NCT05190432

Brief Summary

The complexities of the immune system make measuring the impact of dietary interventions upon its function challenging. The immune system is highly responsive to environmental influences, including the diet. An individual's diet provides the energy required to mount a strong and protective immune response, the building blocks required for synthesis of immune mediators such as antibodies and cytokines, and can also indirectly affect immune function via changes in the gut microbiome. Immune function varies across the lifecourse, with a well understood decline in immune function with age, resulting in impaired vaccination responses and an increased risk of infections and of severe complications and mortality arising from common communicable diseases such as influenza. This impaired immunity with ageing is known as immunosenescence and this affects both innate and acquired arms of the immune system.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Nov 2021

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 22, 2020

Completed
11 months until next milestone

Study Start

First participant enrolled

November 10, 2021

Completed
2 months until next milestone

First Posted

Study publicly available on registry

January 13, 2022

Completed
9 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 29, 2022

Completed
2.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2025

Completed
Last Updated

April 1, 2025

Status Verified

May 1, 2024

Enrollment Period

11 months

First QC Date

December 22, 2020

Last Update Submit

March 26, 2025

Conditions

Keywords

PhagocytosisImmunosenecenceCytokineAntioxidantMetabolomeMicrobiome

Outcome Measures

Primary Outcomes (1)

  • Phagocytosis activity by granulocytes ex vivo

    Mean fluorescence intensity per cell will be assessed by flow cytometry.

    8 weeks post intervention

Secondary Outcomes (24)

  • Percentage phagocytosis by monocytes ex vivo

    4 weeks, 8 weeks, 3 months post intervention

  • Phagocytosis activity by monocytes ex vivo

    4 weeks, 8 weeks, 3 months post intervention

  • Percentage phagocytosis by granulocytes ex vivo

    4 weeks, 8 weeks, 3 months post intervention

  • Phagocytosis activity by granulocytes ex vivo

    4 weeks, 3 months post intervention

  • Percentage oxidative burst by monocytes ex vivo

    4 weeks, 8 weeks, 3 months post intervention

  • +19 more secondary outcomes

Study Arms (3)

Taxifolin/Dihydroquercetin

EXPERIMENTAL

250mg/day Taxifolin (also known as Dihydroquercetin). One capsule in the morning for 8 weeks.

Dietary Supplement: Taxifolin

Ergothioneine

EXPERIMENTAL

80mg/day Ergothioneine. One capsule in the morning for 8 weeks.

Dietary Supplement: Ergothioneine

Control

PLACEBO COMPARATOR

One capsule in the morning for 8 weeks.

Dietary Supplement: Control

Interventions

TaxifolinDIETARY_SUPPLEMENT

A naturally occurring polyphenol found in apples, onions and other fruits and bark extracts.

Also known as: Dihydroquercetin
Taxifolin/Dihydroquercetin
ErgothioneineDIETARY_SUPPLEMENT

An amino acid found in mushrooms, oats and some bean varieties.

Ergothioneine
ControlDIETARY_SUPPLEMENT

Microcrystalline cellulose.

Control

Eligibility Criteria

Age50 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age 50-65yr
  • BMI 18.5-30kg/m2
  • Willing to avoid consumption of foods rich in Taxifolin/DHQ and Ergothioneine during the study period
  • Willing to avoid taking any other food supplements or high doses of vitamins during the study period
  • Able to provide written informed consent.

You may not qualify if:

  • Use of prescription medication which may influence immune function, such as anti-inflammatory or immunosuppressant medication
  • Diabetes requiring any medication
  • Liver cirrhosis
  • A history of drug or alcohol misuse
  • Asplenia or other acquired or congenital immunodeficiencies
  • Any autoimmune disease including connective tissue diseases
  • Malignancy
  • Laboratory confirmed SARS-CoV-2 infection within last 3 months
  • self-reported symptoms of acute or recent infection (including use of antibiotics within the last 3 months)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

NIHR Southampton Biomedical Research Centre

Southampton, Hampshire, SO16 6YD, United Kingdom

Location

Related Publications (9)

  • Albers R, Bourdet-Sicard R, Braun D, Calder PC, Herz U, Lambert C, Lenoir-Wijnkoop I, Meheust A, Ouwehand A, Phothirath P, Sako T, Salminen S, Siemensma A, van Loveren H, Sack U. Monitoring immune modulation by nutrition in the general population: identifying and substantiating effects on human health. Br J Nutr. 2013 Aug;110 Suppl 2:S1-30. doi: 10.1017/S0007114513001505.

