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CompletedNCT01509079Updated Jun 18, 2019Results posted

Vitamin D3 Effects on Musculoskeletal Symptoms With Use of Aromatase Inhibitors

A Phase 2 interventional study of Vitamin D3 and Vitamin D3 in Muscle Pain and Joint Pain, sponsored by HealthPartners Institute. Completed at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-18.

Sponsored by HealthPartners Institute · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
116
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

The Purpose of this study is to determine whether vitamin D3 supplements will decrease the muscle and bone pain that are reported by women who take Aromatase Inhibitors.

Read the detailed description

This project will determine the efficacy of vitamin D3 supplements for reducing side effects of treatment with aromatase inhibitors in women with a history of breast cancer that have no evidence of current disease. The aromatase inhibitors (AI) have become a critical component of adjuvant therapy for this population, but they cause bone pain, joint pain, joint stiffness, and muscle weakness in approximately 40% of patients. These symptoms, referred to as aromatase inhibitor-associated musculoskeletal symptoms (AIMSS), decrease quality of life and medication adherence. Identifying effective ways to decrease these symptoms may allow for longer and more adherent medication use and thus may improve disease-free survival. We hypothesize that vitamin D3 may decrease symptoms associated with the use of aromatase inhibitors.

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Conditions studied

  • Muscle Pain
  • Joint Pain

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In context

Arthralgia

273 studies on the registry are indexed under Arthralgia; 41 are open to participants now.

This study's enrollment of 116 is above the median of 63 across 219 interventional studies indexed under Arthralgia.

Browse Arthralgia studies →

Lead sponsor

HealthPartners Institute is the lead sponsor of 164 studies on the registry; 20 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 16 (94%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 years
  • Women with a history of stage I-IIIa invasive breast cancer
  • History of hormone-receptor positive cancer (either ER + or PR + or both)
  • Are prescribed and are taking anastrozole, letrozole or exemestane for at least one month and have at least 7 months of AI treatment remaining
  • Are experiencing AIMSS

Exclusion criteria

Exclusion Criteria:

  • Unable to read or understand English
  • History of psychiatric disability affecting informed consent or compliance with drug intake
  • Malabsorption syndrome or inability to take oral medication
  • Has less than 7 months of AI therapy remaining
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Study design

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
116 participants (actual)

Study arms

  • Experimental
    Vitamin D3 4000 IU

    Drug: Vitamin D3

  • Active comparator
    Vitamin D3 600 IU

    Drug: Vitamin D3

Interventions

  • DrugVitamin D3

    Cholecalciferol capsule, 4000IU, daily for 6 months

  • DrugVitamin D3

    cholecalciferol capsule, 600 IU, daily for 6 months

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What researchers measure

Primary outcomes

  1. Change in Musculoskeletal Symptom Sub-scale on the Breast Cancer Prevention Trial Symptom Scale

    The MS subscale is a self-reported measure on a scale of 0 to 4, with lower score indicating less arthralgia/myalgia

    Time frame: baseline to 6 months

  2. Change in Hand Grip Strength

    Time frame: baseline to 6 months

Secondary outcomes

  1. Change in PROMIS Physical Functioning Questionnaire

    PROMIS measures physical functioning on the short form and higher scores reflect better physical functioning with 10 questions on daily activities of life on a Likert scale ranging from 5 (no problem performing activity) to 1 (cannot do activity). Range on this measure is from 50 (best)-10 (worst).

    Time frame: baseline to 6 months

  2. Average Percent Adherence to Vitamin D Interventio

    adherence measured with pill counts for the vitamin D at predesignated study timepoints: baseline (after run-in), 3 months and 6 months

    Time frame: average for all study ppts for: screening to baseline; baseline to 3 months; 3 month to 6 months

  3. Serum Estradiol Concentrations

    Time frame: baseline and 6 months

  4. Change in Steady State Concentrations of Serum Anastrazole and Letrozole

    Difference in steady state concentrations in plasma from baseline to 6 months

    Time frame: baseline to 6 months

  5. Whole Body Bone Mineral Density

    GLM Mean and standard deviation of Whole Body Bone Mineral Density (grams/cm2) of Trial Participants by Treatment Arm after controlling for bisphosphonate use

    Time frame: From Baseline and 6 months of D3 supplementation

  6. Vitamin D Binding Protein Genotype

    Time frame: Baseline

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Results

Posted Nov 29, 2016

Participant flow

Participant flow — Overall Study
MilestoneVitamin D3 4000 IUVitamin D3 600 IU
Started5759
Completed5756
Not completed03
Withdrew: Lack of efficacy02
Withdrew: Started an excluded medication01

Outcome measures

PrimaryChange in Musculoskeletal Symptom Sub-scale on the Breast Cancer Prevention Trial Symptom Scale

The MS subscale is a self-reported measure on a scale of 0 to 4, with lower score indicating less arthralgia/myalgia

Time frame:
baseline to 6 months
Reported as:
Mean · units on a scale
Change in Musculoskeletal Symptom Sub-scale on the Breast Cancer Prevention Trial Symptom Scale
units on a scaleVitamin D3 4000 IUVitamin D3 600 IU
Change in Musculoskeletal Symptom Sub-scale on the Breast Cancer Prevention Trial Symptom Scale-0.2 ± 0.7-0.5 ± 0.9
Statistical analysis
  • Vitamin D3 4000 IU vs Vitamin D3 600 IU · ANOVA · p = 0.38
PrimaryChange in Hand Grip Strength
Time frame:
baseline to 6 months
Reported as:
Mean · pounds
Change in Hand Grip Strength
poundsVitamin D3 4000 IUVitamin D3 600 IU
Change in Hand Grip Strength1.8 ± 10.61.0 ± 7.6
SecondaryChange in PROMIS Physical Functioning Questionnaire

PROMIS measures physical functioning on the short form and higher scores reflect better physical functioning with 10 questions on daily activities of life on a Likert scale ranging from 5 (no problem performing activity) to 1 (cannot do activity). Range on this measure is from 50 (best)-10 (worst).

