UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062368
Receipt number R000071377
Scientific Title Study of the effects of high-intensity training on mucosal immunity, oxidative stress, inflammatory indicators and exercise ability in different stages of menstrual cycle and related nutrition strategies
Date of disclosure of the study information 2026/07/28
Last modified on 2026/07/28 18:32:34

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Basic information

Public title

Effects of Chronic Glutamine Supplementation with Menstruation-Timed Iron and Vitamin C on Salivary Immune Markers and Countermovement Jump Performance in Physically Active Women

Acronym

Glutamine Iron Menstruation Trial

Scientific Title

Study of the effects of high-intensity training on mucosal immunity, oxidative stress, inflammatory indicators and exercise ability in different stages of menstrual cycle and related nutrition strategies

Scientific Title:Acronym

Glutamine, Iron and Vitamin C Supplementation in Physically Active Women

Region

Asia(except Japan)


Condition

Condition

Salivary mucosal immune responses and countermovement jump performance following resistance exercise in healthy physically active women with regular menstrual cycles

Classification by specialty

Not applicable Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To determine whether chronic glutamine supplementation combined with menstruation-timed iron and vitamin C supplementation increases resting salivary secretory immunoglobulin A and lactoferrin secretion rates, maintains these responses following acute resistance exercise, and improves countermovement jump performance in physically active women with regular menstrual cycles.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Co-primary outcomes were salivary secretory immunoglobulin A (SIgA) secretion rate and salivary lactoferrin (LF) secretion rate, measured using sandwich enzyme-linked immunosorbent assays and calculated as salivary concentration multiplied by salivary flow rate (ug/min). Outcomes were assessed before the supplementation intervention (Pre-rest), after the supplementation intervention immediately before exercise (Post-rest), immediately after the acute resistance exercise session (Post-T0), and 60 minutes after exercise (Post-T60). The primary intervention effect was assessed using the group-by-time interaction across the four measurement time points.

Key secondary outcomes

Secondary outcomes were salivary total protein concentration, salivary nitrite concentration, salivary flow rate, salivary cortisol concentration, salivary testosterone concentration, testosterone-to-cortisol ratio, and countermovement jump performance outcomes, including jump height, peak concentric power, peak concentric force, and reactive strength index-modified. These outcomes were assessed before the supplementation intervention (Pre-rest), after the supplementation intervention immediately before exercise (Post-rest), immediately after exercise (Post-T0), and 60 minutes after exercise (Post-T60). Salivary estradiol and progesterone concentrations were also assessed at Pre-rest and Post-rest to verify comparability of the menstrual-cycle phase between the two assessment sessions.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Food

Interventions/Control_1

Participants consumed L-glutamine powder at a dose of 0.3 g/kg body mass/day, beginning after the baseline mid-luteal assessment and continuing until the day before the post-intervention mid-luteal assessment in the subsequent menstrual cycle. Beginning on the first day of the intervening menstrual bleeding, participants also consumed one capsule daily for 7 consecutive days. Each capsule provided 20 mg elemental iron as ferrous bisglycinate, 50 mg vitamin C, 290 ug folic acid, and 1.7 ug vitamin B12. All products were consumed with water immediately after waking.

Interventions/Control_2

Participants consumed maltodextrin powder at a dose matched to the body-mass-adjusted dose used in the supplement group. They also consumed one placebo capsule containing maltodextrin daily for 7 consecutive days, beginning on the first day of the intervening menstrual bleeding. The placebo products followed the same administration schedule and were identical in external appearance and packaging to the active products. All products were consumed with water immediately after waking.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

30 years-old >=

Gender

Female

Key inclusion criteria

1. Naturally menstruating women with regular menstrual cycles lasting 21 to 35 days during the 3 months preceding enrolment.
2. At least 6 months of regular exercise experience.
3. Willing and able to maintain usual training routines throughout the study.
4. Able to provide written informed consent and comply with the supplementation, menstrual-cycle tracking, exercise testing, and saliva collection procedures.

Key exclusion criteria

1. Use of hormonal contraceptives within the 3 months before enrolment.
2. Menstrual disorders, amenorrhea, or severe premenstrual symptoms during the previous 3 months.
3. Musculoskeletal injury within the preceding 3 months.
4. Use of medications or dietary supplements other than the study supplements during the experimental period.
5. Menstrual bleeding occurring outside the predefined mid-luteal-phase confirmation window after assessment.

