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CompletedNCT02880982ViDiKidsUpdated Sep 8, 2022

Trial of Vitamin D Supplementation in Cape Town Primary Schoolchildren

A Phase 3 interventional study of Cholecalciferol and Placebo in Latent Tuberculosis, sponsored by Queen Mary University of London. Completed at 1 site in South Africa. Open to participants aged 6 Years to 11 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-09-08.

Sponsored by Queen Mary University of London · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
1,743
Allocation
Randomized
Ages
6 Years to 11 Years
Sex
All
01

Study summary

The investigators will conduct a n=5,400 Phase 3, double-blind, individually randomised placebo-controlled clinical trial of 5 years' duration in primary schools in City of Cape Town Metropolitan Municipality, Western Cape Province, Republic of South Africa.

The primary objective of the trial is to determine whether a weekly oral dose of 0.25 mg (10,000 IU) vitamin D3, administered for three years, reduces risk of acquisition of latent tuberculosis infection (LTBI) in Cape Town primary schoolchildren.

Statistical analysis will be performed on an intention-to-treat basis to compare acquisition of LTBI in intervention vs. control arms during three-year follow-up. The primary analysis will be logistic regression with presence/absence of LTBI at follow-up as the outcome, adjusted for a random effect of school of attendance.

02

Conditions studied

  • Latent Tuberculosis
03

In context

Tuberculosis

1,417 studies on the registry are indexed under Tuberculosis; 208 are open to participants now.

This study's enrollment of 1,743 is above the median of 150 across 952 interventional studies indexed under Tuberculosis.

Browse Tuberculosis studies →

Lead sponsor

Queen Mary University of London is the lead sponsor of 250 studies on the registry; 59 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 11 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Pupil enrolled in Grades 1-4 of participating primary schools
  • Age 6-11 years at enrolment
  • Pupil gives written informed assent to participate in main trial
  • Pupil's parent / legal guardian gives informed consent for pupil to participate in main trial

Exclusion criteria

Exclusion Criteria:

  • Age ≤5 years or ≥12 years at enrolment
  • Previous positive Interferon-Gamma Release Assay (IGRA) or Mantoux test
  • Previous treatment for LTBI or active TB
  • Clinical signs of rickets
  • History of myalgia on walking
  • Inability to rise unaided from squatting position
  • Taking supplemental vitamin D at a dose >400 IU daily or equivalent in the previous month
  • Diagnosis of any chronic illness other than asthma
  • Suspected HIV infection in child with parent or legal guardian declining to have child HIV-tested
  • Use of any regular medication other than asthma medication
  • Plans to move away from study area within 3 years of enrolment
  • Unable to swallow one placebo softgel with ease
  • Positive Quantiferon-TB Gold Plus test at screening
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,743 participants (actual)

Study arms

  • Active comparator
    Intervention

    Softgel capsule containing 10,000 IU (250 micrograms) cholecalciferol (vitamin D3) to be taken orally once per week for 3 years

    Dietary Supplement: Cholecalciferol

  • Placebo comparator
    Placebo

    Softgel capsule of identical taste and appearance to active comparator, but containing no cholecalciferol, to be taken orally once per week for 3 years

    Other: Placebo

Interventions

  • Dietary supplementCholecalciferol

    Weekly oral softgel capsule containing 10,000 IU (250 micrograms) cholecalciferol (vitamin D3)

    Also known as: Vitamin D3

  • OtherPlacebo

    Weekly oral placebo softgel capsule

06

What researchers measure

Primary outcomes

  1. Acquisition of latent tuberculosis infection

    Time frame: 3 years

Secondary outcomes

  1. Incidence of active tuberculosis (TB)

    Time frame: 3 years

  2. Incidence of acute respiratory infection

    Time frame: 3 years

  3. Incidence of acute asthma exacerbation

    Time frame: 3 years

  4. Incidence and control of asthma, allergic rhinitis and atopic dermatitis

    Time frame: 3 years

  5. Incidence of bone fracture

    Time frame: 3 years

  6. Anthropometric outcomes (weight, height, body mass index, waist circumference)

    Time frame: 3 years

  7. Mathematics examination result

    Time frame: 3 years

  8. Stage of pubertal development, self-assessed using the Tanner scale

    Time frame: 3 years

  9. Bone mineral content, lumbar spine and whole body minus head

    Time frame: 3 years

  10. Body composition including fat mass and fat-free soft tissue mass

    Time frame: 3 years

  11. Muscle strength (grip strength, elastic leg strength)

    Time frame: 3 years

  12. Estimated maximal oxygen uptake, derived from 20 meter shuttle test performance

    Time frame: 3 years

  13. Bronchial hyper-responsiveness to exercise

    Time frame: 3 years

  14. Sensitisation to aeroallergens

    Time frame: 3 years

  15. Concentrations of antigen-stimulated inflammatory mediators

    Time frame: 3 years

  16. Vitamin D status, parathyroid hormone and circulating markers of bone formation and modelling

    Time frame: 3 years

  17. Attention Deficit Hyperactivity Disorder Rating Scale-IV score

    Time frame: 3 years

  18. Cost-effectiveness of vitamin D3 for prevention of LTBI and active TB

    Time frame: 3 years

  19. Incidence of potential adverse reactions to vitamin D3

    Time frame: 3 years

  20. Incidence of serious adverse events due to any cause

    Time frame: 3 years

  21. Incidence of fatal or life-threatening serious adverse events due to any cause

    Time frame: 3 years

  22. Proportion of participants sero-positive for SARS-CoV-2 at follow-up

    Time frame: 3 years

  23. Proportion of participants sero-positive for seasonal coronaviruses HKU1, 229E, OC43 and NL63 at follow-up

    Time frame: 3 years

  24. Proportion of participants sero-positive for influenza A and B at follow-up

    Time frame: 3 years

07

Study locations

1 site
  • Desmond Tutu HIV Foundation
    Cape Town, Western Cape 7925, South Africa
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 8, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02880982
Lead sponsor
Queen Mary University of London
Collaborators
University of Cape Town
Responsible party
Sponsor
First posted
Aug 26, 2016
Start date
Mar 14, 2017
Primary completion
Nov 17, 2021
Completion
Jun 30, 2022
Last update
Sep 8, 2022

Study contacts

Keren Middelkoop, MPH, PhD
principal investigator · University of Cape Town

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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