Time frame:
baseline to 6 months
Reported as:
Mean · units on a scale
Change in PROMIS Physical Functioning Questionnaire
units on a scaleVitamin D3 4000 IUVitamin D3 600 IU
Change in PROMIS Physical Functioning Questionnaire0.6 ± 4.91.7 ± 6.9
SecondaryAverage Percent Adherence to Vitamin D Interventio

adherence measured with pill counts for the vitamin D at predesignated study timepoints: baseline (after run-in), 3 months and 6 months

Time frame:
average for all study ppts for: screening to baseline; baseline to 3 months; 3 month to 6 months
Reported as:
Number · % of adherence for each treatment arm
Average Percent Adherence to Vitamin D Interventio
% of adherence for each treatment armVitamin D3 4000 IUVitamin D3 600 IU
Average Percent Adherence to Vitamin D Interventio9595
SecondarySerum Estradiol Concentrations
Time frame:
baseline and 6 months
Reported as:
Geometric mean · pg/ml
Serum Estradiol Concentrations
pg/mlVitamin D3 4000 IUVitamin D3 600 IU
Baseline2.83 ± 0.12.77 ± 0.1
6 months2.94 ± 0.163.0 ± 0.12
SecondaryChange in Steady State Concentrations of Serum Anastrazole and Letrozole

Difference in steady state concentrations in plasma from baseline to 6 months

Time frame:
baseline to 6 months
Reported as:
Mean · mg/L
Change in Steady State Concentrations of Serum Anastrazole and Letrozole
mg/LVitamin D3 4000 IUVitamin D3 600 IU
anastrozole-1.31 ± 10.672.4 ± 5.36
letrozole2.16 ± 9.69-0.83 ± 16.4
SecondaryWhole Body Bone Mineral Density

GLM Mean and standard deviation of Whole Body Bone Mineral Density (grams/cm2) of Trial Participants by Treatment Arm after controlling for bisphosphonate use

Time frame:
From Baseline and 6 months of D3 supplementation
Reported as:
Geometric least squares mean · gm/cm2
Whole Body Bone Mineral Density
gm/cm2Vitamin D3 4000 IUVitamin D3 600 IU
Whole Body Bone Mineral Density1.1 ± 0.121.12 ± 0.13
SecondaryVitamin D Binding Protein Genotype
Time frame:
Baseline

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vitamin D3 4000 IU—0/57 (0%)35/57 (61.4%)
Vitamin D3 600 IU—0/56 (0%)32/56 (57.1%)
Most frequent other events
Showing 10 of 11
Most frequent other events
EventVitamin D3 4000 IUVitamin D3 600 IU
Gastrointestinal complaintsGastrointestinal disorders12/577/56
MusculoskeletalMusculoskeletal and connective tissue disorders10/5710/56
RespiratoryRespiratory, thoracic and mediastinal disorders9/573/56
Nervous system disordersNervous system disorders7/573/56
Skin problemsSkin and subcutaneous tissue disorders5/575/56
Reproductive and breast issuesReproductive system and breast disorders2/575/56
Metabolism and nutrition disordersMetabolism and nutrition disorders5/573/56
InjuriesInjury, poisoning and procedural complications3/574/56
Surgical and medical proceduresSurgical and medical procedures4/571/56
CardiacCardiac disorders2/573/56

Baseline characteristics

Age, Continuous
Age, Continuous(years)Vitamin D3 4000 IUVitamin D3 600 IUTotal
Mean61.4 ± 8.460.3 ± 9.360.9 ± 8.8
Sex: Female, Male
Sex: Female, Male(Participants)Vitamin D3 4000 IUVitamin D3 600 IUTotal
Female5756113
Male000
Region of Enrollment
Region of Enrollment(participants)Vitamin D3 4000 IUVitamin D3 600 IUTotal
United States5756113
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Study locations

1 site
  • Park Nicollet Frauenshuh Cancer Center
    Minneapolis, Minnesota 55416, United States
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References and documents

Publications

  • Shapiro AC, Adlis SA, Robien K, Kirstein MN, Liang S, Richter SA, Lerner RE. Randomized, blinded trial of vitamin D3 for treating aromatase inhibitor-associated musculoskeletal symptoms (AIMSS). Breast Cancer Res Treat. 2016 Feb;155(3):501-12. doi: 10.1007/s10549-016-3710-6. Epub 2016 Feb 11. Erratum In: Breast Cancer Res Treat. 2016 Jun;157(2):403. doi: 10.1007/s10549-016-3818-8. PubMed 26868123 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 18, 2019, 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
NCT01509079
Lead sponsor
HealthPartners Institute
Collaborators
University of Minnesota, University of Southern California
Responsible party
Sponsor
First posted
Jan 12, 2012
Start date
Mar 2012
Primary completion
Oct 2014
Completion
Mar 2015
Results posted
Nov 29, 2016
Last update
Jun 18, 2019

Study contacts

Alice C. Shapiro, PhD RD
principal investigator · Park Nicollet Health Services

Oversight

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

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This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.

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