This trial is active, not recruiting.

Condition vitamin d deficiency
Treatments vitamin d, 25(oh)d3
Phase phase 0
Sponsor University of California, Los Angeles
Collaborator National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Start date June 2014
End date June 2017
Trial size 35 participants
Trial identifier NCT02091219, 1P50AR063020-01, UL1TR000124, UL1TR000124-1954


The purpose of this study is to compare the effects of two different forms of vitamin D supplements (vitamin D3 and 25-hyrdroxyvitamin D3 [25(OH)D3]) on vitamin D levels in the blood, and on markers of skeletal and immune health. This study is designed as a pilot study. A multi-ethnic cohort of 48 patients will be included (12 Caucasian, 12 African American, 12 Hispanic/Latino, 12 Asian/Asian American). Potential study candidates will undergo a screening visit during which a medical history will be taken, a physical exam performed, a dietary questionnaire administered, and blood collected. The purpose of the screening visit is to identify vitamin D-deficient (25-hydroxyvitamin D <20 ng/ml) individuals who are candidates for vitamin D supplementation. Eligible patients will then be randomly assigned to receive either vitamin D3 (2400 IU/day) or 25(OH)D3 (20 mcg/day) for 16 weeks. After initiating supplementation, study patients will return for follow-up visits at weeks 4, 8, and 16. At each visit, blood will be collected to assess vitamin D levels in the blood, as well as markers of skeletal and immune function. Participation in this study will therefore involve a total of 5 visits (1 screening visit, 1 randomization visit during which participants will receive their study supplements, 3 follow-up visits). After all data is collected, changes in vitamin D levels in the blood following supplementation with either vitamin D3 versus 25(OH)D3 will be determined, and correlated to markers of calcium balance and immune function. Knowledge gained from this study may have a significant impact on how vitamin D status is defined, and how vitamin D repletion is administered.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking double blind (subject, caregiver, investigator, outcomes assessor)
Primary purpose prevention
20 micrograms/day by mouth for 16 weeks
25(oh)d3 Calcifediol
20 micrograms/day by mouth for 16 weeks
2,400 IU/day by mouth for 16 weeks
vitamin d Cholecalciferol
2400 IU/day by mouth for 16 weeks

Primary Outcomes

Change in total serum 25D
time frame: 16 weeks

Secondary Outcomes

Change in serum free 25D
time frame: 16 weeks
Change in serum total 1,25D
time frame: 16 weeks
Change in total free 1,25D
time frame: 16 weeks
Change in serum calcium
time frame: 16 weeks
Change in urinary calcium
time frame: 16 weeks
Change in serum iPTH
time frame: 16 weeks
Change in serum bone turnover markers
time frame: 16 weeks
Change in markers of immune function
time frame: 16 weeks

Eligibility Criteria

All participants at least 18 years old.

Inclusion Criteria: - Age > 18 - 25D < 20 mg/ml Exclusion Criteria: - Age < 18 - 25D > 20 ng/ml at time of screening - Clear signs of infection at time of screening (coughing, sneezing, wheezing, frequency, dysuria) - History of conditions that would influence intestinal absorption of vitamin D3 or 25OHD3 supplements - History of nephrolithiasis, primary hyperparathyroidism, or other metabolic bone disease - History of chronic kidney disease (defined as CrCl < 30 ml/min) - History of rheumatologic or autoimmune conditions - History of sarcoidosis - History of active or latent tuberculosis - History of HIV - History of hyperthyroidism - History of chronic glucocorticoid use defined as the equivalent of 5 mg of prednisone per day for more than 2 months within the last 6 months - History of use of medications known to affect calcium/vitamin D metabolism, bone metabolism, and immune response - Hypercalcemia - Hypercalcinuria

Additional Information

Official title The Effects of Vitamin D3 Versus 25OHD3 (HyD) on Serum Vitamin D Metabolites and Markers of Mineral Metabolism and Immune Function
Principal investigator John S Adams, MD
Trial information was received from ClinicalTrials.gov and was last updated in January 2017.
Information provided to ClinicalTrials.gov by University of California, Los Angeles.