Vitamin D, Diet and Activity Study (ViDA)

This study has been completed.
Sponsor:
Information provided by:
Fred Hutchinson Cancer Research Center
ClinicalTrials.gov Identifier:
NCT01240213
First received: November 9, 2010
Last updated: August 5, 2013
Last verified: August 2013

November 9, 2010
August 5, 2013
October 2010
August 2012   (final data collection date for primary outcome measure)
Compare the effects of a 1-year one year Vitamin D supplementation vs placebo, on weight loss in postmenopausal women following a weight loss diet and exercise program. [ Time Frame: One Year ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01240213 on ClinicalTrials.gov Archive Site
  • Determine the effects of 12-months vitamin D vs. placebo on blood biomarkers (insulin,glucose,CRP) associated with increased breast cancer risk. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • Test 12-months vitamin D effects on muscle strength as measured by 1RM leg press and bench press in women undergoing weight loss. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • Test the effect of 12-month vitamin D supplementation on effects on quality of life (QOL) in women undergoing weight loss. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • Effect of Vitamin D supplementation on breast epithelial cell cytomorphology [ Time Frame: One Year ] [ Designated as safety issue: No ]
    In a 50% subset of women, test the effect of 12-month vitamin D supplementation vs. placebo on breast epithelial cell cytomorphology (quantified by the Masood cytology index) obtained through random periareolar fine needle aspiration (RPFNA).
  • Effect of Vitamin D on epithelial cell gene expression [ Time Frame: One year ] [ Designated as safety issue: No ]
    In a 50% subset of women, test the effect of 12-month vitamin D supplementation vs. placebo on breast epithelial cell gene expression as measured by qRT-PCR. The breast epithelial cells are collected by RPFNA
  • Determine the effects of 12-months vitamin D vs. placebo on blood biomarkers (insulin,glucose,CRP) associated with increased breast cancer risk. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • Test 12-months vitamin D effects on muscle strength as measured by 1RM leg press and bench press in women undergoing weight loss. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • Test the effect of 12-month vitamin D supplementation on effects on quality of life (QOL) in women undergoing weight loss. [ Time Frame: One Year ] [ Designated as safety issue: No ]
  • In a 50% subset of women, test the effect of 12-month vitamin D supplementation vs. placebo on breast epithelial cell cytomorphology (quantified by the Masood cytology index) obtained through random periareolar fine needle aspiration (RPFNA). [ Time Frame: One Year ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Vitamin D, Diet and Activity Study
Vitamin D, Weight Loss, and Breast Cancer Biomarkers

Experimental and human data suggests that vitamin D could protect against breast cancer. Overweight/obese individuals are at increased risk of low vitamin D levels. Vitamin D may reduce production of fat tissue, thereby reducing weight gain, which would result in lower levels of adipose-derived hormones and other breast cancer risk factors.The purpose of this study is to test the effect of vitamin D supplementation on the response to a weight loss (diet + exercise) intervention and select breast cancer risk factors in overweight and obese postmenopausal women with low blood vitamin D levels.

Objective: To test the incremental effect of vitamin D supplementation (2000 IU/day) in 228 overweight and obese postmenopausal women with low blood vitamin D levels on response to a weight loss (diet + exercise) intervention in a double-blind placebo-controlled clinical trial.

Primary Aim:

• Determine the effects of 12-months vitamin D supplementation vs. placebo on weight loss in women following a weight loss diet and exercise program.

Secondary Aims:

  • Determine the effects of 12-months vitamin D vs. placebo on blood biomarkers associated with increased breast cancer risk (insulin, glucose, CRP).
  • Test 12-months vitamin D effects on muscle strength as measured by 1RM leg press and bench press in women undergoing weight loss.
  • Test the effect of 12-month vitamin D supplementation on effects on quality of life (QOL) in women undergoing weight loss.

Additional Aims:

  • In a 50% subset of women, test the effect of 12-month vitamin D supplementation vs. placebo on breast epithelial cell cytomorphology (quantified by the Masood cytology index) obtained through random periareolar fine needle aspiration (RPFNA).
  • Collect subcutaneous abdominal fat aspirations in the 50% subsample of women.

