- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00279812
Selenium and Immune Function
Study Overview
Status
Conditions
Detailed Description
One of the proposed consequences of marginal selenium status is impaired immune function. Establishing the potential role of selenium as an enhancer of immune response in vivo may provide evidence-base for public health policy, with important consequences for preventing influenza and similar diseases in the elderly.
The project consists of a placebo controlled selenium supplementation study and a dietary intervention with un-enriched and selenium enriched onions. In a parallel group design, subjects will be given either one of three doses of Selenomethionine (50, 100 or 200µg selenium/day) or a placebo per day or selenium enriched or un-enriched onions (in the form of test meals) for 12 weeks. Changes in the expression of Se-responsive genes and proteins in blood will be measured and compared with changes in plasma Se concentration and selected selenoproteins. The relationship between dietary Se intake and systemic and mucosal immune responses to influenza vaccine will be examined. Changes in immune cell populations and the influence of Se on NK and CD8 cytotoxicity will be determined by flow cytometry.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Norfolk
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Norwich, Norfolk, United Kingdom, NR4 7UA
- Institute of Food Research
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Men and women, age 50-64
- Plasma selenium level <1.2µmol/l (±10%)
Exclusion Criteria:
- Elevated blood pressure measurements (<90/50 or <95/50 if symptomatic or >160/100)
- Body mass index (BMI) <18.5 or >35
- Results of the clinical screening which are judged by the Human Nutrition Unit (HNU) Medical advisor to be indicative of a health problem and could compromise the well-being of the volunteer if they participated, or which would affect the data.
- Smokers
- Diagnosed with gastrointestinal disease (excluding hiatus hernia unless symptomatic or study intervention/procedure is contraindicated) for which they have been taking prescription drugs on a chronic basis.
- Diagnosed with a long-term illness requiring active treatment, e.g. diabetes, cancer, cardiovascular disease.
- On regularly prescribed medication known to have a profound effect on the immune function
- Regularly using antacids and laxatives (at least once a week)
- Sufferers of hay-fever taking regular steroid medication
- Unwillingness to discontinue dietary (other than vitamins and minerals) or herbal supplements less than one month prior to the start of the study and for the duration of the study
- Blood donation within 16 weeks of the first study sample and who intend to donate blood less than 16 weeks after the last study sample
- Antibiotic use within four weeks prior to starting the study
- Those who receive or plan to receive any other type of immunisation during the study period
- Those who have received an immunisation within 6 months of the start of the study
- Intention to go on holiday/trips for more than 2 weeks during the twelve week intervention
- Those planning a holiday/trip that requires immunisation during the twelve week intervention period
- Parallel participation in another research project which involves dietary intervention or sampling of biological fluids/materials
- Allergic to eggs or egg products
- Allergic to chicken protein
- Allergic to the antibiotic Gentamicin
- A history of Guillain-Barre syndrome
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
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Placebo supplement for 12 weeks
|
|
Experimental: 50ug selenium enriched yeast
50ug/d selenium enriched yeast (containing 60% selenomethionine)
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Selenomethionine supplement (50ug/d Se) for 12 weeks
|
|
Experimental: 100ug selenium enriched yeast
100ug/d selenium enriched yeast (containing 60% selenomethionine)
|
Selenomethionine supplement (100ug/d Se) for 12 weeks
|
|
Experimental: 200ug selenium enriched yeast
200ug/d selenium enriched yeast (containing 60% selenomethionine)
|
Selenomethionine supplement (200ug/d Se) for 12 weeks
|
|
Experimental: Control onion
3 meals/wk containing un-enriched onions equivalent to 4ug/d Se
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3 meals per week containing un-enriched onion (4ug/d) for 12 weeks
|
|
Experimental: Enriched onion
3 meals/wk containing enriched onions equivalent to 50ug/d Se
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3 meals per week containing un-enriched onion (50ug/d) for 12 weeks
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cellular and Humoral Immune Response
Time Frame: 12 weeks
|
Total glutathione peroxidase 1 activity in platelets after supplementation
|
12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Selenium Status
Time Frame: 10 weeks
|
Plasma selenium concentration after supplementation
|
10 weeks
|
|
Selenoproteins and Se-biomarkers
Time Frame: 10 weeks
|
Plasma selenoprotein P after the supllementation
|
10 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Susan J Fairweather-Tait, PhD, University of East Anglia
Publications and helpful links
General Publications
- Ivory K, Prieto E, Spinks C, Armah CN, Goldson AJ, Dainty JR, Nicoletti C. Selenium supplementation has beneficial and detrimental effects on immunity to influenza vaccine in older adults. Clin Nutr. 2017 Apr;36(2):407-415. doi: 10.1016/j.clnu.2015.12.003. Epub 2015 Dec 24.
- Goldson AJ, Fairweather-Tait SJ, Armah CN, Bao Y, Broadley MR, Dainty JR, Furniss C, Hart DJ, Teucher B, Hurst R. Effects of selenium supplementation on selenoprotein gene expression and response to influenza vaccine challenge: a randomised controlled trial. PLoS One. 2011 Mar 21;6(3):e14771. doi: 10.1371/journal.pone.0014771.
- Hurst R, Armah CN, Dainty JR, Hart DJ, Teucher B, Goldson AJ, Broadley MR, Motley AK, Fairweather-Tait SJ. Establishing optimal selenium status: results of a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2010 Apr;91(4):923-31. doi: 10.3945/ajcn.2009.28169. Epub 2010 Feb 24.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IFR02/2005
- FSA 51949F (Other Identifier: Food Standards Agency)
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