ClinicalTrials.gg
CompletedNCT01691833VitDUpdated Jul 14, 2022Results posted

The Effect of Hypovitaminosis D and Vitamin D Supplementation on Fracture Nonunion Rates

An interventional study of Vitamin D and Placebo in Hypovitaminosis D, sponsored by Wake Forest University Health Sciences. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-14.

Sponsored by Wake Forest University Health Sciences · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
113
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 154 studies testing Vitamin D in Vitamin D Deficiency — 15 open to participants now, 16 under way, none of them phase 3. Vitamin D · Vitamin D Deficiency.

Enrollment
43rd of 153
113 · median 75
Started
2011
with 7 others
No phase
87 of 154
12 open now
Registered
46th of 154
by date

Among the 154 studies testing Vitamin D in Vitamin D Deficiency, this one is the 43rd largest by enrollment of the 153 interventional ones that give a count, is one of 8 that started in 2011, is one of 87 with no phase, and was the 46th registered.

Vitamin D Deficiency

801 studies on the registry are indexed under Vitamin D Deficiency; 60 are open to participants now.

Browse Vitamin D Deficiency studies →

Open to participants now

15 of the 154 studies testing Vitamin D in Vitamin D Deficiency are open now, in 8 countries. Recruiting first, the newest first:

10 more — sign in →

By country, each count listing its studies:

All 15 open studies →

About Vitamin D

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 37 Vitamin D Deficiency studies recruiting now, 16 (43%) set no upper age limit and 18 (49%) stop at 75 or younger; 10 take children under 18; 11 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 154 studies testing Vitamin D in Vitamin D Deficiency, or all of them as a file.
02

Study summary

The purpose of the study is to determine whether vitamin D supplementation in patients with hypovitaminosis D can decrease nonunion (failure to heal) incidence in patients with fractures of the humerus, femur, or tibia. The central hypothesis of the study is that vitamin D supplementation in patients with fractures and hypovitaminosis D will decrease the risk of nonunion compared to placebo treatment.

Read the detailed description

Vitamin D plays an important role in maintaining calcium and phosphate balance in the body and is important for maintenance of bone formation, remodeling, and healing. An extensive literature search indicates that although there is evidence that vitamin D deficiency is associated with fracture risk, there is no evidence of the role of vitamin D deficiency in subsequent failure to heal. The aims of study were to: 1) quantify the rate of hypovitaminosis D in an orthopedic trauma population in the Southeastern United States; 2) determine the rate of nonunion in vitamin D deficient patients, and 3) assess the feasibility of acute high-dose vitamin-D supplementation in hypovitaminosis D patients.

03

Conditions studied

  • Hypovitaminosis D

Browse trials for

Keywords

  • Vitamin D
  • nonunion
  • long bone fracture
  • hypovitaminosis D
04

Who can participate

Ages eligible
18 Years and older
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

  • presence of a long bone fracture (humerus, femur, or tibia)
  • age greater than or equal to 18 years
  • ability to follow-up at our clinic for 12 months

Exclusion criteria

Exclusion Criteria:

  • pathologic fractures (i.e. occuring in the presence of abnormal bone such as a tumor, cyst, or Paget's disease)
  • open fractures (i.e. associated skin disruption) of Gustilo-Anderson type IIIB or C (i.e. significant soft-tissue and bone devitalization)
  • presence of multiple fractures
  • delay in presentation for initial treatment of more than 2 weeks from the time of injury
  • preexisting disorders known to adversely affect bone healing (e.g. diabetes mellitus with greater than or equal to 7, peripheral vascular disease, certain connective tissue disorders, and congenital or acquired disorders of bone metabolism)
  • preexisting disorders affecting Vitamin D metabolism and/or calcium phosphate homeostasis (e.g. renal failure, hepatic failure, congenital defects in vitamin D metabolism, parathyroid disorders, conditions causing abnormal calcium and/or phosphate absorption)
  • pregnant patients
  • patients who are unable to provide consent for the study
  • patients who are unable to swallow due to acuity of illness or physiologic reason
  • prisoners who are patients because of their vulnerable population and inability to follow-up
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

05

Study design

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

Study arms

  • Experimental
    Vitamin D

    Patients that are deficient in Vitamin D will be assigned to the randomized arm of the study. They will be randomly chosen to receive either the Vitamin D supplement or the placebo.

