Trial Outcomes & Findings for Vitamin D Levels in Children With IBD (NCT NCT00621257)

NCT ID: NCT00621257

Last Updated: 2017-03-22

Results Overview

Change in serum 25OHD levels after treatment with vitamin D formulations for 6 weeks in pediatric patients with inflammatory bowel disease. 25OHD is the most abundant vitamin D metabolite, which is bound to vitamin D binding protein. The measurement of its concentration in serum, reflects vitamin D stores.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

134 participants

Primary outcome timeframe

6 weeks

Results posted on

2017-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment A
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Maintenance A
400 IU/day of vitamin D2 orally over 2 years (control arm) ergocalciferol: 8000 units/ml
Maintenance B
2,000 IU/day of vitamin D2 orally from November 1 to April 30, and 1,000 IU/day of vitamin D2 orally for the remainder of the year over 2 years ergocalciferol: 8000 units/ml
Overall Study
STARTED
24
24
23
32
31
Overall Study
COMPLETED
20
21
20
26
22
Overall Study
NOT COMPLETED
4
3
3
6
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment A
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Maintenance A
400 IU/day of vitamin D2 orally over 2 years (control arm) ergocalciferol: 8000 units/ml
Maintenance B
2,000 IU/day of vitamin D2 orally from November 1 to April 30, and 1,000 IU/day of vitamin D2 orally for the remainder of the year over 2 years ergocalciferol: 8000 units/ml
Overall Study
Lost to Follow-up
4
0
2
4
7
Overall Study
Adverse Event
0
1
1
0
0
Overall Study
Physician Decision
0
2
0
1
1
Overall Study
Withdrawal by Subject
0
0
0
1
1

Baseline Characteristics

Vitamin D Levels in Children With IBD

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment A
n=24 Participants
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
n=24 Participants
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
n=23 Participants
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Maintenance A
n=32 Participants
400 IU/day of vitamin D2 orally over 2 years (control arm) ergocalciferol: 8000 units/ml
Maintenance B
n=31 Participants
2,000 IU/day of vitamin D2 orally from November 1 to April 30, and 1,000 IU/day of vitamin D2 orally for the remainder of the year over 2 years ergocalciferol: 8000 units/ml
Total
n=134 Participants
Total of all reporting groups
Age, Continuous
15.9 years
STANDARD_DEVIATION 3 • n=5 Participants
14.7 years
STANDARD_DEVIATION 3.5 • n=7 Participants
16.3 years
STANDARD_DEVIATION 3.2 • n=5 Participants
15.1 years
STANDARD_DEVIATION 3.1 • n=4 Participants
14.5 years
STANDARD_DEVIATION 3.1 • n=21 Participants
15.2 years
STANDARD_DEVIATION 3.2 • n=10 Participants
Sex: Female, Male
Female
10 Participants
n=5 Participants
14 Participants
n=7 Participants
9 Participants
n=5 Participants
19 Participants
n=4 Participants
17 Participants
n=21 Participants
69 Participants
n=10 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
10 Participants
n=7 Participants
14 Participants
n=5 Participants
13 Participants
n=4 Participants
14 Participants
n=21 Participants
65 Participants
n=10 Participants

PRIMARY outcome

Timeframe: 6 weeks

Change in serum 25OHD levels after treatment with vitamin D formulations for 6 weeks in pediatric patients with inflammatory bowel disease. 25OHD is the most abundant vitamin D metabolite, which is bound to vitamin D binding protein. The measurement of its concentration in serum, reflects vitamin D stores.

