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Vitamin D Supplementation in HIV Youth

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ClinicalTrials.gov Identifier: NCT01523496
Recruitment Status : Completed
First Posted : February 1, 2012
Results First Posted : February 6, 2018
Last Update Posted : March 8, 2018
Sponsor:
Collaborator:
Emory University
Information provided by (Responsible Party):
Grace McComsey, University Hospitals Cleveland Medical Center

Study Description
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Brief Summary:
The purpose of this study is to determine the correct dose of Vitamin D to give to prevent HIV related complications.

Condition or disease Intervention/treatment Phase
HIV Infections Drug: Vitamin D control dose Drug: Vitamin D supplementation- Phase 2 Phase 3

Detailed Description:
The purpose of the this study was to compare control dose of vitamin D (low dose of 600 IU/d) to supplementation dose (medium dose of 2000 IU/d or higher doses of vitamin D of 4000 IU/d) on HIV-related comorbidities including immune activation, inflammation, cardiovascular diseases, and metabolic complications in HIV-infected youth.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 190 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Vitamin D Supplementation and HIV-related Complications in Children and Young Adults
Study Start Date : December 2011
Actual Primary Completion Date : August 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS Vitamin D
Drug Information available for: Vitamin D

Arms and Interventions
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Arm Intervention/treatment
Active Comparator: HIV + Young Adults
All will be HIV+ and receiving randomized dose of vitamin D control dose (low dose) or supplementation dose (vitamin D medium dose or vitamin D high dose)
 Drug: Vitamin D control dose
18,000 IU per month
Other Name: 25(OH)D3 low dose

Drug: Vitamin D supplementation-
60,000 IU per month(medium dose) or 120,000 IU/month(high dose)
Other Name: 25(OH)D3 medium dose or 25(OH)high dose
Active Comparator: HIV - Controls
HIV negative controls will be receiving randomized Vitamin D doses: control vitamin D dose (low dose) or vitamin D supplementation dose (vitamin D medium dose or vitamin D high dose)
 Drug: Vitamin D control dose
18,000 IU per month
Other Name: 25(OH)D3 low dose

Drug: Vitamin D supplementation-
60,000 IU per month(medium dose) or 120,000 IU/month(high dose)
Other Name: 25(OH)D3 medium dose or 25(OH)high dose


Outcome Measures
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Primary Outcome Measures :
  1. Changes in Serum 25(OH)D3 Levels [ Time Frame: 6 months ]
    Evaluate the dose-related efficacy of correction of Vitamin D deficiency for 25(OH)D3 levels in a group of HIV-infected children and young adults and a matched healthy control group in a randomized controlled study of different dosing regimens of oral Vitamin D supplementation: control dose (18,000 IU per month) or supplemented dose (medium 60,000IU per month or high dose 120,000IU/month )


Secondary Outcome Measures :
  1. Changes in Vitamin D Binding Protein (VDBP) [ Time Frame: 6 months ]
    Evaluate the dose-related efficacy of vitamin D binding Protein in levels in the blood in a group of HIV-infected children and young adults and a matched healthy control group in a randomized controlled study of different dosing regimens of oral vitamin D supplementation.


Eligibility Criteria
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Ages Eligible for Study:   8 Years to 25 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Ages 8-25
  • Documented HIV-1 infection
  • On stable antiretroviral therapy for > 3 months
  • Cumulative antiretroviral therapy of at least 6 months
  • 25(OH)D level < 30 ng/ml at screening

Exclusion Criteria:

  • > 400 IU daily regular vitamin D intake
  • Parathyroid/calcium disorders
  • Active malignancy
  • Pregnancy/intent to become pregnant/breastfeeding
  • Chronic infectious/inflammatory conditions
  • Creatinine clearance < 50 ml/min
  • Hemoglobin < 9.0 g/dL
  • Aspartate aminotransferase and alanine aminotransferase > 2.5 upper limit of normal
  • Diabetes requiring hypoglycemic agents
  • Known coronary artery disease
  • Inability to swallow pills
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01523496


Locations
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United States, Georgia
Emory Children's Center
Atlanta, Georgia, United States, 30322
United States, Ohio
University Hospitals Case Medical Center
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
University Hospitals Cleveland Medical Center
Emory University
Investigators
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Principal Investigator: Grace McComsey, MD, FIDSA University Hospitals Cleveland Medical Center
More Information
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Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

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Responsible Party: Grace McComsey, Professor of Pediatrics and Medicine, Chief Pediatric Infectious Diseases, Rheumatology and Global Health, University Hospitals Cleveland Medical Center
ClinicalTrials.gov Identifier: NCT01523496    
Other Study ID Numbers: 09-11-06
First Posted: February 1, 2012    Key Record Dates
Results First Posted: February 6, 2018
Last Update Posted: March 8, 2018
Last Verified: February 2018
Keywords provided by Grace McComsey, University Hospitals Cleveland Medical Center:
HIV
Vitamin D Deficiency
Additional relevant MeSH terms:
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HIV Infections
Blood-Borne Infections
Communicable Diseases
Infections
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
 Immunologic Deficiency Syndromes
Immune System Diseases
Vitamin D
Ergocalciferols
Calcifediol
Vitamins
Micronutrients
Physiological Effects of Drugs
Bone Density Conservation Agents
Calcium-Regulating Hormones and Agents