OUTLINE: This is a randomized study. Participants are stratified according to body mass index (< 30 vs ≥ 30) and RPFNA-consent. All participants will receive a 6-month weight loss intervention (prescribed weight loss goal of 10% of initial body weight) followed by 6 months' maintenance therapy.

Baseline, 6-, and 12-month measurements will include weight, BMI, waist and hip circumference, serum 25-hydroxyvitamin D, fasting blood samples, and questionnaires on details of diet especially items containing vitamin D, physical activity levels, sun exposure including clothing and sunscreen habits, dietary supplement and vitamin use, and medications.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
  • Breast Cancer
  • Obesity
  • Hypovitaminosis D
  • Dietary Supplement: Vitamin D
    2000 IU per day of Vitamin D
    Other Name: calciferol
  • Dietary Supplement: Placebo
    1 Placebo per day
    Other Name: Sugar pill
  • Active Comparator: Vitamin D
    2000 IU per day of Vitamin D
    Intervention: Dietary Supplement: Vitamin D
  • Placebo Comparator: Placebo
    Intervention: Dietary Supplement: Placebo
Mason C, Xiao L, Imayama I, Duggan C, Wang CY, Korde L, McTiernan A. Vitamin D3 supplementation during weight loss: a double-blind randomized controlled trial. Am J Clin Nutr. 2014 May;99(5):1015-25. doi: 10.3945/ajcn.113.073734. Epub 2014 Mar 12.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
218
September 2012
August 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age 50-75 years
  • Postmenopausal (no periods for past 12 months)
  • Screening serum vitamin D (25(OH)D) between 10 and 32 ng/mL ("insufficient")
  • No menopausal HRT use of any type including vaginal X 6 months and willing to avoid use for study duration
  • BMI > 25.0 kg/m2 (> 23.0 for Asians)
  • Physically able to undertake a calorie reduction and exercise program
  • Able to come for clinic visits, classes, and measurements, fill out questionnaires and logs in English
  • Gives informed consent, agrees to be randomly assigned

Exclusion Criteria:

  • Currently using more that 400 IU vitamin D from supplemental sources
  • Screening vitamin D level < 10 ng/mL (will be referred to primary provider) or > 32 ng/mL (already sufficient)
  • Osteoporosis
  • Renal disease, history of kidney stones
  • Any contra-indications to taking vitamin D 2000 IU/day
  • Plans to leave the study area within the follow-up period
  • Plans to join another organized weight loss program or take appetite suppressant medication during the study period
  • History of bariatric surgery
  • Current use of medications likely to interfere with adherence to interventions or study outcomes
  • Current smoker
  • Personal history of invasive or in situ breast cancer
  • Personal history of invasive cancer other than breast: except for non- melanoma skin cancer which would be eligible
  • Diabetes mellitus
  • Abnormalities on screening physical that contraindicate participation
  • Severe congestive heart failure per NYHA criteria 3 & 4
  • Contraindications for entry into a research exercise program: recent (within 6 months) myocardial infarction, pulmonary edema, myocarditis, pericarditis, unstable angina, pulmonary embolism, deep vein thrombosis, uncontrolled hypertension (systolic > 200, diastolic > 100), orthostatic hypotension, moderate/severe aortic stenosis, uncontrolled arrythmia, uncontrolled congestive heart failure, left bundle branch block, history of cardiac arrest or stroke
  • Alcohol or drug abuse, significant mental illness (as assessed by study staff impression)
  • For the RPFNA/adipose tissue substudy: bilateral breast cancer, bilateral mastectomy, unable or unwilling to stop aspirin or NSAIDs for 1 week before and after the procedure, allergy to anesthetics or local anesthetics.
Female
50 Years to 75 Years
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01240213
SAC110024, IR 7297
Yes
Anne McTiernan, MD PhD, FHCRC
Fred Hutchinson Cancer Research Center
Not Provided
Principal Investigator: Anne McTiernan, MD, PhD Fred Hutchinson Cancer Research Center
Fred Hutchinson Cancer Research Center
August 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP