ClinicalTrials.gg
RecruitingNCT03621553Updated Sep 3, 2026

Vitamin D Homeostasis in Sarcoidosis

A Phase 4 interventional study of Ergocalciferol and Placebo in Sarcoidosis and Vitamin D Insufficiency, sponsored by University of Texas Southwestern Medical Center. Recruiting at 1 site in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by University of Texas Southwestern Medical Center · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 8 years after the study started (first participant enrolled Jul 2010, registered Jul 2018).
  • Started Jul 2010; still recruiting 16 years 4 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
21 Years and older
Sex
All
01

Where this study stands

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

Among 115 studies in Sarcoidosis with a site in United States — 23 open to participants now, 25 under way, 3 of them phase 3. Sarcoidosis · United States.

Planned enrollment
13th of 69
90 · median 16
Started
2010
with 3 others
Phase 4
12 of 115
1 open now
Primary completion
2026-12
later than 2 of 24 live
Registered
70th of 115
by date

Among the 115 studies in Sarcoidosis with a site in United States, this one is the 13th largest by planned enrollment of the 69 interventional ones that give a count, is one of 4 that started in 2010, is one of 12 in phase 4, reaches primary completion later than 2 of the 24 other live ones, and was the 70th registered.

Sarcoidosis

271 studies on the registry are indexed under Sarcoidosis; 51 are open to participants now.

This study's planned enrollment of 90 is above the median of 50 across 145 interventional studies indexed under Sarcoidosis.

Browse Sarcoidosis studies →

Open to participants now

23 of the 115 studies in Sarcoidosis with a site in United States are open now, in 12 countries. Each count lists the studies.

All 23 open studies →

Who these studies take

Of the 40 Sarcoidosis studies recruiting now, 30 (75%) set no upper age limit and 1 (3%) stop at 75 or younger; 6 take children under 18; 11 take healthy volunteers.

This study: 21 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 115 studies in Sarcoidosis with a site in United States, or all of them as a file.
02

Study summary

This study evaluates the relationship between vitamin-D status and severity of sarcoidosis, and the effects of vitamin-D repletion in vitamin-D insufficient patients with sarcoidosis. Half the patients with sarcoidosis who are vitamin-D insufficient will receive standard vitamin-D supplementation via standard regimen while the other half will receive a placebo. Sarcoidosis patients who are vitamin-D sufficient will also act as controls.

Read the detailed description

Sarcoidosis is a multi-system inflammatory disease characterized by T-helper lymphocyte hyperactivity leading to granulomatous inflammation. The granuloma cells autonomously convert 25-hydroxy-vitamin-D (25OHD) to the active metabolite 1,25-dihydroxy-vitamin-D (1,25OH2D) independent of normal feedback control but dependent on substrate (25OHD) concentration.

Circulating 1,25OH2D exerts both anti-inflammatory and mineral metabolic actions. Deficiency of 25OHD limits substrate-dependent 1,25OH2D synthesis, diminishes anti-antigenic innate immunity and augments pro-inflammatory adaptive immunity. Thus, low vitamin-D stores could aggravate sarcoid inflammation while repletion of vitamin-D stores could mitigate inflammation in sarcoidosis.

03

Conditions studied

  • Sarcoidosis
  • Vitamin D Insufficiency

Browse trials for

04

Who can participate

Ages eligible
21 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

  • Stable medical condition defined as no hospitalization or emergency room visit in the previous 3 months
  • No evidence of active pulmonary or systemic infection
  • No other active inflammatory disease,
  • No active .
  • Normal serum ionized calcium level

Exclusion criteria

Exclusion Criteria:

  • Hospitalization or emergency room visit in the previous 3 months
  • Evidence of active pulmonary or systemic infection
  • Evidence of active other inflammatory disease
  • Evidence of active
  • Elevated serum ionized calcium level
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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Low vit-D, Ergocalciferol

    Low serum vitamin D level, split by use or non-use of systemic corticosteroid. Vitamin D2 (Ergocalciferol) 50,000 units will be given by mouth once a week for 12 weeks, then once a month for 12 weeks. Daily dietary requirement (calcium citrate with vitamin D2 (200 mg/250 Units tablets, 4 tablets per day) will be given by mouth for 24 weeks).

    Drug: Ergocalciferol · Drug: Calcium Citrate with Vitamin D2

  • Placebo comparator
    Low vit-D, Placebo

    Low serum vitamin D level, split by use or non-use of systemic corticosteroid. Placebo capsules of identical size and appearance will be given by mouth once a week for 12 weeks, then once a month for 12 weeks. Daily dietary requirement (calcium citrate with vitamin D2 (200 mg/250 Units tablets, 4 tablets per day) will be given by mouth for 24 weeks).

    Drug: Placebo · Drug: Calcium Citrate with Vitamin D2

  • Other
    Normal vit-D, control

    Normal serum vitamin D level, split by use or non-use of systemic corticosteroid. Daily dietary requirement (calcium citrate with vitamin D2 (200 mg/250 Units tablets, 4 tablets per day) will be given by mouth for 24 weeks).

