Trial Outcomes & Findings for VITAL-DEP: Depression Endpoint Prevention in the VITamin D and OmegA-3 TriaL (NCT NCT01696435)

NCT ID: NCT01696435

Last Updated: 2025-12-10

Results Overview

Depression syndrome will be determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (e.g., PHQ) items. This is an event outcome, where the depression event was defined as a new self-report of physician/clinician-diagnosed depression, treatment (medication and/or counseling) for depression, or presence of clinically relevant depressive symptoms (PHQ-8 total score \>=10 points) on the annual study questionnaires that were administered over a median 5.3 years of randomized treatment and follow-up. Participants were followed for the depression event until the occurrence of the endpoint, death, or the end of the trial, whichever came first. The Outcome Measure table shows the counts of depression events in each randomized group by treatment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

18353 participants

Primary outcome timeframe

From date of randomization until the date of the occurrence of the endpoint, death, or the end of the trial, whichever came first, assessed up to a median of 5.3 years of follow-up

Results posted on

2025-12-10

Participant Flow

401605 initially screened; 39430 eligible to enter run-in; 25871 eligible for randomization; 2x2 factorial design: 12927 assigned to active vit D (of these, 6463 assigned to active omega-3 FAs and 6464 to placebo omega-3 FAs) \& 12944 assigned to placebo vit D (of these, 6470 assigned to active omega-3 FAs and 6474 to placebo omega-3 FAs). Additional 7518 excluded per VITAL-DEP eligibility criteria; 18353 at risk for depression during follow-up.

The trial included a 3-month placebo run-in period to select participants likely to have adequate compliance. Only individuals who reported taking at least 2/3 of their study pills during the placebo run-in and met other eligibility criteria were randomized into the trial.

Participant milestones

Participant milestones
Measure
Vitamin D + Fish Oil Placebo
Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo vitamin D3: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo: Fish oil placebo
Vitamin D Placebo + Fish Oil
Vitamin D placebo Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]) omega-3 fatty acids (fish oil): Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]). Vitamin D placebo: Vitamin D placebo
Vitamin D Placebo + Fish Oil Placebo
Vitamin D placebo Fish oil placebo Fish oil placebo: Fish oil placebo Vitamin D placebo: Vitamin D placebo
Vitamin D + Fish Oil
Vitamin D3 (cholecalciferol), 2000 IU per day Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]) vitamin D3: Vitamin D3 (cholecalciferol), 2000 IU per day omega-3 fatty acids (fish oil): Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]).
Overall Study
STARTED
4573
4563
4609
4608
Overall Study
COMPLETED
4573
4563
4609
4608
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

