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A 8 week, Randomized, Double-blind, Placebo-controlled Clinical Trial for the Evaluation of the Efficacy and safety of Immune function Enhancement on DSU02 in Adults who need to be immunized

Status Approved

  • First Submitted Date

    2020/11/25

  • Registered Date

    2021/02/08

  • Last Updated Date

    2020/12/01

CRIS Required

WHO ICTRP (International Clinical Trial Registry Platform) Required

  • 1. Background

    Background - CRIS Registration Number, Unique Protocol ID, Public/Brief Title, Scientific Title, Acronym, MFDS Regulated Study, IND/IDE Protocol, Registered at Other Registry, Name of Registry/Registration Number
    CRIS
    Registration Number
    KCT0005877
    Unique Protocol ID 2019-10-014
    Public/Brief Title Clinical Trial for the Evaluation of the Efficacy and safety of Immune function Enhancement on DSU02 in Adults who need to be immunized
    Scientific Title A 8 week, Randomized, Double-blind, Placebo-controlled Clinical Trial for the Evaluation of the Efficacy and safety of Immune function Enhancement on DSU02 in Adults who need to be immunized
    Acronym DSU02
    MFDS Regulated Study No
    IND/IDE Protocol No
    Registered at Other Registry No
    Healthcare Benefit Approval Status Not applicable
  • 2. Institutional Review Board / Ethics Committee

    Institutional Review Board Information
    Board Approval Status Submitted approval
    Board Approval Number CUH 2019-10-014
    Approval Date 2019-11-08
    Institutional Review Board Name The Institutional Review Board of Jeonbuk National University Hospital
    Institutional Review Board Address 20, Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do
    Institutional Review Board Telephone 063-250-2154
    Data Monitoring Committee No
  • 3. Contact Details

    Contact Details Information - Contact Person for Principal Investigator / Scientific Queries, Contact Person for Public Queries, Contact Person for Updating Information의 Name, Title, Email, Telephone, Cellular Phone, Affiliation, Address
    Contact Person for Principal Investigator / Scientific Queries
    Name Soo Wan Chae
    Title Professor
    Telephone +82-63-259-3040
    Affiliation Jeonbuk National University Hospital
    Address 20, Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do, South Korea
    Contact Person for Public Queries
    Name Hee Yeon Jang
    Title Assistant Researcher
    Telephone +82-63-259-3040
    Affiliation Jeonbuk National University Hospital
    Address 20, Geonji-ro, Deokjin-gu, Jeonju-si, Jeollabuk-do, South Korea
    Contact Person for Updating Information
    Name So Yul Han
    Title CRA
    Telephone +82-70-4251-4289
    Affiliation Neonutra
    Address 44, Daehak-ro, Jongno-gu, Seoul-si, South Korea
  • 4. Status

    Status Information - Study Site, Overall Recruitment Status, Date of First Enrollment, Status of First Enrollment, Target Number of Participant, Primary Completion Date, Recruitment Status by Participating Study Site, Name of Study Site, Recruitment Status, Date of First Enrollment, Status of First Enrollemnt
    Study Site Single
    Overall Recruitment Status Completed
    Date of First Enrollment 2020-09-09 Actual
    Target Number of Participant 100
    Primary Completion Date
    Study Completion Date
    Recruitment Status by Participating Study Site 1
    Name of Study Jeonbuk National University Hospital
    Recruitment Status Completed
    Date of First Enrollment 2020-09-09 ,
  • 5. Source of Monetary / Material Support

    Source of Monetary / Material Support Information - Organization Name, Organization Type, Project ID
    1. Source of Monetary/Material Support
    Organization Name Duksung Women's University
    Organization Type University
    Project ID
  • 6. Sponsor Organization

    Sponsor Organization Information - Organization Name, Organization Type
    1. Sponsor Organization
    Organization Name Duksung Women's University
    Organization Type University
    2. Sponsor Organization
    Organization Name Naturalendo Tech
    Organization Type Pharmaceutical Company
  • 7. Study Summary

