Zurich Multiple Endpoint Vitamin D Trial in Knee OA Patients

NCT ID: NCT00599807

Last Updated: 2014-10-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

273 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2014-03-31

Brief Summary

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This is a 2-year double-blind randomized controlled trial in 287 community-dwelling individuals age 60 years or older undergoing uni-lateral total knee replacement due to severe OA of the knee.We compare an oral dose of 2000 IU vitamin D3 per day to 800 IU. The primary endpoints are pain and disability related to rehabilitation of the operated knee,and related to the expected high prevalence of OA in the contra-lateral knee. Secondary endpoints are change in 25(OH)D levels, muscle strength, balance, lower extremity function, the rate of falls, bone density and bone quality, bone metabolism, general pain, fall-related fractures, body composition, blood-pressure, major cardiovascular events, blood glucose-insulin levels, executive cognitive function, rate of upper respiratory tract infections / all infections, tooth loss, dental health, health care utilization, number and size of facial skin keratosis, and radiographic progression of the non-operated knee. Pain and disability will be assessed by the pain and function subscales of the Western Ontario- McMaster Universities Osteoarthritis Index (WOMAC). Randomization will be stratified by WOMAC function prior to surgery, radiological evidence for OA in the contra-lateral knee, and hospital. Clinical visits will take place at baseline (6-8 weeks after TKR), at 6, 12, 18 and 24 months of treatment. In addition, all individuals will receive a phone call every 2 month to assess adverse outcomes and compliance to treatment, supported by a hotline for immediate report of adverse events.

Statistical power: We expect more than 80% power with 200 participants completing their 24 month follow-up, and 260 participants completing their 12 month follow-up.

This is a trial with medicinal product.

Detailed Description

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Conditions

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Knee Osteoarthritis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1: 2000 IU D3/day

2000 IU vitamin D3 taken orally each day for 2 years

Group Type ACTIVE_COMPARATOR

Vitamin D3 (cholecalciferol)

Intervention Type DIETARY_SUPPLEMENT

the intervention is a dietary supplement comparing the current standard (800 IU) to the current safe upper limit (2000 IU)

2: 800 IU D3 / day

800 IU vitamin D3 taken orally each day for 2 years

Group Type ACTIVE_COMPARATOR

Vitamin D3 (cholecalciferol)

Intervention Type DIETARY_SUPPLEMENT

the intervention is a dietary supplement comparing the current standard (800 IU) to the current safe upper limit (2000 IU)

Interventions

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Vitamin D3 (cholecalciferol)

the intervention is a dietary supplement comparing the current standard (800 IU) to the current safe upper limit (2000 IU)

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Unilateral knee replacement due to knee osteoarthritis
* Age 60+ years
* German language skills
* community dwelling

Exclusion Criteria

* Bi-lateral knee replacement or hip replacement planned in the trial period, or in the previous 6 months
* Chronic steroid intake
* Serum calcium corrected for serum albumin \> 2.6 mmol/l
* GFR \< 30 ml/min
* Severe visual or hearing impairment
* Inflammatory arthritis
* Malabsorption
* High alcohol intake
* Sarcoidosis, primary hyperparathyroidism
* History of kidney stones, lymphoma
* Chemotherapy for cancer in the previous 12 months
* Hemiplegia
* Morbus Parkinson
* Unable to walk 3 meters prior to surgery
* Bisphosphonate, parathyroid hormone , fluoride or calcitonine therapy in the last 6 months
* Zolendronate in the last year
* M. Paget (Ostitis deformans)
* Vitamin D3 intake more than 800IU/d over more than 1 month
* stay on a sunny location for more than 6 weeks per year
* heart failure
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Harvard School of Public Health (HSPH)

OTHER

Sponsor Role collaborator

Tufts University

OTHER

Sponsor Role collaborator

Boston University

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Heike Bischoff-Ferrari, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University Hospital Zurich, Centre on Aging and Mobility

Locations

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University Hospital Zurich, Centre on Aging and Mobility

Zurich, Canton of Zurich, Switzerland

Site Status

Countries

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Switzerland

References

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Braendle K, Egli A, Bischoff-Ferrari H, Freystaetter G. Does living alone influence fall risk among Swiss older adults aged 60+? A pooled observational analysis of three RCTs on fall prevention. BMJ Open. 2024 May 20;14(5):e081413. doi: 10.1136/bmjopen-2023-081413.

Reference Type DERIVED
PMID: 38772577 (View on PubMed)

Abderhalden LA, Meyer S, Dawson-Hughes B, Orav EJ, Meyer U, de Godoi Rezende Costa Molino C, Theiler R, Stahelin HB, Ruschitzka F, Egli A, Forman JP, Willett WC, Bischoff-Ferrari HA. Effect of daily 2000 IU versus 800 IU vitamin D on blood pressure among adults age 60 years and older: a randomized clinical trial. Am J Clin Nutr. 2020 Sep 1;112(3):527-537. doi: 10.1093/ajcn/nqaa145.

Reference Type DERIVED
PMID: 32542307 (View on PubMed)

Freystaetter G, Fischer K, Orav EJ, Egli A, Theiler R, Munzer T, Felson DT, Bischoff-Ferrari HA. Total Serum Testosterone and Western Ontario and McMaster Universities Osteoarthritis Index Pain and Function Among Older Men and Women With Severe Knee Osteoarthritis. Arthritis Care Res (Hoboken). 2020 Nov;72(11):1511-1518. doi: 10.1002/acr.24074.

Reference Type DERIVED
PMID: 31557423 (View on PubMed)

Schietzel S, Fischer K, Brugger P, Orav EJ, Renerts K, Gagesch M, Freystaetter G, Stahelin HB, Egli A, Bischoff-Ferrari HA. Effect of 2000 IU compared with 800 IU vitamin D on cognitive performance among adults age 60 years and older: a randomized controlled trial. Am J Clin Nutr. 2019 Jul 1;110(1):246-253. doi: 10.1093/ajcn/nqz081.

Reference Type DERIVED
PMID: 31152541 (View on PubMed)

Other Identifiers

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2007DR4347

Identifier Type: OTHER

Identifier Source: secondary_id

PP00B-114864

Identifier Type: -

Identifier Source: org_study_id

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