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Trial registered on ANZCTR
Registration number
ACTRN12618001251213
Ethics application status
Approved
Date submitted
21/06/2018
Date registered
25/07/2018
Date last updated
25/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Antioxidant status following postprandial challenge of two different doses of tocopherols and tocotrienols
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Scientific title
The postprandial antioxidant potential of vitamin E (alpha-tocopherol and tocotrienols) in humans
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Secondary ID [1]
295281
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PD45/04
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Universal Trial Number (UTN)
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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:
Postprandial
308458
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Condition category
Condition code
Metabolic and Endocrine
307441
307441
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0
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Normal metabolism and endocrine development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Volunteers were conditioned on a standardized fat-controlled diet (comprising breakfast, lunch and afternoon high tea) for seven days prior to each postprandial intervention during which a-Tocopherol and palm tocotrienol rich-fraction (TRF) supplements at specific doses were administered separately. A one week wash-out period was allowed between each rotation. Corn oil was used as the dietary fat source for meals preparations, and the same menu was repeated for each rotation. Daily food samples were duplicated and analyzed for fat and vitamin E content as well as composition.
Clarification:
Volunteers were provided up to THREE (3) different meals in the fat-controlled diet, per day. The meals were prepared by the trained caterer.
The "Fat-controlled" diet in this study refers to the daily every daily meal provided to volunteers who were recruited into the trial. The meals were prepared by a trained caterer where menus and cooking guidelines were provided by the Investigators. Analysis of fat content on trial samples of the meals were used in drawing up the menu. The most critical part was that, the fat content should provided about 30% of total energy needs and the daily meals should be balanced, containing macronutrients and micronutrients from all of the food groups in the appropriated proportion promoting good health.
Supplementation of vitamin E treatments comprising 268 mg a-Tocopherol, 537 mg a-Tocopherol, 263 mg palm T3 rich-fraction (TRF) or 526 mg TRF. Each volunteers consumed a single acute dose in the morning. Vitamin E supplement was in form of oral tablet. For monitoring compliance, each volunteers consumed the supplementation in front of the Investigator during the postprandial challenge.
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Intervention code [1]
301613
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Other interventions
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Comparator / control treatment
Two types of vitamin E were used; (1) alpha-tocopherol, and (2) palm tocotrienols (TRF). Volunteers were challenged with four different treatments of vitamin E preparations in the form of capsules: (1) 263 mg palm TRF, (2) 268 mg a-tocopherol, (3) 526 mg Palm TRF or (4) 537 mg a-tocopherol in a cross-over postprandial trial.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Changes in oxidation products in plasma, namely plasma malondialdehyde (MDA).
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Assessment method [1]
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Timepoint [1]
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After 2 hours (h), 4 h, 5h (primary endpoint), 6h, or 8 hours after supplementation of vitamin E treatments (under fasting condition).
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Secondary outcome [1]
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Changes in ferric reducing ability of plasma (FRAP) value; and plasma Trolox-equivalent antioxidany capacity (TEAC) value. Both FRAP and TEAC are composite outcome that reflect the antioxidant potency of the plasma sample against oxidation process in the body.
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Assessment method [1]
349055
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Timepoint [1]
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After 2 hours (h), 4 h, 5h, 6h, or 8 hours after supplementation of vitamin E treatments (under fasting condition).
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Secondary outcome [2]
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Changes in plasma total glutathione (GSH) and plasma superoxide dismutase (SOD). Both GSH and SOD are a composite outcome where they are both function as an endogenous enzymatic antioxidants.
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Assessment method [2]
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Timepoint [2]
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After 2 hours (h), 4 h, 5h, 6h, or 8 hours after supplementation of vitamin E treatments (under fasting condition).
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Eligibility
Key inclusion criteria
All volunteers were healthy, normolipemic, nonsmokers, did not show any clinical symptoms associated with lipid-related cardiovascular disease and none of them consumed any supplements or on medication. For females, they were not pregnant, lactating, or taking contraceptives at the time of enrollment.
