ClinicalTrials.gg
TerminatedNCT03270709Updated Apr 21, 2021

Effect of High-Dose Vitamin D3 in Smokers and Non-Smokers With and Without HIV

A Phase 1 interventional study of Vitamin D3 450,000 IU orally in HIV/AIDS, Vitamin D Deficiency and Smoker Lung, sponsored by Emory University. Terminated at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-04-21.

Sponsored by Emory University · Phase 1, Interventional, and Treatment

Why this study was terminated
Study terminated early due to lack of funding and the COVID-19 pandemic.

From the registry’s dates

  • Primary completion was Oct 2018, 8 years ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 38 studies in Acquired Immunodeficiency Syndrome by Emory University — 5 open to participants now, 8 under way, none of them phase 3. Acquired Immunodeficiency Syndrome · Emory University.

Enrollment
31st of 32
7 · median 71
Started
2018
with 2 others
Phase 1
4 of 38
1 open now
Registered
19th of 38
by date

Among the 38 studies in Acquired Immunodeficiency Syndrome by Emory University, this one is the 31st largest by enrollment of the 32 interventional ones that give a count, is one of 3 that started in 2018, is one of 4 in phase 1, and was the 19th registered.

Acquired Immunodeficiency Syndrome

3,037 studies on the registry are indexed under Acquired Immunodeficiency Syndrome; 307 are open to participants now.

Browse Acquired Immunodeficiency Syndrome studies →

Open to participants now

5 of the 38 studies in Acquired Immunodeficiency Syndrome by Emory University are open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

All 5 open studies →

Who these studies take

Of the 198 Acquired Immunodeficiency Syndrome studies recruiting now, 118 (60%) set no upper age limit and 67 (34%) stop at 75 or younger; 43 take children under 18; 68 take healthy volunteers.

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

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02

Study summary

Supplementation with vitamin D improves HIV+ macrophages phagocytosis in vitro. There is evidence to suggest that administering vitamin D can in fact improve immune function in individuals. The study will evaluate the impact of high dose vitamin D in HIV+ smokers' and HIV- smokers' in vivo. The primary goal is to improve innate immune host response to infection in patients already at high risk by virtue of HIV and smoking status.

Read the detailed description

Tobacco smoke suppresses the lung's ability to fight infection. Smoking is three times more prevalent in the HIV+ compared to HIV- patients. Viral load was found to be significantly increased in HIV+ smokers compared to HIV+ non-smokers, suggesting that smoking enhances HIV-1 viral replication in macrophages, which contributes to disease progression. Vitamin D deficiency has been associated with increased mortality in HIV+ persons, but there is limited research on how this is impacting the health of these highest risk patients and if aggressive repletion with vitamin D can improve overall health.The study team hypothesizes that vitamin D administration will increase pathogen clearance and improve innate immune function.

The proposed pre and post interventional study is designed to characterize alveolar macrophage function and lung immunity according to tobacco use and HIV status, and determine the impact of high dose oral vitamin D3 on AM phagocytic function and innate immunity.

03

Conditions studied

  • HIV/AIDS
  • Vitamin D Deficiency
  • Smoker Lung

Keywords

  • Vitamin D3
  • Pulmonary disease
  • Immunosuppression
  • HIV
  • Smoking
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

  • Subjects living with -1 infection who have been on anti-retroviral therapy (ART) for a minimum of 12 months and are followed longitudinally for their HIV healthcare;
  • Ability to give .

Exclusion criteria

Exclusion Criteria:

  • Age \<18 yrs old;
  • Known or possible pregnancy or breastfeeding;
  • Documented history of cirrhosis or a direct ≥ 2.0 mg/dL;
  • Documentation of \< 40% or myocardial infarction within the past 6 months;
  • End-stage renal disease requiring dialysis or a serum creatinine ≥ 2 mg/d;
  • Spirometry with forced vital capacity (FVC) or (FEV1)\< 70% of predicted value;
  • Bleeding disorders such as thrombocytopenia or significant gastrointestinal bleeding within the past year;
  • Inability to undergo bronchoscopy safely;
  • High risk behaviors without known status.
Terms in these criteria, in plain language(5)

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    HIV+ smokers

    Vitamin D3 450,000 IU orally

    Drug: Vitamin D3 450,000 IU orally

  • Active comparator
    HIV- non-smokers

    Vitamin D3 450,000 IU orally

    Drug: Vitamin D3 450,000 IU orally

  • Active comparator
    HIV+ non-smokers

    Vitamin D3 450,000 IU orally

    Drug: Vitamin D3 450,000 IU orally

  • Active comparator
    HIV- smokers

    Vitamin D3 450,000 IU orally

    Drug: Vitamin D3 450,000 IU orally

Interventions

  • DrugVitamin D3 450,000 IU orally

    Study subjects will receive 2 tablets of vitamin D3 for a total of 450,000 IU by mouth.

