A Phase 2 interventional study of Vitamin D in Breast Cancer, sponsored by Melinda Telli. Terminated at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-23.
Sponsored by Melinda Telli · Phase 2, Interventional, and Basic science
This is a research study of the effect of Vitamin D on breast cancer. We hope to learn whether Vitamin D can change characteristics of certain genes in a breast cancer tumor that affect its growth. We believe some of these characteristics may be influenced by body weight.
Vitamin D3 (cholecalciferol, colecalciferol) is one of type of vitamin D which is made by the skin when exposed to sunlight; it is also found in some foods and can be taken as a dietary supplement. It is used to treat and prevent vitamin D deficiency and associated diseases, including rickets. Vitamin D3 may have a role obesity and cancer biology. In the body, Vitamin D3 is metabolized to the active form 1,25-dihydroxycholecalciferol (calcitriol, 1,25-(OH)2vitamin D3).
This protocol is a randomized, controlled, and blinded clinical trial in obese and non-obese breast cancer patients in whom the effects of vitamin D supplementation will be evaluated in the neoadjuvant setting. Changes in biomarker expression levels in blood will be assessed from baseline to post-treatment (post-surgery).
Per protocol (see title), the treatment groups are defined as those participants with body mass index (BMI) ≤ 25 ("non-obese") and > 25 ("obese"). Within each treatment group, dose of Vitamin D3 was stratified between 400 IU/day (control) and 10,000 IU/day (experimental). All analyses were typically conducted between BMI cohorts stratified by Vitamin D3 dose.
Protocol Primary Objective: "To determine whether dietary vitamin D can reverse the negative effects of obesity and insulin resistance as reflected by changes in breast cancer gene expression patterns in obese and non obese subjects diagnosed with breast cancer."
Protocol Secondary Objectives: "To determine whether dietary vitamin D can reverse the negative effects of obesity and insulin resistance as reflected by serum biomarkers of insulin resistance and adipokine secretion in obese and non obese subjects diagnosed with breast cancer."
The following markers will be part of this study.
12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.
This study's enrollment of 41 is below the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.
Browse Breast Neoplasms studies →Melinda Telli is the lead sponsor of 2 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Non-obese participants receive Vitamin D at 400 or 10,000 IU/day
Drug: Vitamin D
Obese participants receive Vitamin D at 400 or 10,000 IU/day
Drug: Vitamin D
Also known as: cholecalciferol
Expression Level of Insulin-like Growth Factor-binding Protein 3 (IGFBP-3) Gene
To determine whether dietary vitamin D can reverse the negative effects of obesity and insulin resistance as reflected by changes in breast cancer gene expression patterns in obese and non-obese subjects diagnosed with breast cancer. IGFBP-3 is an endocrine factors. Insulin-like growth factor-binding protein 3 (IGFBP-3) gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
Time frame: up to 6 weeks
Expression Level of Cyclin-dependent Kinase Inhibitor 1 (CDKI1; p21) Gene
p21 \[aka p21Cip1; p21Waf1, cyclin-dependent kinase inhibitor 1 (CDKI1) or cyclin-dependent kinase (CDK)-interacting protein 1 (CDKIP1)\] gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
Time frame: up to 6 weeks
Expression Level of Matrix Metalloproteinase-11 (MMP-11) Gene
Matrix metalloproteinase-11 (MMP-11), aka Stromelysin-3 (SL-3), gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
Time frame: up to 6 weeks
Expression Level of MKI67 Gene
Ki 67 gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
Time frame: up to 6 weeks
Expression Level of ESR1 Gene
ESR1 gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
Time frame: up to 6 weeks
Leptin to Adiponectin Ratio (Leptin:Adiponectin) in Blood
Levels in blood of leptin \& adiponectin were assessed at baseline \& after treatment in participants with body mass index ≤25 and \>25. By protocol design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day and 10,000 IU/day. For all serum protein levels, the outcome is reported as the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin and adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome value expresses the treatment effect on both leptin and adiponectin collectively, with a value \<1.00 meaning that the effect on leptin levels was reduced relative to the effect on adiponectin levels, and a value \>1.00 that the effect on leptin levels was increased relative to the effect on adiponectin levels, with a larger difference from 1.00 indicating a greater effect (1.00 means no measure change).
