Vitamin D Supplementation in Psychiatric Illnesses (VDSS)
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Purpose
Children and adolescents with psychiatric illnesses who are treated with medications called second generation antipsychotic agents (SGA) often gain excessive weight during their treatment with these medications. This weight gain may result in the development of features of the metabolic syndrome or frank diabetes mellitus. There is no consensus on the best way to prevent these complications. The investigators' hypothesis is that daily vitamin D supplementation in these patients will result in decreased levels of the markers of metabolic syndrome with associated reduction in waist circumference.
| Condition | Intervention |
|---|---|
|
Obesity Vitamin D Deficiency Psychosis Schizophrenia Schizoaffective Disorder |
Drug: Ergocalciferols |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Effect of Vitamin D Supplementation on the Metabolic Abnormalities of Second Generation Antipsychotics in Children and Adolescents |
- Change in Weight [ Time Frame: Baseline and 8 weeks ] [ Designated as safety issue: No ]
- Changes in the Baseline and Post-treatment Values of the Markers of the Metabolic Syndrome (Insulin, C-peptide, Fasting Blood Glucose, Homeostasis Model of Insulin Resistance (HOMA-IR), High Density Lipoprotein Cholesterol). [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Changes in Serum Levels of Adiponectin, Leptin, and C-reactive Protein. [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 12 |
| Study Start Date: | June 2009 |
| Study Completion Date: | June 2010 |
| Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Vitamin D |
Drug: Ergocalciferols
2000 international units by mouth daily for 8 weeks.
Other Name: Drisdol
|
Detailed Description:
In this 8-week open label trial, we will enroll 10 subjects who fulfill the Inclusion Criteria.
Eligibility| Ages Eligible for Study: | 10 Years to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Males/females between the ages 10 through 18 years,
- Subjects with Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (DSM-IV)[62] Axis 1 diagnosis who are on treatment with SGA. These conditions include schizophrenia, schizo-affective disorder, and psychosis,
- Subjects who have gained 10% of their pre-drug body weight while receiving the following SGAs: risperidone, aripiprazole, clozapine, quetiapine and olanzapine. Subjects could be taking other psychotropic agents, but only one SGA,
- All subjects will be able to take the prescribed vitamin D by mouth,
- All subjects will have a 25-hydroxyvitamin D level of < 32 ng/mL,
- All subjects must reside in an in-patient psychiatric facility.
Exclusion Criteria:
- Pregnant or lactating women,
- Patients with mental retardation (intelligence quotient < 50),
- Subjects with specific systemic diseases such as diabetes mellitus, liver and kidney diseases,
- Subjects with known history of parathyroid disorder,
- Subjects with acquired or congenital disorders of vitamin D metabolism,
- Subjects on calcium and vitamin D replacement therapy, such as calcium carbonate, or ergocalciferol, or cholecalciferol,
- Subjects taking any weight loss medications, such as orlistat, and sibutramine,
- Subjects on medications that might affect glucose levels, such as insulin or metformin.
Contacts and Locations| United States, Massachusetts | |
| University of Massachusetts Medical School | |
| Worcester, Massachusetts, United States, 01655 | |
| Principal Investigator: | Benjamin U Nwosu, MD | University of Massachusetts, Worcester |
More Information
No publications provided
| Responsible Party: | Benjamin U. Nwosu, Study Principal Investigator, University of Massachusetts, Worcester |
| ClinicalTrials.gov Identifier: | NCT01004354 History of Changes |
| Other Study ID Numbers: | Docket #13212 |
| Study First Received: | October 28, 2009 |
| Results First Received: | October 17, 2011 |
| Last Updated: | January 10, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of Massachusetts, Worcester:
|
Psychiatric illnesses Vitamin D deficiency Obesity |
Additional relevant MeSH terms:
|
Mental Disorders Obesity Psychotic Disorders Schizophrenia Vitamin D Deficiency Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms Schizophrenia and Disorders with Psychotic Features |
Avitaminosis Deficiency Diseases Malnutrition Ergocalciferols Vitamin D Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 23, 2013