The Genetic Effects on Vitamin D Supplementation

NCT ID: NCT05802433

Last Updated: 2023-04-06

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

NA

Total Enrollment

67 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-16

Study Completion Date

2023-10-05

Brief Summary

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Vitamin D is essential for skeletal growth and bone health, deficiency causes rickets and osteomalacia. In the UK 29% of adults have vitamin D deficiency. It is recommended all adults take 10µg vitamin D supplement daily. Genetic variations could alter vitamin D status by affecting vitamin D metabolism. Systematic reviews found variations in VDR, GC and CYP2R1 genes are associated with vitamin D deficiency. This study aims to assess the effects between vitamin D supplementation and variations in VDR, GC and CYP2R1 genes on vitamin D status.

Detailed Description

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The study design is a quantitative, randomised control trial measuring vitamin D concentrations in blood serum. All participants will be given the recommended 10µg daily dose of vitamin D supplementation. Participants will be grouped based on their genotype for each gene, as either low, medium or high-risk genotypes. The low-risk group will act as a control and the medium and high-risk groups will act as the intervention groups.

Participants will attend St Mary's University's applied science laboratory twice. During their first visit participants will provide a 2ml capillary blood sample. Blood samples are collected using lancets to prick participants' ear lobes. The serum is extracted from the blood samples, serum is stored at -80c until analysis. Participants will be given 90 10µg vitamin D supplements and instructed to take one per day for 90 days. Participants will also be instructed to not make any major changes to their habitual diet. During the second visit participants will provide 1 ml of saliva sample into the Collection Pot and a second 2ml sample of blood. Serum samples will be analysed for vitamin D concentrations using 25(OH) Vitamin D ELISA kit. DNA will be extracted from the saliva samples using PSP SalivaGene DNA Kit following the manufacturer's protocol. DNA will be genotyped for variations in the VDR, GC and CYP2R1 genes. Data will be assessed to determine if variations in these genes influenced the effectiveness of vitamin D supplementation.

Conditions

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Vitamin D Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants are grouped based on their genetic risk of vitamin D deficiency, all participants are given 10µg vitamin D supplements for 90 days
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

SINGLE

Participants
Participants are not informed of their genetic variations until completion of the trial

Study Groups

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Control (Low risk genotype)

Participants with no genetic variation in their VDR, GC and CYP2R1 genes that would increase their risk of vitamin D deficiency. Participants will be given 10µg vitamin D supplements for 90 days. This group is a control against the medium and high-risk intervention groups.

Group Type EXPERIMENTAL

Vitamin D3 supplement

Intervention Type DIETARY_SUPPLEMENT

10µg vitamin D3 supplement per day for 90 days

Intervention (Medium risk genotype)

Participants with genetic variation in their VDR, GC and CYP2R1 genes that moderately increase their risk of vitamin D deficiency. Participants will be given 10µg vitamin D supplements for 90 days. This group will be compared against the low-risk control group to determine the effect of genetic variations on vitamin D status.

Group Type EXPERIMENTAL

Vitamin D3 supplement

Intervention Type DIETARY_SUPPLEMENT

10µg vitamin D3 supplement per day for 90 days

Intervention (High risk genotype)

Participants with genetic variation in their VDR, GC and CYP2R1 genes that increase their risk of vitamin D deficiency. Participants will be given 10µg vitamin D supplements for 90 days. This group will be compared against the low-risk control group to determine the effect of genetic variations on vitamin D status.

Group Type EXPERIMENTAL

Vitamin D3 supplement

Intervention Type DIETARY_SUPPLEMENT

10µg vitamin D3 supplement per day for 90 days

Interventions

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Vitamin D3 supplement

10µg vitamin D3 supplement per day for 90 days

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Healthy adults
* female and male
* 18-65 years
* completion of physical activity readiness questionnaire (PAR-Q).

Exclusion Criteria

* Below 18 years
* above 65 years
* individuals taking medications that could interact with vitamin D status
* Individuals regularly taking daily Vitamin D supplementation during the 3 months before the intervention start date
* major dietary changes in vitamin D intake during the intervention period
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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St. Mary's University, Twickenham

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yiannis Mavrommatis

Role: PRINCIPAL_INVESTIGATOR

St. Mary's University, Twickenham

Locations

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St Mary's University Twickenham

London, Lobdon, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Yiannis Mavrommatis

Role: CONTACT

020 8240 4000

Facility Contacts

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Yiannis Mavrommatis

Role: primary

020 8240 4000

References

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Krasniqi E, Boshnjaku A, Wagner KH, Wessner B. Association between Polymorphisms in Vitamin D Pathway-Related Genes, Vitamin D Status, Muscle Mass and Function: A Systematic Review. Nutrients. 2021 Sep 4;13(9):3109. doi: 10.3390/nu13093109.

Reference Type BACKGROUND
PMID: 34578986 (View on PubMed)

National Health Service (NHS) (2020) Vitamin D. Available at: https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/

Reference Type BACKGROUND

National Institute for Health and Care Excellence (NICE) (2017) Vitamin D: supplement use in specific population groups. Available at: https://www.nice.org.uk/guidance/ph56/

Reference Type BACKGROUND

Public Health England (PHE) (2019) National Diet and Nutrition Survey: Years 1 to 9 of the Rolling Programme (2008/2009 - 2016/2017): Time trend and income analyses. Available at: https://assets.publishing.service.gov.uk/

Reference Type BACKGROUND

Sepulveda-Villegas M, Elizondo-Montemayor L, Trevino V. Identification and analysis of 35 genes associated with vitamin D deficiency: A systematic review to identify genetic variants. J Steroid Biochem Mol Biol. 2020 Feb;196:105516. doi: 10.1016/j.jsbmb.2019.105516. Epub 2019 Oct 31.

Reference Type BACKGROUND
PMID: 31678109 (View on PubMed)

Other Identifiers

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SMU_ETHICS_2022-23_004

Identifier Type: -

Identifier Source: org_study_id

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