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CompletedNCT01921894SAVED-PUpdated Mar 23, 2017Results posted

Vitamin D and Severe Asthma Exacerbations

A Phase 1 interventional study of Cholecalciferol in Asthma, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 6 Years to 14 Years. Per ClinicalTrials.gov, last updated 2017-03-23.

Sponsored by University of Pittsburgh · Phase 1, Interventional, and Prevention

Phase
Phase 1
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
6 Years to 14 Years
Sex
All
01

Study summary

This study of vitamin D is designed to assess both the safety and efficacy of potential doses (2,000 IU/day and 4,000 IU/day) in raising a vitamin D level to a normal range in a short period of time (e.g. 4 weeks or less) compared to 200 IU/day.

In children with vitamin D insufficiency or deficiency who are at risk for severe asthma exacerbations, we hypothesize that both vitamin D supplementation with 4,000 IU/day and 2,000 IU/day will safely achieve normal vitamin D levels, but that the higher dose (4,000 IU/day) will result in a larger proportion of subjects achieving this level at 4 and 8 weeks.

Read the detailed description

Asthma is a major public health problem in the United States and worldwide. Severe disease exacerbations account for the majority of costs attributable to asthma in the United States. Vitamin D is an essential nutrient with significant immuno-modulatory effects. The observation that vitamin D insufficiency and asthma share risk factors such as urban residence, obesity, and African American ethnicity has generated significant interest in exploring a link between these two conditions.

This is an 8-week randomized, double-masked, controlled trial of vitamin D3 (2,000 IU/day and 4,000 IU/day) to achieve vitamin D sufficiency (a serum 25(OH)D ≥30 ng/ml in 60 school-aged children (ages 6 to 14 years) who have vitamin D insufficiency (a serum 25(OH)D \<30 ng/ml) and are at risk for severe asthma exacerbations, but whose asthma that is well-controlled on medium-dose inhaled corticosteroid (ICS) at the end of a 4-week run-in period.

02

Conditions studied

  • Asthma

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Keywords

  • asthma
  • vitamin D
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 48 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

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

04

Who can participate

Ages eligible
6 Years to 14 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Be at least 6 years of age and younger than 15 years of age
  • Have physician-diagnosed asthma
  • Taking a medium dose of ICS (e.g. fluticasone 220mcg BID) for daily asthma control for at least 6 months in the prior year.
  • Have had a severe asthma exacerbation in the previous year, defined as an Emergency Department (ED) visit, hospitalization, or unscheduled clinic visit for asthma resulting in intramuscular, intravenous, or oral steroids.
  • Have bronchodilator responsiveness (BDR, an increase in FEV1 ≥12% from baseline after administration of inhaled albuterol) or (if no BDR) increased airway responsiveness to methacholine challenge
  • Have vitamin D insufficiency (a serum vitamin D (25(OH)D) level \<30 ng/ml)
  • Have his/her parents give voluntary written consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Chronic respiratory disorder other than asthma (e.g., bronchiectasis).
  • Severe asthma, as evidenced by any of the following: a) chronic need for medication other than single controller therapy and inhaled β2-agonist, b) intubation for asthma at any time, and c) ≥2 hospitalizations or ≥6 severe asthma exacerbations in the previous year
  • History of cigarette smoking in the prior year or former smoking if ≥5 pack-years
  • Hepatic or renal disease, metabolic rickets, malabsorptive disorders, or other chronic diseases that would affect vitamin D metabolism
  • Immune deficiency, cleft palate or Down's syndrome, which might increase the child's likelihood of respiratory infections
  • Treatment with anticonvulsants or pharmacological doses of vitamin D (≥1,000 IU/day of vitamin D2 or D3)
  • Chronic oral corticosteroid therapy
  • Inability to perform acceptable spirometry
  • Use of investigational therapies or participation in clinical trials 30 days before or during the duration of the study
  • Serum calcium >10.8 mg/dl
  • Serum 25(OH) D \<10 ng/ml (severe vitamin D deficiency)
05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    Cholecalciferol 4000 IU

    Cholecalciferol 4000 IU oral chewable tablet once daily for 8 weeks

    Dietary Supplement: Cholecalciferol

  • Experimental
    Cholecalciferol 2000 IU

    Cholecalciferol 2000 IU oral chewable tablet once daily for 8 weeks

    Dietary Supplement: Cholecalciferol

  • Active comparator
    Cholecalciferol 200 IU

    Cholecalciferol 200 IU oral chewable tablet once daily for 8 weeks

    Dietary Supplement: Cholecalciferol

Interventions

  • Dietary supplementCholecalciferol

    vitamin D supplementation with either 2,000 IU/day or 4,000 IU/day compared to vitamin D3 supplementation with 200 IU/day.