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Minimum age
19
Years
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Maximum age
40
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Smoking, show any clinical symptoms associated with lipid-related cardiovascular disease, consumed any supplements or on medication. For females, pregnant, lactating, or taking contraceptives at the time of enrollment.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
The study design enabled each volunteers to serve as an individual control in this cross-over study. Following treatments, each parameter of postprandial response for 8-h period was analyzed for their P trend using Single-factor Repeated Measures Analysis of Variance (ANOVA). Wilcoxon-Signed Ranks Test was performed to detect any significant difference between parameters of interest at specific postprandial interval. Following each postprandial interval (2, 4, 5, 6, 8 and 24 h), outcomes were compared to the corresponding baseline value (0 h) in order to detect any significance following the vitamin E treatments. Changes were calculated as the difference between values at each postprandial interval (2 h to 24 h) and baseline (0 h). Postprandial effects following treatments on plasma profiles were analyzed for their time x treatment interaction, using 2-factor Repeated Measures Analysis of Variance (ANOVA) with an interaction term, in order to detect whether there was a significant difference of postprandial responses between treatments. Area under the curve (AUC), defined as the postprandial antioxidant status responses for the 8-h period with the area normalized to the baseline concentration, and incremental area under the curve (IAUC) was calculated based on the trapezoidal rule. In order to further improve the inter-treatment effects, changes were compared using Wilcoxon Signed Ranks Test. Statistical analyses were performed using Statistical Package for Social Sciences (SPSS®) for WINDOWS software (Version 11.0, SPSS Inc. Chicago, USA) and Excel 2003 (Microsoft Corp. California, USA). SPSS® software was utilized for analyses of Repeated Measures ANOVA and Wilcoxon-Signed Ranks Test. Values were considered significant at P<0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
17/03/2003
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Date of last participant enrolment
Anticipated
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Actual
16/06/2003
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Date of last data collection
Anticipated
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Actual
6/09/2006
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment outside Australia
Country [1]
10581
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Malaysia
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State/province [1]
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Selangor
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Malaysian Palm Oil Board (MPOB)
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Address [1]
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6, Persiaran Institusi, Bandar Baru Bangi, 43000 Kajang, Selangor, Malaysia
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Country [1]
299873
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Malaysia
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Primary sponsor type
Government body
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Name
Malaysian Palm Oil Board (MPOB)
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Address
6, Persiaran Institusi, Bandar Baru Bangi, 43000 Kajang, Selangor, Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
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None
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Name [1]
299228
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Address [1]
299228
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Country [1]
299228
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300744
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Institutional Ethics Committee of the Malaysian Palm Oil Board (MPOB).
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Ethics committee address [1]
300744
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6, Persiaran Institusi, Bandar Baru Bangi, 43000 Kajang, Selangor
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Ethics committee country [1]
300744
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Malaysia
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Date submitted for ethics approval [1]
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06/01/2003
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Approval date [1]
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13/01/2003
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Ethics approval number [1]
300744
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Summary
Brief summary
Dietary intake of tocotrienols (T3) were postulated to have a measurable effect on their antioxidant effectiveness It appears that the amount of T3 ingested may not have an impact on plasma antioxidant status. In the current study, the T3 antioxidant effectiveness is believed to be limited by their low uptake or bioavailability in humans. Therefore, we compared the antioxidant effectiveness following postprandial challenge of a-tocopherol or palm T3-rich fraction (TRF) supplementations. We also investigated whether there is a dose-response effect on plasma antioxidant status following various doses of either a-tocopherol or TRF treatments. The dose response effect of plasma antioxidant status was determined from the differences in the total plasma antioxidant status at each postprandial interval (2 h, 4 h, 5 h, 6 h and 8 h).
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr Syed Fairus
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Address
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Malaysian Palm Oil Board (MPOB), 6, Persiaran Institusi, Bandar Baru Bangi, 43000, Kajang, Selangor
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Country
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Malaysia
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Phone
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+60387694604
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Syed Fairus
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Address
84671
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Malaysian Palm Oil Board (MPOB), 6, Persiaran Institusi, Bandar Baru Bangi, 43000, Kajang, Selangor
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Country
84671
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Malaysia
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Phone
84671
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+60387694604
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Fax
84671
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Email
84671
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[email protected]
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Contact person for scientific queries
Name
84672
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Syed Fairus
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Address
84672
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Malaysian Palm Oil Board (MPOB), 6, Persiaran Institusi, Bandar Baru Bangi, 43000, Kajang, Selangor
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Country
84672
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Malaysia
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Phone
84672
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+60387694604
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Fax
84672
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Email
84672
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[email protected]
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No information has been provided regarding IPD availability
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
Source
Title
Year of Publication
DOI
Embase
Antioxidant status following postprandial challenge of two different doses of tocopherols and tocotrienols.
2020
https://dx.doi.org/10.1016/j.joim.2019.11.005
N.B. These documents automatically identified may not have been verified by the study sponsor.
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