NCT05887505

Brief Summary

High concentrations of parathyroid hormone (PTH) are common in patients with hepatocellular carcinoma (HCC). This study is aimed to investigate effects of vitamin D status and its multiple mega-dosage supplementation on PTH and clinical outcomes in HCC patients before and after hepatectomy. It's a single-center, prospective, parallel, double-blind, placebo-controlled study for 120 eligible subjects. The subjects will receive consecutively 3-day intervention treatments from 7th day before surgery. 30-day postoperative mortality, postoperative complications, and laboratory data will be evaluated.

Trial Health

65
Monitor

Trial Health Score

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

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable hepatocellular-carcinoma

Timeline
21mo left

Started Jun 2023

Typical duration for not_applicable hepatocellular-carcinoma

Status
not yet recruiting

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

Study Progress64%
Jun 2023Dec 2027

First Submitted

Initial submission to the registry

May 2, 2023

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 2, 2023

Completed
7 days until next milestone

Study Start

First participant enrolled

June 9, 2023

Completed
4.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2027

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

June 6, 2023

Status Verified

April 1, 2023

Enrollment Period

4.5 years

First QC Date

May 2, 2023

Last Update Submit

June 4, 2023

Conditions

Keywords

Vitamin D SupplementationHepatectomyPerioperative

Outcome Measures

Primary Outcomes (5)

  • Whether there is an association between 25(OH)D and PTH: positive or negative association , or no association

    During the study period

  • Ratio of liver failure

    7 days pre- OP (day -7)

  • Ratio of liver failure

    1 day pre- OP (day -1)

  • Ratio of liver failure

    1 day post- OP (day 1)

  • Ratio of liver failure

    1 day before discharge

Secondary Outcomes (7)

  • 25(OH)D status

    Baseline (day -7), day -1, day 1 and 1 day before discharge

  • Prevalence of high PTH

    Baseline (day -7), day -1, day 1 and 1 day before discharge

  • Prevalence of hypercalcemia

    Baseline (day -7), day -1, day 1 and 1 day before discharge

  • Prevalence of hypomagnesemia

    Baseline (day -7), day -1, day 1 and 1 day before discharge

  • 30-day mortality

    day 1 post-OP and 1 day before discharge

  • +2 more secondary outcomes

Study Arms (2)

Vitamin D group

EXPERIMENTAL

Oral supplementation of 1,728,000 IU vitamin D3 in 3 days

Other: Vitamin D

Placebo Group

PLACEBO COMPARATOR

Oral supplementation of placebo in 3 days

Other: Placebo

Interventions

Oral supplementation of 576,000IU/day vitamin D3 in 3 consecutive days

Vitamin D group
PlaceboOTHER

Oral supplementation of placebo in 3 consecutive days.

Placebo Group

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • \. ≥ 20-year HCC subjects receiving laparoscopic hepatectomy
  • Sign the informed consent

You may not qualify if:

  • \. Using estrogen drugs, bisphosphonates, or drugs for bone disease.
  • \. Consume calcium tablets within 2 weeks before operation
  • \. Sarcoidosis, multiple myeloma
  • \. Pregnant women or plan to become pregnant within 3 months after surgery
  • \. Autoimmune hepatitis (AIH)
  • \. Early liver recurrence
  • \. Used to participate in other clinical trials

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Carcinoma, HepatocellularPostoperative Complications

Interventions

Vitamin D

Condition Hierarchy (Ancestors)

AdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsLiver NeoplasmsDigestive System NeoplasmsNeoplasms by SiteDigestive System DiseasesLiver DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

SecosteroidsSteroidsFused-Ring CompoundsPolycyclic Compounds

Central Study Contacts

Yuan-Hao Ku, MD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 2, 2023

First Posted

June 2, 2023

Study Start

June 9, 2023

Primary Completion (Estimated)

December 1, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

June 6, 2023

Record last verified: 2023-04