    Also known as: vitamin D3

06

What researchers measure

Primary outcomes

  1. Number of Participants With Sufficient Vitamin D Levels (≥30 ng/ml) After 8 Weeks of Supplementation

    The primary outcome of the proposed trial will be a sufficient (≥30 ng/ml) vitamin D level after 8 weeks of supplementation

    Time frame: 8 weeks

  2. Number of Participants With Vitamin D Sufficiency (Vitamin D ≥30 ng/ml) After 4 Weeks of Supplementation

    The outcome is defined as the number of participants with a sufficient (≥30 ng/ml) vitamin D level after 8 weeks of supplementation

    Time frame: 4 weeks

Secondary outcomes

  1. Number of Participants With Vitamin D Toxicity

    Participants with vitamin D toxicity, hypercalcemia (\>10.8mg/dl) and/or an elevated urine Ca/Cr ratio (\>0.37)

    Time frame: 8 weeks

  2. Number of Participants With Elevated Urinary Calcium/Creatinine Ratio

    Elevated urinary calcium/creatinine ratio defined as UCa/UCr \> 0.37 after either 4 weeks or 8 weeks of supplementation

    Time frame: 4 and/or 8 weeks

  3. Number of Participants With FEV1 < 80% of Predicted

    Forced expiratory volume in 1 second (FEV1) as percent predicted (with reference values used according to the child's age, gender and ethnicity).

    Time frame: 8 weeks

07

Results

Posted Mar 23, 2017

Participant flow

Subjects were enrolled from: 1) the Emergency Department of Children's Hospital of Pittsburgh (CHP), 2) the Pulmonary Medicine and Allergy clinics of CHP, 3) the General Pediatric Clinics of CHP, and 4) participants in a prior study of the Pediatric Environmental Medicine Center of CHP (who had consented to be contacted about studies of asthma).

Participant flow — Overall Study
MilestoneCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Started888
Completed888
Not completed000

Outcome measures

PrimaryNumber of Participants With Sufficient Vitamin D Levels (≥30 ng/ml) After 8 Weeks of Supplementation

The primary outcome of the proposed trial will be a sufficient (≥30 ng/ml) vitamin D level after 8 weeks of supplementation

Time frame:
8 weeks
Reported as:
Number · participants
Number of Participants With Sufficient Vitamin D Levels (≥30 ng/ml) After 8 Weeks of Supplementation
participantsCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Number of Participants With Sufficient Vitamin D Levels (≥30 ng/ml) After 8 Weeks of Supplementation864
SecondaryNumber of Participants With Vitamin D Toxicity

Participants with vitamin D toxicity, hypercalcemia (\>10.8mg/dl) and/or an elevated urine Ca/Cr ratio (\>0.37)

Time frame:
8 weeks
Reported as:
Number · participants
Number of Participants With Vitamin D Toxicity
participantsCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Number of Participants With Vitamin D Toxicity000
SecondaryNumber of Participants With Elevated Urinary Calcium/Creatinine Ratio

Elevated urinary calcium/creatinine ratio defined as UCa/UCr \> 0.37 after either 4 weeks or 8 weeks of supplementation

Time frame:
4 and/or 8 weeks
Reported as:
Number · participants
Number of Participants With Elevated Urinary Calcium/Creatinine Ratio
participantsCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Number of Participants With Elevated Urinary Calcium/Creatinine Ratio000
SecondaryNumber of Participants With FEV1 < 80% of Predicted

Forced expiratory volume in 1 second (FEV1) as percent predicted (with reference values used according to the child's age, gender and ethnicity).

Time frame:
8 weeks
Reported as:
Number · participants
Number of Participants With FEV1 < 80% of Predicted
participantsCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Number of Participants With FEV1 < 80% of Predicted000
PrimaryNumber of Participants With Vitamin D Sufficiency (Vitamin D ≥30 ng/ml) After 4 Weeks of Supplementation

The outcome is defined as the number of participants with a sufficient (≥30 ng/ml) vitamin D level after 8 weeks of supplementation

Time frame:
4 weeks
Reported as:
Number · participants
Number of Participants With Vitamin D Sufficiency (Vitamin D ≥30 ng/ml) After 4 Weeks of Supplementation
participantsCholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IU
Number of Participants With Vitamin D Sufficiency (Vitamin D ≥30 ng/ml) After 4 Weeks of Supplementation674

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cholecalciferol 4000 IU—0/8 (0%)0/8 (0%)
Cholecalciferol 2000 IU—0/8 (0%)0/8 (0%)
Cholecalciferol 200 IU—0/8 (0%)0/8 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Cholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IUTotal
<=18 years88824
Between 18 and 65 years0000
>=65 years0000
Sex: Female, Male
Sex: Female, Male(Participants)Cholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IUTotal
Female45211
Male43613
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Cholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IUTotal
Non-Hispanic white2259
Non-Hispanic Black66214
Hispanic/Others0011
Region of Enrollment
Region of Enrollment(participants)Cholecalciferol 4000 IUCholecalciferol 2000 IUCholecalciferol 200 IUTotal
United States88824
08

Study locations

1 site
  • Children's Hospital of Pittsburgh of UPMC
    Pittsburgh, Pennsylvania 15224, United States
09

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 23, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01921894
Lead sponsor
University of Pittsburgh
Responsible party
Juan Celedon, MD (MD, University of Pittsburgh) — Principal investigator
First posted
Aug 13, 2013
Start date
Aug 2013
Primary completion
Jan 2015
Completion
Jan 2015
Results posted
Mar 23, 2017
Last update
Mar 23, 2017

Study contacts

Juan C Celedon, M.D., Dr.P.H.
principal investigator · University of Pittsburgh

Oversight

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

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This study is completed, as verified in Feb 2017. You cannot join it, but the record below documents what was studied.

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