Clinical trial Recruiting at 1 site Interventional Ages 20 to 55

Gut microbiome and physical performance: antibiotics and fecal transplants in healthy adults

Official title: Assessing the Potential Role of the Gut Microbiome in Modulating Physical Abilities in Humans

Run by Assaf-Harofeh Medical Center · NCT05024188 · Data updated 2026-11-12

This study tests whether the gut microbiome affects physical abilities in healthy adults and whether antibiotics and fecal microbiota transplantation can change performance and metabolic responses.

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Quick facts

Study typeInterventional
Ages20 Years to 55 Years
SexAll
Enrollment70 (estimated)
SponsorAssaf-Harofeh Medical Center
Government
Locations1 site (Rehovot)
StatusRecruiting
StartedJune 29, 2022
Main results expectedDecember 31, 2028
Study endsDecember 31, 2029
Registry record updatedOctober 13, 2026
Trial IDNCT05024188 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 20–55 who regularly engage in aerobic exercise at least twice weekly for the past six months and have no recent antibiotic or probiotic use.

Probably not a fit

Individuals with diabetes, significant chronic diseases, pregnancy, or those who cannot complete a routine exercise test may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Researchers will monitor healthy adults who exercise regularly for up to one month, tracking activity, glucose, and microbiome changes. In the first phase, participants will wear CGMs, log activity, and provide stool and buccal samples for microbiome analysis. In the second phase, they are randomized to receive antibiotics or placebo for seven days. In the third phase, they receive autologous fecal microbiota transplantation (or placebo) across two days. A fourth phase reassesses with another round of transplantation for those who had antibiotics, alongside placebo groups. The study integrates microbiome profiling with metabolic and activity measurements to explore links between microbiome composition and physical performance.

Why it matters

Potential benefit: If successful, the study could clarify how the gut microbiome influences exercise performance and metabolic responses, potentially guiding microbiome-targeted strategies to support physical health.

How similar studies have gone: Prior work suggests microbiome can influence metabolism and exercise-related factors, but the specific antibiotic and autologous FMT approach in healthy exercisers is exploratory and novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age - 20-55
* Are used to exercise in aerobic sports (running, swimming, 'zumba', ball games, functional training, surfing, tennis, wrestling ext.).
* Exercise at least twice a week, for a minimum duration of the last 6 months.

Exclusion Criteria:

* Consumption of antibiotics (PO) or probiotics 3 months prior to the first day of the experiment.
* Diagnosis of type 1 or type 2 diabetes.
* Pregnancy, fertility treatments, breastfeeding women six months prior to enrollment and during the study.
* Chronic disease-under the discretion of the study medical team (e.g. AIDS, Cushing syndrome, Chronic kidney disease (CKD), acromegaly, hyperthyroidism etc.)
* Cancer and recent anticancer treatment
* Psychiatric disorders
* Coagulation disorders
* Gastrointestinal disorders
* Bariatric surgery
* Alcohol or substance abuse
* Any physical condition precluding the completion of a routine effort test
* Allergy to Flagyl (Metronidazole) and/ or Ciprodex (Ciprofloxacin)

Where it's running

  • Weizmann Institute of Science
    Rehovot, Israel
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.