Evidence map›Paper›PMID 39268057›Full record

Trial reportF1000Research2024

Single-centre, randomised clinical trial of the immunomodulatory mechanisms of daily supplementation of palm tocotrienol-rich fraction in healthy human volunteers following influenza vaccination.

Ammu Kutty Radhakrishnan, Badariah Ahmad, Kanga Rani Selvaduray, Sitti Rahma Abdul Hafid, Uma Devi Palanisamy, Cheng Zsien Zhin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in F1000Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ammu Kutty RadhakrishnanJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Sunway, Selangor, 47500, Malaysia.ORCID https://orcid.org/0000-0003-2638-907X
Badariah AhmadJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Sunway, Selangor, 47500, Malaysia.
Kanga Rani SelvadurayProduct Development and Advisory Services, Malaysian Palm Oil Board, Bandar Baru Bangi, Selangor, 43650, Malaysia.
Sitti Rahma Abdul HafidProduct Development and Advisory Services, Malaysian Palm Oil Board, Bandar Baru Bangi, Selangor, 43650, Malaysia.
Uma Devi PalanisamyJeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Sunway, Selangor, 47500, Malaysia.
Cheng Zsien ZhinHovid (M) Ltd, Ipoh, Perak, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vitamin E from palm oil, known as the tocotrienol-rich fraction (TRF), has been shown to have immune-enhancing activity. To date, only one dose of TRF (400 mg daily) has been tested in a clinical trial. The proposed study will evaluate the immune-enhancing activity effects of lower doses (200, 100 and 50 mg) in a clinical trial using an influenza vaccine as the immunological challenge. Methods: A single-centre, randomised, parallel, double-blinded, placebo-controlled clinical trial with balance allocation involving five arms will be conducted. The healthy volunteers recruited will be randomly assigned to one of the arms, and they will be asked to take the respective supplements (400 mg, 200 mg, 100 mg, 50 mg of TRF or placebo) daily with their dinner. The volunteers will receive the influenza vaccine after four weeks. They will be asked to return to the study site four weeks later. A blood sample will be taken for the study at baseline, four and eight weeks. Primary outcome measures will be antibody levels to influenza, blood leucocyte profile and cytokine production. Secondary outcomes will be correlating plasma vitamin E levels with immune responses, plasma proteins and gene expression patterns. The findings from this study will be published in relevant peer-reviewed journals and presented at relevant national and international scientific meetings. Conclusions: The recent world events have created the awareness of having a healthy and functional immune system. Nutrition plays an important role in helping the immune system to function optimally. This study will show the effects of lower doses of TRF in boosting the immune response of healthy individuals and also elucidate the mechanisms through which TRF exerts its immune-enhancing effects. Clinical trial registration: Australian New Zealand Clinical Trials Registry (ANZCTR) [ ACTRN12622000844741] dated 15 June 2022. Protocol version: 2.

Indexed as

Dietary SupplementsHealthy VolunteersInfluenza VaccinesPalm OilTocotrienolsAdultCytokinesDouble-Blind MethodFemaleHumansImmunomodulating AgentsInfluenza, HumanMaleVaccinationVitamin ECytokinesImmunomodulating AgentsInfluenza VaccinesPalm OilTocotrienolsVitamin Eimmune responseinfluenza vaccinetocotrienol-rich fraction (TRF)tocotrienols

Identifiers

PMID39268057
PMCPMC11391185

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.