UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000061180
Receipt number R000070000
Scientific Title Effect of Lactococcus lactis subsp. cremoris H61 (heat-killed) on iron absorption and iron status in healthy adults: A systematic review
Date of disclosure of the study information 2026/04/20
Last modified on 2026/04/06 15:40:40

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Basic information

Public title

A systematic review of the effects of Lactococcus lactis subsp. cremoris H61 (heat-killed) on supporting iron supplementation

Acronym

H61-IRON Review

Scientific Title

Effect of Lactococcus lactis subsp. cremoris H61 (heat-killed) on iron absorption and iron status in healthy adults: A systematic review

Scientific Title:Acronym

H61-IRON-SR

Region

Japan


Condition

Condition

Healthy adults (generally aged 18 years or older) without apparent iron-deficiency anemia or chronic diseases

Classification by specialty

Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To systematically evaluate whether continuous intake of Lactococcus lactis H61 improves iron absorption or iron status in healthy individuals compared with no intake or placebo.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Serum ferritin level

Key secondary outcomes

Serum iron, transferrin saturation (TSAT), hemoglobin, and other iron metabolism-related parameters. If direct indicators of iron absorption, such as those measured using stable isotope techniques, are reported, they will also be evaluated.


Base

Study type

Others,meta-analysis etc


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Participants
Healthy adults (generally aged 18 years or older) without apparent iron-deficiency anemia or chronic diseases

Interventions
Continuous intake of Lactococcus lactis subsp. cremoris H61 (heat-killed)

Comparators
Placebo or no intake

Outcomes
Primary outcome:
Serum ferritin

Secondary outcomes:
Serum iron, transferrin saturation (TSAT), hemoglobin, and other iron metabolism-related parameters
If direct indicators of iron absorption, such as those measured using stable isotope techniques, are reported, they will also be evaluated.

Study design
Randomized controlled trials (RCTs) and non-randomized intervention studies

Key exclusion criteria

Animal studies, in vitro studies, studies including only patients with specific diseases, studies using lactic acid bacteria other than H61 alone, and studies that did not report iron-related outcomes

Target sample size



Research contact person

Name of lead principal investigator

1st name Hisashi
Middle name
Last name Takeuchi

Organization

Association of Japan CAM

Division name

N/A

Zip code

1510053

Address

#306 Onogibiru,3-46-16 Yoyogi, Shibuya-ku, Tokyo

TEL

0364574911

Email

info@ajcam.biz


Public contact

Name of contact person

1st name Takeshi
Middle name
Last name Kaneko

Organization

Japan Clinical Trial Association

Division name

N/A

Zip code

1600022

Address

5F, 4-3-17 Shinjuku, Shinjukuku, Tokyo

TEL

0364574666

Homepage URL


Email

info@yakujihou.org


Sponsor or person

Institute

Japan Clinical Trial Association

Institute

Department

Personal name



Funding Source

Organization

TOA BIOPHARMA CO., LTD.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Japan Clinical Trial Association

Address

5F, 4-3-17 Shinjuku, Shinjukuku, Tokyo

Tel

0364574666

Email

info@yakujihou.org


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 04 Month 20 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

2026 Year 04 Month 06 Day

Date of IRB


Anticipated trial start date

2026 Year 04 Month 07 Day

Last follow-up date

2027 Year 04 Month 07 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

[Objective and Information Sources]
This review aims to evaluate the effects of continuous intake of Lactococcus lactis subsp. cremoris H61 (heat-killed) on iron absorption and iron status in healthy adults. PubMed, JDreamIII, UMIN-CTR, and ClinicalTrials.gov will be searched from their inception.

[Search Strategy]
Search strategies were developed based on the PICOS framework through consensus between two reviewers. Because Lactococcus lactis subsp. cremoris H61 is a strain-specific intervention with a limited number of studies, the search focuses on the intervention to avoid missing studies in which iron-related outcomes (e.g., hemoglobin, ferritin) are assessed as secondary outcomes and not explicitly stated in titles or abstracts. Iron-related outcomes will be confirmed during full-text screening. Reference lists of included studies will be hand-searched.

[Selection Process]
Records will be managed using reference management software, and duplicates will be removed. Two independent reviewers will screen titles, abstracts, and full texts. Disagreements will be resolved by discussion or by a third reviewer. Peer-reviewed original articles will be prioritized.

[Data Collection and Items]
Data will be independently extracted using standardized forms. Items include author, journal, title, study design, PICO, setting, participant characteristics, intervention, comparator, analytical methods, outcomes, adverse events, peer-review status, and funding sources.

[Outcomes and Assessment]
The primary outcome is serum ferritin. Other iron status indicators will be evaluated as secondary outcomes. Risk of bias will be assessed using the Minds Manual 2020 and the Cochrane Handbook (Version 6.5).

[Data Synthesis and Confidence]
A narrative synthesis will be conducted due to expected heterogeneity. Meta-analysis will be considered if sufficient data are available. Publication bias will be assessed, and certainty of evidence will be evaluated using the GRADE approach.


Management information

Registered date

2026 Year 04 Month 07 Day

Last modified on

2026 Year 04 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000070000