UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062228
Receipt number R000071205
Scientific Title Effects of Rice Koji Intake on Changes in Gut Microbiota and Cognitive Function, and Their Association with a Japanese-style Diet
Date of disclosure of the study information 2026/07/14
Last modified on 2026/07/14 08:00:03

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Basic information

Public title

Effects of Rice Koji consumption on gut microbiota and brain health (cognitive function), and its association with a Japanese diet

Acronym

KOME-COG

Scientific Title

Effects of Rice Koji Intake on Changes in Gut Microbiota and Cognitive Function, and Their Association with a Japanese-style Diet

Scientific Title:Acronym

KOME-COG

Region

Japan


Condition

Condition

dementia

Classification by specialty

Neurology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

While the Japanese-style diet is recognized for its excellent nutritional balance and its contribution to longevity and the prevention of lifestyle-related diseases, its preservation has become challenging in recent years due to factors such as the Westernization of diets and a shift away from traditional Japanese cuisine.

Amidst this context, research focusing on the relationship between the Japanese diet, gut microbiota, and cognitive function is underway; studies have reported that frequent consumption of a Japanese diet leads to an increase in butyrate-producing bacteria in the gut. Butyrate is a type of short-chain fatty acid known for its antidepressant and cognitive-enhancing properties. Research conducted by the National Center for Geriatrics and Gerontology has also reported that individuals without dementia tend to have higher "Japanese diet scores" than those with dementia. Fermented foods -- an essential component of the Japanese diet -- have also been the subject of recent research into their various health benefits; for instance, ergothioneine, found in rice koji, has demonstrated antioxidant properties in mouse experiments and has been linked to antidepressant effects and improvements in cognitive function.

This study aims to clarify the relationship between adherence to a Japanese-style diet and gut microbiota composition, the effects of rice koji consumption on gut microbiota and cognitive function, and how the baseline level of adherence to a Japanese-style diet influences these outcomes

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Cognitive function assessment test (Trail Making Test-B) 12 weeks after the intervention

Key secondary outcomes

Cognitive function assessment (Stroop Test), gut microbiota, and blood tests [BDNF, metabolome analysis, general hematology, liver function, renal function, blood lipids, blood glucose, etc.] and Japanese Diet Score at 6 and 12 weeks post-intervention.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

NO

Institution consideration


Blocking

YES

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Food

Interventions/Control_1

Consuming one bottle (118 g) of rice-koji amazake daily for 12 weeks.

Interventions/Control_2

Consuming one bottle (118 g) of a placebo beverage daily for 12 weeks.

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

40 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Healthy adult men and women aged 40 or older

Key exclusion criteria

-Individuals currently receiving treatment or medication for gastrointestinal, inflammatory, or metabolic diseases diagnosed by a physician (e.g., gastrointestinal diseases such as inflammatory bowel disease, irritable bowel syndrome, or celiac disease; diabetes; dyslipidemia; chronic liver disease; chronic kidney disease)
-Individuals with a history of surgery for gastrointestinal diseases, such as gastrectomy or intestinal resection
-Individuals currently receiving treatment or medication for dementia, Alzheimer's disease, psychiatric disorders, or cerebrovascular disease
-Individuals who have used or are currently using the following medications within the past 3 months: Antibiotics, steroids, immunosuppressants, or antacids (e.g., proton pump inhibitors, H2 blockers)
-Individuals who habitually and frequently consume probiotics, prebiotics, or supplements that may affect the gut microbiota
-Individuals who are pregnant or breastfeeding
-Individuals planning significant changes to their dietary or lifestyle habits (e.g., extreme dietary restrictions, weight loss programs) during the study period
-Individuals currently participating in another clinical trial or who have participated in one within the past 4 weeks
-Individuals otherwise deemed unsuitable for participation in this study by the principal investigator

Target sample size

60


Research contact person

Name of lead principal investigator

1st name Koro
Middle name
Last name Gotoh

Organization

Oita University

Division name

Research Center for GLOBAL and LOCAL Infectious Diseases

Zip code

879-5593

Address

1-1 Idaigaoka, Hasama-machi, Yufu City,Oita

TEL

097-586-5409

Email

gotokoro@oita-u.ac.jp


Public contact

Name of contact person

1st name Koro
Middle name
Last name Gotoh

Organization

Oita University

Division name

Research Center for GLOBAL and LOCAL Infectious Diseases

Zip code

879-5593

Address

1-1 Idaigaoka, Hasama-machi, Yufu City,Oita

TEL

097-586-5409

Homepage URL


Email

gotokoro@oita-u.ac.jp


Sponsor or person

Institute

Oita University

Institute

Department

Personal name



Funding Source

Organization

Oita University

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

HAKKAISAN BREWERY CO., LTD.

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Center for Medical Development, Oita University Hospital

Address

1-1 Idaigaoka, Hasama-machi, Yufu City,Oita

Tel

097-586-6163

Email

gcrcjimu@oita-u.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

大分大学医学部附属病院(大分県)


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 14 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 07 Month 14 Day

Date of IRB

2026 Year 06 Month 10 Day

Anticipated trial start date

2026 Year 07 Month 21 Day

Last follow-up date

2027 Year 11 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 07 Month 14 Day

Last modified on

2026 Year 07 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071205