Low-Dose Fisetin Supplementation and Its Association With Chronic Inflammation in Middle-Aged and Older Adults: Study Protocol for a Triple-Blind, Randomised, Placebo-Controlled Trial
Published protocol (no results) for the first triple-blind placebo-controlled fisetin trial in adults aged 50+. It tests LOW-DOSE CONTINUOUS dosing (100 mg/day for 7 weeks) rather than the high intermittent pulses used in most senolytic protocols, and its primary endpoint is plasma suPAR - an inflammation and mortality-associated biomarker - rather than senescent-cell burden.
Evidence
4/10
Emerging Evidence
Sample
—
subjects
Duration
7 weeks
study period
Journal
Basic & Clinical Pharmacology & Toxicology
Sep 2026
Full Abstract
Systemic chronic inflammation contributes to the development of many age-related chronic diseases and represents a promising target for interventions aiming at promoting healthy aging. Fisetin is a naturally occurring flavonoid with anti-inflammatory, antioxidant and senolytic effects in vitro and in animal models, but evidence from randomised controlled trials in humans is limited. This study is a triple-blind, randomised, placebo-controlled trial designed to investigate the association between daily fisetin supplementation and changes in plasma soluble urokinase plasminogen activator receptor (suPAR) levels, as well as the occurrence and severity of adverse events, in generally healthy middle-aged and older adults, with exploratory evaluation of additional biomarkers and functional outcomes. Participants aged 50 and over will be randomised to receive 100 mg of oral fisetin or placebo once daily for 7 weeks. The primary outcome is the between-group difference in the change in plasma levels of suPAR from baseline to week 7. The secondary outcome is the between-group difference in the occurrence and severity of adverse events. Exploratory outcomes will evaluate other soluble and cellular biomarkers of inflammation, aging and cellular senescence, as well as measures of frailty, physical and cognitive function and subjective health.
Key Findings
- 01
Design: triple-blind, randomised, placebo-controlled; adults aged 50 and over
- 02
Intervention: 100 mg oral fisetin once daily for 7 weeks vs placebo - continuous low dose, not intermittent high-dose senolytic pulsing
- 03
Primary outcome: between-group change in plasma suPAR from baseline to week 7
- 04
Secondary outcome: occurrence and severity of adverse events
- 05
Exploratory: other inflammation, aging and cellular-senescence biomarkers, frailty, physical and cognitive function
- 06
Endpoint choice implicitly concedes that senescent-cell quantification in humans remains unreliable
Structured Methods
- Study Design
- clinical_trial_protocol
- Sample Size
- Not reported
- Study Duration
- 7 weeks
- Methodology
- Triple-blind randomised placebo-controlled trial protocol; generally healthy community-dwelling adults aged 50+; 7-week intervention; plasma suPAR as primary biomarker endpoint.
- Limitations
- This is a study PROTOCOL: no efficacy or safety results have been reported. The primary endpoint is a biomarker (suPAR), not a clinical outcome, and not a measure of senescent-cell burden. Duration is short (7 weeks), the population is generally healthy, and the dose is low and continuous, so results will not generalise to the high-dose intermittent regimens used in most clinics. Fisetin still has no positive controlled human outcome trial.
Citations & References
Juliette Tavenier, Magnus Berglind, Line Fleischer Hach, Louise Westberg Strejby Christensen, Jan Olof Nehlin, Morten Baltzer Houlind, et al. (2026). Low-Dose Fisetin Supplementation and Its Association With Chronic Inflammation in Middle-Aged and Older Adults: Study Protocol for a Triple-Blind, Randomised, Placebo-Controlled Trial. Basic & Clinical Pharmacology & Toxicology. https://doi.org/10.1111/bcpt.70290
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