Vitamin D Supplementation in Chronic Rhinosinusitis With Nasal Polyps (VDinCRS)
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Purpose
The purpose of this study is to determine if Vitamin D supplementation improves clinical and immunologic parameters in chronic rhinosinusitis with nasal polyps.
| Condition | Intervention |
|---|---|
|
Chronic Sinusitis |
Biological: Vitamin D |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Vitamin D Supplementation in Chronic Rhinosinusitis With Nasal Polyps |
- Clinical symptom score [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Symptoms will be graded using Sinonasal Outcomes Test-22.
- Nasal peak inspiratory flow [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Measurement of maximal nasal peak inspiratory flow
- Systemic and local immunologic parameters [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]Histologic analysis of sinus immune cells, as well as systemic measurement of immune cells.
| Estimated Enrollment: | 30 |
| Study Start Date: | October 2013 |
| Estimated Study Completion Date: | January 2015 |
| Estimated Primary Completion Date: | January 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Vitamin D
Vitamin D 5,000IU/day for 6 weeks
|
Biological: Vitamin D
Vitamin D 5000IU/day for 6 weeks
Other Name: Vitamin D3
|
|
Placebo Comparator: Placebo
Placebo for 6 weeks.
|
Biological: Vitamin D
Vitamin D 5000IU/day for 6 weeks
Other Name: Vitamin D3
|
Detailed Description:
Introductory Statement: Our laboratory has found that patients with chronic rhinosinusitis with nasal polyps (CRSwNP) have insufficient levels of vitamin D3. This is a proposal to conduct a placebo controlled trial on the use of vitamin D3 (5,000IU/day for 6 weeks) to determine clinical and immunologic outcomes in these patients.
General Investigational Plan: We routinely examine vitamin D levels in all patients with CRSwNP. Those that are insufficient (less than 32 ng/ml) and have agreed to undergo sinus surgery will be randomized to placebo or vitamin D3 supplementation (5,000IU/day) for 6 weeks prior to surgery. Blood will be drawn pre- and post-supplementation to examine systemic immune parameters such as dendritic cell and T cell expression and cytokine levels. Sinus tissue will be collected at the time of surgery to analyze local immune parameters (dendritic cell, T cell and cytokine levels) between supplemented and placebo groups. Clinical outcomes will be analyzed using quality of life questionnaires, endoscopic grading and nasal peak inspiratory flow pre- and post- supplementation. IRB approval for this research project is pending.
Eligibility| Ages Eligible for Study: | 14 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Chronic sinusitis with polyps
Exclusion Criteria:
- Use of systemic steroids, or other immunmodulatory agents in preceding monthS, other immunologic, renal, gastrointestinal, endocrine or skeletal disorder (rheumatoid arthritis, immunodeficiency, cystic fibrosis, ciliary dyskinesia, malabsorption, etc.)
- Pregnancy or age less than 14 years.
Contacts and Locations| United States, South Carolina | |
| Medical University of South Carolina | Not yet recruiting |
| Charleston, South Carolina, United States, 29425 | |
| Contact: Rodney J Schlosser, MD 843-792-7165 schlossr@musc.edu | |
| Principal Investigator: Rodney Schlosser, MD | |
| Principal Investigator: | Rodney Schlosser, MD | Medical University of South Carolina |
More Information
No publications provided
| Responsible Party: | Rodney J. Schlosser, PI, Medical University of South Carolina |
| ClinicalTrials.gov Identifier: | NCT01185808 History of Changes |
| Other Study ID Numbers: | Vitamin D in CRSwNP |
| Study First Received: | July 30, 2010 |
| Last Updated: | May 20, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Medical University of South Carolina:
|
sinusitis chronic sinusitis with polyps |
Additional relevant MeSH terms:
|
Sinusitis Nasal Polyps Chronic Disease Nose Diseases Respiratory Tract Diseases Otorhinolaryngologic Diseases Polyps Pathological Conditions, Anatomical Paranasal Sinus Diseases Respiratory Tract Infections |
Disease Attributes Pathologic Processes Vitamin D Ergocalciferols Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 23, 2013