NCT05915390

Brief Summary

The main objective of the study is to determine if eating walnuts enhances immune function, in older free-living men and postmenopausal women with overweight.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
52

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 16, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 23, 2023

Completed
4 days until next milestone

Study Start

First participant enrolled

June 27, 2023

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 18, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 18, 2023

Completed
Last Updated

October 2, 2024

Status Verified

September 1, 2024

Enrollment Period

6 months

First QC Date

May 16, 2023

Last Update Submit

September 30, 2024

Conditions

Keywords

walnutsImmunityInflammation

Outcome Measures

Primary Outcomes (8)

  • changes in lymphocyte populations

    Immunophenotyping will be performed by flow cytometry to measure the number of T helper, T cytotoxic, Naïve and memory cells and B cells

    baseline to 12 weeks

  • changes in lymphocyte activity

    The production of lymphocytes will be measured in the supernatant using Enzyme linked immunosorbent assay (ELISA)

    baseline to 12 weeks

  • changes in cytokine production

    The cytokines produced due to lymphocyte activity will be measured in the supernatant using Enzyme linked immunosorbent assay (ELISA)

    baseline to 12 weeks

  • changes in serum inflammatory cytokine concentration

    changes in the concentrations of the inflammatory cytokines will be performed on serum using enzyme-linked immunoassay (ELISA) will include hs-CRP, interleukin (IL)-1β, IL-6, TNF-α, IL-10, and IL-4.

    baseline to 12 weeks

  • changes in diversity of immune-modulating and butyrate -producing gut bacteria in feces

    DNA extraction from stool samples will be performed using QIAamp DNA Stool Mini kits.69 The QIIME (Quantitative Insights Into Microbial Ecology) software will be used to analyze 16S rRNA gene sequences and determine the effect of the intervention on microbial diversity at the phylum, genus, and operational taxonomic unit levels.

    baseline to 12 weeks

  • Changes in concentration of Immunoglobulin A in feces

    changes in Immunoglobulin A will be determined using high performance liquid chromatography-mass spectrometry (HPLC-MS)

    baseline to 12 weeks

  • Changes in concentration of Calprotectin in feces

    changes in Calprotectin will be determined using high performance liquid chromatography-mass spectrometry (HPLC-MS)

    baseline to 12 weeks

  • Changes in concentration of small chain fatty in feces

    changes in Small chain fatty acids will be determined using high performance liquid chromatography-mass spectrometry (HPLC-MS)

    baseline to 12 weeks

Secondary Outcomes (1)

  • changes in upper respiratory infection questionnaire score

    baseline to 12 weeks

Study Arms (2)

walnut group

ACTIVE COMPARATOR

walnut group will receive 15% of their total energy as walnuts

Dietary Supplement: walnuts

control group

ACTIVE COMPARATOR

continue with habitual diet and abstain from eating walnuts

Dietary Supplement: Habitual diet

Interventions

walnutsDIETARY_SUPPLEMENT

walnuts will provide 15% of the total energy

walnut group
Habitual dietDIETARY_SUPPLEMENT

continue with habitual diet and abstain from walnuts

control group

Eligibility Criteria

Age55 Years - 75 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Older men and post-menopausal women aged 55-75 years
  • Have a BMI of 25-32
  • Being able to commute to Loma Linda University.
  • Not taking medication or supplements that affect immunity

You may not qualify if:

  • Intolerance or allergy to walnuts
  • Regular intake of walnuts and/or other nuts (\>3 ounces per week).
  • Immune system insufficiency or disease.
  • Using immune boosting supplements.
  • Exposure to antibiotics and corticoids immediately prior to the study.
  • Participants with uncontrolled chronic diseases, and relevant psychiatric illness, including major depression will not be included in study
  • Flu vaccination or Covid booster within past 6 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Loma Linda University School of Public Health

Loma Linda, California, 92350, United States

Location

MeSH Terms

Conditions

Respiratory Tract InfectionsInflammation

Condition Hierarchy (Ancestors)

InfectionsRespiratory Tract DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
The investigator and outcome assessor will not be aware which participant is in what arm. The participant and the care provider will know about the treatment allocation
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: This will be a parallel, free-living, randomized controlled trial with 54 men and post-menopausal women
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Nutrition and Epidemiology

Study Record Dates

First Submitted

May 16, 2023

First Posted

June 23, 2023

Study Start

June 27, 2023

Primary Completion

December 18, 2023

Study Completion

December 18, 2023

Last Updated

October 2, 2024

Record last verified: 2024-09

Data Sharing

IPD Sharing
Will not share

Locations