Effect of Omega-3 Fatty Acid on Vitamin D Activation
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Purpose
Extra-renal sources of 1, 25-dihydroxyvitamin D can be increased to normal serum 1, 25-dihydroxyvitamin D levels in chronic kidney disease patients after administration of high dose 25-hydroxyvitamin D. The investigators observed that 1, 25-dihydroxyvitamin D concentrations were significantly increased after 3 months of omega-3 FA supplementation compared to baseline levels without 25-hydroxyvitamin D administration in dialysis patients. In this study, the investigators hypothesized that omega-3 FA and 25-hydroxyvitamin D supplementations may increase 1, 25-dihydroxyvitamin D concentrations much more compared to 25-hydroxyvitamin D supplementation only in hemodialysis patients with insufficient or deficient 25-hydroxyvitamin D levels.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemodialysis Patients Vitamin D Insufficiency Vitamin D Deficiency |
Drug: Omega-3 fatty acid ethylester 90 Other: Olive oil Other: cholecalciferol |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver) Primary Purpose: Treatment |
| Official Title: | Effect of Omega-3 Fatty Acid on Vitamin D Activation in Hemodialysis Patients |
- Changes of 25-hydroxyvitamin D and 1, 25-dihydroxyvitamin D levels [ Time Frame: 6 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Changes of hemoglobin levels [ Time Frame: 4 weeks, 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Changes of calcium levels [ Time Frame: 4 weeks, 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Change of intact parathyroid hormone [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Change of fetuin-A levels [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Change of FGF-23 levels [ Time Frame: 12 weeks ] [ Designated as safety issue: No ]
- Changes of phosphorous levels [ Time Frame: 4 weeks, 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Changes of erythropoietin doses [ Time Frame: 4 weeks, 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
- Changes of phosphate binder doses [ Time Frame: 4 weeks, 8 weeks and 12 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 20 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Omega-3 fatty acid |
Drug: Omega-3 fatty acid ethylester 90
Omega-3 fatty acid ethylester 90, Dosage form :1g soft capsule, Dosage : one capsule, thrice a day, Duration : 12 weeks
Other Name: Omacor®
Other: cholecalciferol
if baseline 25-hydroxyvitamin D levels are < 15 ng/mL : 10,000IU/week, if baseline 25-hydroxyvitamin D levels are 16-30 ng/mL : 50,000IU/week, Duration : 12 weeks
|
| Placebo Comparator: Olive oil |
Other: Olive oil
Olive oil, Dosage form :1g soft capsule, Dosage : one capsule, thrice a day, Duration : 12 weeks
Other: cholecalciferol
if baseline 25-hydroxyvitamin D levels are < 15 ng/mL : 10,000IU/week, if baseline 25-hydroxyvitamin D levels are 16-30 ng/mL : 50,000IU/week, Duration : 12 weeks
|
Eligibility| Ages Eligible for Study: | 20 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients who were treated with hemodialysis for at least 6 months with 25-hydroxyvitamin D < 30 ng/mL
Exclusion Criteria:
- Patients with a history of active infection within 3 months,
- Patients with fish oil or omega-3 fatty acid supplementation within 3 months,
- Patients with a history of fish, gelatin, and/or omega-3 fatty acid allergies,
- Patients with a history of hospital admission within 3 months,
- Patients with a history of bleeding within 3 months,
- Patients with thrombocytopenia,
- Patients with current use of warfarin,
- Patients with an albumin level < 3.0 g/dL,
- Patients with malignancy and/or liver cirrhosis
Contacts and Locations| Contact: Won Suk An, M.D., Ph.D. | +82-51-240-2811 | anws@dau.ac.kr |
| Korea, Republic of | |
| Won Suk An | Recruiting |
| Busan, Korea, Republic of, 602-715 | |
| Contact: Won Suk An, M.D., Ph.D. +82-51-240-2811 anws@dau.ac.kr | |
More Information
No publications provided
| Responsible Party: | WON SUK AN, Principal Investigator, Dong-A University |
| ClinicalTrials.gov Identifier: | NCT01596842 History of Changes |
| Other Study ID Numbers: | DAU-12-073 |
| Study First Received: | May 8, 2012 |
| Last Updated: | May 10, 2012 |
| Health Authority: | Korea: Institutional Review Board |
Keywords provided by Dong-A University:
|
Omega-3 fatty acid vitamin D ergocalciferol hemodialysis |
Additional relevant MeSH terms:
|
Vitamin D Deficiency Avitaminosis Deficiency Diseases Malnutrition Nutrition Disorders Cholecalciferol Vitamin D |
Ergocalciferols Vitamins Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents |
ClinicalTrials.gov processed this record on May 22, 2013