Time frame: up to 6 weeks
HOMA-IR to Adiponectin Ratio (HOMA-IR:Adiponectin) in Blood
The Homeostasis Model of Assessment-Insulin Resistance (HOMA-IR) was used to assess fasting insulin \& glucose levels. HOMA-IR \& adiponectin were assessed at baseline \& after treatment in participants with body mass index ≤25 and \>25. By protocol design, the outcome is for non-obese vs obese participants stratified between 400 \& 10,000 IU/day. For all serum protein levels, the outcome is reported as the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin \& adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome expresses the treatment effect on HOMA-IR \& adiponectin collectively, with \<1.00 meaning effect on HOMA-IR levels is reduced relative to the effect on adiponectin levels, \& \>1.00 meaning the effect is increased relative, with a greater difference meaning greater effect (1.00 represents no measure change).
Time frame: up to 6 weeks
cRP (C-reactive Protein) to Adiponectin Ratio (cRP:Adiponectin) in Blood
Levels in blood of cRP (C-reactive protein) \& adiponectin were assessed at baseline \& after treatment in participants with body mass index (BMI) ≤25 and \>25. By protocol design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day \& 10,000 IU/day. For all serum protein levels, the outcome is the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin \& adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome value expresses the treatment effect on cRP and adiponectin collectively, with a value \< 1.00 meaning effect on cRP levels was reduced relative to the effect on adiponectin levels, and a value \> 1.00 meaning effect on cRP levels was increased relative to the effect on adiponectin levels, with a larger difference from 1.00 indicating a greater effect (1.00 represents no measure change).
Time frame: up to 6 weeks
Pharmacokinetics of Vitamin D Metabolite Calcitriol
Blood levels (pharmacokinetics) of Vitamin D were evaluated as the blood levels of Vitamin D metabolite calcitriol (also known as 1,25-dihydroxycholecalciferol or 1,25(OH)2D) in participants receiving 400 IU/day Vitamin D. The outcome is reported as the mean calcitriol level pre-treatment and post-treatment, with standard deviation.
Time frame: up to 6 weeks
| Milestone | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Started | 25 | 16 |
| Completed | 25 | 16 |
| Not completed | 0 | 0 |
To determine whether dietary vitamin D can reverse the negative effects of obesity and insulin resistance as reflected by changes in breast cancer gene expression patterns in obese and non-obese subjects diagnosed with breast cancer. IGFBP-3 is an endocrine factors. Insulin-like growth factor-binding protein 3 (IGFBP-3) gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | 0.02937 ± 0.03792 | 0.00941 ± 0.00680 |
| Vitamin D 10,000 IU/day | 0.0158 ± 0.03645 | 0.01443 ± 0.01828 |
p21 \[aka p21Cip1; p21Waf1, cyclin-dependent kinase inhibitor 1 (CDKI1) or cyclin-dependent kinase (CDK)-interacting protein 1 (CDKIP1)\] gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | 0.04868 ± 0.07735 | 0.03465 ± 0.03755 |
| Vitamin D 10,000 IU/day | 0.02236 ± 0.04859 | 0.01854 ± 0.01700 |
Matrix metalloproteinase-11 (MMP-11), aka Stromelysin-3 (SL-3), gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | -0.03238 ± 0.04776 | -0.00590 ± 0.02441 |
| Vitamin D 10,000 IU/day | -0.00986 ± 0.05814 | -0.02139 ± 0.01961 |
Ki 67 gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | -0.00958 ± 0.04108 | -0.03809 ± 0.02416 |
| Vitamin D 10,000 IU/day | -0.01318 ± 0.03231 | 0.00166 ± 0.01412 |
ESR1 gene expression was assessed at baseline and after treatment in participants with body mass index (BMI) ≤ 25 and \> 25. By design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day (control) and 10,000 IU/day (experimental), and is reported as the mean of the slope (a measure of magnitude of difference) between baseline and post-treatment, with standard deviation. A positive slope indicates increased expression, and a negative slope indicates decreasing values, with the larger values (positive or negative) indicating greater effect, and smaller values indicating lesser effect.
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | 0.00526 ± 0.14049 | -0.02739 ± 0.02132 |
| Vitamin D 10,000 IU/day | -0.05757 ± 0.0747 | 0.01225 ± 0.04041 |
Levels in blood of leptin \& adiponectin were assessed at baseline \& after treatment in participants with body mass index ≤25 and \>25. By protocol design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day and 10,000 IU/day. For all serum protein levels, the outcome is reported as the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin and adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome value expresses the treatment effect on both leptin and adiponectin collectively, with a value \<1.00 meaning that the effect on leptin levels was reduced relative to the effect on adiponectin levels, and a value \>1.00 that the effect on leptin levels was increased relative to the effect on adiponectin levels, with a larger difference from 1.00 indicating a greater effect (1.00 means no measure change).