VITAL-DEP: Depression Endpoint Prevention in the VITamin D and OmegA-3 TriaL

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vitamin D + Fish Oil Placebo
n=4573 Participants
Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo vitamin D3: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo: Fish oil placebo
Vitamin D Placebo + Fish Oil
n=4563 Participants
Vitamin D placebo Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]) omega-3 fatty acids (fish oil): Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]). Vitamin D placebo: Vitamin D placebo
Vitamin D Placebo + Fish Oil Placebo
n=4609 Participants
Vitamin D placebo Fish oil placebo Fish oil placebo: Fish oil placebo Vitamin D placebo: Vitamin D placebo
Vitamin D + Fish Oil
n=4608 Participants
Vitamin D3 (cholecalciferol), 2000 IU per day Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]) vitamin D3: Vitamin D3 (cholecalciferol), 2000 IU per day omega-3 fatty acids (fish oil): Omacor, 1 capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\]).
Total
n=18353 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=4 Participants
0 Participants
n=50 Participants
0 Participants
n=681 Participants
0 Participants
n=639 Participants
0 Participants
n=277 Participants
Age, Categorical
Between 18 and 65 years
1642 Participants
n=4 Participants
1657 Participants
n=50 Participants
1674 Participants
n=681 Participants
1644 Participants
n=639 Participants
6617 Participants
n=277 Participants
Age, Categorical
>=65 years
2931 Participants
n=4 Participants
2906 Participants
n=50 Participants
2935 Participants
n=681 Participants
2964 Participants
n=639 Participants
11736 Participants
n=277 Participants
Age, Continuous
67.5 years
STANDARD_DEVIATION 7.0 • n=4 Participants
67.4 years
STANDARD_DEVIATION 7.1 • n=50 Participants
67.5 years
STANDARD_DEVIATION 7.0 • n=681 Participants
67.5 years
STANDARD_DEVIATION 7.1 • n=639 Participants
67.5 years
STANDARD_DEVIATION 7.1 • n=277 Participants
Sex: Female, Male
Female
2261 Participants
n=4 Participants
2218 Participants
n=50 Participants
2265 Participants
n=681 Participants
2279 Participants
n=639 Participants
9023 Participants
n=277 Participants
Sex: Female, Male
Male
2312 Participants
n=4 Participants
2345 Participants
n=50 Participants
2344 Participants
n=681 Participants
2329 Participants
n=639 Participants
9330 Participants
n=277 Participants
Race/Ethnicity, Customized
Total
4573 Participants
n=4 Participants
4563 Participants
n=50 Participants
4609 Participants
n=681 Participants
4608 Participants
n=639 Participants
18353 Participants
n=277 Participants
Race/Ethnicity, Customized
Non-Hispanic White
3255 Participants
n=4 Participants
3266 Participants
n=50 Participants
3279 Participants
n=681 Participants
3297 Participants
n=639 Participants
13097 Participants
n=277 Participants
Race/Ethnicity, Customized
Black or African-American
855 Participants
n=4 Participants
833 Participants
n=50 Participants
869 Participants
n=681 Participants
850 Participants
n=639 Participants
3407 Participants
n=277 Participants
Race/Ethnicity, Customized
Hispanic (not Black or African-American)
185 Participants
n=4 Participants
170 Participants
n=50 Participants
176 Participants
n=681 Participants
177 Participants
n=639 Participants
708 Participants
n=277 Participants
Race/Ethnicity, Customized
Asian or Pacific Islander
66 Participants
n=4 Participants
72 Participants
n=50 Participants
78 Participants
n=681 Participants
78 Participants
n=639 Participants
294 Participants
n=277 Participants
Race/Ethnicity, Customized
Native American or Alaskan Native
37 Participants
n=4 Participants
39 Participants
n=50 Participants
33 Participants
n=681 Participants
41 Participants
n=639 Participants
150 Participants
n=277 Participants
Race/Ethnicity, Customized
Other/Unknown
175 Participants
n=4 Participants
183 Participants
n=50 Participants
174 Participants
n=681 Participants
165 Participants
n=639 Participants
697 Participants
n=277 Participants
Region of Enrollment
United States
4573 participants
n=4 Participants
4563 participants
n=50 Participants
4609 participants
n=681 Participants
4608 participants
n=639 Participants
18353 participants
n=277 Participants

PRIMARY outcome

Timeframe: From date of randomization until the date of the occurrence of the endpoint, death, or the end of the trial, whichever came first, assessed up to a median of 5.3 years of follow-up

Population: Analysis population reflects the randomized groups by treatment agents, as all published analyses per protocol were conducted comparing active treatment to placebo. These groups were: n=9181 randomized to active vitamin D and n=9172 randomized to vitamin D placebo; n=9171 randomized to active fish oil and n=9182 randomized to fish oil placebo. Per intervention results are presented for active vitamin D vs. matching vitamin D placebo and for active fish oil vs. matching fish oil placebo.

Depression syndrome will be determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (e.g., PHQ) items. This is an event outcome, where the depression event was defined as a new self-report of physician/clinician-diagnosed depression, treatment (medication and/or counseling) for depression, or presence of clinically relevant depressive symptoms (PHQ-8 total score \>=10 points) on the annual study questionnaires that were administered over a median 5.3 years of randomized treatment and follow-up. Participants were followed for the depression event until the occurrence of the endpoint, death, or the end of the trial, whichever came first. The Outcome Measure table shows the counts of depression events in each randomized group by treatment.

Outcome measures

Outcome measures
Measure
Active Vitamin D
n=9181 Participants
Vitamin D3: Vitamin D3 (cholecalciferol), one 2000 IU capsule per day
Vitamin D Placebo
n=9172 Participants
Vitamin D placebo: Vitamin D placebo, one capsule per day
Active Fish Oil
n=9171 Participants
Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Fish Oil Placebo
n=9182 Participants
Fish oil placebo: Fish oil placebo, one capsule per day
Number of Participants With a Depression Event
609 Participants
625 Participants
651 Participants
583 Participants

PRIMARY outcome

Timeframe: Baseline, follow-up year 1, follow-up year 2, follow-up year 3, follow-up year 4, and follow-up year 5

Population: Analysis population reflects the randomized groups by treatment agents, as all published analyses per protocol were conducted comparing active treatment to placebo. These were n=9181 randomized to active vitamin D; n=9172 randomized to vitamin D placebo; n=9171 randomized to active fish oil; n=9182 randomized to fish oil placebo. Per intervention results are presented for active treatment vs placebo. Each row shows exact number of participants providing responses to the PHQ-8 at that timepoint.