Outcome measures

Outcome measures
Measure
Treatment A
n=24 Participants
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
n=24 Participants
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
n=23 Participants
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Treatment of Low 25 Hydroxy Vitamin D Levels in Pediatric Patients With Inflammatory Bowel Disease
9.3 ng/ml
Standard Deviation 1.8
16.4 ng/ml
Standard Deviation 2.0
25.4 ng/ml
Standard Deviation 2.5

SECONDARY outcome

Timeframe: 12 months

Percentage of pediatric patients with inflammatory bowel disease who maintained their serum 25OHD level at or above 32 ng/mL at all study visits over the duration of the maintenance study 25OHD is the most abundant vitamin D metabolite, which is bound to vitamin D binding protein. The measurement of its concentration in serum, reflects vitamin D stores. Concentration at or above 32 ng/mL has been identified as optimal vitamin D level for bone health by majority of experts.

Outcome measures

Outcome measures
Measure
Treatment A
n=32 Participants
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
n=31 Participants
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Maintenance of 25 Hydroxy Vitamin D Levels in Pediatric Patients With Inflammatory Bowel Disease
3 Participants
3 Participants

Adverse Events

Treatment A

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Treatment B

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Treatment C

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Maintenance A

Serious events: 0 serious events
Other events: 19 other events
Deaths: 0 deaths

Maintenance B

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A
n=24 participants at risk
2,000 IU/day of vitamin D2 orally for 6 weeks (control arm) ergocalciferol: 8000 units/ml
Treatment B
n=24 participants at risk
2,000 IU/day of vitamin D3 orally for 6 weeks Cholecalciferol: 400 units per drop
Treatment C
n=23 participants at risk
50,000 IU of vitamin D2 once a week orally for 6 weeks ergocalciferol: 8000 units/ml
Maintenance A
n=32 participants at risk
400 IU per day of oral vitamin D2 ergocalciferol 8000 IU/ml
Maintenance B
n=31 participants at risk
1,000 IU of oral vitamin D2 per day from May to October and 2,000 IU of oral vitamin D2 per day of oral vitamin D2 per day from November to April ergocalciferol 8000 IU/ml
Gastrointestinal disorders
Constipation
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.2%
2/32 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.9%
4/31 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Nervous system disorders
Drowsiness
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.5%
4/32 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
16.1%
5/31 • Number of events 5 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Musculoskeletal and connective tissue disorders
Bone pain
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
9.4%
3/32 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.5%
2/31 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Musculoskeletal and connective tissue disorders
Muscle pain
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
9.4%
3/32 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/31 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
Dry mouth
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
15.6%
5/32 • Number of events 5 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
9.7%
3/31 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Nervous system disorders
headache
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
15.6%
5/32 • Number of events 5 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.5%
2/31 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Nervous system disorders
Increased thirst
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
8.3%
2/24 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.5%
4/32 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
16.1%
5/31 • Number of events 5 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Renal and urinary disorders
Increased urination
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.2%
2/32 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Skin and subcutaneous tissue disorders
itching skin
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
8.3%
2/24 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.2%
2/32 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Cardiac disorders
irregular heart beat
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/32 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/31 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
Loss of appetite
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
8.3%
2/24 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.5%
4/32 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.5%
2/31 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
Nausea
12.5%
3/24 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
8.7%
2/23 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
15.6%
5/32 • Number of events 5 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.9%
4/31 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
Vomiting
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
9.4%
3/32 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Eye disorders
sensitive eyes
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.1%
1/32 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
abdominal pain
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.3%
1/23 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/32 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/31 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Skin and subcutaneous tissue disorders
Rash on face and body
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
4.2%
1/24 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/32 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/31 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
General disorders
Unusual tiredness, or weakness
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
12.5%
4/32 • Number of events 4 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
9.7%
3/31 • Number of events 3 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Gastrointestinal disorders
Metallic taste
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
6.2%
2/32 • Number of events 2 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
Skin and subcutaneous tissue disorders
Calcium deposit in tissues outside of bones
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/24 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/23 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
0.00%
0/32 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.
3.2%
1/31 • Number of events 1 • 6 weeks while participant was on study medication for treatment trial
For 1 year, while participant was on study medication for the maintenance trial.

Additional Information

Helen Pappa, MD, MPH, Principal Investigator

children's Hospital Boston

Phone: 617-355-6058

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place