Trial Outcomes & Findings for Safety and Effects of Supplementation With Ergocalciferol on Erythropoietin Dosing in Hemodialysis Patients (NCT NCT01395823)

NCT ID: NCT01395823

Last Updated: 2016-03-14

Results Overview

The primary outcome is the change in the median EPO dose from baseline to 6 months after ergocalciferol supplementation.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

470 participants

Primary outcome timeframe

Baseline, 6 months

Results posted on

2016-03-14

Participant Flow

470 subjects were enrolled in the study; however 151 subjects did not make it to randomization due to EPO criteria not met n=45, did not meet other inclusion criteria n=57, no was reason provided n=49. Of the 319 subjects randomized, 43 had a baseline 25(OH)D \>30. This analysis only pertains to the 276 subjects with a baseline 25(OH)D ≤30.

Participant milestones

Participant milestones
Measure
Ergocalciferol Supplementation
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
Overall Study
STARTED
137
139
Overall Study
COMPLETED
122
130
Overall Study
NOT COMPLETED
15
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Ergocalciferol Supplementation
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
Overall Study
Death
4
4
Overall Study
Physician Decision
3
1
Overall Study
Lost to Follow-up
1
0
Overall Study
Transplant
1
0
Overall Study
GI symptoms
1
0
Overall Study
Withdrawal by Subject
5
4

Baseline Characteristics

Safety and Effects of Supplementation With Ergocalciferol on Erythropoietin Dosing in Hemodialysis Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ergocalciferol Supplementation
n=137 Participants
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
n=139 Participants
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
Total
n=276 Participants
Total of all reporting groups
Age, Continuous
61.4 years
STANDARD_DEVIATION 13.3 • n=5 Participants
60.8 years
STANDARD_DEVIATION 13.9 • n=7 Participants
61.1 years
STANDARD_DEVIATION 13.6 • n=5 Participants
Sex: Female, Male
Female
67 Participants
n=5 Participants
58 Participants
n=7 Participants
125 Participants
n=5 Participants
Sex: Female, Male
Male
70 Participants
n=5 Participants
81 Participants
n=7 Participants
151 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
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 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
76 Participants
n=5 Participants
90 Participants
n=7 Participants
166 Participants
n=5 Participants
Race (NIH/OMB)
White
51 Participants
n=5 Participants
41 Participants
n=7 Participants
92 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
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Region of Enrollment
United States
137 participants
n=5 Participants
139 participants
n=7 Participants
276 participants
n=5 Participants
25Vit D (ng/mL)
16.0 ng/mL
STANDARD_DEVIATION 5.9 • n=5 Participants
16.9 ng/mL
STANDARD_DEVIATION 6.4 • n=7 Participants
16.4 ng/mL
STANDARD_DEVIATION 6.2 • n=5 Participants
Epogen Dose, units/week
5800 units/week
n=5 Participants
5400 units/week
n=7 Participants
5550 units/week
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 6 months

The primary outcome is the change in the median EPO dose from baseline to 6 months after ergocalciferol supplementation.

Outcome measures

Outcome measures
Measure
Ergocalciferol Supplementation
n=122 Participants
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
n=130 Participants
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
EPO Dose
EPO dose - Baseline
5800 units/week
Interval 2600.0 to 12200.0
5400 units/week
Interval 2400.0 to 11500.0
EPO Dose
EPO dose - 6 months
7000 units/week
Interval 2500.0 to 16000.0
6050 units/week
Interval 2000.0 to 11800.0

Adverse Events

Ergocalciferol Supplementation

Serious events: 4 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Ergocalciferol Supplementation
n=137 participants at risk
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
n=139 participants at risk
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
Cardiac disorders
Death
2.9%
4/137 • Number of events 4 • 6 months
2.9%
4/139 • Number of events 4 • 6 months

Other adverse events

Other adverse events
Measure
Ergocalciferol Supplementation
n=137 participants at risk
ergocalciferol supplementation: 50,000 IU given either weekly; weekly for 3 months then monthly for 3 months; monthly
Placebo
n=139 participants at risk
placebo: placebo pill given weekly, weekly for 3 months then monthly for 3 months; monthly
Respiratory, thoracic and mediastinal disorders
upper respiratory infection
6.6%
9/137 • Number of events 9 • 6 months
5.8%
8/139 • Number of events 8 • 6 months

Additional Information

Karen Majchrzak

Dialysis Clinic Inc

Phone: 615-342-0483

Results disclosure agreements

  • Principal investigator is a sponsor employee PI agrees that the first publication and presentation shall be made by sponsor. If publication is not made within 24 months PI may publish their site data provided that sponsor receives 30 days to review.
  • Publication restrictions are in place

Restriction type: OTHER