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Vitamin D has been known to influence immune response through Vitamin D Receptor in Immune Cells, but only few has been known about the effect alfacalcidol, a vitamin D analog to immune system. In elderly, immune disregulation or immunosenecence have great impact to infection response. This study is aimed to determine the effect of alfacalcidol supplementation in vitro and in vivo to respiratory infection incidence and inflammatory markers, as well as T cell lymphocyte subset in Indonesian elderly patients.
This study consist of 2 designs. First is in vitro study to investigate the effect of alfacalcidol supplementation to IL-6, IL-10 and IFN gamma regulation in Peripheral Blood Mononuclear Cells (PBMC) of elderly and second design is randomised controlled trial to evaluate the effect of 3 months supplementation of alfacalcidol 0,5 mcg in respiratory infection, antibiotic use, inflammatory markers, CD4/CD8 ratio and CD8+ CD28+ in Indonesian elderly with various level of frailty syndrome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Alfacalcidol | Experimental | Alfacalcidol 0,5 mcg once daily for 90 days |
|
| Placebo | Placebo Comparator | Amylum same capsule form, weight and colour with treatment arm |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alfacalcidol | Drug | alfacalcidol 0,5 mcg |
|
| Measure | Description | Time Frame |
|---|---|---|
| upper respiratory tract infection incidence | incidence of URTI | 90 days |
| lower respiratory tract infection incidence | incidence of LRTI | 90 days |
| Measure | Description | Time Frame |
|---|---|---|
| inflammatory markers | IL6, IL10 and IFN gamma in PBMC | day 90 |
| T cell subset | CD4/CD8 ratio, CD8+ CD28- percentage | day 90 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Aulia Rizka, MD | Contact | +628125265600 | dr.auliarizka@yahoo.co.id | |
| Aulia Rizka, MD | Contact |
| Name | Affiliation | Role |
|---|---|---|
| Aulia Rizka, MD | Universitas Indonesia / Cipto Mangunkusumo Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cipto Mangunkusumo National Hospital | Recruiting | Jakarta | Indonesia |
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| ID | Term |
|---|---|
| C008088 | alfacalcidol |
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| antibiotic use | any antibiotic prescribed by physician | 90 days |