Vitamin D Oral Replacement in Asthma

NCT ID: NCT03686150

Last Updated: 2023-04-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-30

Study Completion Date

2021-09-30

Brief Summary

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The overall objective of the study is to determine the pharmacokinetics of Vitamin D supplementation in children who have asthma and are overweight or obese.

Detailed Description

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This study has two parts. In part 1, study participants will be randomized to receive one of four doses of vitamin D supplementation in international units (IU) over at 16-week period: 1) Single 50,000 IU loading dose + 6000 IU daily dose; 2) Single 50,000 IU loading dose + 10,000 IU daily dose: 3) 6000 IU daily dose; or 4) 600 IU daily dose. Based on pharmacokinetic analysis, one of the doses (1-3) will be selected to use in part 2.

In part 2, study participants will be randomized to the dose selected in part 1 or the 600 IU daily dose of vitamin D supplementation to be administered over a 16-week dosing period.

Across both parts, safety of each dose regimen of vitamin D supplementation will be evaluated, and the effectiveness of each dose to achieve a serum level of 25(OH)D greater than or equal to 40 ng/ml will be assessed.

Conditions

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Asthma Vitamin D Deficiency Pediatric Obesity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, parallel arm clinical trial 4 arms in part 1 2 arms in part 2
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Part 1, Cohort 1 Vitamin D3 oral regimen

Intervention: Vitamin D: Single 50,000 IU loading dose + 6000 IU daily dose

Group Type EXPERIMENTAL

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Part 1, Cohort 2 Vitamin D3 oral regimen

Vitamin D: Single 50,000 IU loading dose + 10,000 IU daily dose

Group Type EXPERIMENTAL

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Part 1, Cohort 3 Vitamin D3 oral regimen

Vitamin D: 6000 IU daily dose

Group Type EXPERIMENTAL

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Part 1, Cohort 4 Vitamin D3 oral regimen

Vitamin D: 600 IU daily dose

Group Type ACTIVE_COMPARATOR

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Part 2, Cohort A Vitamin D3 oral regimen

Vitamin D: Single 50,000 IU loading dose + 8,000 IU daily doseD

Group Type EXPERIMENTAL

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Part 2, Cohort B Vitamin D oral regimen

Vitamin D: 600 IU daily dose

Group Type ACTIVE_COMPARATOR

Vitamin D3 oral regimen

Intervention Type DIETARY_SUPPLEMENT

Vitamin D3 oral regimens supplementation

Interventions

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Vitamin D3 oral regimen

Vitamin D3 oral regimens supplementation

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Body mass index greater than or equal to 85% for age and sex
* Physician-diagnosed asthma
* Ongoing relationship with asthma provider responsible for asthma care
* Serum 25(OH) D level 10 ng/ml to less than 30 ng/ml at screening visit based on local laboratory test
* Ability to swallow pills similar in size to the vitamin D preparation to be used
* Signed consent form from parent, legal guardian or caregiver and signed assent from participant (as appropriate)
* Females of childbearing years must not be pregnant, must not be lactating and must agree to practice adequate birth control method
* Child and parent, legal guardian, or caregiver must speak English or Spanish

Exclusion Criteria

* Known diseases of calcium metabolism or the parathyroid
* History of renal insufficiency or kidney stones
* Known liver failure or history of abnormal liver function tests
* History of Williams syndrome, sarcoidosis, or granulomatous disease
* Active tuberculosis
* Spot urine calcium/creatinine ration greater than 0.37 (calcium and creatinine measured in mg/ml). This can be repeated following adequate hydration
* Clinical evidence of rickets
* Taking supplemental vitamin D greater than equal to 1000 IU per day
Minimum Eligible Age

6 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

IDeA States Pediatric Clinical Trials Network

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arkansas Children's Hospital

Little Rock, Arkansas, United States

Site Status

Nemours/Alfred I duPont Hospital for Children

Wilmington, Delaware, United States

Site Status

Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, United States

Site Status

University of Louisville

Louisville, Kentucky, United States

Site Status

Pennington Biomedical Research Center

Baton Rouge, Louisiana, United States

Site Status

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status

Children's Mercy Hospital

Kansas City, Missouri, United States

Site Status

Community Medical Center

Missoula, Montana, United States

Site Status

University of Nebraska Medical Center/Children's Hospital and Medical Center

Omaha, Nebraska, United States

Site Status

Dartmouth Hospital - Manchester

Manchester, New Hampshire, United States

Site Status

University of New Mexico Health Sciences Center

Albuquerque, New Mexico, United States

Site Status

Children's Hospital OU Medical Center

Oklahoma City, Oklahoma, United States

Site Status

University of South Carolina

Columbia, South Carolina, United States

Site Status

University of Vermont Medical Center

Burlington, Vermont, United States

Site Status

West Virginia University

Morgantown, West Virginia, United States

Site Status

Countries

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United States

References

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O'Sullivan BP, James L, Majure JM, Bickel S, Phan LT, Serrano Gonzalez M, Staples H, Tam-Williams J, Lang J, Snowden J; IDeA States Pediatric Clinical Trials Network. Obesity-related asthma in children: A role for vitamin D. Pediatr Pulmonol. 2021 Feb;56(2):354-361. doi: 10.1002/ppul.25053. Epub 2020 Dec 8.

Reference Type BACKGROUND
PMID: 32930511 (View on PubMed)

Lang JE, Ramirez RG, Balevic S, Bickel S, Hornik CP, Majure JM, Venkatachalam S, Snowden J, O'Sullivan B, James L. Pharmacokinetics of Oral Vitamin D in Children with Obesity and Asthma. Clin Pharmacokinet. 2023 Nov;62(11):1567-1579. doi: 10.1007/s40262-023-01285-9. Epub 2023 Aug 30.

Reference Type DERIVED
PMID: 37646988 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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U24OD024957

Identifier Type: NIH

Identifier Source: secondary_id

View Link

101

Identifier Type: -

Identifier Source: org_study_id

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