Mood scores are evaluated by the 8-item Patient Health Questionnaire (PHQ-8). The measured outcome was the total PHQ-8 score. The PHQ-8 includes items corresponding to the criteria for major depression. Each of the 8 items can be scored as 0, 1, 2, or 3 points (higher score means worse symptoms). The 8 items are summed to a total PHQ-8 score. The range for the PHQ-8 score is 0-24 points; higher scores denote worse mood or depressive symptoms. The PHQ-8 was measured annually at baseline and at up to 5 follow-up times (for a maximum of 6 time points). Data from all time points was used to determine the mean differences in change in mood scores over all follow-up by randomized treatment. Per protocol, the Statistical Analysis section shows the results for the primary outcome of mean difference in overall change in PHQ-8 scores comparing active and placebo groups (for each agent).

Outcome measures

Outcome measures
Measure
Active Vitamin D
n=9181 Participants
Vitamin D3: Vitamin D3 (cholecalciferol), one 2000 IU capsule per day
Vitamin D Placebo
n=9172 Participants
Vitamin D placebo: Vitamin D placebo, one capsule per day
Active Fish Oil
n=9171 Participants
Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Fish Oil Placebo
n=9182 Participants
Fish oil placebo: Fish oil placebo, one capsule per day
Mood Scores
Baseline adjusted mean
1.08 score on a scale
Interval 1.05 to 1.11
1.13 score on a scale
Interval 1.09 to 1.16
1.09 score on a scale
Interval 1.06 to 1.13
1.11 score on a scale
Interval 1.08 to 1.15
Mood Scores
Mean change at Year 2
0.07 score on a scale
Interval 0.03 to 0.11
0.04 score on a scale
Interval 0.0 to 0.08
0.07 score on a scale
Interval 0.03 to 0.11
0.04 score on a scale
Interval 0.0 to 0.08
Mood Scores
Mean change at Year 3
0.09 score on a scale
Interval 0.05 to 0.13
0.07 score on a scale
Interval 0.03 to 0.12
0.10 score on a scale
Interval 0.06 to 0.15
0.06 score on a scale
Interval 0.02 to 0.1
Mood Scores
Mean change at Year 4
0.06 score on a scale
Interval 0.02 to 0.1
0.07 score on a scale
Interval 0.03 to 0.11
0.08 score on a scale
Interval 0.04 to 0.12
0.05 score on a scale
Interval 0.01 to 0.09
Mood Scores
Mean change at Year 5
0.20 score on a scale
Interval 0.15 to 0.25
0.16 score on a scale
Interval 0.11 to 0.22
0.18 score on a scale
Interval 0.13 to 0.23
0.19 score on a scale
Interval 0.13 to 0.24
Mood Scores
Mean change at Year 1
0.03 score on a scale
Interval -0.01 to 0.07
0.03 score on a scale
Interval 0.0 to 0.07
0.05 score on a scale
Interval 0.01 to 0.09
0.01 score on a scale
Interval -0.02 to 0.05

OTHER_PRE_SPECIFIED outcome

Timeframe: From date of randomization until the date of the occurrence of the endpoint, death, or the end of the trial, whichever came first, assessed up to a median of 5.3 years of follow-up

Population: Post-hoc Outcome. Incident Depression is defined as depression cases that occurred among those with no past history of depression as of baseline. Incident depression event was determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (i.e., PHQ-8 \>=10 points). Among the n=18,353 participants randomized, there were n=16657 without a history of depression at baseline and therefore at risk for incident depression.

Post-hoc Outcome. Incident Depression is defined as depression cases that occurred among those with no past history of depression as of baseline. Incident depression event was determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (i.e., PHQ-8 \>=10 points).

Outcome measures

Outcome measures
Measure
Active Vitamin D
n=8350 Participants
Vitamin D3: Vitamin D3 (cholecalciferol), one 2000 IU capsule per day
Vitamin D Placebo
n=8307 Participants
Vitamin D placebo: Vitamin D placebo, one capsule per day
Active Fish Oil
n=8322 Participants
Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Fish Oil Placebo
n=8335 Participants
Fish oil placebo: Fish oil placebo, one capsule per day
Number of Participants With an Incident Depression Event
459 Participants
461 Participants
493 Participants
427 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: From date of randomization until the date of the occurrence of the endpoint, death, or the end of the trial, whichever came first, assessed up to a median of 5.3 years of follow-up

Population: Post-hoc Outcome. Recurrent Depression is defined as depression cases that occurred among those with past history of depression, but not active in the past 2 years as of baseline. Recurrent depression event will be determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (i.e., PHQ-8 \>=10 points). Among n=18,353 randomized, n=1696 were eligible for recurrent depression.

Post-hoc Outcome. Recurrent depression is defined as depression cases that occurred among those with past history of depression, but not under treatment or active in the past 2 years as of baseline. Recurrent depression event will be determined by presence of clinical diagnosis, treatment and/or above-threshold symptoms on mood questionnaire (i.e., PHQ-8 \>=10 points).

