CClinicalTrials.gg
CompletedNCT04866576ISUpdated Dec 9, 2025

Effect of a Fermented Soy Product on Cognition, Immune Status and Vaccine

An interventional study of Q CAN PLUS and Placebo in Cognitive Change, Inflammation and Immune Response, sponsored by Loma Linda University. Completed at 1 site in United States. Open to participants aged 65 Years to 80 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-09.

Sponsored by Loma Linda University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
65 Years to 80 Years
Sex
All
01

Study summary

The research study will test the effects of Q CAN PLUS powder on the immune, inflammatory and cognitive functions.

Read the detailed description

The purpose of this study is to determine the effects of a fermented soy product (Q-CAN), compared to placebo, on the immune, inflammatory and cognitive functions of elderly individuals. The study intervention will be four months in length. sixty two participants , 65 years or older will be randomized to participate in the study.

02

Conditions studied

  • Cognitive Change
  • Inflammation
  • Immune Response

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Keywords

  • Fermented Soy
  • Cognition
  • Inflammation
  • Immunity
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's enrollment of 62 is above the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Loma Linda University is the lead sponsor of 297 studies on the registry; 48 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 23 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Elderly men and women, 65 years of age or older
  • Ambulatory
  • Able to accommodate the intervention food products
  • Live in or around Loma Linda to be able to commute to the Nutrition Research Center

Exclusion criteria

Exclusion Criteria:

  • Intolerance to soy products
  • Immune system insufficiency or disease
  • Insulin dependent diabetes mellitus
  • Alzheimer's disease
  • Dialysis
  • Current cancer radiation or chemotherapy
  • Prednisone or Prednisolone Therapy greater than 10mg/d
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Experimental
    Q CAN PLUS POWDER

    QCAN PLUS POWDER: 2 pouches per day, each pouch contains (12-15 gms of fermented soy powder)

    Dietary Supplement: Q CAN PLUS

  • Placebo comparator
    Placebo

    Sprouted brown rice protein with flavor (provided by BESO Biological Research Inc.)

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementQ CAN PLUS

    Active powder with fermented soy, 2 pouches per day, each pouch contains 12-15 gms of fermented soy

  • Dietary supplementPlacebo

    Maltodextrin powder with Whey protein and flavor (provided by BESO Biological Research, Inc.)

06

What researchers measure

Primary outcomes

  1. Changes in immune status measurements

    Immune status measurements will be performed using both static and functional tests on whole blood, serum and peripheral blood mononuclear cells (PBMC). Phlebotomy to obtain the needed samples will be performed at baseline (week 0) and at 16 weeks. Changes in immune status include changes in: (a) lymphocyte activity and cytokine production (b) natural killer cells activity, (c) lymphocyte subsets, and (d) inflammatory markers and cytokines.

    Time frame: baseline to week 16

  2. Changes in lymphocyte activity and cytokine production

    Lymphocyte activity and cytokine production will be measured using enzyme-linked immunoassay (ELISA) and flow cytometry. Peripheral blood mononuclear cells (PBMCs) will be incubated and stimulated with or without phytohemagglutinin (PHA) or Lipopolysaccharide (LPS) and the culture supernatant fluids collected and assayed using ELISA for the following cytokines: granulocyte macrophage colony- stimulating Factor (GM-CSF), tumor necrosis factor alpha (TNF-α), interferon gamma (IFN-γ), interleukin 1 beta (IL-1β), interleukin 2 (IL-2), interleukin 6 (IL-6), and interleukin 10 (IL-10).

    Time frame: baseline to week 16

  3. Changes in lymphocyte subsets

    Immunophenotyping will be performed on cryopreserved PBMCs using a flow cytometry. The following markers will be measured: T cytotoxic cells (Tc; CD3+CD8+), T helper cells (Th; CD3+CD4+), B cells (CD19+), NK cells (NK; CD3-CD16+), and regulatory T cells (Treg; CD3+CD4+CD25+Foxp3+).

    Time frame: baseline to week 16

  4. Changes in inflammatory factors and cytokines

    Inflammatory markers in serum will be measured by ELISA and will include C-reactive protein (CRP), E-selectin, Pentraxin 3, Rantes, MCP-1 and Eotaxin. Immunophenotyping will be performed on cryopreserved PBMCs using a flow cytometry. The following markers will be measured: T cytotoxic cells (Tc; CD3+CD8+), T helper cells (Th; CD3+CD4+), B cells (CD19+), NK cells (NK; CD3-CD16+), and regulatory T cells (Treg; CD3+CD4+CD25+Foxp3+). Additional characterization of T cells based on naive and memory phenotypes will be determined by corresponding patterns in the expression of CD45RA, CD45RO and CD62L, while different subpopulations of Tregs will be further differentiated by expressions of GITR, CTLA-4 and LAG-3

    Time frame: baseline to week 16

  5. Changes in complete blood count (CBC) and differential count

    CBC and the differential counts will be performed on whole blood with the use of an automated hematology analyzer at a certified clinical facility. Immunophenotyping will be performed on cryopreserved PBMCs using a flow cytometry. The following markers will be measured: T cytotoxic cells (Tc; CD3+CD8+), T helper cells (Th; CD3+CD4+), B cells (CD19+), NK cells (NK; CD3-CD16+), and regulatory T cells (Treg; CD3+CD4+CD25+Foxp3+). Additional characterization of T cells based on naive and memory phenotypes will be determined by corresponding patterns in the expression of CD45RA, CD45RO and CD62L, while different subpopulations of Tregs will be further differentiated by expressions of GITR, CTLA-4 and LAG-3

    Time frame: baseline to week 16

Secondary outcomes

  1. Changes from baseline in global cognitive composite score

    The composite score will be calculated using the scores from the tests listed below. We will calculate the standardized scores of each test as the score of each participant minus the group mean and divide by its standard deviation. The composite score is the mean of the standardized scores. The 12 tests are: Rey Auditory Verbal Learning Test (RAVLT), Rey-Osterrieth Complex Figure (ROCF), Semantic Fluency (Animals), Boston Naming Test (BNT), Visual Object and Space Perception Battery (VOSP), Block Design section from the Wechsler Adult Intelligence Scale (WAIS-III), Trail Making Test (TMT), FAS Word Fluency, Stroop Color Word Test, Symbol Digit Modalities Test (SMDT) Digit Span from the WAIS-III and Conners Continuous Performance Test (CPT-II).

    Time frame: baseline to week 16

  2. Changes in the upper respiratory infection questionnaire score

    Upper respiratory tract infections will be tracked using the Jackson and Dowling questionnaire as adapted and published by Martineau et al. (2015). The questionnaire will be completed daily by participants, either manually or electronically, throughout the 20-week study period

    Time frame: baseline to week 16

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Study locations

1 site
  • Loma Linda University School of Public Health
    Loma Linda, California 92350, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04866576
Lead sponsor
Loma Linda University
Responsible party
Joan Sabate,DrPH, MD (MD, DrPH, Loma Linda University) — Principal investigator
First posted
Apr 30, 2021
Start date
Aug 12, 2021
Primary completion
Mar 1, 2022
Completion
Mar 1, 2022
Last update
Dec 9, 2025

Study contacts

Joan Sabate, DrPH
principal investigator · Loma Linda University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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