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CompletedNCT01180946Updated Nov 5, 2013

Vitamin D Deficiency in Adolescent Girls

An interventional study of ergocalciferol and placebo pill in Healthy and Vitamin D Deficiency, sponsored by Massachusetts General Hospital. Completed at 1 site in United States. Open to female participants aged 9 Years to 18 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-11-05.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
9 Years to 18 Years
Sex
Female
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Study summary

Fibroblast growth factor 23 (FGF23) is a newly discovered hormone which regulates phosphate and vitamin D levels. In this study, we are looking at what the normal levels of FGF23 are in adolescent girls and how these levels vary with other hormonal measurements. We will also be looking at whether vitamin D supplementation in adolescents who are deficient in vitamin D alters the levels of FGF23 and other factors including insulin resistance.

Read the detailed description

Fibroblast growth factor 23 (FGF23) is a newly discovered hormone. Its primary function is to regulate phosphate metabolism, which it does both by directly regulating phosphate excretion through the kidney as well as by regulating vitamin D activity. What controls FGF23 levels is still under investigation; potential factors include dietary phosphate intake and vitamin D levels.

In this pilot study, we aim to investigate what the normal levels of FGF23 are in healthy girls and how these are related to other measurements of bone and mineral metabolism. Since vitamin D deficiency is very common in healthy girls, we expect a subset of the subjects in this study to be vitamin D deficient. We will then randomize these girls to vitamin D repletion or placebo and follow changes in FGF23 levels. Vitamin D deficiency has also been implicated in insulin resistance which is a precursor to diabetes. We will therefore also look at changes in insulin resistance with vitamin D repletion.

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Conditions studied

  • Healthy
  • Vitamin D Deficiency

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Keywords

  • FGF23
  • FGF-23
  • vitamin D
  • vitamin D deficiency
  • insulin resistance
  • Healthy volunteers
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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 90 is above 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
9 Years to 18 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • healthy girls aged 9-18 years

Exclusion criteria

Exclusion Criteria:

  • significant cardiac, hepatic, oncologic, or psychiatric disease
  • a history of malabsorption, kidney stones, hypoparathyroidism, or growth hormone deficiency
  • pregnancy
  • diabetes mellitus
  • BMI>/= 99th percentile for age and sex
  • fracture within the preceding 3 months
  • hypogonadism (no pubertal development by age 12, absence of menarche by age 14)
  • serum calcium \<8 mg/dl or >11 mg/dl
  • radiographic evidence of rickets
  • use of medications know 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 D (>20,000 units/day), calcitriol, growth hormone, or anti-convulsants.
  • use of hormonal birth control
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
90 participants (actual)

Study arms

  • Active comparator
    Ergocalciferol

    Weekly ergocalciferol for 16 weeks

    Dietary Supplement: ergocalciferol

  • Placebo comparator
    Placebo

    Placebo pill. Note that all subjects in this arm will receive vitamin D repletion at the conclusion of the study.

    Other: placebo pill

Interventions

  • Dietary supplementergocalciferol

    ergocalciferol (a dietary form of vitamin D). 50,000 units by mouth once a week for 16 weeks.

    Also known as: vitamin D

  • Otherplacebo pill

    placebo pill once weekly for 16 weeks. At the end of the study, subjects in this arm will receive vitamin D repletion

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What researchers measure

Primary outcomes

  1. change in FGF23 level with vitamin D repletion

    Time frame: baseline and 16 weeks

Secondary outcomes

  1. change in bone turnover markers with vitamin D repletion

    Time frame: baseline and 16 weeks

  2. change in mineral metabolism factors with vitamin D repletion

    Time frame: baseline and 16 weeks

  3. change in insulin sensitivity with vitamin D repletion

    Time frame: baseline and 16 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-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 ↗
  • 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 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 ↗
  • Mitchell DM, Juppner H, Burnett-Bowie SM. FGF23 Is Not Associated With Age-Related Changes in Phosphate, but Enhances Renal Calcium Reabsorption in Girls. J Clin Endocrinol Metab. 2017 Apr 1;102(4):1151-1160. doi: 10.1210/jc.2016-4038. PubMed 28323960 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2013, 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
NCT01180946
Lead sponsor
Massachusetts General Hospital
Responsible party
Sherri-Ann M. Burnett-Bowie (Assistant Professor of Medicine, Massachusetts General Hospital) — Principal investigator
First posted
Aug 12, 2010
Start date
Sep 2010
Primary completion
Apr 2013
Completion
Apr 2013
Last update
Nov 5, 2013

Study contacts

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

Oversight

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

Not currently enrolling

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

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