Trial Outcomes & Findings for Vitamin D3 for Aromatase Inhibitor Induced Arthralgias (NCT NCT00867217)

NCT ID: NCT00867217

Last Updated: 2018-02-09

Results Overview

Worsening of Musculoskeletal Symptoms (MS) is defined as any one of the following three events: (a) an increase by at least 0.25 in the Health Assessment Questionnaire II (HAQ II, a measure of disability from joint pain) score, (b) an increase in patient reported severity of joint and/or muscle pain, or (c) discontinuation from trial prior to 24 weeks specifically because of problems with musculoskeletal symptoms.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

160 participants

Primary outcome timeframe

Change from Baseline to 24 Weeks

Results posted on

2018-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
Placebo
Placebo (3 capsules of matching placebo given weekly) along with standard of care medication (Standard Dose Vitamin D3, 600 IU of vitamin D3 daily; letrozole, 2.5 mg daily) for 24 weeks.
Vitamin D
High Dose Vitamin D3 (3 capsules of 10,000 IU given weekly) along with standard of care medication (Standard Dose Vitamin D3, 600 IU of vitamin D3 daily; letrozole, 2.5 mg daily) for 24 weeks.
Overall Study
STARTED
80
80
Overall Study
COMPLETED
77
70
Overall Study
NOT COMPLETED
3
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Vitamin D3 for Aromatase Inhibitor Induced Arthralgias

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=80 Participants
Placebo (3 capsules of matching placebo weekly) along with standard of care medication (Standard Dose Vitamin D3, 600 IU of vitamin D3 daily; letrozole, 2.5 mg daily) for 24 weeks.
Vitamin D
n=80 Participants
High Dose Vitamin D3 (3 capsules of 10,000 IU weekly) along with standard of care medication (Standard Dose Vitamin D3, 600 IU of vitamin D3 daily; letrozole, 2.5 mg daily) for 24 weeks.
Total
n=160 Participants
Total of all reporting groups
Age, Customized
62 years
n=5 Participants
60.5 years
n=7 Participants
62 years
n=5 Participants
Sex: Female, Male
Female
80 Participants
n=5 Participants
80 Participants
n=7 Participants
160 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
White
75 Participants
n=5 Participants
77 Participants
n=7 Participants
152 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
80 participants
n=5 Participants
80 participants
n=7 Participants
160 participants
n=5 Participants

PRIMARY outcome

Timeframe: Change from Baseline to 24 Weeks

Population: Subjects available for analysis included those that had completed the entire study; plus three subjects that had dropped out early specifically because of side effects related to musculoskeletal symptoms (one of the endpoints).

Worsening of Musculoskeletal Symptoms (MS) is defined as any one of the following three events: (a) an increase by at least 0.25 in the Health Assessment Questionnaire II (HAQ II, a measure of disability from joint pain) score, (b) an increase in patient reported severity of joint and/or muscle pain, or (c) discontinuation from trial prior to 24 weeks specifically because of problems with musculoskeletal symptoms.

Outcome measures

Outcome measures
Measure
Placebo
n=77 Participants
Placebo (3 capsules of matching placebo) along with standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly for 24 weeks
Vitamin D
n=70 Participants
High Dose Vitamin D3 (3 capsules of 10,000 IU) capsules along with standard of care medication standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly for 24 weeks
Number of Participants With Worsening of Musculoskeletal Symptoms (MS)
HAQ II increase by 0.25
23 participants
18 participants
Number of Participants With Worsening of Musculoskeletal Symptoms (MS)
Subjective Pain increase
24 participants
18 participants
Number of Participants With Worsening of Musculoskeletal Symptoms (MS)
Discontinuation due to AEs
3 participants
0 participants
Number of Participants With Worsening of Musculoskeletal Symptoms (MS)
Any of the three measures
39 participants
26 participants

Adverse Events

Placebo

Serious events: 3 serious events
Other events: 67 other events
Deaths: 0 deaths

Vitamin D

Serious events: 3 serious events
Other events: 37 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=80 participants at risk
Placebo (3 capsules of matching placebo) along with standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly for 24 weeks
Vitamin D
n=80 participants at risk
High Dose Vitamin D3 (3 capsules of 10,000 IU) capsules along with standard of care medication standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly
Cardiac disorders
Cardiac Changes
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Nervous system disorders
CNS Ischemia
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Gastrointestinal disorders
Colitis
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Blood and lymphatic system disorders
Hemolysis
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Cardiac disorders
Supraventricular arryhthmia
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Skin and subcutaneous tissue disorders
Wound Complications
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.

Other adverse events

Other adverse events
Measure
Placebo
n=80 participants at risk
Placebo (3 capsules of matching placebo) along with standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly for 24 weeks
Vitamin D
n=80 participants at risk
High Dose Vitamin D3 (3 capsules of 10,000 IU) capsules along with standard of care medication standard of care medication (Standard Dose Vitamin D3; 600 IU of vitamin D3 daily) given weekly
Nervous system disorders
Arthralgia
5.0%
4/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
8.8%
7/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Nervous system disorders
Fatigue
11.2%
9/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
7.5%
6/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
General disorders
Hot Flashes
15.0%
12/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
3.8%
3/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Musculoskeletal and connective tissue disorders
Joint Function
11.2%
9/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
12.5%
10/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Musculoskeletal and connective tissue disorders
Joint Pain
20.0%
16/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
7.5%
6/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Gastrointestinal disorders
Nausea
3.8%
3/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
6.2%
5/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Nervous system disorders
Pain - Back
5.0%
4/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
3.8%
3/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Nervous system disorders
Pain - Hip
6.2%
5/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
1.2%
1/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
Nervous system disorders
Pain - Shoulder
6.2%
5/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.
0.00%
0/80 • 1 year, 9 months
Adverse events were collected either at routine clinical visits or by patient report during periodic phone calls.

Additional Information

Dr. Bruce Kimler

University of Kansas Medical Center

Phone: (913) 588-4523

Results disclosure agreements

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