Vitamin D, Diet and Activity Study

NCT ID: NCT01240213

Last Updated: 2013-08-07

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

NA

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2012-09-30

Brief Summary

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Experimental and human data suggests that vitamin D could protect against breast cancer. Overweight/obese individuals are at increased risk of low vitamin D levels. Vitamin D may reduce production of fat tissue, thereby reducing weight gain, which would result in lower levels of adipose-derived hormones and other breast cancer risk factors.The purpose of this study is to test the effect of vitamin D supplementation on the response to a weight loss (diet + exercise) intervention and select breast cancer risk factors in overweight and obese postmenopausal women with low blood vitamin D levels.

Detailed Description

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Objective: To test the incremental effect of vitamin D supplementation (2000 IU/day) in 228 overweight and obese postmenopausal women with low blood vitamin D levels on response to a weight loss (diet + exercise) intervention in a double-blind placebo-controlled clinical trial.

Primary Aim:

• Determine the effects of 12-months vitamin D supplementation vs. placebo on weight loss in women following a weight loss diet and exercise program.

Secondary Aims:

* Determine the effects of 12-months vitamin D vs. placebo on blood biomarkers associated with increased breast cancer risk (insulin, glucose, CRP).
* Test 12-months vitamin D effects on muscle strength as measured by 1RM leg press and bench press in women undergoing weight loss.
* Test the effect of 12-month vitamin D supplementation on effects on quality of life (QOL) in women undergoing weight loss.

Additional Aims:

* In a 50% subset of women, test the effect of 12-month vitamin D supplementation vs. placebo on breast epithelial cell cytomorphology (quantified by the Masood cytology index) obtained through random periareolar fine needle aspiration (RPFNA).
* Collect subcutaneous abdominal fat aspirations in the 50% subsample of women.

OUTLINE: This is a randomized study. Participants are stratified according to body mass index (\< 30 vs ≥ 30) and RPFNA-consent. All participants will receive a 6-month weight loss intervention (prescribed weight loss goal of 10% of initial body weight) followed by 6 months' maintenance therapy.

Baseline, 6-, and 12-month measurements will include weight, BMI, waist and hip circumference, serum 25-hydroxyvitamin D, fasting blood samples, and questionnaires on details of diet especially items containing vitamin D, physical activity levels, sun exposure including clothing and sunscreen habits, dietary supplement and vitamin use, and medications.

Conditions

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Breast Cancer Obesity Hypovitaminosis D

Keywords

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Vitamin D lifestyle intervention postmenopausal women

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Vitamin D

2000 IU per day of Vitamin D

Group Type ACTIVE_COMPARATOR

Vitamin D

Intervention Type DIETARY_SUPPLEMENT

2000 IU per day of Vitamin D

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

1 Placebo per day

Interventions

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Vitamin D

2000 IU per day of Vitamin D

Intervention Type DIETARY_SUPPLEMENT

Placebo

1 Placebo per day

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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calciferol Sugar pill

Eligibility Criteria

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Inclusion Criteria

* Age 50-75 years
* Postmenopausal (no periods for past 12 months)
* Screening serum vitamin D (25(OH)D) between 10 and 32 ng/mL ("insufficient")
* No menopausal HRT use of any type including vaginal X 6 months and willing to avoid use for study duration
* BMI \> 25.0 kg/m2 (\> 23.0 for Asians)
* Physically able to undertake a calorie reduction and exercise program
* Able to come for clinic visits, classes, and measurements, fill out questionnaires and logs in English
* Gives informed consent, agrees to be randomly assigned

Exclusion Criteria

* Currently using more that 400 IU vitamin D from supplemental sources
* Screening vitamin D level \< 10 ng/mL (will be referred to primary provider) or \> 32 ng/mL (already sufficient)
* Osteoporosis
* Renal disease, history of kidney stones
* Any contra-indications to taking vitamin D 2000 IU/day
* Plans to leave the study area within the follow-up period
* Plans to join another organized weight loss program or take appetite suppressant medication during the study period
* History of bariatric surgery
* Current use of medications likely to interfere with adherence to interventions or study outcomes
* Current smoker
* Personal history of invasive or in situ breast cancer
* Personal history of invasive cancer other than breast: except for non- melanoma skin cancer which would be eligible
* Diabetes mellitus
* Abnormalities on screening physical that contraindicate participation
* Severe congestive heart failure per NYHA criteria 3 \& 4
* Contraindications for entry into a research exercise program: recent (within 6 months) myocardial infarction, pulmonary edema, myocarditis, pericarditis, unstable angina, pulmonary embolism, deep vein thrombosis, uncontrolled hypertension (systolic \> 200, diastolic \> 100), orthostatic hypotension, moderate/severe aortic stenosis, uncontrolled arrythmia, uncontrolled congestive heart failure, left bundle branch block, history of cardiac arrest or stroke
* Alcohol or drug abuse, significant mental illness (as assessed by study staff impression)
* For the RPFNA/adipose tissue substudy: bilateral breast cancer, bilateral mastectomy, unable or unwilling to stop aspirin or NSAIDs for 1 week before and after the procedure, allergy to anesthetics or local anesthetics.
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Fred Hutchinson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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FHCRC

Principal Investigators

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Anne McTiernan, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Fred Hutchinson Cancer Center

Locations

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Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Mason C, de Dieu Tapsoba J, Duggan C, Wang CY, Korde L, McTiernan A. Repletion of vitamin D associated with deterioration of sleep quality among postmenopausal women. Prev Med. 2016 Dec;93:166-170. doi: 10.1016/j.ypmed.2016.09.035. Epub 2016 Sep 28.

Reference Type DERIVED
PMID: 27687537 (View on PubMed)

Mason C, Tapsoba JD, Duggan C, Imayama I, Wang CY, Korde L, McTiernan A. Effects of Vitamin D3 Supplementation on Lean Mass, Muscle Strength, and Bone Mineral Density During Weight Loss: A Double-Blind Randomized Controlled Trial. J Am Geriatr Soc. 2016 Apr;64(4):769-78. doi: 10.1111/jgs.14049. Epub 2016 Apr 5.

Reference Type DERIVED
PMID: 27060050 (View on PubMed)

Duggan C, de Dieu Tapsoba J, Mason C, Imayama I, Korde L, Wang CY, McTiernan A. Effect of Vitamin D3 Supplementation in Combination with Weight Loss on Inflammatory Biomarkers in Postmenopausal Women: A Randomized Controlled Trial. Cancer Prev Res (Phila). 2015 Jul;8(7):628-35. doi: 10.1158/1940-6207.CAPR-14-0449. Epub 2015 Apr 23.

Reference Type DERIVED
PMID: 25908506 (View on PubMed)

Mason C, Xiao L, Imayama I, Duggan C, Wang CY, Korde L, McTiernan A. Vitamin D3 supplementation during weight loss: a double-blind randomized controlled trial. Am J Clin Nutr. 2014 May;99(5):1015-25. doi: 10.3945/ajcn.113.073734. Epub 2014 Mar 12.

Reference Type DERIVED
PMID: 24622804 (View on PubMed)

Other Identifiers

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IR 7297

Identifier Type: OTHER

Identifier Source: secondary_id

SAC110024

Identifier Type: -

Identifier Source: org_study_id