NCT00743574

Brief Summary

The investigators conducted a prospective un-blinded pilot study of Vitamin D plus Calcium (Ca) supplementation in overweight (BMI \> 27) premenopausal women diagnosed with Polycystic Ovarian Syndrome (PCOS), as defined by the Rotterdam Criteria, 2003, and who were deficient in vitamin D as reflected by serum 25-hydroxy (25-OH) vitamin D (serum levels \< 20 ng/mL).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
36

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2008

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2008

Completed
27 days until next milestone

First Submitted

Initial submission to the registry

August 28, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 29, 2008

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2013

Completed
6 months until next milestone

Results Posted

Study results publicly available

July 29, 2013

Completed
Last Updated

August 13, 2021

Status Verified

August 1, 2021

Enrollment Period

4.5 years

First QC Date

August 28, 2008

Results QC Date

February 15, 2013

Last Update Submit

August 11, 2021

Conditions

Outcome Measures

Primary Outcomes (5)

  • Serum HbA1C at 3 Months

    Fasting HbA1C levels at study completion after 3 month treatment

    Completion

  • Fasting Insulin Levels at Study Completion After 3 Month Treatment

    Fasting insulin levels at study completion after 3 month treatment

    3 months intervention

  • Fasting Glucose Levels at Completion of Treatment, at 3 Months

    Fasting glucose levels drawn after 3 months completion during oral GTT

    3 months

  • AUC (Area Under a Curve at 0, 0.5, 1, 1.5 and 2 Hours) Insulin During 2 Hour GTT at Completion, at 3 Months

    Following 3 months intervention, AUC insulin was determined during 2 hour oral GTT

    3 months

  • AUC (Area Under the Curve at 0, 0.5, 1, 1.5 and 2 Hours) During Oral GTT at Completion, at 3 Months

    AUC (Area under the curve at 0, 0.5, 1, 1.5 and 2 hours)for glucose was determined at completion of 3 months intervention for 2 hour oral GTT

    3 months

Secondary Outcomes (1)

  • Serum Levels of C-reactive Protein at Completion of 3 Months Treatment

    3 months

Study Arms (1)

Vitamin D plus Calcium (Ca) supplementation

EXPERIMENTAL
Dietary Supplement: Vitamin D2 (Ergocalciferol)Drug: Medroxyprogesterone (Provera)Dietary Supplement: Vitamin D3 (Cholecalciferol)Dietary Supplement: Elemental Calcium

Interventions

Vitamin D2 (Ergocalciferol)DIETARY_SUPPLEMENT

50,000IU (or 1 tablet), PO, monthly (supplements to be taken for three months)

Vitamin D plus Calcium (Ca) supplementation

10mg, PO, daily for ten days

Vitamin D plus Calcium (Ca) supplementation

2,000IU (or 2 tablets), PO, daily (supplements taken for three months)

Vitamin D plus Calcium (Ca) supplementation
Elemental CalciumDIETARY_SUPPLEMENT

1,000mg (or 2 tablets), PO, daily (supplements taken for three months)

Vitamin D plus Calcium (Ca) supplementation

Eligibility Criteria

Age18 Years - 40 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Premenopausal women (ages 18-40 years) with normal thyroid function and prolactin levels.
  • PCOS diagnosis based on Rotterdam criteria: presence of at least 2 of the following criteria:
  • oligomenorrhea-menstrual cycles \> 35 day intervals
  • hyperandrogenemia (elevated serum testosterone \[free or total\] \&/or androstenedione levels) or features of hyperandrogenism i.e. acne or hirsuitism \[Ferriman-Gallaway score \> 3\]
  • polycystic ovaries on vaginal ultrasound as defined by ESHRE/ASRM criteria (ovarian volume ≥ 10mL or ≥ 12 follicles of diameter between 2-9mm in at least one ovary)
  • Overweight (BMI ≥ 27 Kg/m2)
  • Biochemical evidence of Vitamin D insufficiency (i.e. serum 25 OHD levels \< 20ng/mL)

You may not qualify if:

  • Pregnancy
  • Known causes of oligomenorrhea other than PCOS, e.g. hypothyroidism/Cushing's Disease/late onset congenital adrenal hyperplasia (fasting 17-alphahydroxyprogesterone levels \< 200ng/dL)
  • Use of hormonal treatment (birth control pill/patch/depot medroxyprogesterone/medroxyprogesterone) within 3 months of the study onset.
  • Use insulin sensitizers (metformin, sulfonylureas, TZDs, incretins) within 3 months of the study onset.
  • Use of lipid lowering agents or medications known to influence insulin sensitivity (e.g. niacin, corticosteroids, beta blockers, calcium channel blockers, thiazide diuretics) or influence serum androgens (estrogen, anti-androgens, androgens) within 3 months of the study onset.
  • Known history of renal calculi or current use of Calcium and Vitamin D supplements.
  • Spanish Speaking.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yale-New Haven Hospital-Women's Center

New Haven, Connecticut, 06520-8063, United States

Location

Related Publications (2)

  • Pal L, Berry A, Coraluzzi L, Kustan E, Danton C, Shaw J, Taylor H. Therapeutic implications of vitamin D and calcium in overweight women with polycystic ovary syndrome. Gynecol Endocrinol. 2012 Dec;28(12):965-8. doi: 10.3109/09513590.2012.696753. Epub 2012 Jul 11.

  • Nardell M, Chhabra A, Pal L. Excluded, not dismissed: enhancing benefit in clinical research. Contemp Clin Trials. 2013 Jan;34(1):70-3. doi: 10.1016/j.cct.2012.08.013. Epub 2012 Sep 7.

MeSH Terms

Conditions

Polycystic Ovary SyndromeVitamin D Deficiency

Interventions

ErgocalciferolsMedroxyprogesteroneMedroxyprogesterone AcetateCholecalciferolCalcium

Condition Hierarchy (Ancestors)

Ovarian CystsCystsNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesGonadal DisordersEndocrine System DiseasesAvitaminosisDeficiency DiseasesMalnutritionNutrition DisordersNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

CholestenesCholestanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSterolsVitamin DSecosteroidsMembrane LipidsLipidsHydroxyprogesteronesProgesteronePregnenedionesPregnenesPregnanesMetals, Alkaline EarthElementsInorganic ChemicalsMetalsBlood Coagulation FactorsBiological Factors

Limitations and Caveats

No limitations

Results Point of Contact

Title
Dr. Lubna Pal
Organization
Yale University

Study Officials

  • Lubna Pal, MBBS,MRCOG,MSc.

    Yale University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 28, 2008

First Posted

August 29, 2008

Study Start

August 1, 2008

Primary Completion

February 1, 2013

Study Completion

February 1, 2013

Last Updated

August 13, 2021

Results First Posted

July 29, 2013

Record last verified: 2021-08

Locations