Trial of Vitamin D in HIV Progression, Birth Outcomes, and Child Health

NCT ID: NCT02305927

Last Updated: 2020-04-24

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

PHASE3

Total Enrollment

2300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-15

Study Completion Date

2019-09-18

Brief Summary

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The purpose of this study to assess the effect of maternal vitamin D3 (cholecalciferol) supplementation on maternal HIV progression, small-for-gestational age infants, and infant stunting at 12 months postpartum for HIV-infected Tanzanian pregnant women who are receiving highly active antiretroviral therapy (HAART).

Detailed Description

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The study is a randomized, double-blind, placebo-controlled trial of maternal vitamin D3 (cholecalciferol) supplementation starting in the second trimester (12-27 weeks gestation) and continuing until 12 months postpartum among HIV-infected Tanzanian pregnant women who are receiving HAART. Eligible individuals are randomized to receive a) a vitamin D3 regimen consisting 3,000 IU of vitamin D3 taken orally once daily starting in the second trimester and continuing until 12 months postpartum or b) a placebo regimen taken orally once daily starting in the second trimester and continuing until 12 months postpartum. Mothers will be followed at study visits during pregnancy and mother/infant pairs will attend study visits from birth until trial discharge at 12 months postpartum.

Conditions

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HIV

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Vitamin D3 (cholecalciferol)

Group Type EXPERIMENTAL

Vitamin D3 (cholecalciferol)

Intervention Type DIETARY_SUPPLEMENT

Supplements containing 3,000 IU vitamin D3 taken orally once per day by the mother starting from the second trimester until 12 months postpartum

Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Placebo supplements taken orally once per day by the mother starting from the second trimester until 12 months postpartum

Interventions

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Vitamin D3 (cholecalciferol)

Supplements containing 3,000 IU vitamin D3 taken orally once per day by the mother starting from the second trimester until 12 months postpartum

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo supplements taken orally once per day by the mother starting from the second trimester until 12 months postpartum

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women aged ≥18 years old
* HIV-positive
* Receiving HAART
* Pregnant and of 12-27 weeks gestation (Second Trimester)
* Calcium levels in the normal physiologic range (≤2.6 mmol/L)

Exclusion Criteria

* Enrolled in any other clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Management and Development for Health (MDH)

UNKNOWN

Sponsor Role collaborator

Wafaie Fawzi

OTHER

Sponsor Role lead

Responsible Party

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Wafaie Fawzi

Professor of Nutrition, Epidemiology, and Global Health

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Wafaie W Fawzi, MBBS, DrPH

Role: PRINCIPAL_INVESTIGATOR

Harvard School of Public Health (HSPH)

Christopher R Sudfeld, ScD

Role: PRINCIPAL_INVESTIGATOR

Harvard School of Public Health (HSPH)

Karim P Manji, MD

Role: PRINCIPAL_INVESTIGATOR

Management and Development for Health (MDH)

Locations

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Management and Development for Health (MDH)

Dar es Salaam, , Tanzania

Site Status

Countries

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Tanzania

References

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Sudfeld CR, Manji KP, Duggan CP, Aboud S, Muhihi A, Sando DM, Al-Beity FMA, Wang M, Fawzi WW. Effect of maternal vitamin D3 supplementation on maternal health, birth outcomes, and infant growth among HIV-infected Tanzanian pregnant women: study protocol for a randomized controlled trial. Trials. 2017 Sep 4;18(1):411. doi: 10.1186/s13063-017-2157-3.

Reference Type BACKGROUND
PMID: 28870263 (View on PubMed)

Shobanke T, Muhihi A, Perumal N, Ulenga N, Al-Beity FMA, Duggan CP, Fawzi WW, Manji KP, Sudfeld CR. Effect of vitamin D supplementation during pregnancy and lactation on the development of infants born to Tanzanian women living with HIV: a secondary analysis of a randomised controlled trial. BMJ Open. 2025 Oct 20;15(10):e098723. doi: 10.1136/bmjopen-2024-098723.

Reference Type DERIVED
PMID: 41120170 (View on PubMed)

Lauer JM, Kirby MA, Muhihi A, Ulenga N, Aboud S, Liu E, Choy RK, Arndt MB, Kou J, Fawzi WW, Gewirtz AT, Sudfeld CR, Manji KP, Duggan CP. Effects of Vitamin D-3 Supplementation During Pregnancy and Lactation on Maternal and Infant Biomarkers of Environmental Enteric Dysfunction, Systemic Inflammation, and Growth: A Secondary Analysis of a Randomized Controlled Trial. J Nutr. 2024 Nov;154(11):3400-3406. doi: 10.1016/j.tjnut.2024.08.032. Epub 2024 Sep 13.

Reference Type DERIVED
PMID: 39278411 (View on PubMed)

Sudfeld CR, Manji KP, Muhihi A, Duggan CP, Aboud S, Alwy Al-Beity FM, Wang M, Zhang N, Ulenga N, Fawzi WW. Vitamin D3 supplementation during pregnancy and lactation for women living with HIV in Tanzania: A randomized controlled trial. PLoS Med. 2022 Apr 15;19(4):e1003973. doi: 10.1371/journal.pmed.1003973. eCollection 2022 Apr.

Reference Type DERIVED
PMID: 35427363 (View on PubMed)

Other Identifiers

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R01HD083113

Identifier Type: NIH

Identifier Source: org_study_id

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