Can Vitamin D Supplementation Prevent Bone Loss in Persons With Multiple Sclerosis

NCT ID: NCT00785473

Last Updated: 2011-09-05

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

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-01-31

Study Completion Date

2010-04-30

Brief Summary

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Several studies have shown that bone mineral density (BMD) at the femoral neck decreases with increasing physical handicap (EDSS-score) in MS patients. Possible explanations are less weightbearing exercise or less UV-exposure resulting in reduced vitamin D generation in the skin. Prevention of osteoporosis is a high priority, because treatment of the established disease remains sub-optimal.

We have designed a double-blind randomised controlled trial of two years' duration including 90-100 persons with MS age 18-50 to assess whether supplementation with vitamin D, given as a weekly dose of 20,000 IU cholecalciferol, can prevent bone loss.

The primary objective of this study is to determine changes in BMD over the 2 year study period comparing treatment and placebo groups.

The most important secondary objective is to determine cytokine profiles in blood samples. We will also assess parameters related to vitamin D status and physical performance.

Detailed Description

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Conditions

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Multiple Sclerosis, Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

cholecalciferol, calcium carbonate

Group Type ACTIVE_COMPARATOR

cholecalciferol

Intervention Type DIETARY_SUPPLEMENT

cholecalciferol capsules, 20,000 IU weekly for 2 years and calcium carbonate 500 mg daily

calcium carbonate

Intervention Type DIETARY_SUPPLEMENT

calcium carbonate 500 mg daily for 2 years

2

capsules not containing cholecalciferol, otherwise identical to Active comparator; calcium carbonate

Group Type PLACEBO_COMPARATOR

calcium carbonate

Intervention Type DIETARY_SUPPLEMENT

calcium carbonate 500 mg daily for 2 years

Interventions

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cholecalciferol

cholecalciferol capsules, 20,000 IU weekly for 2 years and calcium carbonate 500 mg daily

Intervention Type DIETARY_SUPPLEMENT

calcium carbonate

calcium carbonate 500 mg daily for 2 years

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Dekristol, Weifa-kalsium Weifa-kalsium

Eligibility Criteria

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Inclusion Criteria

* Age 18 to 50 years
* EDSS \< 4.0 (able to walk without rest some 500 m)
* Women have to be premenopausal
* MS according to the McDonald criteria; prepared and considered able to follow the protocol; using appropriate contraceptive methods (women of childbearing potential)
* Having given written informed consent.

Exclusion Criteria

* Pregnancy or unwillingness to use contraception; alcohol or drug abuse
* Use of glucocorticoid treatment other than intravenous methylprednisolone for treatment of relapses
* Known allergy to cholecalciferol or arachis oil (peanuts)
* Therapy with digitalis, calcitonin, active vitamin D3 analogues, fluoride, or bisphosphonates during the previous 12 months
* Any condition predisposing to hypercalcaemia
* Nephrolithiasis or renal insufficiency
* Presence of primary hyperparathyroidism, hyperthyroidism, or hypothyroidism in the year before the study began; a history of nephrolithiasis during the previous five years.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital of North Norway

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Margitta T Kampman, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital of North Norway

Locations

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University Hospital of North Norway

Tromsø, , Norway

Site Status

Countries

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Norway

References

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Holmoy T, Lindstrom JC, Eriksen EF, Steffensen LH, Kampman MT. High dose vitamin D supplementation does not affect biochemical bone markers in multiple sclerosis - a randomized controlled trial. BMC Neurol. 2017 Apr 4;17(1):67. doi: 10.1186/s12883-017-0851-0.

Reference Type DERIVED
PMID: 28376767 (View on PubMed)

Rosjo E, Lossius A, Abdelmagid N, Lindstrom JC, Kampman MT, Jorgensen L, Sundstrom P, Olsson T, Steffensen LH, Torkildsen O, Holmoy T. Effect of high-dose vitamin D3 supplementation on antibody responses against Epstein-Barr virus in relapsing-remitting multiple sclerosis. Mult Scler. 2017 Mar;23(3):395-402. doi: 10.1177/1352458516654310. Epub 2016 Jul 11.

Reference Type DERIVED
PMID: 27325604 (View on PubMed)

Kampman MT, Steffensen LH, Mellgren SI, Jorgensen L. Effect of vitamin D3 supplementation on relapses, disease progression, and measures of function in persons with multiple sclerosis: exploratory outcomes from a double-blind randomised controlled trial. Mult Scler. 2012 Aug;18(8):1144-51. doi: 10.1177/1352458511434607. Epub 2012 Feb 21.

Reference Type DERIVED
PMID: 22354743 (View on PubMed)

Steffensen LH, Jorgensen L, Straume B, Mellgren SI, Kampman MT. Can vitamin D supplementation prevent bone loss in persons with MS? A placebo-controlled trial. J Neurol. 2011 Sep;258(9):1624-31. doi: 10.1007/s00415-011-5980-6. Epub 2011 Mar 13.

Reference Type DERIVED
PMID: 21400196 (View on PubMed)

Other Identifiers

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EudraCT 2006-00427-11

Identifier Type: -

Identifier Source: secondary_id

MSvitD1

Identifier Type: -

Identifier Source: org_study_id

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