Effects of Vitamin D on Inflammation in Liver Disease

NCT ID: NCT01754961

Last Updated: 2012-12-21

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2014-01-31

Brief Summary

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Chronic liver diseases are associated with inflammation. The investigators postulate that Vitamin D may modulate inflammation. Thus the investigators will study the effect of Vitamin D replacement in patients with Hepatitis C infection and Vitamin D deficiency.

Detailed Description

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Vitamin D appears to be a critical signaling molecule for macrophages because is needed for activation and differentiation of monocytes/macrophages. From our Preliminary Studies( VA Merit Review Grant), we propose that Vitamin D deficiency may alter the 'pro-inflammatory' ('classically activated') M1 macrophages , characterized by i\] high expression of NOS2, TNF-a, IL-1, IL-6, IL-8, TGF-a, CXCL10, and CCL19; and ii\] minimal expression of arginase 1 and mannose R.

The clinical relevance of these findings is suggested by the presence of activated M1 macrophages in liver biopsies from patients with severe drug-induced liver injury (unpublished observations).

Prospective vitamin D supplementation studies with appropriate endpoints are needed to define the role of vitamin D on inflammation in patients with chronic liver diseases.

Conditions

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Hepatitis C Infection Vitamin D Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Placebo

Placebo will be given on Day 1 orally

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo given orally on Day 1

Vitamin D

Administration of 500,000 IU Vitamin D orally on Day 1

Group Type ACTIVE_COMPARATOR

Vitamin D

Intervention Type DRUG

Vitamin D 500,000 IU given orally on Day 1

Interventions

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Vitamin D

Vitamin D 500,000 IU given orally on Day 1

Intervention Type DRUG

Placebo

Placebo given orally on Day 1

Intervention Type DRUG

Other Intervention Names

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Vitamin D Drug Emulsion placebo

Eligibility Criteria

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Inclusion Criteria

* Men or women aged 18 or older
* Total 25-OH Vit D \< 25 ng/mL
* Infection with HCV genotype 1 (subjects infected with multiple genotypes are not eligible).
* Plasma HCV RNA concentration of \>100,000 IU/mL.
* HCV-infected subjects naïve to treatment: subjects who either have never been treated for HCV infection or who previously received HCV treatment ending \> 3 months prior to enrollment (including, any IFN-Alpha with or without ribavirin, or other anti-HCV antiviral medication).

Exclusion Criteria

* Women who are pregnant or breastfeeding.
* Patients with Sarcoidosis, Histoplasmosis, Lymphoma, Primary Hyperparathyroidism or Idiophatic Hypercalcemia.
* Liver Cirrhosis.
* Known active gastrointestinal disease that could interfere with the absorption of the test article.
* Laboratory determinations at screening as follows:
* Hemoglobin \<10 g/dL .
* Serum creatinine that is not within normal limits. However, such subjects may be enrolled if the Cockroft-Gault glomerular filtration rate (GFR) is \> 50 mL/minute.
* Unstable hypertension, cardiac disease or type 2 diabetes requiring changes in treatment with medications 4 weeks prior to screening or during the screening period.
* Use of an investigational drug within 4 weeks before the screening visit or during the screening period.
* Use of systemic immunosuppressants (including systemic, oral, or intravenous corticosteroids) or immunomodulating agents within 4 weeks before the screening visit or during the screening period.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Veterans Medical Research Foundation

OTHER

Sponsor Role lead

Responsible Party

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Mario Chojkier

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mario Chojkier, MD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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UC San Diego, CTRI

La Jolla, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kim Inocencio, BS

Role: CONTACT

Phone: 619-717-1906

Email: [email protected]

Facility Contacts

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Kim Inocencio, BS

Role: primary

Other Identifiers

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UCSD-111219

Identifier Type: -

Identifier Source: org_study_id