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Trial registered on ANZCTR
Registration number
ACTRN12621000769886
Ethics application status
Approved
Date submitted
11/05/2021
Date registered
21/06/2021
Date last updated
15/05/2024
Date data sharing statement initially provided
21/06/2021
Date results provided
15/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Effect of kiwifruit on vitamin C status of people susceptible to respiratory infections
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Scientific title
Effect of kiwifruit intervention on vitamin C status of people with recurrent respiratory infections
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Secondary ID [1]
303626
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None
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Universal Trial Number (UTN)
U1111-1265-5557
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
recurrent respiratory infection
321008
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low vitamin C status
322221
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Condition category
Condition code
Respiratory
318813
318813
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0
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Other respiratory disorders / diseases
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Diet and Nutrition
319916
319916
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a 'before and after' study whereby participants will consume kiwifruit following baseline visit.
- the dose administered: 2 SunGold kiwifruit per day
- the frequency of administration: once per day
- the duration of administration: 6 weeks
- the mode of administration: oral
Adherence to intervention will be monitored through measuring plasma vitamin C concentrations (by HPLC)
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Intervention code [1]
319927
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Treatment: Other
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Comparator / control treatment
The baseline clinic visit is the comparator for the subsequent intervention phase.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Plasma vitamin C concentrations - measured using high performance liquid chromatography (HPLC)
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Assessment method [1]
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Timepoint [1]
326774
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Baseline, 2 weeks and 6 weeks (primary timepoint) after admission
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Secondary outcome [1]
392637
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Complete blood cell count and differential (coulter counter)
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Assessment method [1]
392637
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Timepoint [1]
392637
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [2]
392638
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Immunometabolic state of lymphocytes derived from blood samples (measured using flow cytometry)
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Assessment method [2]
392638
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Timepoint [2]
392638
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [3]
392639
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Inflammatory markers in blood samples: eg C-reactive protein (Immunoturbidimetric, latex immunoassay), procalcitonin (enzyme-linked immunosorbent assay - ELISA), myeloperoxidase (ELISA)
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Assessment method [3]
392639
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Timepoint [3]
392639
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [4]
392640
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Oxidative stress biomarkers, e.g. urinary F2isoprostanes (ELISA)
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Assessment method [4]
392640
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Timepoint [4]
392640
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [5]
392641
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Respiratory symptoms: eg cough, breathlessness, sputum characteristics (from Quality of Life Questionnaire - bronchiectasis - QOL-B)
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Assessment method [5]
392641
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Timepoint [5]
392641
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [6]
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Quality of life (from Quality of Life Questionnaire - bronchiectasis - QOL-B)
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Assessment method [6]
392642
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Timepoint [6]
392642
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [7]
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Fatigue (Multidimensional Fatigue Symptom Inventory)
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Assessment method [7]
392643
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Timepoint [7]
392643
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [8]
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Subjective mood - eg anxiety and depression (Hospital Anxiety and Depression Scale)
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Assessment method [8]
396600
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Timepoint [8]
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Baseline, 2 weeks and 6 weeks after admission
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Secondary outcome [9]
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Upper respiratory tract infection susceptibility and severity (Wisconsin Upper Respiratory Symptom Survey)
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Assessment method [9]
396601
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Timepoint [9]
396601
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Daily for duration of symptoms (during control and intervention phases - 6 weeks each)
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Eligibility
Key inclusion criteria
Inclusion criteria:
adult aged 18 years and over;
respiratory symptoms indicating IV antibiotic therapy in the previous year;
symptoms occurring at least once per year
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria:
not able to give consent,
severe coexisting medical conditions (other than bronchiectasis) which would worsen the prognosis (e.g. heart failure, lung cancer, COPD, cystic fibrosis),
dysphagia (swallowing difficulties),
known kiwifruit allergy,
taking vitamin C-containing supplements at greater than recommended dietary intake (RDI).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
NA
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
NA
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Before and after trial
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Statistical analyses will be carried out by an experienced biostatistician. Patient characteristics at baseline will be summarised by treatment group using simple descriptive statistics. The proportion of patients achieving adequate vitamin C status shall be calculated with binomial 95% confidence intervals (CI) for each group. Absolute and relative group differences, and numbers needed to treat, shall be calculated with 95% CI, and statistical significance tested using Fisher’s exact test. Data will be stratified by baseline disease severity.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/06/2021
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Actual
19/11/2021
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Date of last participant enrolment
Anticipated
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Actual
15/06/2023
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Date of last data collection
Anticipated
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Actual
10/10/2023
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment outside Australia
Country [1]
23521
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New Zealand
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State/province [1]
23521
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Canterbury
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Funding & Sponsors
Funding source category [1]
308047
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Commercial sector/Industry
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Name [1]
308047
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Zespri International Ltd
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Address [1]
308047
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400 Maunganui Rd,
Mt Maunganui, 3116
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Country [1]
308047
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
362 Leith Street
North Dunedin
Dunedin 9016
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Country
New Zealand
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Secondary sponsor category [1]
308789
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None
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Name [1]
308789
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Address [1]
308789
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Country [1]
308789
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308039
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
308039
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Ministry of Health Health and Disability Ethics Committees 133 Molesworth Street Thorndon Wellington 6011
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Ethics committee country [1]
308039
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New Zealand
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Date submitted for ethics approval [1]
308039
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11/05/2021
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Approval date [1]
308039
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31/05/2021
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Ethics approval number [1]
308039
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21/NTB/138
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Summary
Brief summary
People with respiratory infections can exhibit depleted vitamin C status due to the increased turnover and requirement for the vitamin during the inflammatory process. We plan to carry out a 'before and after' study in people susceptible to infectious respiratory exacerbations requiring home antibiotic administration to assess their vitamin C status before and after supplementation with vitamin C-rich kiwifruit (assessed at baseline, 2 weeks and 6 weeks). Secondary outcomes will include assessment of blood and urinary markers of inflammation, oxidative stress and white blood cell status. Questionnaires will assess respiratory symptoms, health-related quality of life, subjective mood, and susceptibility to and severity of subsequent upper respiratory tract infections. We hypothesise that supplementation of vitamin C-rich kiwifruit to these people will enhance their vitamin C status and may decrease inflammatory and oxidative stress biomarkers and improve immune cell parameters. Although not powered to detect changes in clinical outcomes, this data will be used to inform future trials.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
109306
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A/Prof Anitra Carr
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Address
109306
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University of Otago, Christchurch
2 Riccarton Avenue
Christchurch Central City
Christchurch 8011
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Country
109306
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New Zealand
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Phone
109306
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+6433640649
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Fax
109306
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Email
109306
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[email protected]
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Contact person for public queries
Name
109307
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Anitra Carr
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Address
109307
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University of Otago, Christchurch
2 Riccarton Avenue
Christchurch Central City
Christchurch 8011
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Country
109307
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New Zealand
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Phone
109307
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+6433640649
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Fax
109307
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Email
109307
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[email protected]
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Contact person for scientific queries
Name
109308
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Anitra Carr
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Address
109308
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University of Otago, Christchurch
2 Riccarton Avenue
Christchurch Central City
Christchurch 8011
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Country
109308
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New Zealand
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Phone
109308
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+6433640649
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Fax
109308
0
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Email
109308
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Individual participant data will not be made available to researchers who are not directly collaborating with the study researchers as the ethics application does not allow for this.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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