06

What researchers measure

Primary outcomes

  1. Difference in alveolar macrophage (AM) phagocytic index between HIV+ smokers compared to HIV- non-smokers.

    A phagocytic index will be determined by challenging AM isolated from bronchoalveolar lavage (BAL) to Staph. Aureus in vitro.

    Time frame: Day 1 of the study prior to vitamin D administration.

  2. Difference in phagocytosis percent positive between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in phagocytosis percent positive between HIV+ smokers compared to HIV- non-smokers will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration.

  3. Difference in alveolar macrophage (AM) phagocytic index before and after vitamin D administration.

    A phagocytic index will be determined by challenging AM isolated from bronchoalveolar lavage (BAL) to Staph. Aureus in vitro.

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

Secondary outcomes

  1. Difference in total and free vitamin D (25(OH) D) between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in total and free 25(OH) D between HIV+ smokers compared to HIV- non-smokers will be measure by ELISA (enzyme-linked immunosorbent assay) levels.

    Time frame: Day 1 of the study prior to vitamin D administration.

  2. Difference in peptide LL-37 between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in an antimicrobial and immunostimulating/-modulating peptide LL-37 between HIV+ smokers compared to HIV- non-smokers will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration.

  3. Difference in tumor necrosis factor alpha (TNF-α) between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in tumor necrosis factor alpha (TNF-α) - cytokine involved in systemic inflammation - between HIV+ smokers compared to HIV- non-smokers will be calculated .

    Time frame: Day 1 of the study prior to vitamin D administration.

  4. Difference in messenger ribonucleic acid (mRNA) expression of LL-37 between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in mRNA expression of antimicrobial peptide LL-37 between HIV+ smokers compared to HIV- non-smokers will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration.

  5. Difference in alveolar oxidative stress between HIV+ smokers compared to HIV- non-smokers, prior to vitamin D administration.

    Difference in alveolar oxidative stress between HIV+ smokers compared to HIV- non-smokers will be measured using AM isolated from bronchoalveolar lavage (BAL) .

    Time frame: Day 1 of the study prior to vitamin D administration.

  6. Difference in total and free vitamin D (25(OH) D) before and after vitamin D administration.

    Difference in total and free vitamin D (25(OH) D) will be measure by ELISA (enzyme-linked immunosorbent assay)

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

  7. Difference in peptide LL-37 before and after vitamin D administration.

    Difference in peptide LL-37 levels will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

  8. Difference in tumor necrosis factor alpha (TNF-α) before and after vitamin D administration.

    Difference in tumor necrosis factor alpha (TNF-α) will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

  9. Difference in mRNA expression of LL-37 before and after vitamin D administration.

    Difference in mRNA expression of LL-37 will be calculated.

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

  10. Difference in alveolar oxidative stress before and after vitamin D administration.

    Difference in alveolar oxidative stress will be measured using AM isolated from bronchoalveolar lavage (BAL) .

    Time frame: Day 1 of the study prior to vitamin D administration, Day 7 after vitamin D administration

07

Study locations

2 sites
  • Atlanta VA Medical center
    Atlanta, Georgia 30303, United States
  • Grady Health System (non-CRN), Grady Health System (CRN), Ponce Center
    Atlanta, Georgia 30303, United States
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2018 to primary completion in Oct 2018, 6 months.

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

Registered
Aug 31, 2017
First posted
Sep 1, 2017
StartActual
Apr 11, 2018
Primary completionActual
Oct 15, 2018
CompletionActual
Oct 15, 2018
Last update
Apr 21, 2021
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 Apr 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03270709
Lead sponsor
Emory University
Responsible party
Jenny Elizabeth Han (Assistant Professor, Emory University) — Principal investigator
First posted
Sep 1, 2017
Start date
Apr 11, 2018
Primary completion
Oct 15, 2018
Completion
Oct 15, 2018
Last update
Apr 21, 2021

Study contacts

Jenny E Han, MD, MSc
principal investigator · Emory University

Oversight

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

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This study is terminated, as verified in Apr 2021. You cannot join it, but the record below documents what was studied.

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