Prevention of Secondary Hyperparathyroidism With Vitamin D in Stage II/III Chronic Kidney Disease
POSH-D
1 other identifier
interventional
48
1 country
1
Brief Summary
This study will evaluate whether earlier intervention with vitamin D in stage II/III chronic kidney disease will prevent or delay secondary hyperparathyroidism. Subjects will receive vitamin D or placebo at study entry and will be followed for a period of one year. The hypothesis is that subjects given vitamin D will have lower PTH and higher 25(OH)D after 1 year compared to placebo. Additionally, there will be less subjects who progress into secondary hyperparathyroidism in the vitamin D treated group compared to the placebo treated group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2008
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2008
CompletedFirst Submitted
Initial submission to the registry
October 28, 2008
CompletedFirst Posted
Study publicly available on registry
October 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedFebruary 7, 2012
February 1, 2012
3 years
October 28, 2008
February 4, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
25(OH)D
52 weeks
Parathyroid Hormone
52 weeks
24 hour urine calcium
52 weeks
Secondary Outcomes (1)
Markers of bone turnover
52 weeks
Study Arms (2)
1
ACTIVE COMPARATORCholecalciferol 50,000 IU once a week for 12 weeks then every other week for 40 weeks
Placebo
PLACEBO COMPARATORPlacebo
Interventions
Eligibility Criteria
You may qualify if:
- Study subjects must be patients with CKD stage II/III (estimated glomerular filtration rate, 30-90 ml/min/1.73m body surface area), 25-hydroxyvitamin D (25(OH) D) level \>10 ng/ml documented in the medical record for the past 6 months.
- Estimated Glomerular Filtration Rate will be calculated by using the original Modification of Diet in Renal Disease Study equation (online at http://www.nkdep.nih.gov)(16)
- Study subjects must agree to participate in the study and provide written informed consent
- Histology: not applicable
- Sites: Atlanta VA Medical Center
- Stage of Disease: CKD stage II/III, who has 25-hydroxyvitamin D (25(OH)D) level \>10 ng/ml, but less than 30 ng/ml
- Age: Study subjects must be \>18 but \<85 years old
- Performance Status: Study subjects will be patients with CKD stage II/III (estimated glomerular filtration rate, 30-90 ml/min/1.73m body surface area), 25-hydroxyvitamin D (25(OH)D) level \>10 ng/ml, but less than 30 ng/ml
- Informed consent requirements: All study subjects must agree to participate in the study and provide written informed consent, which will be written in English.
You may not qualify if:
- Age \< 18years or \>85 years old
- Prior other diseases: History of liver failure (AST or ALT \>3 ULN), history of intestinal malabsorption or chronic diarrhea, corrected serum calcium \>10.5 mg/dl, calcium x phosphorus product \>70,treatment with more than 1000 IU of vitamin D per day; or current treatment with a vitamin D analogue or calcimimitec, taking antiepileptic medication, or other medications that could alter vitamin D metabolism(eg, phenytoin, phenobarbital, rifampin(17)
- Infection: not applicable
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Atlanta VA Medical Centerlead
- Emory Universitycollaborator
Study Sites (1)
Atlanta VAMC
Atlanta, Georgia, 30300, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Vin Tangpricha, MD, PhD
Emory University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
October 28, 2008
First Posted
October 29, 2008
Study Start
October 1, 2008
Primary Completion
October 1, 2011
Study Completion
December 1, 2011
Last Updated
February 7, 2012
Record last verified: 2012-02