NCT01578434

Brief Summary

Rickets, a common nutritional disorder, is usually considered to be due to vitamin D deficiency. However, in the last few decades many studies have shown that in tropical countries, with abundance of sunshine, calcium deficiency may play a more important role in the causation of rickets. Studies from adults in India have also shown that calcium intake of our population is much below the recommended allowance. The calcium deficiency gets compounded by the high level of phytates in the conventional vegetarian diet consumed by the majority of the population. There are few studies on children in India / other Asian countries on assessment of dietary calcium intake. However, recent studies from many nations of the world have also shown a wide spread prevalence of vitamin D deficiency in adolescent and adult population. A study done at our own hospital has shown a high prevalence of vitamin D deficiency in lactating mothers and their infants. Since both Calcium and Vitamin D deficiency are likely to be present in children, it is not clear what plays a more important role in the etiology of rickets in India or other Asian countries. The present study is therefore planned with the following objectives:

  1. 1.To study the dietary calcium intake, sun exposure and serum vitamin D levels in children with and without rickets.
  2. 2.To compare the role of Calcium Carbonate, Vitamin D and a combination of the two in the treatment of nutritional rickets.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
67

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Nov 2007

Status
completed

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

November 1, 2007

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2009

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2009

Completed
3 years until next milestone

First Submitted

Initial submission to the registry

April 12, 2012

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 17, 2012

Completed
Last Updated

April 19, 2012

Status Verified

April 1, 2012

Enrollment Period

1.3 years

First QC Date

April 12, 2012

Last Update Submit

April 17, 2012

Conditions

Keywords

Nutritional RicketsCalciumVitamin D

Outcome Measures

Primary Outcomes (1)

  • Healing of rickets

    Assessment of healing of rickets on biochemical and radiological assessment

    6 months

Study Arms (3)

Calcium Carbonate

ACTIVE COMPARATOR

Calcium: 75 mg/kg calcium daily for 3 months

Drug: Calcium Carbonate

Vitamin D

ACTIVE COMPARATOR

Vitamin D: 6 lakh IU single im dose

Drug: Vitamin D

Vitamin D and Calcium

ACTIVE COMPARATOR

vitamin D and Calcium: combination of above two

Drug: Vitamin D and Calcium

Interventions

Vitamin D: 6 lakh IU single im dose Calcium: 75 mg/kg calcium daily for 3 months vitamin D and Calcium: combination of above two

Vitamin D

Calcium: 75 mg/kg calcium daily for 3 months

Calcium Carbonate

Vitamin D: 6 lakh IU single im dose. along with Calcium: 75 mg/kg calcium daily for 3 months

Vitamin D and Calcium

Eligibility Criteria

Age6 Months - 5 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • children aged 6 months to 5 years with rickets

You may not qualify if:

  • Non nutritional cause of rickets
  • taken vitamin D or calcium supplements in last 6 months
  • children presenting with convulsions

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Vitamin D Deficiency

Interventions

Vitamin DCalcium CarbonateCalcium

Condition Hierarchy (Ancestors)

AvitaminosisDeficiency DiseasesMalnutritionNutrition DisordersNutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

SecosteroidsSteroidsFused-Ring CompoundsPolycyclic CompoundsCalcium CompoundsInorganic ChemicalsCarbonatesCarbonic AcidCarbon Compounds, InorganicMineralsMetals, Alkaline EarthElementsMetalsBlood Coagulation FactorsBiological Factors

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator, Senior Resident Physician

Study Record Dates

First Submitted

April 12, 2012

First Posted

April 17, 2012

Study Start

November 1, 2007

Primary Completion

February 1, 2009

Study Completion

April 1, 2009

Last Updated

April 19, 2012

Record last verified: 2012-04