Efficacy Study of Vitamin D Supplementation to Meticillin Resistant Staphylococcus Aureus (MRSA) Carriers

NCT ID: NCT02178488

Last Updated: 2018-01-23

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2017-12-31

Brief Summary

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The purpose of this study is to treat persistent MRSA carriers with vitamin D supplementation during a 12 month to see if the number of MRSA positive patients can be reduced.

Detailed Description

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Conditions

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Methicillin Resistant Staphylococcus Aureus Vitamin D3 Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Cholecalciferol

150 patients with MRSA resistent Cholecalciferol 4000 international units (IU)/day for 12 month

Group Type ACTIVE_COMPARATOR

Cholecalciferol

Intervention Type DRUG

Cholecalciferol 4000 IU/day for 12 months

Sugarpill

150 patients with MRSA resistent Placebo daily 12 month

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo (mimic of cholecalciferol) in the same amount and same time frame as Cholecalciferol for 12 months

Interventions

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Cholecalciferol

Cholecalciferol 4000 IU/day for 12 months

Intervention Type DRUG

Placebo

Placebo (mimic of cholecalciferol) in the same amount and same time frame as Cholecalciferol for 12 months

Intervention Type OTHER

Other Intervention Names

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Vigantol Oil (Germany) or Detremin (Sweden)

Eligibility Criteria

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Inclusion Criteria

1. Persistent MRSA-carriers as defined as 2 MRSA-positive bacterial cultures from at least one location, at least 3 months apart and during 3 years prior to inclusion.
2. Men and women aged ≥18-75
3. Signed 'informed consent'
4. Negative pregnancy test (U-hcg) and have to accept the use of adequate anti-conceptive method (contraceptives, hormone/copper-spiral).

Exclusion Criteria

1. Should not be on vitamin D supplementation at least 6 months prior to inclusion.
2. Serum level of 25-hydroxy vitamin D3 \>75 nmol/L
3. Ongoing and continuous antibiotic treatment. The patient should be off antibiotics at least 30 days prior to inclusion
4. Known sarcoidosis
5. Primary or secondary hyperparathyroidism
6. Kidney failure as defined as a normal age-adjusted creatinin.
7. Long term systemic treatment with corticosteroids or other immunosuppressive medication
8. Taking thiazides
9. Hypercalcaemia (verified by a laboratory result younger than 2 month)
10. Ongoing malignancy disorder
11. If plans to leave the Stockholm county within 12 months of inclusion
12. History of kidney stones
13. Pregnancy (ongoing or planned)
14. Breastfeeding women
15. Taking part of another clinical study involving drugs
16. Hypersensitivity to cholecalciferol and/or any of the excipients
17. Other criteria that could jeopardize the study or its intention as judged by the investigator
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peter Bergman

OTHER

Sponsor Role lead

Responsible Party

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Peter Bergman

Associated professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Gudrun Lind, M.D PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska University Hospital, Solna. Department of Infectious Diseases

Peter Bergman, M.D PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska University Hospital Huddinge, Department of Infectious Diseases

Locations

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Karolinska University Hospital

Stockholm, Huddinge, Sweden

Site Status

Karolinska University Hospital

Stockholm, Solna, Sweden

Site Status

Countries

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Sweden

References

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Bergman P, Norlin AC, Hansen S, Rekha RS, Agerberth B, Bjorkhem-Bergman L, Ekstrom L, Lindh JD, Andersson J. Vitamin D3 supplementation in patients with frequent respiratory tract infections: a randomised and double-blind intervention study. BMJ Open. 2012 Dec 13;2(6):e001663. doi: 10.1136/bmjopen-2012-001663. Print 2012.

Reference Type BACKGROUND
PMID: 23242238 (View on PubMed)

Matheson EM, Mainous AG 3rd, Hueston WJ, Diaz VA, Everett CJ. Vitamin D and methicillin-resistant Staphylococcus aureus nasal carriage. Scand J Infect Dis. 2010 Jul;42(6-7):455-60. doi: 10.3109/00365541003602049.

Reference Type BACKGROUND
PMID: 20210515 (View on PubMed)

Hewison M. Antibacterial effects of vitamin D. Nat Rev Endocrinol. 2011 Jun;7(6):337-45. doi: 10.1038/nrendo.2010.226. Epub 2011 Jan 25.

Reference Type BACKGROUND
PMID: 21263449 (View on PubMed)

Bjorkhem-Bergman L, Torefalk E, Ekstrom L, Bergman P. Vitamin D binding protein is not affected by high-dose vitamin D supplementation: a post hoc analysis of a randomised, placebo-controlled study. BMC Res Notes. 2018 Aug 29;11(1):619. doi: 10.1186/s13104-018-3725-7.

Reference Type DERIVED
PMID: 30157946 (View on PubMed)

Bjorkhem-Bergman L, Missailidis C, Karlsson-Valik J, Tammelin A, Ekstrom L, Bottai M, Hammar U, Lindh G, Bergman P. Vitamin D supplementation to persistent carriers of MRSA-a randomized and placebo-controlled clinical trial. Eur J Clin Microbiol Infect Dis. 2018 Sep;37(9):1735-1744. doi: 10.1007/s10096-018-3306-7. Epub 2018 Jun 21.

Reference Type DERIVED
PMID: 29931657 (View on PubMed)

Related Links

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http://bmjopen.bmj.com/content/2/6/e001663.full.pdf+html

A report on a previous study where vitamin D/Placebo was given to patients with frequent respiratory tract infections.

Other Identifiers

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D-STAPH-EXT-01

Identifier Type: -

Identifier Source: org_study_id

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