Effect of Vitamin D Supplementation on Erythropoietin Dosage in Hemodialysis Patients Who Have Vitamin D Deficiency
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Purpose
While vitamin D supplementation is safe and effective in repleting vitamin D levels in dialysis patients, the impact on anemia is unknown. The majority of hemodialysis patients require erythropoietin supplementation to maintain their serum hemoglobin between 11 and 12 gm/dL, a drug that is both costly and associated with significant side effects. If repletion of vitamin D significantly decreases erythropoietin requirements in hemodialysis patients, it would result in a substantial reduction in patient care costs. Our aim is to study the impact of ergocalciferol supplementation in hemodialysis patients with 25-hydroxyvitamin D deficiency. The investigators anticipate approximately 30% reduction in erythropoietin dose requirement in our hemodialysis population.
| Condition |
|---|
|
Vitamin D Deficiency Anemia |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Effect of Vitamin D Supplementation on Erythropoietin Dosage in Hemodialysis Patients Who Have Vitamin D Deficiency |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
All hemodialysis patients at the Kaiser Permanente Los Angeles Medical Center with vitamin D deficiency [defined by 25-hydroxyvitamin D level less than 30 ng/ml].
Inclusion Criteria:
- All hemodialysis patients at the Kaiser Permanente Los Angeles Medical Center with vitamin D deficiency [defined by 25-hydroxyvitamin D level less than 30 ng/ml]
Exclusion Criteria:
- Non-renal causes of anemia (myelodysplastic syndrome, multiple myeloma, pure red cell aplasia, thallassemia, and sickle cell anemia)
- Active cancer
- AIDS
- refused erythropoeitin, intravenous iron or vitamin D analogs in the past
- no erythropoeitin requirement for greater than 6 weeks
Contacts and Locations| United States, California | |
| Kaiser Permanente Southern California | |
| Los Angeles, California, United States, 90027 | |
| Principal Investigator: | Phillip S Yang, MD | Kaiser Permanente Southern California |
More Information
Publications:
| Responsible Party: | Philip Yang, MD, Kaiser Permanente Southern California |
| ClinicalTrials.gov Identifier: | NCT00915317 History of Changes |
| Other Study ID Numbers: | 5125 |
| Study First Received: | October 15, 2008 |
| Last Updated: | June 10, 2009 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Anemia Vitamin D Deficiency Hematologic Diseases Avitaminosis Deficiency Diseases Malnutrition Nutrition Disorders Vitamin D Ergocalciferols Vitamins |
Epoetin Alfa Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances Hematinics Hematologic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 22, 2013