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CompletedNCT00876928Updated Jun 14, 2013Results posted

Vitamin D in Minorities With Prediabetes

An interventional study of vitamin D and placebo in Pre-diabetes, sponsored by Charles Drew University of Medicine and Science. Completed at 1 site in United States. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2013-06-14.

Sponsored by Charles Drew University of Medicine and Science · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
117
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Vitamin D supplementation in minority subjects with both pre-diabetes and low vitamin D levels will delay the development of diabetes.

Read the detailed description

Low vitamin D levels 1) are associated with abnormalities in insulin secretion and insulin action, 2) predict the development of diabetes in those without diabetes, and 3) are more common in people with diabetes. Minority populations (African-Americans and Latinos) are more likely to have both low levels of vitamin D and diabetes. This study will identify minority individuals who are at increased risk for diabetes (those with central obesity, family history of diabetes in first degree relatives and either with hypertension or being treated for hypertension), and determine if they have both pre-diabetes, ie, impaired fasting glucose and/or impaired glucose tolerance, and low levels of vitamin D. Those that have both will be randomized to either high doses of vitamin D or placebo and insulin secretion and action as well as changes in the oral glucose tolerance test (reversion to normal, maintenance of pre-diabetes or development of diabetes) will be monitored at 3 month intervals for one year. This study will test the hypothesis that the increased amount of diabetes in minority populations may be due in part to low levels of vitamin D and whether supplementing this vitamin may delay the development of diabetes.

02

Conditions studied

  • Pre-diabetes

Keywords

  • pre-diabetes
  • minorities
  • oral glucose tolerance test
  • disposition index
  • insulin secretion
  • insulin sensitivity
  • diabetes
03

In context

Glucose Intolerance

792 studies on the registry are indexed under Glucose Intolerance; 126 are open to participants now.

This study's enrollment of 117 is above the median of 60 across 656 interventional studies indexed under Glucose Intolerance.

Browse Glucose Intolerance studies →

Lead sponsor

Charles Drew University of Medicine and Science is the lead sponsor of 43 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  1. Age greater than 40.
  2. Impaired fasting glucose (FPG level greater than 100 and less than 126 mg/dl); and/or
  3. Impaired glucose tolerance (2-h plasma glucose concentration after 75 gram glucose load greater than 140 and less than 200 mg/dl)
  4. Serum 25-OHD less than 30 ng/ml
  5. Able and willing to provide informed consent

Exclusion criteria

Exclusion Criteria:

  1. FPG greater than 126 mg/dl or 2-hour-OGTT plasma glucose greater than 200 mg/dl
  2. Major psychiatric disorder on medication (excluding successfully treated depression)
  3. Diagnosed diabetes mellitus
  4. HIV/AIDS
  5. Major hematological, hepatic (AST/ALT levels greater than or equal to 2 times normal) or renal eGFR less than 60 ml/min) disorder
  6. History of carcinoma, except skin basal cell or squamous cell skin carcinomas
  7. Heart failure, unstable angina or history of a myocardial infarction
  8. Alcohol or substance abuse
  9. Current treatment with glucocorticoids
  10. Current treatment with diabetes medications, including metformin
  11. Cushing's syndrome
  12. Primary hyperparathyroidism
  13. Nephrolithiasis
  14. Pregnancy or breast-feeding
  15. Regular visits to a tanning salon (unlikely in this minority population)
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
117 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Subjects with low vitamin D levels and pre-diabetes

    Drug: placebo

  • Experimental
    vitamin D

    Subjects with low vitamin D levels and pre-diabetes

    Drug: vitamin D

Interventions

  • liquid vitamin D3 dissolved in medium chain triglyceride once a week

  • Drugplacebo

    medium chain triglyceride given once per week

06

What researchers measure

Primary outcomes

  1. Percent of Subjects Who Develop Diabetes

    Diabetes defined by a FPG\>=126 mg/dl or a 2-hr glucose concentration on an OGTT of \>=200 mg/dl

    Time frame: one year

Secondary outcomes

  1. Disposition Index

    Measure of insulin secretion multiplied by measure of insulin sensitivity,both derived from oral glucose tolerance test; higher values are better

    Time frame: Baseline, 3, 6, 9, 12 months

07

Results

Posted Jun 14, 2013

Participant flow

Participant flow — Overall Study
MilestonePlaceboVitamin D
Started5661
Completed5356
Not completed35
Withdrew: Lost to follow-up25
Withdrew: Hypokalemia-affects insulin secretion10

