Vitamin D Supplementation and Neurocognition

NCT ID: NCT03019120

Last Updated: 2020-02-26

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

WITHDRAWN

Clinical Phase

PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-15

Study Completion Date

2020-02-24

Brief Summary

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This study will evaluate the effect of vitamin D supplementation on the neurocognitive function of older people with lower than normal levels of vitamin D at baseline

Detailed Description

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Background: Ageing is associated with an increased risk of cognitive decline. Vitamin D plays an important role in many of the symptoms and conditions related to advanced age, including impaired balance, falls and osteoporosis. Vitamin D also has a physiological effect on the function of the central nervous system, and studies have suggested a relationship between this vitamin and changes in cognitive function of older people. The investigators propose a pilot study to evaluate the effect of vitamin D supplementation on the neurocognitive function of older people.

Methods: A total of 30 subjects of both genders older than 65 years with levels of 25-OH Vitamin D lower than 30 ng/ml on routine laboratory screening will be included in the study. Exclusion criteria will include any unstable medical condition as determined by the treating physician, a diagnosis of dementia, the use of supplements containing vitamin D in any dose, significant visual or hearing impairment not corrected by spectacles or hearing aids, and a level of literacy that limits the performance of computerized neurocognitive testing. Following provision of written informed consent for inclusion in the study, subjects will answer a questionnaire providing demographic details, undergo cognitive screening by use of the MoCA test, and computerized cognitive assessment using the Neurotrax battery. All subjects will undergo repeat testing for level of 25-OH Vitamin D, and where below-normal levels are confirmed patients will receive a supplemental monthly oral dose of 60000 units Vitamin D administered by a nurse for a period of 3 months. Levels of serum calcium will be repeated monthly (end of month 1, 2, 3). At 3 months subjects will undergo repeat testing for level of 25-OH Vitamin D, and repeat computerized cognitive assessment using the Neurotrax battery.

Conditions

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Vitamin D Deficiency Neurocognitive Dysfunction

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Active Comparator: Intervention group

Vitamin D supplementation for subjects with below normal levels of this vitamin.

Group Type EXPERIMENTAL

Vitamin D

Intervention Type DRUG

1. Subjects will undergo a cognitive evaluation using the Montreal Cognitive Assessment (MoCA) screening test and the Neurotrax computerized cognitive assessment battery.
2. Subjects will receive a supplemental monthly oral dose of 60000 units Vitamin D administered by a nurse for a period of 3 months.
3. Levels of serum calcium will be repeated monthly (end of month 1, 2, 3).
4. Subjects will undergo a repeat blood test to examine the level of vitamin D at the end of 3 months of follow-up.
5. At 3-month follow-up subjects will be asked to complete the Neurotrax computerized cognitive assessment battery.

Interventions

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Vitamin D

1. Subjects will undergo a cognitive evaluation using the Montreal Cognitive Assessment (MoCA) screening test and the Neurotrax computerized cognitive assessment battery.
2. Subjects will receive a supplemental monthly oral dose of 60000 units Vitamin D administered by a nurse for a period of 3 months.
3. Levels of serum calcium will be repeated monthly (end of month 1, 2, 3).
4. Subjects will undergo a repeat blood test to examine the level of vitamin D at the end of 3 months of follow-up.
5. At 3-month follow-up subjects will be asked to complete the Neurotrax computerized cognitive assessment battery.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adults aged 65 years and older.
* Level of vitamin D (25-OH vitamin D) is less than 30 ng / ml.
* Stable health status as assessed by the treating primary care physician.
* Do not take supplements containing vitamin D.
* Normal cognitive function as determined by MoCA Test screening and clinical assessment
* Adequate literacy to enable the performance of cognitive assessment instruments
* Provide informed consent as required by the Ethics Committee.

Exclusion Criteria

* Age younger than 65 years
* Health status not stable as determined by the treating primary care physician
* A diagnosis of dementia
* Taking supplements containing Vitamin D
* Significant visual or hearing impairment not corrected by spectacles or hearing aids
* Impaired competency limiting the subject's ability to provide informed consent
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rambam Health Care Campus

OTHER

Sponsor Role lead

Responsible Party

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Tzvi Dwolatzky

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elad Rubin, M.A

Role: STUDY_DIRECTOR

Rambam Health Care Campus

Locations

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Laniado Medical Center

Netanya, , Israel

Site Status

Countries

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Israel

References

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Annweiler C, Allali G, Allain P, Bridenbaugh S, Schott AM, Kressig RW, Beauchet O. Vitamin D and cognitive performance in adults: a systematic review. Eur J Neurol. 2009 Oct;16(10):1083-9. doi: 10.1111/j.1468-1331.2009.02755.x. Epub 2009 Jul 29.

Reference Type BACKGROUND
PMID: 19659751 (View on PubMed)

Buell JS, Dawson-Hughes B. Vitamin D and neurocognitive dysfunction: preventing "D"ecline? Mol Aspects Med. 2008 Dec;29(6):415-22. doi: 10.1016/j.mam.2008.05.001. Epub 2008 May 13.

Reference Type BACKGROUND
PMID: 18579197 (View on PubMed)

Dwolatzky T, Whitehead V, Doniger GM, Simon ES, Schweiger A, Jaffe D, Chertkow H. Validity of a novel computerized cognitive battery for mild cognitive impairment. BMC Geriatr. 2003 Nov 2;3:4. doi: 10.1186/1471-2318-3-4.

Reference Type BACKGROUND
PMID: 14594456 (View on PubMed)

Lifshitz M, Dwolatzky T, Press Y. Validation of the Hebrew version of the MoCA test as a screening instrument for the early detection of mild cognitive impairment in elderly individuals. J Geriatr Psychiatry Neurol. 2012 Sep;25(3):155-61. doi: 10.1177/0891988712457047.

Reference Type BACKGROUND
PMID: 23124009 (View on PubMed)

Other Identifiers

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0103-16-LND

Identifier Type: -

Identifier Source: org_study_id

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