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. 2021 Oct 15;13(10):10977–10993.

Table 3.

Some representative clinical trials evaluating efficacy of microbiota modulation and probiotics in COVID-19

Country Study type (Trial number) Evaluation goals Intervention/Treatment
Canada Randomised, single-blinded trial with 23 participants (NCT04458519) Evaluation of intranasal probiotic administration for reduction of COVID-19 symptoms severity. Probiorinse (2.4 Billion CFU (Colony-Forming Units) of Lactococcus Lactis W136, (NPN: 80085895))
USA open-label, randomized, and controlled clinical trial with 100 participants (NCT04540406) Evaluation of NBT-NM108 as an early treatment by modulating gut microbiota in COVID-19. NBT-NM108, a novel botanical based fixed combination drug
Mexico Interventional, randomized, single-blind trial with 240 participants (NCT04507867) Evaluation of nutritional support system (NSS) in COVID-19 patients with co-morbidities and reduction of complications. NSS with Saccharomyces bourllardii
Argentina Randomized, triple blind trial with 140 participants (NCT04403646) Evaluation of Tannin specific natural extract for COVID-19 due to their anti-inflammatory, anti-oxidative and intestinal microbiota modulatory activity. Dry extract of polyphenols (tannins) from quebracho and chestnut
Spain Randomized, open label trial with 41 participants (NCT04390477) Evaluation of probiotics in COVID-19 patients for improvement of symptoms and reduction of hospital stay. Probiotic strain with maltodextrin as excipient
Spain Randomized, Quadruple blind trial with 314 participants (NCT04366180) Evaluation of Lactobacillus coryniformis K8 on the incidence and severity of Covid-19 in health workers exposed to virus. Lactobacillus K8 per day (3×10^9 cfu/day)
Mexico Randomized, quadruple blind trial with 300 participants (NCT04517422) Evaluation of efficacy of L. plantarum and P. acidilactici in Adults With SARS-CoV-2. Combination of Lactobacillus plantarum CECT30292, Lactobacillus plantarum CECT7484, Lactobacillus plantarum CECT7485, and Pediococcus acidilactici CECT7483
Italy Randomized, single blind trial with 152 participants (NCT04366089) Evaluation of oxygen ozone and probiotics as an adjuvant strategy for management of COVID-19 and modulation of microbiota. Oxygen-ozone therapy with dietary supplements SivoMixx (Streptococcus thermophilus DSM322245, Bifidobacterium lactis DSM32246, Bifidobacterium lactis DSM32247, Lactobacillus acidophilus DSM32241, Lactobacillus helveticus DSM32242, Lactobacillus paracasei DSM32243, Lactobacillus plantarum DSM32244, Lactobacillus brevis DSM27961)
USA Randomized, triple blind trial with 182 participants (NCT04399252) Evaluation of the effect of probiotic Lactobacillus rhamnosus GG (LGG) and COVID-19 on the microbiome in exposed household contacts. Lactobacillus rhamnosus GG