The Role of Vitamin D in Female Reproductive Tract Immunity
1 other identifier
interventional
22
1 country
1
Brief Summary
The purpose of this study is to assess the impact of approximately 8 weeks of Vitamin D (VitD) and calcium supplementation, using daily versus weekly supplementation regimens, on female reproductive tract immunity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Aug 2014
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
First Submitted
Initial submission to the registry
July 1, 2014
CompletedFirst Posted
Study publicly available on registry
July 10, 2014
CompletedStudy Start
First participant enrolled
August 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedJanuary 8, 2016
January 1, 2016
11 months
July 1, 2014
January 7, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Vitamin D concentrations in serum and vaginal secretions
Assess the impact of daily versus weekly Vitamin D and calcium supplementation regimens on Vitamin D concentrations in serum and on soluble markers innate mucosal immunity and inflammatory response in cervicovaginal secretions.
over 8 weeks of use
Secondary Outcomes (2)
Assessment of Gene Expression
over 8 weeks of use
Assessment of immune cell activation and phenotype by IHC in CV tissues
over 8 weeks of use
Study Arms (2)
Daily dosing
OTHERDaily oral capsule of Vitamin D in 4000 IU/day with daily oral capsules of 1000mg of calcium
weekly dosing
OTHEROral capsule Vitamin D 50,000 IU/week with a oral capsule of 1000mg of calcium, daily
Interventions
Eligibility Criteria
You may qualify if:
- Serum 25(OH)D ≤ 25ng/mL (62 nmol/L)
- In good health, as evidenced by history and procedures at screening visits without any clinically significant systemic disease.
- Not at risk of an STI, meaning: In a monogamous heterosexual or same sex relationship with a partner who is not known to be HIV positive and has no known risks for STIs, or Sexually abstinent
- Willing and able to comply with study procedures
- to 50 years of age
- Not at risk for pregnancy, meaning: Protected from pregnancy due to surgical sterilization of participant and or her sexual partner, Consistent condom use, In a same sex relationship or, Abstinent from sexual activity and planning to remain abstinent for the duration of the study
- Regular menstrual cycles (every 21 - 35 days) for the past two cycles, per participant report
- Willing to use sunscreen of SPF15 or higher when exposed to the sun for at least 15 minutes, and to avoid use of non-study Vitamin D, calcium, and multivitamin supplementation.
You may not qualify if:
- A clinically significant history of an abnormal Pap test (by written report) in the past year that has not been evaluated and/or treated, if indicated, according to standard guidelines
- Surgery or biopsy of the vagina or cervix within 14 days
- Current STI or lower genital tract infection including HIV-1, Chlamydia trachomatis (CT), Trichomonas vaginalis (TV), Neisseria Gonorrhoeae (NG), Hepatitis B, yeast vaginitis or bacterial vaginosis (BV) (by Nugent score of 7 - 10); this does not include asymptomatic HSV or human papilloma virus (HPV)
- Current presence of vulvar, anal and/or vaginal genital warts
- Current tobacco use of any amount
- Body Mass Index (BMI) of ≥ 35 kg/m2
- History of sensitivity/allergy to any component of the study product, topical anesthetic, or allergy to silver nitrate and/or Monsel's solution
- Known bleeding disorder that could lead to prolonged or continuous bleeding with biopsy, or taking anticoagulant drugs
- Grade 2 or higher laboratory abnormality, per the August 2009 update of the DAIDS Table for Grading the Severity of Adverse Events
- Systemic use in the last two weeks or anticipated use during the study of any of the following: corticosteroids, non-steroidal anti-inflammatory drugs (NSAIDs), antibiotics, anticoagulants or other drugs known to prolong bleeding and/or clotting, antifungals, antivirals (e.g., acyclovir or valacyclovir) or antiretrovirals (e.g., Viread). Note: Participants should avoid NSAIDS except for treatment of dysmenorrhea during menses. Participants may use acetaminophen on an as-needed but not daily basis during the study.
- Known risk factors for hypercalcemia (e.g. malignancy or granulomatous disease) or malabsorption syndromes (e.g. celiac disease, radiation enteritis, active inflammatory bowel disease).
- Other conditions that, in the opinion of the investigator, would constitute contraindications to participation in the study or would compromise the ability to comply with study protocols, such as any major chronic illness including but not limited to cancer, serious autoimmune disease, metabolic disorders or a major psychiatric disorder (e.g., schizophrenia)
- Current participation in any other drug or device study, or any study which, in the opinion of the investigator, would jeopardize interpretation of results of this study
- Use of depot medroxyprogesterone acetate (DMPA) in last six months
- Use of any other hormonal contraceptive method (oral, transdermal, transvaginal, implant, or intrauterine device) without 2 subsequent, normal menses since stopping hormonal contraceptives
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- CONRADlead
Study Sites (1)
Eastern Virginia Medical School CONRAD Clinical Research Center
Norfolk, Virginia, 23507, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andrea Thurman, M.D.
CONRAD
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 1, 2014
First Posted
July 10, 2014
Study Start
August 1, 2014
Primary Completion
July 1, 2015
Study Completion
July 1, 2015
Last Updated
January 8, 2016
Record last verified: 2016-01