength, and ADL in elderly stroke patients with sarcopenia admitted to a recovery-phase rehabilitation ward. It also assesses the feasibility of the intervention to establish a foundation for conducting a future full-scale randomized controlled trial.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

skeletal Muscle Index at the 8-week time point

Key secondary outcomes

Phase angle and other BIVA indicators
Grip strength
FIM motor items
Nutrition-related indicators (GLIM malnutrition, BMI, nutritional intake)
All outcomes will be obtained at the 8-week time point.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Placebo

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Food

Interventions/Control_1

Intervention product: Yakult 400W (80mL/once daily)
Intervention period: 8 weeks
Administered orally at breakfast time.
Daily nutritional intake shall be hospital meals tailored to activity levels.

Interventions/Control_2

Control: Milk 100 (100mL/once daily)
Intervention period: 8 weeks
Administered orally at breakfast time.
Daily nutritional intake shall be hospital meals tailored to activity levels.

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

65 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Eligible cases must meet all of the following criteria:
1) Aged 65 years or older
2) Undergoing rehabilitation following a stroke
3) Sarcopenia according to the Asian Working Group for Sarcopenia 2025 criteria (grip strength: <28 kg for men, <18 kg for women; SMI: <7.0 kg/m2 for men, <5.7 kg/m2 for women)
4) Able to consume food orally (Food Intake Level Scale > 6)

Key exclusion criteria

Exclude subjects meeting any of the following criteria:
1) Acute inflammation or active chronic inflammation within the past 4 weeks
2) Currently receiving antimicrobial therapy
3) Severe renal impairment (eGFR < 15 mL/min/1.73m2)
4) History of allergy to probiotics, prebiotics, or dairy products
5) Subject deemed inappropriate by the principal investigator

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Yoshihiro
Middle name
Last name Yoshimura

Organization

Kumamoto Rehabilitation Hospital

Division name

Center for sarcopenia and malnutrition research

Zip code

8691106

Address

760 Magatte, Kikuyo Town, Kikuchi District, Kumamoto Prefecture

TEL

0962323111

Email

hanley.belfus@gmail.com


Public contact

Name of contact person

1st name Kouki
Middle name
Last name Yoneda

Organization

Kumamoto Rehabilitation Hospital

Division name

Department of Nutrition Management

Zip code

8691106

Address

760 Magatte, Kikuyo Town, Kikuchi District, Kumamoto Prefecture

TEL

0962323111

Homepage URL


Email

koukhun@gmail.com


Sponsor or person

Institute

Other

Institute

Department

Personal name



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

Kumamoto Rehabilitation Hospital

Address

760 Magatte, Kikuyo Town, Kikuchi District, Kumamoto Prefecture

Tel

0962323111

Email

koukhun@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 01 Month 13 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

2025 Year 12 Month 19 Day

Date of IRB

2025 Year 12 Month 26 Day

Anticipated trial start date

2026 Year 01 Month 19 Day

Last follow-up date

2028 Year 06 Month 30 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 01 Month 13 Day

Last modified on

2026 Year 01 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069027