    Dietary Supplement: Vitamin D

  • Placebo comparator
    Placebo

    Patients that are deficient in Vitamin D will be assigned to the randomized arm of the study. They will be randomly chosen to receive either the Vitamin D supplement or the placebo.

    Dietary Supplement: Placebo

  • No intervention
    Normovitaminosis

    Patients with normovitaminosis( levels greater than or equal to 30ng/ml) will receive no intervention.

Interventions

  • Dietary supplementVitamin D

    Patients that are Vitamin D deficient and randomized to the treatment group will receive a 10,000 IU dose of Vitamin D.

  • Dietary supplementPlacebo

    Patients that are Vitamin D deficient maybe randomized to the placebo group D.

06

What researchers measure

Primary outcomes

  1. Fracture Union

    Fracture Union is define as either clinical or radiological union. Clinical union defined as the absence of pain at the fracture site with the ability to bear full weight on the extremity without pain for activities of daily living (ambulation, lifting, carrying). Radiological union was determined by two blinded, independent review-ers and defined as the presence of bridging callus across at least three of four cortices or two of four cortices with a stable implant. When discrepancies between clinical and radiological union arose, the clinical assessment of union was preferred. Discrepancies in radiological outcomes were re-examined and a consensus view was obtained between reviewers if needed, to determine the outcome.If a patient did not meet the criteria for union and had at least nine months of follow•up or underwent re-operation for a diagnosis of a nonunion, they were deemed to have a nonunion.

    Time frame: up to 9 months post-surgery

  2. Fracture Non-union

    If a patient did not meet the criteria for union and had at least nine months of follow-up or underwent re-operation for a diagnosis of a nonunion, they were deemed to have a nonunion.

    Time frame: 9 months

Secondary outcomes

  1. Fixation Failure

    Early failure of fixation was defined as the need to revise the fixation within three months.

    Time frame: three months

  2. Deep Infection

    A deep infection was defined as an unexpected return to theatre for irrigation and debridement with positive cultures from below the fascia.

    Time frame: 15 months

  3. Lost to Follow-up

    Lost to follow-up if they did not meet the criteria for an outcome by 15 months after injury or surgery; were without another scheduled follow-up appointment, could not be contacted or refused to return for evaluation or send alternate records when contacted.

    Time frame: 15 months

07

Results

Posted Feb 15, 2019

Participant flow

Participant flow — Overall Study
MilestoneHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Started505013
Completed494913
Not completed110

Outcome measures

PrimaryFracture Union

Fracture Union is define as either clinical or radiological union. Clinical union defined as the absence of pain at the fracture site with the ability to bear full weight on the extremity without pain for activities of daily living (ambulation, lifting, carrying). Radiological union was determined by two blinded, independent review-ers and defined as the presence of bridging callus across at least three of four cortices or two of four cortices with a stable implant. When discrepancies between clinical and radiological union arose, the clinical assessment of union was preferred. Discrepancies in radiological outcomes were re-examined and a consensus view was obtained between reviewers if needed, to determine the outcome.If a patient did not meet the criteria for union and had at least nine months of follow•up or underwent re-operation for a diagnosis of a nonunion, they were deemed to have a nonunion.

Time frame:
up to 9 months post-surgery
Reported as:
Count of participants · Participants
Fracture Union
ParticipantsHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Fracture Union403910
PrimaryFracture Non-union

If a patient did not meet the criteria for union and had at least nine months of follow-up or underwent re-operation for a diagnosis of a nonunion, they were deemed to have a nonunion.

