ClinicalTrials.gg
CompletedNCT00581828Updated Jul 24, 2023Results posted

Does Treatment of Hypovitaminosis D Increase Calcium Absorption?

A Phase 4 interventional study of Vitamin D in Osteoporosis, Osteopenia and Vitamin D Deficiency, sponsored by University of Wisconsin, Madison. Completed at 1 site in United States. Open to female participants aged 50 Years to 66 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-07-24.

Sponsored by University of Wisconsin, Madison · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
19
Allocation
Not applicable
Ages
50 Years to 66 Years
Sex
Female
01

Study summary

The purpose is to perform a one-year study designed to assess whether treatment of hypovitaminosis D increases intestinal absorption of calcium, subsequent retention of calcium within bone, decreases bone turnover, and favorably impacts upon skeletal muscle mass, functional status, measures of physical function and quality of life. I hypothesize that treatment of hypovitaminosis D results in improved intestinal calcium absorption, greater retention of calcium within the bone reservoir and improved physical function, quality of life and muscle mass.

Read the detailed description

Postmenopausal women with vitamin D insufficiency will participate in this one-year study. We will study the change in intestinal calcium absorption from baseline (vitamin D insufficiency) to follow up (vitamin D repletion and whether increased absorption results in subsequent increased retention of calcium within bone over the one-year interval as measured by bone densitometry. We will also study the effect of vitamin D repletion upon whole body muscle mass, quality of life and physical function.

A review of medical records and a screening visit will determine eligibility. Eligible and consenting subjects will present to the GCRC in the early morning and following baseline labs, will consume breakfast with a glass of orange juice enriched with a stable calcium isotope, and will receive 3 mg of another stable calcium isotope by intravenous injection. Over the next eight hours, blood will be taken a total of 9 more times and over the first 24 hours, all urine and stool will be collected for measurement of its calcium content.

Subsequently for the next five days, women will collect three urine specimens daily. Women will then receive vitamin D to treat vitamin D deficiency. Once vitamin D repletion is accomplished, all women will repeat their 24-hour visit and subsequent five-day urine collections. Women will maintain vitamin D repletion by taking a twice monthly tablet (50,000 IU) of vitamin D2. To confirm vitamin D repletion and safety over the full one year study, additional study visits will occur at 3, 6 and 12 months.

A bone density test at screening and twelve months will allow us to assess the effect of vitamin D repletion on whole body bone mass and skeletal mass. At each GCRC stay, 3, 6 and 12 months, women will complete questionnaires regarding quality of life and functional status and will perform the Timed Up and Go Test. Because we wish to maintain and confirm constant calcium intake throughout the one- year study, women will complete a calcium questionnaire at baseline, 3, 6 and 12 months.

With each subject's consent, we will collect one tube of blood and isolate its DNA. When sufficient knowledge is available regarding the pathophysiologic mechanisms whereby genetic polymorphisms impact calcium homeostasis, we will test for such DNA polymorphisms and relate genetic information with other data collected on calcium homeostasis.

02

Conditions studied

  • Osteoporosis
  • Osteopenia
  • Vitamin D Deficiency
  • Hypoparathyroidism
  • Hypercalciuria
  • Hypercalcemia

Keywords

  • Calcium Absorption
  • Intestinal Absorption of Calcium
  • Fractional Calcium Absorption
  • Stable Calcium Isotopes
  • Hypovitaminosis D
  • Vitamin D
  • Bone Mineral Density
  • Physical Function
03

In context

Osteoporosis

1,601 studies on the registry are indexed under Osteoporosis; 209 are open to participants now.

This study's enrollment of 19 is below the median of 88 across 1,084 interventional studies indexed under Osteoporosis.

Browse Osteoporosis studies →

Lead sponsor

University of Wisconsin, Madison is the lead sponsor of 1,188 studies on the registry; 181 are open to participants now.