    PMID: 23902657BACKGROUND
  • Childs, C. E., & Calder, P. C. (2017). Modifying the gut microbiome through diet: effects on the immune system of elderly subjects. In T. Fulop, C. Franceschi, K. Hirokawa, & G. Pawelec (Eds.), Handbook of Immunosenescence Cham: Springer International Publishing AG. DOI: 10.1007/978-3-319-64597-1_160-1

    BACKGROUND
  • EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Turck D, Bresson JL, Burlingame B, Dean T, Fairweather-Tait S, Heinonen M, Hirsch-Ernst KI, Mangelsdorf I, McArdle HJ, Naska A, Neuhauser-Berthold M, Nowicka G, Pentieva K, Sanz Y, Siani A, Sjodin A, Stern M, Tome D, Vinceti M, Willatts P, Engel KH, Marchelli R, Poting A, Poulsen M, Schlatter J, Gelbmann W, Van Loveren H. Scientific Opinion on taxifolin-rich extract from Dahurian Larch (Larix gmelinii). EFSA J. 2017 Feb 14;15(2):e04682. doi: 10.2903/j.efsa.2017.4682. eCollection 2017 Feb.

    PMID: 32625400BACKGROUND
  • EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA); Turck D, Bresson JL, Burlingame B, Dean T, Fairweather-Tait S, Heinonen M, Hirsch-Ernst KI, Mangelsdorf I, McArdle HJ, Naska A, Neuhauser-Berthold M, Nowicka G, Pentieva K, Sanz Y, Siani A, Sjodin A, Stern M, Tome D, Vinceti M, Willatts P, Engel KH, Marchelli R, Poting A, Poulsen M, Schlatter JR, Ackerl R, van Loveren H. Statement on the safety of synthetic l-ergothioneine as a novel food - supplementary dietary exposure and safety assessment for infants and young children, pregnant and breastfeeding women. EFSA J. 2017 Nov 13;15(11):e05060. doi: 10.2903/j.efsa.2017.5060. eCollection 2017 Nov.

    PMID: 32625352BACKGROUND
  • Vega-Villa KR, Remsberg CM, Ohgami Y, Yanez JA, Takemoto JK, Andrews PK, Davies NM. Stereospecific high-performance liquid chromatography of taxifolin, applications in pharmacokinetics, and determination in tu fu ling (Rhizoma smilacis glabrae) and apple (Malus x domestica). Biomed Chromatogr. 2009 Jun;23(6):638-46. doi: 10.1002/bmc.1165.

    PMID: 19267323BACKGROUND
  • Ey J, Schomig E, Taubert D. Dietary sources and antioxidant effects of ergothioneine. J Agric Food Chem. 2007 Aug 8;55(16):6466-74. doi: 10.1021/jf071328f. Epub 2007 Jul 6.

    PMID: 17616140BACKGROUND
  • Przemska-Kosicka A, Childs CE, Enani S, Maidens C, Dong H, Dayel IB, Tuohy K, Todd S, Gosney MA, Yaqoob P. Effect of a synbiotic on the response to seasonal influenza vaccination is strongly influenced by degree of immunosenescence. Immun Ageing. 2016 Mar 15;13:6. doi: 10.1186/s12979-016-0061-4. eCollection 2016.

    PMID: 26985232BACKGROUND
  • Ohara O. [Rapid cDNA sequencing method using the polymerase chain reaction]. Tanpakushitsu Kakusan Koso. 1990 Oct;35(14):2319-28. No abstract available. Japanese.

    PMID: 2267325BACKGROUND
  • Taves DR. Minimization: a new method of assigning patients to treatment and control groups. Clin Pharmacol Ther. 1974 May;15(5):443-53. doi: 10.1002/cpt1974155443. No abstract available.

    PMID: 4597226BACKGROUND

MeSH Terms

Conditions

Common ColdInfluenza, HumanInflammation

Interventions

taxifolinErgothioneine

Condition Hierarchy (Ancestors)

Respiratory Tract InfectionsInfectionsPicornaviridae InfectionsRNA Virus InfectionsVirus DiseasesRespiratory Tract DiseasesOrthomyxoviridae InfectionsPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Sulfhydryl CompoundsSulfur CompoundsOrganic ChemicalsHistidineAmino Acids, CyclicAmino AcidsAmino Acids, Peptides, and Proteins

Study Officials

  • Caroline E Childs, PhD

    University of Southampton

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Alphabetically labelled treatments, with de-blinding envelope held by an independent researcher at the University of Southampton.
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: A n=90 study (3 treatment arms, each n=30) providing participants with either 250mg/day Taxifolin/DHQ, 80mg/day Ergothioneine, or control.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 22, 2020

First Posted

January 13, 2022

Study Start

November 10, 2021

Primary Completion

September 29, 2022

Study Completion

July 1, 2025

Last Updated

April 1, 2025

Record last verified: 2024-05

Data Sharing

IPD Sharing
Will not share

Locations