Treatment of Vitamin D Insufficiency
3 other identifiers
interventional
230
1 country
1
Brief Summary
The purpose of this study is to answer the following questions: Does vitamin D increase calcium absorption, bone mass and muscle mass and function in women past menopause who have mildly low vitamin D levels? Do these benefits require prescription-strength vitamin D, or is an over the counter vitamin D dose enough?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Apr 2010
Longer than P75 for phase_4
1 active site
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
First Submitted
Initial submission to the registry
July 2, 2009
CompletedFirst Posted
Study publicly available on registry
July 7, 2009
CompletedStudy Start
First participant enrolled
April 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2014
CompletedResults Posted
Study results publicly available
November 10, 2015
CompletedNovember 10, 2015
October 1, 2015
4.3 years
July 2, 2009
June 16, 2015
October 6, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Intestinal Calcium Absorption
Percent of calcium absorbed in the intestinal tract within one day
One Year
Secondary Outcomes (1)
Bone Mineral Density
1 Year
Other Outcomes (2)
Bone Turnover
0, 30, 60, 120, 365 days
Muscle Function: One Year Change in Timed Up and Go Test, Five Sit-to-Stand Test
1 Year
Study Arms (3)
High Dose Vitamin D3
OTHERLoading Dose: 50,000 International Units vitamin D3 gel-caps (yellow) to take daily for 15 days and placebo gel-caps (white) to take daily for 15 days. Maintenance Dose: 50,000 International Units vitamin D3 gel-caps (yellow) to take two times a month for 350 days and placebo gel-caps (white) to take daily for 350 days.
Low Dose Vitamin D3
OTHERLoading Dose: 800 International Units vitamin D3 gel-caps (white) to take daily for 15 days plus placebo gel-caps (yellow) to take daily for 15 days. Maintenance Dose: 800 International Units vitamin D3 gel-caps (white) to take daily for 350 days plus placebo gel-caps (yellow) to take two times a month for 350 days.
Placebo
PLACEBO COMPARATORLoading Dose: Placebo gel-caps (yellow) to take daily for 15 days plus placebo gel-caps (white) to take daily for 15 days. Maintenance Dose: Placebo gel-caps (yellow) to take two times a month for 350 days plus placebo gel-caps (white) to take daily for 350 days.
Interventions
Yellow gel-cap vitamin D3 at 50,000 International Units daily for 15 days then two times a month for 350 days. Daily white placebo pills.
White gel-cap vitamin D3 at 800 International Units to take orally, daily for 365 days. Intermittent yellow placebo pills.
Yellow gel-cap placebo pills to take orally, daily for 15 days then two times a month for 350 days. White gel-cap placebo pills once daily for 365 days.
Eligibility Criteria
You may qualify if:
- Vitamin D insufficiency, defined as a serum 25(OH)D 16 to 25 ng/mL by high performance liquid chromotography assay
- Women ≥ 5 years past the date of last menses or bilateral oophorectomy, or ≥ 60 years old if they had prior hysterectomy without bilateral oophorectomy
- Total dietary and supplemental calcium intake \< 600 mg daily but ≤ 1,400 mg daily, based on a food frequency questionnaire
You may not qualify if:
- Women \> 75 years old
- Hypercalcemia (serum calcium corrected for albumin \> 10.4 mg/dL)
- Nephrolithiasis by medical record or patient report
- Inflammatory bowel disease, malabsorption or chronic diarrhea
- Stage 3, 4 or 5 Chronic Kidney Disease based on the Modification of Renal Diet (MDRD) formula
- Use of bone-active medications within the past 6 months including bisphosphonates, estrogen compounds, calcitonin, teriparatide, oral corticosteroids and anticonvulsants
- Allergy or intolerance to orange juice
- Allergy or intolerance to sunscreen
- Prior adult clinical fragility fracture of the hip, spine or wrist or a T-score below -2.5 at the lumbar spine or femur
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Wisconsin, Madisonlead
- National Institutes of Health (NIH)collaborator
- National Institute on Aging (NIA)collaborator
Study Sites (1)
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin, 53705, United States
Related Publications (5)
Hansen KE, Jones AN, Lindstrom MJ, Davis LA, Engelke JA, Shafer MM. Vitamin D insufficiency: disease or no disease? J Bone Miner Res. 2008 Jul;23(7):1052-60. doi: 10.1359/jbmr.080230.
PMID: 18302509BACKGROUNDRamsubeik K, Keuler NS, Davis LA, Hansen KE. Factors associated with calcium absorption in postmenopausal women: a post hoc analysis of dual-isotope studies. J Acad Nutr Diet. 2014 May;114(5):761-7. doi: 10.1016/j.jand.2013.07.041. Epub 2013 Oct 24.
PMID: 24209888BACKGROUNDNabak AC, Johnson RE, Keuler NS, Hansen KE. Can a questionnaire predict vitamin D status in postmenopausal women? Public Health Nutr. 2014 Apr;17(4):739-46. doi: 10.1017/S1368980013001973. Epub 2013 Jul 22.
PMID: 23870503RESULTHansen KE, Johnson RE, Chambers KR, Johnson MG, Lemon CC, Vo TN, Marvdashti S. Treatment of Vitamin D Insufficiency in Postmenopausal Women: A Randomized Clinical Trial. JAMA Intern Med. 2015 Oct;175(10):1612-21. doi: 10.1001/jamainternmed.2015.3874.
PMID: 26237520RESULTVreede AP, Jones AN, Hansen KE. Can serum isotope levels accurately measure intestinal calcium absorption compared to gold-standard methods? Nutr J. 2015 Jul 31;14:73. doi: 10.1186/s12937-015-0065-5.
PMID: 26227019DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Karen E Hansen
- Organization
- University of Wisconsin - School of Medicine & Public Health
Study Officials
- PRINCIPAL INVESTIGATOR
Karen E Hansen, MD, MS
University of Wisconsin, Madison
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 2, 2009
First Posted
July 7, 2009
Study Start
April 1, 2010
Primary Completion
August 1, 2014
Study Completion
August 1, 2014
Last Updated
November 10, 2015
Results First Posted
November 10, 2015
Record last verified: 2015-10