Of its 157 completed or terminated interventional studies of FDA-regulated products, 118 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years to 66 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • women at least five years past onset of menopause, defined as date of last menses (ages reported above are the range in ages of the participants recruited to the study)
  • serum 25(OH)D 16-24 ng/ml by reverse phase HPLC
  • calcium intake \< or = 1,100 mg daily

Exclusion criteria

Exclusion Criteria:

  • Intake of >1,100 mg of calcium per day through the combination of diet and supplements
  • Hypercalcemia (baseline serum calcium above the normal reference range)
  • Nephrolithiasis, documented in the medical record or by patient report
  • Inflammatory bowel disease, malabsorption, chronic diarrhea, or use of antibiotics within the past month
  • Creatinine >2.0 mg/dL
  • Hypercalciuria (baseline urine calcium: creatinine ratio >0.25)
  • Current use of medications known to interfere with vitamin D and/or calcium metabolism, including oral or anticonvulsants
  • Ongoing or recent (past six months) use of bisphosphonates, estrogen compounds, calcitonin or teriparatide, as these compounds may independently affect retention of calcium within bone
  • Diagnosis of, or evidence for, osteomalacia, manifest by serum 25(OH)D \< 16 ng/ml or the presence of at least two of the following blood tests: low calcium, low phosphorus, or elevated alkaline phosphatase (23).
  • Prior adult clinical fragility fracture or baseline T-score below -3.0 at the lumbar spine or femur
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    1

    Subjects received vitamin D (50,000 IU daily for 15 days) and maintenance dose vitamin D (50,000 IU twice monthly for 10 months).

    Drug: Vitamin D

Interventions

  • 50,000 IU po qd for 15 days and 50,000 IU po twice month for 10 months (until final study visit at one year)

    Also known as: Vitamin D2, Ergocalciferol

06

What researchers measure

Primary outcomes

  1. Change in Intestinal Calcium Absorption From Baseline to One Month

    percent and true fractional calcium absorption

    Time frame: 1 month

07

Results

Posted Sep 14, 2012

Participant flow

Participant flow — Overall Study
MilestoneVitamin D
Started19
Completed18
Not completed1
Withdrew: Protocol violation1

Outcome measures

PrimaryChange in Intestinal Calcium Absorption From Baseline to One Month

percent and true fractional calcium absorption

Time frame:
1 month
Reported as:
Mean · percent calcium absorption
Change in Intestinal Calcium Absorption From Baseline to One Month
percent calcium absorptionVitamin D
Change in Intestinal Calcium Absorption From Baseline to One Month3 ± 1

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vitamin D—0/19 (0%)0/19 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Vitamin D
<=18 years0
Between 18 and 65 years18
>=65 years1
Age, Continuous
Age, Continuous(years)Vitamin D
Mean58 ± 8
Sex: Female, Male
Sex: Female, Male(Participants)Vitamin D
Female19
Male0
Region of Enrollment
Region of Enrollment(participants)Vitamin D
United States19
08

Study locations

1 site
  • University of Wisconsin Hospital and Clinics
    Madison, Wisconsin 53792, United States
09

References and documents

Publications

  • Hansen KE, Jones AN, Lindstrom MJ, Davis LA, Engelke JA, Shafer MM. Vitamin D insufficiency: disease or no disease? J Bone Miner Res. 2008 Jul;23(7):1052-60. doi: 10.1359/jbmr.080230. PubMed 18302509 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2005, a primary completion of Jul 2008 and a completion of Dec 2008. It does not say whether these dates are actual or estimated.

Results were first posted in Sep 2012, 4 years 2 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 19, 2007
First posted
Dec 28, 2007
Start
Jan 2005
Primary completionActual
Jul 2008
CompletionActual
Dec 2008
Results first posted
Sep 14, 2012
Last update
Jul 24, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00581828
Responsible party
Sponsor
First posted
Dec 28, 2007
Start date
Jan 2005
Primary completion
Jul 2008
Completion
Dec 2008
Results posted
Sep 14, 2012
Last update
Jul 24, 2023

Study contacts

Karen E Hansen, MD
principal investigator · University of Wisconsin, Madison

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2012. You cannot join it, but the record below documents what was studied.

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