Vitamin D Replacement After Kidney Transplant

NCT ID: NCT00748618

Last Updated: 2024-10-26

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

116 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-01

Study Completion Date

2023-06-08

Brief Summary

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Vitamin D deficiency accelerates vascular risk progression after kidney transplant.

Detailed Description

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This trial will assess the following aims:

1. Time to plateau vitamin D concentrations after initiating vitamin D supplements
2. Safety of vitamin D replacement based on serum and urine calcium
3. Effect of vitamin D on PTH concentration in individuals with elevated parathyroid hormone
4. Effect of vitamin D on markers of insulin resistance and inflammation

Conditions

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Kidney Transplantation 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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Standard vitamin treatment

10,000 I.U. of vitamin D3 weekly

Group Type OTHER

Standard vitamin D3 treatment

Intervention Type DIETARY_SUPPLEMENT

10,000 I.U./wk of vitamin D3 orally for 6 months

50,000 I.U. of vitamin D3

50,000 I.U. of vitamin D3 weekly

Group Type ACTIVE_COMPARATOR

High dose vitamin D3 treatment

Intervention Type DIETARY_SUPPLEMENT

50,000 I.U./wk of vitamin D3 orally for 6 months

Interventions

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Standard vitamin D3 treatment

10,000 I.U./wk of vitamin D3 orally for 6 months

Intervention Type DIETARY_SUPPLEMENT

High dose vitamin D3 treatment

50,000 I.U./wk of vitamin D3 orally for 6 months

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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D3, vitamin D

Eligibility Criteria

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Inclusion Criteria

* Kidney transplant more than 6 months ago
* 19 years or older
* 25-hydroxy vitamin D ≤35 ng/ml

Exclusion Criteria

* Estimated Glomerular filtration rate (GFR) \<30 ml/min/1.73m²
* Previous small bowel or lung transplant
* Pancreas transplant less than 6 months ago
* Cancer or any condition that would change their weight dramatically in the near future such as malabsorption
* Willing to return for testing every two months
* Women who are pregnant or \< 6 weeks postpartum
* Calcium \> 10.5 mg/dl
* Phosphate \> 4.8 mg/dl
* Drinking more than 2 alcohol drinks a day or 14 drinks per week
* History of parathyroid surgery
* Known granulomatous disease
* Taking any seizure medication that affects vitamin D
* Taking Zemplar ® and/or Rocaltrol ®
* History of kidney stones in the past 20 years
* Not on a stable dose of bisphosphonate for the past three months
* Planning on a pancreas transplant within the next year
* In any other research study
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Nebraska

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jennifer L Larsen, MD

Role: PRINCIPAL_INVESTIGATOR

University of Nebraska

Locations

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University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

Countries

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United States

Other Identifiers

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0382-08-FB

Identifier Type: -

Identifier Source: org_study_id

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