Time frame:
9 months
Reported as:
Count of participants · Participants
Fracture Non-union
ParticipantsHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Fracture Non-union223
SecondaryFixation Failure

Early failure of fixation was defined as the need to revise the fixation within three months.

Time frame:
three months
Reported as:
Count of participants · Participants
Fixation Failure
ParticipantsHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Fixation Failure110
SecondaryDeep Infection

A deep infection was defined as an unexpected return to theatre for irrigation and debridement with positive cultures from below the fascia.

Time frame:
15 months
Reported as:
Count of participants · Participants
Deep Infection
ParticipantsHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Deep Infection010
SecondaryLost to Follow-up

Lost to follow-up if they did not meet the criteria for an outcome by 15 months after injury or surgery; were without another scheduled follow-up appointment, could not be contacted or refused to return for evaluation or send alternate records when contacted.

Time frame:
15 months
Reported as:
Count of participants · Participants
Lost to Follow-up
ParticipantsHypovitaminosis- Vitamin D GroupHypovitaminosis- Placebo GroupNormovitaminosis
Lost to Follow-up770

Adverse events

Collected over 15 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Hypovitaminosis- Vitamin D Group0/50 (0%)0/50 (0%)0/50 (0%)
Hypovitaminosis- Placebo Group0/50 (0%)0/50 (0%)0/50 (0%)
Normovitaminosis0/13 (0%)0/13 (0%)0/13 (0%)

Baseline characteristics

Age, Customized
Age, Customized(years)Vitamin DPlaceboNormovitaminosisTotal
Mean38.9 ± 13.135.5 ± 12.139.9 ± 11.737.4 ± 12.6
Sex: Female, Male
Sex: Female, Male(Participants)Vitamin DPlaceboNormovitaminosisTotal
Female1612533
Male3438880
Injury Type
Injury Type(Participants)Vitamin DPlaceboNormovitaminosisTotal
Humerus87318
Femur2525555
Tibia1718540
Tobacco use ( current)
Tobacco use ( current)(Participants)Vitamin DPlaceboNormovitaminosisTotal
Count of participants2423855
BMI
BMI(kg/m2)Vitamin DPlaceboNormovitaminosisTotal
Mean29.4 ± 6.327.8 ± 6.525.5 ± 4.8728.3 ± 6.5
Operatively treated
Operatively treated(Participants)Vitamin DPlaceboNormovitaminosisTotal
Count of participants41421194
Prior use of Vitamins
Prior use of Vitamins(Participants)Vitamin DPlaceboNormovitaminosisTotal
Count of participants2936671
Diabetes mellitus
Diabetes mellitus(Participants)Vitamin DPlaceboNormovitaminosisTotal
Count of participants0404
08

Study locations

1 site
  • Carolinas Medical Center
    Charlotte, North Carolina 28204, United States
09

Timeline

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

The record gives a start of Feb 2011, a primary completion of Jan 2017 and a completion of Dec 2017. It does not say whether these dates are actual or estimated.

Results were first posted in Feb 2019, 2 years 1 month after primary completion.

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

Registered
Sep 17, 2012
First posted
Sep 25, 2012
Start
Feb 2011
Primary completionActual
Jan 2017
CompletionActual
Dec 2017
Results first posted
Feb 15, 2019
Last update
Jul 14, 2022
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 Jul 14, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01691833
Responsible party
Sponsor
First posted
Sep 25, 2012
Start date
Feb 2011
Primary completion
Jan 2017
Completion
Dec 2017
Results posted
Feb 15, 2019
Last update
Jul 14, 2022

Study contacts

Madhav Karunakar, MD
principal investigator · Wake Forest University Health Sciences
Rachel Seymour, PhD
study director · Wake Forest University Health Sciences
Christine Churchill, MA
study chair · Wake Forest University Health Sciences

Oversight

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

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