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CompletedNCT00957879Updated Apr 19, 2012

Different Vitamin D Preparations & FGF23 in Humans

An interventional study of Ergocalciferol and Calcitriol in Vitamin D Deficiency, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-04-19.

Sponsored by Massachusetts General Hospital · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
All
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Study summary

Fibroblast growth factor 23 (FGF23) is a new hormone which controls phosphate and vitamin D levels in humans. Excess FGF23 is associated with an increased risk of death in patients with chronic kidney disease. In this study the investigators are investigating the effects of different forms of vitamin D on FGF23 levels in the blood in order to increase our understanding of how this important hormone works.

Read the detailed description

Fibroblast growth factor 23 (FGF23) is a novel hormone involved in phosphate and vitamin D physiology. X-linked hypophosphatemia (XLH), autosomal dominant hypophosphatemic rickets (ADHR), and tumor induced osteomalacia (TIO) are 3 rare diseases characterized by rickets/osteomalacia, fractures, and hypophosphatemia secondary to renal phosphate wasting and inappropriately low levels of activated vitamin D (calcitriol), which are caused by excess amounts of or mutated FGF23. FGF23 excess also occurs in renal failure, where elevated FGF23 levels predict increased mortality. Thus, abnormal FGF23 appears to be central to both rare and common diseases. While FGF23 appears to be regulated by vitamin D, dietary and serum phosphate, much is still unknown. The effects of different forms of vitamin D on FGF23 stimulation are not well characterized. Similarly, any racial differences in the regulation of FGF23 by vitamin D have not been investigated.

To address these knowledge deficits, we will randomize 52 vitamin D deficient (25OHD \< or = 24 ng/mL by LC/MS) Caucasian and African-American men and women to treatment with either dietary vitamin D or activated vitamin D for 12 weeks. Our primary endpoint will be the change in FGF23 with dietary versus activated vitamin D.

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Conditions studied

  • Vitamin D Deficiency

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Keywords

  • Vitamin D
  • FGF23
  • FGF-23
  • Phosphate
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In context

Vitamin D Deficiency

772 studies on the registry are indexed under Vitamin D Deficiency; 61 are open to participants now.

This study's enrollment of 42 is below the median of 77 across 564 interventional studies indexed under Vitamin D Deficiency.

Browse Vitamin D Deficiency studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,536 studies on the registry; 446 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 161 (75%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 18 to 45 yrs
  • Serum 25OHD \< 24 ng/mL by liquid chromatography/mass spectroscopy
  • At least 1 menses in the last 3 months (females) and normal serum testosterone (males)
  • African-American or Caucasian race

Exclusion criteria

Exclusion Criteria:

  • Significant cardiac, hepatic, oncologic, or psychiatric disease
  • History of malabsorption, kidney stones, or recent alcohol excess/abuse
  • Use of medications known to affect serum phosphate levels including phosphate-binding antacids, sodium etidronate, calcitonin, excessive doses of vitamin D (> 1000 units per day), excessive doses of vitamin A (> 20,000 units/day), calcitriol, growth hormone, or anti-convulsants
  • Use of thiazide diuretics or cholestyramine
  • Serum calcium \< 8 or > 11 mg/dL, creatinine > 1.5 mg/dL, or Hgb \< 11 gm/dL
  • Serum glucose >140mg/dL
  • Liver function tests > 2 times the upper limit of normal
  • TSH \< 0.1 or > 7 uU/mL
  • WBC \< 2,000 or > 15,000/cmm
  • Platelet count \< 100,000 or > 500,000/cum
  • Hormone replacement therapy (however, oral contraceptives are allowed) or testosterone use
  • Urine beta-hCG positive (females)
  • Serum phosphate > 4.6 mg/dL
  • Allergy to vitamin D
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Study design

Phase
Not applicable
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Active comparator
    ergocalciferol

    Weekly ergocalciferol for 12 weeks

    Dietary Supplement: Ergocalciferol

  • Active comparator
    calcitriol

    Daily calcitriol for 12 weeks

    Dietary Supplement: Calcitriol

Interventions

  • Dietary supplementErgocalciferol

    Ergocalciferol 50000 international units by mouth weekly for 12 weeks

  • Dietary supplementCalcitriol

    Calcitriol 0.5 mcg by mouth daily for 12 weeks

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What researchers measure

Primary outcomes

  1. Change in FGF23 levels

    Time frame: 12 weeks

Secondary outcomes

  1. Change in serum phosphate

    Time frame: 12 weeks

  2. Change in urinary phosphate

    Time frame: 12 weeks

  3. Change in serum calcium

    Time frame: 12 weeks

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Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
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References and documents

Publications

  • Burnett SM, Gunawardene SC, Bringhurst FR, Juppner H, Lee H, Finkelstein JS. Regulation of C-terminal and intact FGF-23 by dietary phosphate in men and women. J Bone Miner Res. 2006 Aug;21(8):1187-96. doi: 10.1359/jbmr.060507. PubMed 16869716 ↗
  • Bhan I, Shah A, Holmes J, Isakova T, Gutierrez O, Burnett SM, Juppner H, Wolf M. Post-transplant hypophosphatemia: Tertiary 'Hyper-Phosphatoninism'? Kidney Int. 2006 Oct;70(8):1486-94. doi: 10.1038/sj.ki.5001788. Epub 2006 Aug 30. PubMed 16941023 ↗
  • Burnett-Bowie SM, Mendoza N, Leder BZ. Effects of gonadal steroid withdrawal on serum phosphate and FGF-23 levels in men. Bone. 2007 Apr;40(4):913-8. doi: 10.1016/j.bone.2006.10.016. Epub 2006 Dec 8. PubMed 17157573 ↗
  • Burnett-Bowie SM, Henao MP, Dere ME, Lee H, Leder BZ. Effects of hPTH(1-34) infusion on circulating serum phosphate, 1,25-dihydroxyvitamin D, and FGF23 levels in healthy men. J Bone Miner Res. 2009 Oct;24(10):1681-5. doi: 10.1359/jbmr.090406. PubMed 19419295 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 19, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00957879
Lead sponsor
Massachusetts General Hospital
Collaborators
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Responsible party
Sherri-Ann M. Burnett-Bowie (Assistant Professor of Medicine, Massachusetts General Hospital) — Principal investigator
First posted
Aug 13, 2009
Start date
May 2009
Primary completion
Sep 2010
Completion
Mar 2011
Last update
Apr 19, 2012

Study contacts

Sherri-Ann M Burnett-Bowie, MD, MPH
principal investigator · Massachusetts General Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

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

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