Target sample size

24


Research contact person

Name of lead principal investigator

1st name Shih-Hua
Middle name
Last name Fang

Organization

National Taiwan University of Sport

Division name

Department of Sport Performance

Zip code

404401

Address

No. 16, Sec. 1, Shuangshi Rd., North Dist., Taichung City, Taiwan

TEL

8864222131082176

Email

shfang@ntus.edu.tw


Public contact

Name of contact person

1st name Cheng-Shiun
Middle name
Last name He

Organization

National Chung Cheng University

Division name

Department of Athletics Sports

Zip code

621301

Address

No. 168, Sec. 1, University Rd., Minxiong Township, Chiayi County, Taiwan

TEL

8865272041137523

Homepage URL


Email

cshe@ccu.edu.tw


Sponsor or person

Institute

National Taiwan University of Sport

Institute

Department

Personal name



Funding Source

Organization

National Science and Technology Council, Taiwan

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization

Taiwan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Institutional Review Board, Jen-Ai Hospital

Address

483 Dong Rong Rd., Dali District, Taichung City 412, Taiwan

Tel

+886-4-2482-1771

Email

jahirb@mail.jah.org.tw


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

National Taiwan University of Sport (Taichung, Taiwan)


Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 28 Day


Related information

URL releasing protocol

https://katsu.suzu.w.waseda.jp/ISEI2026_Tokyo.html

Publication of results

Unpublished


Result

URL related to results and publications

https://katsu.suzu.w.waseda.jp/ISEI2026_Scientific%20Program_Updated%20regularly.pdf

Number of participants that the trial has enrolled

42

Results

The trial has been completed, and all prespecified outcomes have been analyzed. The combined nutritional supplementation intervention was associated with changes in selected salivary mucosal immune markers, whereas no clear intervention effect was observed for countermovement jump performance. No supplementation-related adverse events were reported. Detailed findings are being prepared for submission to a peer-reviewed journal.

Results date posted

2026 Year 07 Month 28 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Thirty-six physically active women with regular menstrual cycles were included in the final analyses, with 17 participants in the supplement group and 19 in the placebo group. The groups were comparable in age, anthropometric characteristics, menstrual cycle duration, exercise habits, and strength characteristics at baseline.

Participant flow

Forty-eight women were assessed for eligibility. Six did not proceed to randomization, including five who withdrew for personal reasons and one who could not be contacted. Forty-two participants were randomized equally to the supplement and placebo groups. During follow-up, four participants in the supplement group and two in the placebo group were excluded because menstruation occurred outside the predefined study window. Therefore, 36 participants were included in the final analyses: 17 in the supplement group and 19 in the placebo group.

Adverse events

No adverse events related to the supplementation protocol were reported.

Outcome measures

Primary outcomes were salivary secretory immunoglobulin A secretion rate and salivary lactoferrin secretion rate. Secondary outcomes included salivary total protein concentration, nitrite concentration, salivary flow rate, salivary cortisol, salivary testosterone, testosterone-to-cortisol ratio, and countermovement jump outcomes including jump height, peak force, peak power, and reactive strength index-modified. Outcomes were assessed before supplementation, after supplementation before exercise, immediately after resistance exercise, and 60 minutes after exercise. Salivary estradiol and progesterone were assessed before and after the intervention to verify menstrual-cycle phase comparability.

Plan to share IPD

Individual participant data will not be publicly shared.

IPD sharing Plan description

De-identified individual participant data will not be made publicly available. Data may be considered for sharing upon reasonable request to the corresponding author, subject to approval by the research team and relevant ethics and institutional requirements.


Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 01 Month 12 Day

Date of IRB

2023 Year 02 Month 22 Day

Anticipated trial start date

2024 Year 03 Month 01 Day

Last follow-up date

2024 Year 06 Month 24 Day

Date of closure to data entry

2025 Year 08 Month 20 Day

Date trial data considered complete

2025 Year 08 Month 25 Day

Date analysis concluded

2025 Year 08 Month 28 Day


Other

Other related information



Management information

Registered date

2026 Year 07 Month 28 Day

Last modified on

2026 Year 07 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071377