Common Cold
Conditions
Keywords
Rhinovirus
Brief summary
A phase II randomised, placebo-controlled trial to identify the optimal regimen of vitamin D supplementation for rhinovirus protection, determined by host responses to a clinically induced rhinovirus challenge. The primary outcome is rhinovirus titre after inoculation with rhinovirus; secondary outcomes are self-reported respiratory symptom scores, concentrations of cytokines and chemokines sampled from the nasal mucosa, and the transcriptional responses of nasal epithelial cells.
Interventions
800 IU Fultium-D3, cholecalciferol (Internis), given daily for 3 months
Hypromellose capsules, given daily for 3 months
Sponsors
Study design
Intervention model description
Two treatment arms of vitamin D3: low dose (800IU) vs. high dose (3,200IU) given daily, for 3 months
Eligibility
Inclusion criteria
1. Age 18-70 years 2. Gives written informed consent 3. Serum 25-hydroxyvitamin D concentration \<75 nmol/L 4. Agrees not to take supplement containing vitamin D during participation 5. Agrees not to commence smoking or vaping during participation
Exclusion criteria
1. Current smoker or vaper 2. Taken vitamin D supplement or other supplement containing vitamin D, in previous 3 months 3. Sunny holiday abroadI, defined as any location 51 degrees North/South of the equator, for ≥1 week, in the previous 3 months 4. Dependent(s) \<6 months old 5. Positive serology for anti-RV16 antibodies 6. Living with someone with severe airways disease 7. Any of the following medical conditions: 1. Diabetes mellitus 2. Asthma 3. Chronic Obstructive Pulmonary Disease 4. Respiratory allergies 5. Sarcoidosis 6. Hyperparathyroidism 7. Nephrolithiasis 8. Active tuberculosis 9. Liver failure 10. Renal failure 11. Lymphoma or other malignancy not in remission for ≥ 3 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rhinovirus titres | +3 to +5 days after inoculation | PCR-detected rhinovirus-16 load sampled from the nasal mucosa |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory symptom score (Jackson Score) | +1 to +14 days after inoculation | Total self-reported respiratory symptom score (scored 0-32; increasing score equals increasing symptom severity) |
| Cytokine and chemokine concentrations | Day 0 and +4 days after inoculation | Change in concentrations of inflammatory mediators (Including, but not limited to IL-1β, IL-2, IL-4, IL-5, Il-6, IL- 7, IL-8 \[CXCL8\], IL-10, IL-12, IL-13, IL-15, IL-17, IL-1RA, IL-2R, IFN-α, IFN-γ, TNF-α, MCP-1 \[CCL2\], MIP- 1α \[CCL3\], MIP-1β \[CCL4\], RANTES \[CCL5\], eotaxin \[CCL11\], MIG \[CXCL9\], IP-10 \[CXCL10\], EGF, FGF-basic, HGF, VEGF, G-CSF, GM-CSF) |
| Change in level of vitamin D-regulated gene expression | Day 0 and +4 days after inoculation | Change in expression of DHCR7, CYP2R1, CYP3A4, CYP27A1, CYP27B1, CYP24A1, VDR, DBP, RXRA |
Countries
United Kingdom