    Study Summary Information
    Lay Summary
    The main ingredient of Undaria pinnatifida Sporophyll is fucoidan, rich in alginate, and contains strong antioxidant and anti-cancer active substances such as astaxanthin and fucoxanthin among β-carotene. Fucoidan is a polysaccharide of polysaccharide, a component of the cell wall of brown algae such as seaweed, which is not only effective in improving blood flow, but also in improving cancer, immuno-control, antiviral and kidney disease, and many other research results are being published in relation to various diseases. Among the prunes, the extraction yield of hukoidan is 6.6% for Undaria pinnatifida Sporophyll, 2.7% for kelp, and 2% for large yarn, and in the case of Undaria pinnatifida Sporophyll that has a high extraction yield, it is the most commonly used in the production of hukoidan in Korea.
    Fucoxanthin, which is contained in seaweed, is a carotenoid-based pigment that has antioxidant function that removes it by combining with harmful free radicals, and has various other activities such as anticancer and anti-inflammatory. Undaria pinnatifida Sporophyll contain the largest amount of fuchozantine in the seaweed area, which is 1.4 times more than seaweed leaves and twice as much as seaweed stalks.
    Despite the functionality of Undaria pinnatifida Sporophyll, most seaweed farms in Korea only collect foliage and throw away Undaria pinnatifida Sporophyll and seaweed stems at the sea, raising complaints about secondary damage such as marine environmental pollution and fishing boats and fisheries. Some of the Undaria pinnatifida Sporophyll is simply used for abalone feeding or eating, but due to its poor utilization and poor commercialization and industrialization, efforts are needed to make realistic industrialization.
    Physiological activations and their mechanisms for immune promotion of Undaria pinnatifida Sporophyll extract (DSU02), which contains a large amount of hukoidane, were confirmed through In Vitro and In Vivo experiments. After treating the mouse macrophages RAW 264.7 cells with DSU02 at various concentrations, an analysis of the substances secreted in the culture fluid showed that the secretion of the macrophages was significantly increased and decreased in secretion of the nitric oxyide (NO) and congenital immunoactive cytokines TNF- I, IL-1α and IL-6 respectively. In addition, as a result of treating mouse spleen cells as Undaria pinnatifida Sporophyll extracts, the concentration-dependent spleen cell proliferation was observed, and the lymphocyte subpopulation analysis using flow cytometry confirmed that the ratio of CD4+T and CD8+Trimps increased significantly. At the same time, it was confirmed that the secretion of IL-4, the adaptive immuno-mmuno-cine, was increased in these cultures, and that the expression of ERK protein, an in-cell immunoactive transcription, was significantly increased. After oral administration of 50 mg/kg of Undaria pinnatifida Sporophyll extract to normal mouse, blood was collected and analyzed two weeks later, it was confirmed that the concentration of immunoactive cytokines TNF-α and IFN-γ in the blood increased significantly in the dose group compared to the control group, and the amount of antibody IgM increased significantly when oral administration increased to 150 mg/kg. In the immunosuppressive mouse model caused by Cyclophamide drug induction, blood was collected and analyzed two weeks after oral administration of the Undaria pinnatifida Sporophyll extract, significant increases in the frequency and killability of the naturally occurring cells in the 100 and 150 mg/kg groups, significant increases in the frequency of spleen-derived trimmets (CD3, 4 and 8) and CD3+, increased spleen cell growth rates, CD3, CD3. In addition, statistically significant increases in cytokines in serum TNF-α and serum immunoglobulin IgM and IgG were identified in the 150 mg/kg dose group.
    Therefore, the purpose of this human application test is to confirm the validity and safety of the eight-w
  • 8. Study Design

    Study Design Information - Study Type, Study Purpose, Phase, Intervention Model, Blinding/Masking, Blinded Subject, Allocation, Intervention Type, Intervention Description, Number of Arms, Arm Label, Target Number of Participant, Arm Type, Arm Description
    Study Type Interventional Study
    Study Purpose
     Supportive Care
    Phase Not applicable
    Intervention Model Parallel  
    Blinding/Masking Double
    Blinded Subject Subject, Investigator
    Allocation RCT
    Intervention Type Dietary Supplement  
    Intervention Description
    Subjects are randomly allocated to either experimental or placebo group and take test materials (Undaria pinnatifida Sporophyll extract 500mg/day) or placebo twice a day, each time 1 capsule for 8 weeks.
    Number of Arms 2
    Arm 1

    Arm Label

    Experimental group

    Target Number of Participant

    50

    Arm Type

    Experimental

    Arm Description

    Subject is taken test material (DSU02; Undaria pinnatifida sporophyll extract 500mg/day) by oral, twice a day, each time 1 tablet for 8 weeks.
    Arm 2

    Arm Label

    Control group (Placebo)

    Target Number of Participant

    50

    Arm Type

    Placebo comparator

    Arm Description

    Subject is taken placebo by oral, twice a day, each time 1 tablet for 8 weeks.
  • 9. Subject Eligibility

    Subject Eligibility Information
    Condition(s)/Problem(s) * (D50-D89)Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism 
       (D84.9)Immunodeficiency, unspecified 

