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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 55 Years |
| Sex | All |
| Enrollment | 70 (estimated) |
| Sponsor | Assaf-Harofeh Medical Center Government |
| Locations | 1 site (Rehovot) |
| Status | Recruiting |
| Started | June 29, 2022 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2029 |
| Registry record updated | October 13, 2026 |
| Trial ID | NCT05024188 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
- Principal investigator: Ilan Youngster, Dr. — Assaf-Harofeh MC, Bee'r Yaakov Israel
- Study coordinator: Ilan Youngster, Dr.
- Email: youngsteri@asaf.health.gov.il
- Phone: +972-50630119
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Oral donor fecal capsules for recurrent C. difficile infection
This study tests whether taking donor fecal (FMT) capsules can prevent further C. difficile recurrences in adults who have already had at least two episodes.
-
Fecal microbiota transplant with prebiotic nutrition for functional constipation
This will try fecal microbiota transplantation combined with a prebiotic nutrition plan to see if it helps adults aged 18–70 with chronic functional constipation that hasn’t improved with diet or laxatives.
-
Fecal transplant for chemotherapy and targeted-therapy gut side effects in advanced gastrointestinal cancer
This trial will try oral fecal microbiota transplants (FMT) to see if they reduce chemotherapy or targeted-therapy–related gut symptoms in adults with advanced gastrointestinal cancers.
-
Faecal microbiota transplantation to change gut flora in people with Alzheimer's disease
This pilot tests whether a donor stool transplant given during a colonoscopy is safe and feasible for people with mild-to-moderate Alzheimer's disease.
-
Daily capsules of your own freeze-dried gut bacteria to help preserve insulin-producing cells in recent type 1 diabetes
This trial tests whether taking daily capsules made from your own freeze-dried stool for six months can help preserve remaining insulin-producing beta cells and improve blood sugar control in adults recently diagnosed with type 1 diabetes.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.