Clinical Approaches to Correcting Vitamin D Inadequacy and Maintaining Adequacy

NCT ID: NCT00692120

Last Updated: 2015-10-05

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

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-02-28

Study Completion Date

2008-11-30

Brief Summary

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Vitamin D is available in two forms, vitamin D2 and vitamin D3. It has previously been assumed that these two forms maintain blood vitamin D equally. However, this may not be the case. This study will evaluate whether D2 and D3 produce equal elevation of blood vitamin D. Additionally, it will evaluate whether once per month vitamin D dosing is as effective in maintaining blood vitamin D levels as daily dosing.

Detailed Description

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Conditions

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Vitamin D Inadequacy Vitamin D Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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1

Group Type EXPERIMENTAL

Ergocalciferol (vitamin D2)

Intervention Type DIETARY_SUPPLEMENT

oral capsule 50,000 IU once monthly for 12 months

Placebo

Intervention Type DIETARY_SUPPLEMENT

oral placebo capsule once daily for 12 months

2

Group Type EXPERIMENTAL

Ergocalciferol (vitamin D2)

Intervention Type DIETARY_SUPPLEMENT

oral capsule 1600 IU once daily for 12 months

Placebo

Intervention Type DIETARY_SUPPLEMENT

oral placebo capsule once daily for 12 months

3

Group Type EXPERIMENTAL

Cholecalciferol (vitamin D3)

Intervention Type DIETARY_SUPPLEMENT

50,000 IU once monthly for 12 months

Placebo

Intervention Type DIETARY_SUPPLEMENT

oral placebo capsule once daily for 12 months

4

Group Type EXPERIMENTAL

Cholecalciferol (vitamin D3)

Intervention Type DIETARY_SUPPLEMENT

oral capsule 1600 IU once daily for 12 months

Placebo

Intervention Type DIETARY_SUPPLEMENT

oral placebo capsule once daily for 12 months

Interventions

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Cholecalciferol (vitamin D3)

50,000 IU once monthly for 12 months

Intervention Type DIETARY_SUPPLEMENT

Ergocalciferol (vitamin D2)

oral capsule 50,000 IU once monthly for 12 months

Intervention Type DIETARY_SUPPLEMENT

Ergocalciferol (vitamin D2)

oral capsule 1600 IU once daily for 12 months

Intervention Type DIETARY_SUPPLEMENT

Cholecalciferol (vitamin D3)

oral capsule 1600 IU once daily for 12 months

Intervention Type DIETARY_SUPPLEMENT

Placebo

oral placebo capsule once daily for 12 months

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. Community dwelling men and women age ≥ 65 years.
2. Able and willing to sign informed consent.
3. Serum 25OHD concentration ≥ 10 and less than 60 ng/ml by HPLC.
4. Willing to avoid use of cod-liver oil and non-study vitamin D supplementation; standard multiple vitamins containing ≤ 400 IU used no more than once daily will be allowed

Exclusion Criteria

1. Current hypercalcemia (serum calcium \> 10.5 mg/dl) or untreated primary hyperparathyroidism.
2. History of nephrolithiasis.
3. Screening 25OHD concentration ≥ 60 ng/ml.
4. Baseline 24-hour urine calcium \> 250 mg if female, \> 300 mg if male.
5. Known risk factors for hypercalcemia, e.g., malignancy, tuberculosis, sarcoidosis, Paget's disease
6. History of any form of cancer within the past five years with the exception of adequately treated squamous cell or basal cell skin cancer.
7. Renal failure defined as a calculated creatinine clearance (Cockroft-Gault method) ≤ 25 ml/minute
8. Severe end-organ disease, e.g., cardiovascular, hepatic, hematologic, pulmonary, etc., which may limit ability to complete the study
9. Known malabsorption syndromes, e.g., celiac disease, radiation enteritis, active inflammatory bowel disease, etc.
10. Use of medications known to alter bone turnover including bisphosphonates, estrogen, selective estrogen receptor modulators, PTH, testosterone or calcitonin
11. Vitamin D intake greater than 5,000 IU daily
12. Treatment with any active metabolites of vitamin D within six months of screening
13. Treatment with any drug which may interfere with vitamin D metabolism, e.g., phenobarbital, phenytoin.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Wisconsin, Madison

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Neil Binkley, MD

Role: PRINCIPAL_INVESTIGATOR

University of Wisconsin - Institute on Aging

Locations

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UW Osteoporosis Clinical and Research Program

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Binkley N, Gemar D, Engelke J, Gangnon R, Ramamurthy R, Krueger D, Drezner MK. Evaluation of ergocalciferol or cholecalciferol dosing, 1,600 IU daily or 50,000 IU monthly in older adults. J Clin Endocrinol Metab. 2011 Apr;96(4):981-8. doi: 10.1210/jc.2010-0015. Epub 2011 Feb 2.

Reference Type DERIVED
PMID: 21289249 (View on PubMed)

Other Identifiers

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2006-0013

Identifier Type: -

Identifier Source: org_study_id

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