Clinical Trial of Vitamin D3 to Reduce Cancer Risk in Postmenopausal Women
NCT ID: NCT01052051
Last Updated: 2019-07-24
Study Results
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Basic Information
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COMPLETED
PHASE2/PHASE3
2303 participants
INTERVENTIONAL
2009-06-30
2015-08-31
Brief Summary
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Detailed Description
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Primary: Increasing serum 25(OH)D from prevailing levels with vitamin D3 supplementation, while maintaining adequate calcium intake, will significantly decrease incidence of all-type cancer in a population sample of healthy postmenopausal women.
Secondary:
1. Increasing serum 25(OH)D from prevailing levels will significantly decrease incidence of specific cancers: breast, lung, colon, myeloma, leukemia, lymphoma.
2. Increasing serum 25OHD from prevailing levels will significantly decrease incidence of other disorders, specifically hypertension, cardiovascular disease, osteoarthritis, colonic adenomas, diabetes, upper respiratory infections and falls.
Specific Aims:
1. Determine the effect of supplementation with vitamin D3 on incidence of all types of cancer combined.
2. Determine in a nested-case control study the association of serum 25OHD collected at randomization and at the end of year one of study with risk of cancer over four years.
3. Sample randomly the population of healthy independently-living postmenopausal women 55 years and older from twelve adjacent rural counties in Nebraska.
4. Enroll a random sample of 2300 women into an intervention study, assign them randomly to one of two treatment groups: 1) vitamin D3 (2000 IU/d) and calcium (1500 mg/d), or 2) vitamin D3 placebo and calcium placebo, and to follow each study participant for four years.
5. Collect and store blood serum and white blood cells from every participant to test for genetic markers should the intervention be found effective in decreasing the incidence of cancer. Markers selected will be determined by the state of the science at the time of analysis.
6. Determine the effect of supplementation with calcium and vitamin D3 on incidence of specific cancers: breast, lung, colon, myeloma, leukemia, and lymphoma.
7. Determine the effect of supplementation on incidence of other disorders, specifically hypertension, cardiovascular disease, osteoarthritis, colonic adenomas, diabetes, upper respiratory infections, fractures, and falls.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
QUADRUPLE
Study Groups
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vitamin D3 and calcium carbonate
Daily vitamin D3 2000 IU/day and calcium carbonate 1500mg/day supplementation
Vitamin D3
Vitamin D3 2000 IU/daily
Calcium carbonate
Calcium carbonate 1500mg / daily
Placebo for vitamin D3 and calcium carbonate
Placebo for daily vitamin D3 and calcium carbonate
Vitamin D3
Vitamin D3 2000 IU/daily
Calcium carbonate
Calcium carbonate 1500mg / daily
Interventions
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Vitamin D3
Vitamin D3 2000 IU/daily
Calcium carbonate
Calcium carbonate 1500mg / daily
Eligibility Criteria
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Inclusion Criteria
* Last menstrual period (LMP): ≥ 4 years
* Good general health
* Willingness to participate in this 4 year long study
* Able to give informed consent
* Able to live independently and travel to the Fremont Area Medical Center (FAMC) for study visits
Exclusion Criteria
* Superficial basal or squamous cell carcinoma of the skin
* Other malignancies treated curatively more than 10 years ago
* History of renal calculi or chronic kidney disease
* History of sarcoidosis
* History of tuberculosis
* Participation in the previous Creighton cancer prevention study
* Mini-Mental Status Exam (MMSE) score of ≤ 23. Use the MMSE if there are any concerns about the person's cognitive abilities or ability to give fully informed consent to the study. Concerns may be related to a person's lack of orientation to person, place, or time; language difficulties (inability to structure simple, complete sentences); or short term memory. The Hartford Institute for Geriatric Nursing recommends that a score of 23 or lower indicates cognitive impairment. (Accessed at www.harforddign.org). See appendix.
55 Years
FEMALE
Yes
Sponsors
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National Institutes of Health (NIH)
NIH
National Cancer Institute (NCI)
NIH
Creighton University
OTHER
Responsible Party
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Joan Lappe
Professor of Nursing and Medicine
Principal Investigators
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Joan M Lappe, PhD
Role: PRINCIPAL_INVESTIGATOR
Creighton University
Locations
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Fremont Area Medical Center
Fremont, Nebraska, United States
Countries
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References
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Lappe J, Watson P, Travers-Gustafson D, Recker R, Garland C, Gorham E, Baggerly K, McDonnell SL. Effect of Vitamin D and Calcium Supplementation on Cancer Incidence in Older Women: A Randomized Clinical Trial. JAMA. 2017 Mar 28;317(12):1234-1243. doi: 10.1001/jama.2017.2115.
Other Identifiers
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CAPS08-15024
Identifier Type: -
Identifier Source: org_study_id
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