Short Term, High Dose Vitamin D Supplementation in Moderate to Severe COVID-19 Disease
SHADE-S
1 other identifier
interventional
90
1 country
1
Brief Summary
COVID-19 caused by SARS-CoV-2 virus has affected the lives of millions of individuals globally and also severely strained the medical community. Pre-symptomatic and asymptomatic SARS-CoV-2 positive individuals far outnumber the symptomatic ones or those with severe disease. The transmission potential of SARS CoV-2 is potentially greater than earlier viral outbreaks of SARS-CoV and MERS-CoV.Routine measures of social distancing, personal hand hygiene and limited outdoor contact activities have shown benefits to limit corona virus infection. However, the role of vitamin D in SARS-CoV-2 infection is sparingly explored despite the knowledge of an immunomodulatory role and protective effect of vitamin D against viral infections. Meta-analysis of five clinical trials of vitamin D supplementation found that those receiving vitamin D supplementation had fewer respiratory tract infections (odds ratio = 0.58 (95%CI, 0.42 - 0.81).Any immune-modulatory effect of vitamin D is likely to be observed at levels which are considered higher than that required for normal bone metabolism.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 covid19
Started Aug 2021
Shorter than P25 for phase_4 covid19
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
June 8, 2021
CompletedFirst Posted
Study publicly available on registry
July 7, 2021
CompletedStudy Start
First participant enrolled
August 1, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
December 10, 2021
CompletedDecember 21, 2021
December 1, 2021
4 months
June 8, 2021
December 19, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Sequential Organ Failure Assessment (SOFA)
Sequential Organ Failure Assessment score at day 7. SOFA score range from 1 to a maximum of 24. A greator score suggests worse outcome.
7 days
Secondary Outcomes (2)
Sequential Organ Failure Assessment (SOFA) Score
3 days
Sequential Organ Failure Assessment (SOFA) score
14 days
Study Arms (2)
Intervention
EXPERIMENTALVitamn D 6 lakh IU oral stat
Placebo
PLACEBO COMPARATORPlacebo equal volume/ weight
Interventions
vitamin D levels and serum calcium will be assessed at day 3,7, 14.
Eligibility Criteria
You may qualify if:
- RT-PCR proven SARS-CoV-2 infection or computed tomography scan findings compatible with the COVID19 disease (bilateral multifocal ground-glass opacities ≥50%)
- Moderate to severe COVID-19 defined by PFR ratio of \<200
- SOFA score\>4
- Patients with vitamin D deficiency defined as 25 (OH)D level\<20 ng/ml
- Age\>18 years
You may not qualify if:
- \. Vitamin D sufficient or already receiving vitamin D supplements 2. Active malignancy 3. Hypercalcemia, hyperparathyroidism 4. Chronic kidney disease (eGFR\<30 ml/min) 5. Pregnant and lactating women 6. Patient on mechanical ventilation at ICU admission
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Deptt of Endocrinology
Chandigarh, 160012, India
Related Publications (1)
Singh A, Rastogi A, Puri GD, Ganesh V, Naik NB, Kajal K, Kahlon S, Soni SL, Kaloria N, Saini K, Hazarika A, Mahajan V, Singla K, Bhadada S, Soni V. Therapeutic high-dose vitamin D for vitamin D-deficient severe COVID-19 disease: randomized, double-blind, placebo-controlled study (SHADE-S). J Public Health (Oxf). 2024 May 29;46(2):256-266. doi: 10.1093/pubmed/fdae007.
PMID: 38291897DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
June 8, 2021
First Posted
July 7, 2021
Study Start
August 1, 2021
Primary Completion
November 30, 2021
Study Completion
December 10, 2021
Last Updated
December 21, 2021
Record last verified: 2021-12