High Dose Vitamin D Study

NCT ID: NCT01150877

Last Updated: 2017-03-03

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

PHASE1/PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-01-31

Study Completion Date

2014-04-23

Brief Summary

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The purpose of this study is to investigate the therapeutic effect and the safety of high-dose vitamin D supplementation in metastatic colorectal cancer patients. We propose to supplement metastatic (stage 4) colorectal cancer patients with oral doses of vitamin D to raise serum 25-hydroxy-vitamin D \[25(OH)D\] levels to the high normal range of 200-250 nmol/L. The primary objective of this study is to evaluate the metabolic consequences, including tolerability and toxicity, of prolonged, high-dose physiological vitamin D in patients with colorectal cancer. The secondary objective is to evaluate patient survival with regards to high-dose vitamin D supplementation.

Hypothesis:

Whereas low doses of vitamin D reportedly play a significant role in prevention of colorectal cancers, do much larger (pharmacological) doses of vitamin D have a significant therapeutic effect against the same kind of cancer?

Detailed Description

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Metastatic (stage 4) colorectal cancer patients who were randomly assigned to the treatment arm of this study will be orally supplemented with high doses of vitamin D to achieve serum 25(OH)D concentrations of 200-250 nmol/L (80-100 ng/ml). Therefore, the supplementation dosage is not pre-set but will be determined on an individual basis. Vitamin D supplementation will be continued for 16 months, followed by a 12 month follow up period. Monthly monitoring of serum 25(OH)D and calcium levels will assure the safety of our treatment protocol. Subjects in the control arm of the study will be receiving standard cancer care at InspireHealth that includes supplementation with at least 2,000 International Units of vitamin D.

Conditions

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Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental Dietary Supplement (e.g., vitamins, minerals)

Experimental arm is supplemented with high-dose of vitamin D.

Group Type EXPERIMENTAL

Vitamin D

Intervention Type DRUG

We propose to study high-dose, oral vitamin D supplementation, raising serum 25-hydroxy-vitamin D (25(OH)D) concentrations to 200 -250 nmol/L, in metastatic colorectal cancer patients with safety, tolerability and survival as the main outcome measurements. The dose is not pre-set and will depend on the individual subjects' serum 25(OH)D concentration. Subjects will be supplemented for 16 months with a daily oral dose, followed by a 12 months follow-up period.

No Intervention

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Vitamin D

We propose to study high-dose, oral vitamin D supplementation, raising serum 25-hydroxy-vitamin D (25(OH)D) concentrations to 200 -250 nmol/L, in metastatic colorectal cancer patients with safety, tolerability and survival as the main outcome measurements. The dose is not pre-set and will depend on the individual subjects' serum 25(OH)D concentration. Subjects will be supplemented for 16 months with a daily oral dose, followed by a 12 months follow-up period.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> 18
* Histologically confirmed colon or rectal cancer
* Known metastatic disease (stage-4) confirmed histologically or radiologically
* Life expectancy of \>8 months
* May receive anti-neoplastic therapy at the discretion of their physician
* Stable metastatic disease defined as no change in systemic for the month before and the month after commencing study
* Signed informed consent

Exclusion Criteria

* Pregnant / lactating women
* Known hypersensitivity to vitamin D
* Pre-existing renal stone disease based on history
* Pre-existing hypercalcemia
* Severe renal or hepatic dysfunction (≥ 2x of the upper normal range)
* granulomatous disease (TB and sarcoid)
* unable to give informed consent in English (translations of study documents in languages other than English will not be provided)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lotte & John Hecht Memorial Foundation

OTHER

Sponsor Role collaborator

University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hal Gunn, MD

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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InspireHealth

Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

Related Links

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Other Identifiers

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H10-00028

Identifier Type: -

Identifier Source: org_study_id

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