Outcome measures

Outcome measures
Measure
Active Vitamin D
n=831 Participants
Vitamin D3: Vitamin D3 (cholecalciferol), one 2000 IU capsule per day
Vitamin D Placebo
n=865 Participants
Vitamin D placebo: Vitamin D placebo, one capsule per day
Active Fish Oil
n=849 Participants
Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Fish Oil Placebo
n=847 Participants
Fish oil placebo: Fish oil placebo, one capsule per day
Number of Participants With a Recurrent Depression Event
150 Participants
164 Participants
158 Participants
156 Participants

Adverse Events

Vitamin D + Fish Oil

Serious events: 549 serious events
Other events: 2825 other events
Deaths: 153 deaths

Vitamin D + Fish Oil Placebo

Serious events: 545 serious events
Other events: 2803 other events
Deaths: 153 deaths

Vitamin D Placebo + Fish Oil

Serious events: 569 serious events
Other events: 2789 other events
Deaths: 152 deaths

Vitamin D Placebo + Fish Oil Placebo

Serious events: 570 serious events
Other events: 2876 other events
Deaths: 133 deaths

Serious adverse events

Serious adverse events
Measure
Vitamin D + Fish Oil
n=4608 participants at risk
Vitamin D: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Vitamin D + Fish Oil Placebo
n=4573 participants at risk
Vitamin D: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo: Fish oil placebo, one capsule per day
Vitamin D Placebo + Fish Oil
n=4563 participants at risk
Vitamin D placebo: Vitamin D3 placebo, one capsule per day Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Vitamin D Placebo + Fish Oil Placebo
n=4609 participants at risk
Vitamin D placebo: Vitamin D3 placebo, one capsule per day Fish oil placebo: Fish oil placebo, one capsule per day
Vascular disorders
Major cardiovascular event
2.6%
120/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.1%
144/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.8%
129/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.7%
126/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive cancer of any type
6.8%
312/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
6.1%
281/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
6.6%
301/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
6.3%
291/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Blood and lymphatic system disorders
Gastrointestinal Bleeding
2.3%
107/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.4%
111/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.9%
133/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.9%
135/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Endocrine disorders
Hypercalcemia
0.91%
42/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
1.0%
47/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
1.1%
49/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
1.1%
53/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Psychiatric disorders
Suicide
0.02%
1/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.00%
0/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.02%
1/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.02%
1/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.

Other adverse events

Other adverse events
Measure
Vitamin D + Fish Oil
n=4608 participants at risk
Vitamin D: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Vitamin D + Fish Oil Placebo
n=4573 participants at risk
Vitamin D: Vitamin D3 (cholecalciferol), 2000 IU per day Fish oil placebo: Fish oil placebo, one capsule per day
Vitamin D Placebo + Fish Oil
n=4563 participants at risk
Vitamin D placebo: Vitamin D3 placebo, one capsule per day Fish oil: Omacor, one capsule per day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid \[EPA\] and 375 mg of docosahexaenoic acid \[DHA\])
Vitamin D Placebo + Fish Oil Placebo
n=4609 participants at risk
Vitamin D placebo: Vitamin D3 placebo, one capsule per day Fish oil placebo: Fish oil placebo, one capsule per day
Endocrine disorders
Hyperparathyroidism or parathyroid condition
0.22%
10/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.42%
19/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.37%
17/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.59%
27/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Renal and urinary disorders
Kidney stones
3.4%
158/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.8%
172/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
2.9%
131/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.5%
163/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Renal and urinary disorders
Kidney failure
0.41%
19/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.59%
27/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.61%
28/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
0.63%
29/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Blood and lymphatic system disorders
Hematuria
7.2%
333/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
7.0%
319/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
6.4%
293/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
6.9%
318/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Blood and lymphatic system disorders
Easy bruising
25.0%
1152/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
25.5%
1167/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
24.6%
1124/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
24.8%
1141/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Blood and lymphatic system disorders
Frequent nosebleeds
3.5%
159/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.5%
159/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.5%
158/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
3.5%
163/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Gastrointestinal disorders
Stomach upset or pain
35.0%
1615/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
34.9%
1594/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
35.4%
1616/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
35.3%
1625/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
Skin and subcutaneous tissue disorders
Skin rash
24.4%
1124/4608 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
24.2%
1105/4573 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
25.6%
1169/4563 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.
25.7%
1184/4609 • Adverse event data were collected over the entire randomized treatment and follow-up period, which was a median of 5.3 years. VITAL-DEP is an ancillary study of the VITAL trial. For total adverse events reported by the parent VITAL trial, please see Results reported by VITAL, NCT01169259.
Results for adverse events are reported by each of the 4 factorial arms of the trial.

Additional Information

Dr. Olivia Okereke/Study Principal Investigator

Massachusetts General Hospital

Phone: (617) 726-2000

Results disclosure agreements

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