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/d | 0.87 | 1.00 |
| Vitamin D 10,000 IU/d | 0.95 | 1.00 |
The Homeostasis Model of Assessment-Insulin Resistance (HOMA-IR) was used to assess fasting insulin \& glucose levels. HOMA-IR \& adiponectin were assessed at baseline \& after treatment in participants with body mass index ≤25 and \>25. By protocol design, the outcome is for non-obese vs obese participants stratified between 400 \& 10,000 IU/day. For all serum protein levels, the outcome is reported as the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin \& adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome expresses the treatment effect on HOMA-IR \& adiponectin collectively, with \<1.00 meaning effect on HOMA-IR levels is reduced relative to the effect on adiponectin levels, \& \>1.00 meaning the effect is increased relative, with a greater difference meaning greater effect (1.00 represents no measure change).
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | 0.96 | 0.52 |
| Vitamin D 10,000 IU/day | 1.35 | 0.99 |
Levels in blood of cRP (C-reactive protein) \& adiponectin were assessed at baseline \& after treatment in participants with body mass index (BMI) ≤25 and \>25. By protocol design, the outcome was determined for non-obese vs obese participants stratified between 400 IU/day \& 10,000 IU/day. For all serum protein levels, the outcome is the ratio of the baseline to post-treatment values (baseline:post-treatment) of the ratio of the mean serum levels of leptin \& adiponectin, (ie, lepton:adiponectin). As a ratio of the ratio of means, the outcome is reported as a number without dispersion. The outcome value expresses the treatment effect on cRP and adiponectin collectively, with a value \< 1.00 meaning effect on cRP levels was reduced relative to the effect on adiponectin levels, and a value \> 1.00 meaning effect on cRP levels was increased relative to the effect on adiponectin levels, with a larger difference from 1.00 indicating a greater effect (1.00 represents no measure change).
| ratio baseline:post-treatment (slope) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Vitamin D 400 IU/day | 0.80 | 0.83 |
| Vitamin D 10,000 IU/day | 1.33 | 1.00 |
Blood levels (pharmacokinetics) of Vitamin D were evaluated as the blood levels of Vitamin D metabolite calcitriol (also known as 1,25-dihydroxycholecalciferol or 1,25(OH)2D) in participants receiving 400 IU/day Vitamin D. The outcome is reported as the mean calcitriol level pre-treatment and post-treatment, with standard deviation.
| ng/mL | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Pre-treatment, 400 IU/day | 30.44 ± 10.89 | 34.67 ± 4.62 |
| Pre-treatment, 10,000 IU/day | 30.75 ± 8.62 | 37.17 ± 12.51 |
| Post-treatment, 400 IU/day | 30.89 ± 7.52 | 31.67 ± 3.06 |
| Post-treatment, 10,000 IU/day | 53.75 ± 13.82 | 59.33 ± 27.74 |
Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Non-obese (Body Mass Index ≤ 25) | 0/25 (0%) | 0/25 (0%) | 0/25 (0%) |
| Obese (Body Mass Index > 25) | 0/16 (0%) | 1/16 (6.3%) | 1/16 (6.3%) |
| Event | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| Primary hyperparathyroidism (HPT)Metabolism and nutrition disorders | 0/25 | 1/16 |
| Neuroendocrine cancer of the breast, metastaticNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/25 | 1/16 |
| Event | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) |
|---|---|---|
| HypercalcemiaMetabolism and nutrition disorders | 0/25 | 1/16 |
| Plasma chromogranin A level, elevatedMetabolism and nutrition disorders | 0/25 | 1/16 |
All participants
| Age, Categorical(Participants) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 21 | 7 | 28 |
| >=65 years | 4 | 9 | 13 |
| Age, Continuous(years) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) | Total |
|---|---|---|---|
| Mean | 54.1 ± 11.6 | 62.1 ± 7.6 | 57.3 ± 10.8 |
| Sex: Female, Male(Participants) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) | Total |
|---|---|---|---|
| Female | 25 | 16 | 41 |
| Male | 0 | 0 | 0 |
| Region of Enrollment(participants) | Non-obese (Body Mass Index ≤ 25) | Obese (Body Mass Index > 25) | Total |
|---|---|---|---|
| United States | 25 | 16 | 41 |
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Melinda Telli