Outcome measures

PrimaryPercent of Subjects Who Develop Diabetes

Diabetes defined by a FPG\>=126 mg/dl or a 2-hr glucose concentration on an OGTT of \>=200 mg/dl

Time frame:
one year
Reported as:
Number · percentage of participants
Percent of Subjects Who Develop Diabetes
percentage of participantsPlaceboVitamin D
Percent of Subjects Who Develop Diabetes912
Statistical analysis
  • Placebo vs Vitamin D · Chi-squared · p = 0.61 (A chi square test was used for the number of participants developing diabetes and a 2-way repeated measures ANOVA for the disposition index) · Percent of patients developing diabetes: 10 · 95% CI 8 to 12Primary outcome compared the number of participants developing diabetes after receiving vitamin D or placebo for one year. Secondary outcome compared changes in 2-way repeated measures ANOVA; therefore,no confidence intervals/dispersion parameters
SecondaryDisposition Index

Measure of insulin secretion multiplied by measure of insulin sensitivity,both derived from oral glucose tolerance test; higher values are better

Time frame:
Baseline, 3, 6, 9, 12 months
Reported as:
Mean · Unitless
Disposition Index
UnitlessPlaceboVitamin D
Dispostion Index at baseline1.4 ± 0.51.3 ± 0.4
Disposition Index at 3 months1.5 ± 0.81.3 ± 0.5
Disposition Index at 6 months1.4 ± 0.61.2 ± 0.5
Disposition Index at 9 months1.3 ± 0.61.3 ± 0.4
Disposition Index at 12 months1.6 ± 1.61.3 ± 0.5
Statistical analysis
  • Placebo vs Vitamin D · ANOVA · p = 0.39

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo—0/53 (0%)0/53 (0%)
Vitamin D—0/56 (0%)0/56 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)PlaceboVitamin DTotal
<=18 years000
Between 18 and 65 years5255107
>=65 years4610
Age Continuous
Age Continuous(Years)PlaceboVitamin DTotal
Mean52.5 ± 7.052.3 ± 8.052.4 ± 7.5
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboVitamin DTotal
Female364379
Male201838
Region of Enrollment
Region of Enrollment(participants)PlaceboVitamin DTotal
United States5661117
08

Study locations

1 site
  • Charles Drew University
    Los Angeles, California 90059, United States
09

References and documents

Publications

  • Sinha-Hikim I, Duran P, Shen R, Lee M, Friedman TC, Davidson MB. Effect of long term vitamin D supplementation on biomarkers of inflammation in Latino and African-American subjects with pre-diabetes and hypovitaminosis D. Horm Metab Res. 2015 Apr;47(4):280-3. doi: 10.1055/s-0034-1383652. Epub 2014 Jul 10. PubMed 25011019 ↗
  • Davidson MB, Duran P, Lee ML, Friedman TC. High-dose vitamin D supplementation in people with prediabetes and hypovitaminosis D. Diabetes Care. 2013 Feb;36(2):260-6. doi: 10.2337/dc12-1204. Epub 2012 Oct 1. PubMed 23033239 ↗
10

Timeline

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

The record gives a start of Mar 2009, a primary completion of Jan 2012 and a completion of Jun 2012. It does not say whether these dates are actual or estimated.

Results were first posted in Jun 2013, 1 year 5 months after primary completion.

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

Registered
Apr 6, 2009
First posted
Apr 7, 2009
Start
Mar 2009
Primary completionActual
Jan 2012
CompletionActual
Jun 2012
Results first posted
Jun 14, 2013
Last update
Jun 14, 2013
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 Jun 14, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00876928
Lead sponsor
Charles Drew University of Medicine and Science
Collaborators
American Diabetes Association
Responsible party
Mayer Davidson (Professor of Medicine, Charles Drew University of Medicine and Science) — Principal investigator
First posted
Apr 7, 2009
Start date
Mar 2009
Primary completion
Jan 2012
Completion
Jun 2012
Results posted
Jun 14, 2013
Last update
Jun 14, 2013

Study contacts

Mayer B. Davidson, MD
principal investigator · Charles Drew University

Oversight

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

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This study is completed, as verified in Apr 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Vitamin D

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