    Drug: Calcium Citrate with Vitamin D2

Interventions

  • Vitamin D2 50,000 units

    Also known as: Vitamin D2

  • DrugPlacebo

    Sugar pill manufactured to mimic ergocalciferol 50,000 units

    Also known as: Placebo oral tablets

  • DrugCalcium Citrate with Vitamin D2

    Drug pages: Calcium Citrate · Ergocalciferols

    To meet the recommended minimum daily dietary requirements

    Also known as: Citracal

06

What researchers measure

Primary outcomes

  1. Change in lung function from baseline

    (Measurement at end of study)/(measurement at enrollment)

    Time frame: Baseline and 24 weeks

Secondary outcomes

  1. Change in King's Sarcoidosis Questionnaire Score

    Standard validated questionnaire for assessing the impact of sarcoidosis on quality of life. Questions address symptoms, activities and psychosocial impacts of disease. It consists of 29 questions on general health, medications, and symptoms in lung, skin, and eyes, summed to derive a total score. Each question is scored on a scale of 1 (worst) to 7 (best). Minimum total score = 5 (poorest health). Maximum total score = 203 (best health).

    Time frame: Baseline, 12 and 24 weeks

  2. Change in six minute walk distance

    (Measurement at end of study)/(measurement at enrollment)

    Time frame: Baseline and 24 weeks

  3. Change in blood cell counts from complete blood count (CBC)

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  4. Change in metabolic profile from complete metabolic panel (CMP)

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  5. Change in serum vitamin-D metabolite concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  6. Change in serum angiotensin converting enzyme (ACE) concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  7. Change in serum serum gamma-globulin concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  8. Change in serum C-reactive protein (CRP) concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  9. Change in serum tumor Necrosis factor-alpha (TNF-alpha) concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  10. Change in serum interferon-gamma (IFN-gamma) concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  11. Changes in serum interleukin concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  12. Change in 24 hour urine calcium/creatinine ratio

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  13. Change in 24 hour urine deoxypyridinoline concentration

    (Measurement at study point)/(initial measurement at enrollment)

    Time frame: Baseline, 12 and 24 weeks

  14. Change in fractional lung tissue volume on computed/positron emission tomography (PET/CT)

    (Measurement at end of study)/(measurement at enrollment)

    Time frame: Baseline and 24 weeks

  15. Change in Fluoro-deoxyglucose (FDG) uptake on PET/CT

    (Measurement at end of study)/(measurement at enrollment

    Time frame: Baseline and 24 weeks

  16. Change in bone density z-score

    (Measurement at end of study)/(measurement at enrollment)

    Time frame: Baseline and 24 weeks

07

Study locations

1 of 1 sites recruiting
  • University of Texas Southwestern Medical Center, and Parkland Health and Hospital System
    Dallas, Texas 75390-9034, United States
    Recruiting
    • Connie Hsia, MD · Principal investigator
    • Khashaya Sakhaee, MD · Sub investigator
08

References and documents

Publications

  • Capolongo G, Xu LH, Accardo M, Sanduzzi A, Stanziola AA, Colao A, Agostini C, Zacchia M, Capasso G, Adams-Huet B, Moe OW, Maalouf NM, Sakhaee K, Hsia CC. Vitamin-D status and mineral metabolism in two ethnic populations with sarcoidosis. J Investig Med. 2016 Jun;64(5):1025-34. doi: 10.1136/jim-2016-000101. Epub 2016 Apr 6. PubMed 27053725 ↗
  • Vieth R. Why the optimal requirement for Vitamin D3 is probably much higher than what is officially recommended for adults. J Steroid Biochem Mol Biol. 2004 May;89-90(1-5):575-9. doi: 10.1016/j.jsbmb.2004.03.038. PubMed 15225842 ↗
  • Bolland MJ, Wilsher ML, Grey A, Horne AM, Fenwick S, Gamble GD, Reid IR. Randomised controlled trial of vitamin D supplementation in sarcoidosis. BMJ Open. 2013 Oct 23;3(10):e003562. doi: 10.1136/bmjopen-2013-003562. PubMed 24157819 ↗
  • Kamphuis LS, Bonte-Mineur F, van Laar JA, van Hagen PM, van Daele PL. Calcium and vitamin D in sarcoidosis: is supplementation safe? J Bone Miner Res. 2014 Nov;29(11):2498-503. doi: 10.1002/jbmr.2262. PubMed 24753153 ↗

Individual participant data

Plan to share: Yes — De-identified participant data for primary and secondary outcome measures will be made available.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: Within 6 months of study completion

Access criteria: Data access requests will be reviewed by an external independent review panel. Requestors will be required to sign a Data Access Agreement.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2010 (actual). Primary completion is estimated for Dec 2026, 197 months after the start.

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

Registered
Jul 17, 2018
First posted
Aug 8, 2018
StartActual
Jul 1, 2010
Primary completionEst.
Dec 2026
CompletionEst.
Dec 30, 2026
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03621553
Responsible party
Connie C W Hsia (Professor of Internal Medicine, University of Texas Southwestern Medical Center) — Principal investigator
First posted
Aug 8, 2018
Start date
Jul 1, 2010
Primary completion
Dec 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Sep 3, 2026

Study contacts

Connie Hsia, MD
Contact
Connie.Hsia@utsouthwestern.edu
2146483426
Khashayar Sakhaee, MD
Contact
Khashayar.Sakhaee@utsouthwestern.edu
2146480324
Connie Hsia, MD
principal investigator · University of Texas Southwestern Medical Center

Oversight

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

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Studies of the drug tested here: Ergocalciferols

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