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CompletedNCT02064946Updated Apr 8, 2019

High-dose Vitamin D Supplementation for ADT-induced Side Effects

An interventional study of vitamin D and Placebo in Prostatic Neoplasms and Bone Mineral Density Quantitative Trait Locus 3, sponsored by University of Rochester. Completed at 1 site in United States. Open to male participants aged 60 Years to 99 Years. Per ClinicalTrials.gov, last updated 2019-04-08.

Sponsored by University of Rochester · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
60 Years to 99 Years
Sex
Male
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Study summary

The purpose of this study is to test the efficacy of a high-dose vitamin D supplementation regimen in reducing androgen deprivation therapy (ADT)-related side effects in older prostate cancer patients on ADT. The proposed study is a randomized, double-blind, 2-arm, controlled clinical trial that will accrue 76 prostate cancer patients without severe bone loss, aged 60 and older, beginning ADT, and scheduled to receive at least 6 months more of ADT. Participants will be randomized to: 1) weekly high-dose vitamin D3 (50,000 IU) or 2) vitamin D placebo only for a period of 24 weeks. Both groups will also receive a daily multivitamin and calcium supplement.

Read the detailed description

The investigators hypothesize high-dose vitamin D supplementation will reduce androgen deprivation therapy (ADT)-related side effects including ADT-induced bone loss, decreased muscle mass, falls, reduced muscle strength, and diminished physical performance in older prostate cancer patients. The vitamin D supplementation is aimed at reducing fracture risk by maintaining proper bone density, thereby preventing osteoporotic/osteopenic conditions and increasing muscle mass. Both vitamin D and exercise are efficacious in maintaining proper bone health and muscle mass among the general population, but little research has been done on prostate cancer patients and survivors. Vitamin D could reduce fracture risk among prostate cancer survivors.

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Conditions studied

  • Prostatic Neoplasms
  • Bone Mineral Density Quantitative Trait Locus 3

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Keywords

  • prostate cancer
  • bone density
  • vitamin D
  • micronutrients
  • pharmacologic actions
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In context

Prostatic Neoplasms

6,367 studies on the registry are indexed under Prostatic Neoplasms; 1,397 are open to participants now.

This study's enrollment of 108 is above the median of 58 across 4,821 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

University of Rochester is the lead sponsor of 715 studies on the registry; 116 are open to participants now.

Of its 56 completed or terminated interventional studies of FDA-regulated products, 44 (79%) have results posted.

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

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Who can participate

Ages eligible
60 Years to 99 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Have a confirmed diagnosis of stage I-IIIA prostate cancer
  • Within 6 months of starting ADT with an additional 6 more months planned.
  • Participants must have sub-optimal vitamin D levels of \<32 ng/ml.
  • Participants must agree not to take calcium and/or vitamin D supplements for the duration of the intervention other than those provided.
  • Participants must have an ionized serum calcium level within normal limits (1.19-1.29mmol/L) and a total corrected serum calcium of ≤10.5 mg/dl.
  • No contraindications for fitness testing and no physical limitations (e.g. cardiorespiratory, orthopedic, nervous system) as assessed by their physician.
  • Able to read English (since the assessment materials are in printed format).
  • Able to swallow medication and provide written informed consent.
  • 60 years of age or older.

Exclusion criteria

Exclusion Criteria:

  • Previously verified diagnosis of osteoporosis (any t-score ≤ -2.5).
  • Patients on antiresorptive drugs (i.e. bisphosphonates) within the past year.
  • Patients with hypercalcemia (corrected serum Ca > 10.5 mg/dl) or a history of hypercalcemia or vitamin D toxicity/sensitivity.
  • Patients with impaired renal function (CrCl \< 60 mL/min) or who had kidney stones (calcium salt) within the past 5 years.
  • Myocardial infarction within the past year.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
108 participants (actual)

Study arms

  • Active comparator
    Vitamin D3

    Vitamin D3 50,000 IU: Patients will be assigned to receive weekly high-dose vitamin D (50,000 IU/week) along with a daily multivitamin (600 IU/day vitamin D + 210 mg/day calcium) and calcium supplements (1,000 mg/day calcium) for a period of 24 weeks.

    Dietary Supplement: vitamin D

  • Placebo comparator
    Control

    Control: Patients will be assigned to receive a weekly vitamin D placebo along with a daily multivitamin (600 IU/day vitamin D + 210 mg/day calcium)and calcium supplements (1,000 mg/day calcium) for a period of 24 weeks.

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementvitamin D

    50,000IU/week of vitamin D3

  • Dietary supplementPlacebo
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What researchers measure

Primary outcomes

  1. bone mineral density

    mean difference in bone mineral density between treatment group and control group

    Time frame: after 24 weeks

  2. bone biomarkers

    amino-terminal collagen crosslinks (NTx) and bone-specific alkaline phosphatase (BSAP)

    Time frame: after 24 weeks

Secondary outcomes

  1. muscle mass

    muscle mass as assessed by dual energy x-ray absorptiometry

    Time frame: after 24 weeks

  2. muscular strength

    as assessed by Handgrip Dynamometer and 7-10 Repetition Maximum

    Time frame: after 24 weeks

  3. physical performance

    as assessed by falls, physical performance battery, and 6-min walk test

    Time frame: after 24 weeks

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Study locations

1 site
  • Wilmot Cancer Center, University of Rochester
    Rochester, New York 14624, United States
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References and documents

Publications

  • Inglis JE, Fernandez ID, van Wijngaarden E, Culakova E, Reschke JE, Kleckner AS, Lin PJ, Mustian KM, Peppone LJ. Effects of High-Dose Vitamin D Supplementation on Phase Angle and Physical Function in Patients with Prostate Cancer on ADT. Nutr Cancer. 2021;73(10):1882-1889. doi: 10.1080/01635581.2020.1819348. Epub 2020 Sep 11. PubMed 32911988 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 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
NCT02064946
Lead sponsor
University of Rochester
Responsible party
Luke Peppone (Principal Investigator, University of Rochester) — Principal investigator
First posted
Feb 17, 2014
Start date
Mar 2014
Primary completion
Nov 2016
Completion
Nov 2016
Last update
Apr 8, 2019

Study contacts

Luke J Peppone, PhD, MPH
principal investigator · University of Rochester

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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