NCT04207294

Brief Summary

The importance of achieving an adequate vitamin D status is widely recognised, with public health and research communities heightening their interest over recent years. Whilst vitamin D can be synthesised following skin exposure to UV light, due to public health concerns regarding sun safety, and modern indoor lifestyles, it has become evident that endogenous synthesis may not be an effective means of maintaining an adequate vitamin D status across the year. Given the marked variation in seasonally-induced cutaneous synthesis, habitually low dietary vitamin D intakes of 2-4µg/day typically reported within nationally represented population surveys, and the generally low uptake of supplementation at the population level, it is warranted to identify alternative food-based strategies to yield greater adherence to the 10µg DRV, particularly during winter months where sunlight exposure is negligible. Commodity-based biofortification may provide an innovative and viable additional food-based approach to suboptimal vitamin D status, in combination with safe sun exposure, inclusion of natural and fortified dietary sources and/or supplementation. Meat naturally contains vitamin D3 and 25(OH)D3, yet by manipulating feeding regimes and/ or housing environments, it is possible to improve the concentration of both metabolites in animal products. Eggs, beef and pork provide viable opportunities for the enhancement of vitamin D3 and 25(OH)D3 which contribute to an increase in total vitamin D activity (vitamin D3 + \[25(OH)D3 x 5\]), and therefore would be expected to positively impact vitamin D status. Albeit whilst much biofortification research has been established, less is known regarding its effectiveness at raising circulating serum 25(OH)D concentrations amongst apparently healthy adults, with the exception of some plant-based foods. Therefore, an opportunity exists to understand the bioavailability of vitamin D-enriched pork and vitamin D-enriched chicken to increase 25(OH)D concentration.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
15

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

December 18, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 20, 2019

Completed
27 days until next milestone

Study Start

First participant enrolled

January 16, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 10, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 10, 2020

Completed
Last Updated

June 14, 2021

Status Verified

June 1, 2021

Enrollment Period

3 months

First QC Date

December 18, 2019

Last Update Submit

June 11, 2021

Conditions

Keywords

Vitamin DPorkChickenBioavailability25 hydroxyvitamin DAdultsRCTCrossover

Outcome Measures

Primary Outcomes (1)

  • Change in vitamin D concentration

    Vitamin D3, vitamin D2, 25(OH)D3, 25(OH)D2) (nmol/L) in serum/plasma

    Change over 24 hours (baseline (0 hr), 1.5, 3, 6, 9, 24-hour)

Secondary Outcomes (2)

  • Calcium serum concentrations

    Monitored over 24 hours (baseline (0 hr), 1.5, 3, 6, 9, 24-hour)

  • Parathyroid hormone (PTH) concentration

    Change over 24 hours (baseline (0 hr), 1.5, 3, 6, 9, 24-hour)

Study Arms (5)

Vitamin D-enriched pork

EXPERIMENTAL

One portion of Vitamin D-enriched pork

Other: Pork arm

Control pork

PLACEBO COMPARATOR

One portion of control pork

Other: Pork arm

Vitamin D supplement

ACTIVE COMPARATOR

Equivocal dose of Vitamin D supplement

Other: Pork arm

Vitamin D-enriched chicken

EXPERIMENTAL

One portion of Vitamin D-enriched chicken

Other: Chicken arm

Control chicken

PLACEBO COMPARATOR

One portion of control chicken

Other: Chicken arm

Interventions

The effect of 1 portion of vitamin D-enriched pork on 25(OH)D concentration in comparison to a vitamin D supplement and control pork.

Control porkVitamin D supplementVitamin D-enriched pork

The effect of 1 portion of vitamin D-enriched chicken on 25(OH)D concentration in comparison to control chicken.

Control chickenVitamin D-enriched chicken

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • · Free-living, apparently healthy Caucasian adults
  • Aged 18-65 years at Recruitment
  • Body Mass Index (BMI) ≥18.5 and \<25kg/m2
  • If consuming vitamin D supplements, willing to discontinue 4 weeks prior and for duration of study
  • Non-smokers

You may not qualify if:

  • · Non-Caucasian adults
  • Adults \<18 or \>65 years at recruitment
  • Taking vitamin D supplement and not willing to discontinue vitamin D supplementation for 4 weeks prior to and for duration of study
  • Current smokers
  • Pregnant/lactating females
  • Use of tanning facilities or winter vacation planned during the intervention period to a location expected to increase cutaneous synthesis
  • Severe medical illness
  • Medications which interfere with vitamin D metabolism e.g. steroid medications (e.g. prednisone), weight loss drug orlistat (e.g. Xenical and Alli), cholesterol-lowering drug cholestyramine (e.g. Questran, LoCholest and Prevalite), seizure drugs Phenobarbital and Dilantin, anti-tuberculosis, statins or thiazide diuretics
  • Intestinal malabsorption syndrome
  • Excessive alcohol use (\>14 units/ week)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Human Intervention Studies Unit, Ulster University

Coleraine, Co.Londonderry, BT52 1SA, United Kingdom

Location

MeSH Terms

Conditions

Vitamin D Deficiency

Condition Hierarchy (Ancestors)

AvitaminosisDeficiency DiseasesMalnutritionNutrition DisordersNutritional and Metabolic Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 18, 2019

First Posted

December 20, 2019

Study Start

January 16, 2020

Primary Completion

April 10, 2020

Study Completion

April 10, 2020

Last Updated

June 14, 2021

Record last verified: 2021-06

Data Sharing

IPD Sharing
Will not share

Locations