    General adults needed to enhance immunity
    Rare Disease No
    Inclusion Criteria

    Gender

    Both

    Age

    25Year~75Year

    Description

    1) Men and women aged 20 to 75 years old
    2) Peripheral blood WBC of 3×10^3/μl or more and less than 8×10^3/μl in the screening test
    3) Those whose awareness of Stress Self-Assessment scale is above “strong” (4 scales: None, Moderate, Strong, Intense)
    4) Those who have had upper respiratory tract infections* more than two times within one year before the start of the test
    {*cough, tonsillitis, pharyngitis, laryngitis, sinusitis, otitis media, rhinitis, etc}
    5) A person who has agreed to participate in this test and signed a written consent form by the subject (or legal representative) voluntarily
    Exclusion Criteria
    1) Those who have been treated or are currently being treated for clinically significant acute or chronic endocrine system, respiratory system, hepatobiliary system, kidney and urinary system, nervous system, musculoskeletal disease, psychotic, infectious diseases, etc.
    2) Those who suffer from immune system disease (AIDS, autoimmune disease, systemic lupus erythematosus, sjogren's syndrome, etc.)
    3) Those who suffer from severe cardiovascular diseases (stroke, hemorrhage, etc), and sever heart diseases (angina, myocardial infarction, heart failure, arrhythmia requiring treatments) or malignant tumor, etc.
    4) Those with uncontrolled hypertension (160/100mmHg or more, measured after 10 minutes of rest for the subject)
    5) Subjects who have got a vaccination within 3 months before screening.
    6) Those whose AST(GOT) or ALT(GPT) blood level is 3 times or more than the normal upper limit of the relevant organ.
    7) Those whose creatinine blood level is more than the normal upper limit.
    8) Those who have consumed or are ingesting health functional foods that may affect immunity within 2 weeks before screening.
    9) Those who complain of gastrointestinal symptoms such as heartburn and indigestion.
    10) Those who are pregnant, lactating or planning to become pregnant during the study period.
    11) Those who have participated in other studies within 3 months before screening, or plan to participate in others during this study.
    12) Those who the researcher deems unsuitable for this study.
    13) Those who are sensitive or allergic to test food.
    Healthy Volunteers
  • 10. Outcome Measure(s)

    Outcome Measure(s) Information - Type of Primary Outcome, Primary Outcome, Outcome, Timepoint, Secondary Outcome, Outcome, Timepoint
    Type of Primary Outcome /Safety/Efficacy
    Primary Outcome(s) 1
    Outcome
    Natural killer cell activity (2.5:1, 5:1, 10:1)
    Timepoint
    week 0, week 4, week 8
    Secondary Outcome(s) 1
    Outcome
    blood test: IFN-γ, TNF-α, IL-1β, IL-2, IL-6, IL-10, IgG, IgM (Multiplex)
    Timepoint
    week 0, week 4, week 8
    Secondary Outcome(s) 2
    Outcome
    White blood cell count
    Timepoint
    Screening(week -3), week 4, week 8
    Secondary Outcome(s) 3
    Outcome
    The degree of infection, duration, and incidence of the upper respiratory tract infection
    Timepoint
    week 0, week 4, week 8
    Secondary Outcome(s) 4
    Outcome
    기분상태척도
    Timepoint
    week 0, week 4, week 8
    Secondary Outcome(s) 5
    Outcome
    Evaluation of improvement by the test subjects themselves
    Timepoint
    week 4, week 8
    Secondary Outcome(s) 6
    Outcome
    Adverse events
    Timepoint
    week 4, week 8
    Secondary Outcome(s) 7
    Outcome
    clinical laboratory test(hematologic/chemistry examination, Urinalysis)
    Timepoint
    Screening(week -3), week 8
    Secondary Outcome(s) 8
    Outcome
    Vital Sign(pulsus, arteriotony) , Physical measurement (Weight)
    Timepoint
    Screening(week -3), week 0, week 4, week 8
    Secondary Outcome(s) 9
    Outcome
    electrocardiography
    Timepoint
    Screening(week -3), week 8
  • 11. Study Results and Publication

    Study Results and Publication Information - Result Registered, Final Enrollment Number, Number of Publication, Publications, Results Upload, Date of Posting Results, Protocol URL or File Upload, Brief Summary
    Result Registered No
  • 12. Sharing of Study Data(Deidentified Individual-Patient Data, IPD)

    Sharing of Study Data Information - Sharing Statement, Time of Sharing, Way of Sharing
    Sharing Statement No
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