Pharmacokinetics of Vitamin D in Multiple Sclerosis and in Health
Pharmacodynamic and Immunologic Effects of Vitamin D Supplementation in Patients With Multiple Sclerosis and Healthy Controls
2 other identifiers
interventional
57
1 country
2
Brief Summary
This is a pilot study of oral vitamin D supplementation to determine if patients with Multiple Sclerosis (MS) and healthy individuals attain a similar increase in serum 25-hydroxyvitamin D levels. The investigators will also assess whether the immunologic or relevant gene expression response to oral vitamin D supplementation differs in patients with MS and healthy controls.
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 Nov 2010
Longer than P75 for not_applicable
2 active sites
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, 2010
CompletedFirst Submitted
Initial submission to the registry
August 13, 2012
CompletedFirst Posted
Study publicly available on registry
August 17, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2014
CompletedResults Posted
Study results publicly available
February 1, 2016
CompletedMarch 5, 2019
March 1, 2019
3.3 years
August 13, 2012
August 25, 2015
March 1, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in Mean Serum Level of 25-hydroxyvitamin D
Generalized estimating equations (GEE) with an autoregressive with lag one correlation matrix were used to compare the serially-measured serum 25(OH)D levels between MS patients and Healthy Controls (HCs) to take into account repeated measures and within-subject correlations.
Baseline to 90 days
Secondary Outcomes (4)
Change in Percentages of T Cell Subsets (IFNγ+ and IL-17+)
Baseline, 90 days
Gene Expression Microarray
90 days
Change in Cytokine Levels
90 days
Change in Percentage of B Cells
90 days
Study Arms (1)
Vitamin D3
EXPERIMENTALBoth those with MS and healthy controls will be given vitamin D3 5000 IU/day by mouth for 90 days.
Interventions
Eligibility Criteria
You may qualify if:
- Female
- Healthy or multiple sclerosis
- Aged 18 to 60
- Body mass index is between 18 kg/m2 and 30 kg/m2
- Screening 25-hydroxyvitamin D level ≤ 75 nmol/L (30 ng/mL)
- White race
- Non-Hispanic ethnicity
- Willing to use birth control during study
- Willing to not use tanning bed during study
- If subject has multiple sclerosis:
- Relapsing-remitting MS, as defined by McDonald 2005 criteria
- Screening Expanded Disability Status Scale score ≤ 3.0
- Using no medication for MS, or taking Copaxone, (glatiramer acetate), interferons, or natalizumab
You may not qualify if:
- Pregnant or nursing
- Taking multivitamin \& unwilling to remain off it during study
- Taking cod liver oil \& unwilling to remain off it during study
- On a fat-restricted diet
- History of renal disease or nephrolithiasis (kidney stones)
- History of liver disease
- Taking thiazide diuretics
- History of hyperthyroidism
- History of infection with Mycobacterium species
- History of sarcoidosis
- History of cancer
- History of cardiac disease
- History of HIV
- History of gastrointestinal disorder
- Taking medications that interfere with gastrointestinal absorption
- +11 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Johns Hopkins Universitylead
- University of California, San Franciscocollaborator
- National Multiple Sclerosis Societycollaborator
Study Sites (2)
University of California, San Francisco
San Francisco, California, 94143, United States
Johns Hopkins University
Baltimore, Maryland, 21287, United States
Related Publications (1)
Bhargava P, Fitzgerald KC, Calabresi PA, Mowry EM. Metabolic alterations in multiple sclerosis and the impact of vitamin D supplementation. JCI Insight. 2017 Oct 5;2(19):e95302. doi: 10.1172/jci.insight.95302.
PMID: 28978801DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
The generalizability of the findings of this study (beyond female Caucasians) has to be further tested. It is possible that there were unmeasured confounders influencing results.
Results Point of Contact
- Title
- Ellen Mowry
- Organization
- Johns Hopkins
Study Officials
- PRINCIPAL INVESTIGATOR
Ellen M Mowry, MD, MCR
Johns Hopkins University
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 13, 2012
First Posted
August 17, 2012
Study Start
November 1, 2010
Primary Completion
March 1, 2014
Study Completion
March 1, 2014
Last Updated
March 5, 2019
Results First Posted
February 1, 2016
Record last verified: 2019-03