Dose Finding Study in Physically Frail Elderly to Measure 25(OH) Vitamin D Levels After Supplementation With Hy.D Calcifediol 25 SD/S and Vitamin D3
D-DOSE
1 other identifier
interventional
59
1 country
1
Brief Summary
The purpose of this study is to assess the dose of Hy.D Calcifediol 25 SD/S (a metabolite of vitamin D3) which will achieve the range of mean serum 25(OH)D between 75-100nmol/L in physically frail elderly people after 24 weeks of daily supplementation with different doses of Hy.D Calcifediol 25 SD/S compared to vitamin D3.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_1
Started Apr 2013
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
April 1, 2013
CompletedFirst Submitted
Initial submission to the registry
May 24, 2013
CompletedFirst Posted
Study publicly available on registry
June 5, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2014
CompletedMarch 27, 2015
March 1, 2015
1.2 years
May 24, 2013
March 26, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (7)
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups at baseline
Outcome measurement: Mean serum 25(OH)D levels at baseline before supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Baseline (day 0)
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 4 weeks
Outcome measurement: Mean serum 25(OH)D levels after 4 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
4 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 8 weeks
Outcome measurement: Mean serum 25(OH)D levels after 8 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
8 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 12 weeks
Outcome measurement: Mean serum 25(OH)D levels after 12 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
12 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 16 weeks
Outcome measurement: Mean serum 25(OH)D levels after 16 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
16 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 20 weeks
Outcome measurement: Mean serum 25(OH)D levels after 20 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
20 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 24 weeks
Outcome measurement: Mean serum 25(OH)D levels after 24 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
24 weeks after initial compound intake
Secondary Outcomes (1)
Descriptive: 25(OH)D3 serum steady state reached?
0, 4, 8, 12, 16, 20, 24 weeks after study start
Study Arms (4)
5 µg/day Hy.D Calcifediol
EXPERIMENTAL10 µg/day Hy.D Calcifediol
EXPERIMENTAL15 µg/day Hy.D Calcifediol
EXPERIMENTAL20 µg/day vitamin D3
ACTIVE COMPARATORInterventions
5 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
10 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
15 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
20 µg/day vitamin D3 taken together with breakfast for a total period of 24 weeks
Eligibility Criteria
You may qualify if:
- (OH)D levels between 25 - 50 nmol/L;
- Age 65 and older;
- Physically frail, based on the criteria designed by Fried et al. \[1\]. Frailty will be defined as a clinical syndrome in which one or more of the following criteria are present: unintentional weight loss (4.5 kg in past year), selfreported exhaustion (CES-D questionnaire), weakness (grip strength), slow walking speed and low physical activity (Minnesota questionnaire). These criteria are easily assessable and have been commonly used to determine frailty;
- Men and women;
- Body mass index between 20 and 35 kg/m2 (used for stratification);
- Willingness and ability to comply with the protocol.
You may not qualify if:
- Medical Illness: malabsorption syndrome: known intestinal malabsorption, celiac diseases, inflammatory bowel disease; diseases that may enhance serum calcium concentration: sarcoidosis, lymphoma, kidney stone in the last 10 years, primary hyperparathyroidism; abnormal indices of calcium metabolism, uncontrolled hypocalcaemia; diagnosed renal insufficiency, diagnosed cancer, diagnosed liver failure.
- Hypercalcemia : serum calcium adjusted for albumin of \> 2.6 nmol/L.
- Medication: bisphosphonate or Parathyroid hormone (PTH) treatment, tuberculostatics, epilepsy medication, interfering with vitamin D metabolism and vitamin D supplementation.
- Use of vitamin D supplementation in the last three months (excluding multivitamin supplementation).
- Not willing to stop the use of multivitamin supplementation during the study.
- (Expected) increase in exposure to sunlight (e.g. travelling to a sunny resort).
- Patient heavily consumes alcohol containing products defined as greater than (\>) 3 drinks (beer, wine, or distilled spirits) of alcoholic beverages per day.
- Donating blood in the period of 2 months before, until 1 month after the end of the study.
- Planned surgery.
- Participation in another clinical trial.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Wageningen University
Wageningen, Wageningen, 6700, Netherlands
Related Publications (1)
Vaes AMM, Tieland M, de Regt MF, Wittwer J, van Loon LJC, de Groot LCPGM. Dose-response effects of supplementation with calcifediol on serum 25-hydroxyvitamin D status and its metabolites: A randomized controlled trial in older adults. Clin Nutr. 2018 Jun;37(3):808-814. doi: 10.1016/j.clnu.2017.03.029. Epub 2017 Mar 31.
PMID: 28433267DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Lisette De Groot, Prof
Wageningen University
- PRINCIPAL INVESTIGATOR
Michael Tieland, PhD
Wageningen University
- PRINCIPAL INVESTIGATOR
Luc van Loon, Prof
Maastricht University
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 24, 2013
First Posted
June 5, 2013
Study Start
April 1, 2013
Primary Completion
June 1, 2014
Study Completion
June 1, 2014
Last Updated
March 27, 2015
Record last verified: 2015-03