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CompletedNCT03649802Updated Mar 21, 2022

Vitamin D and Arterial Stiffness in Elderly

A Phase 2 interventional study of Low dose vitamin D3 and High dose vitamin D3 in Vitamin D Deficiency and Arterial Stiffness, sponsored by Texas Tech University Health Sciences Center. Completed at 1 site in United States. Open to participants aged 65 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-03-21.

Sponsored by Texas Tech University Health Sciences Center · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
52
Allocation
Randomized
Ages
65 Years to 89 Years
Sex
All
01

Study summary

Investigators will examine arterial stiffness and pulse waveform analysis. Subjects with vitamin D insufficiency will be recruited. A double blind randomized controlled study will examine the effects of standard dose vitamin D3 (800 IU) versus higher dose vitamin D3 (5000 IU)-given on a daily basis.In order to understand mechanisms of action by which vitamin D would improve arterial stiffness investigators will use biomarkers. Oxidative and inflammatory stress will be measured by plasma F2-isoprostanes and Sulforaphane levels.

Read the detailed description

Cardiovascular disease disproportionately impacts the elderly. Current practice targets vascular disease with aggressive lipid lowering combined with brachial BP regulation, but has only achieved a modest degree of success. There is a need to intervene at a much earlier stage. Increased arterial stiffness is a marker for subclinical vascular disease and a sensitive predictor of ischemic stroke in the elderly. Vitamin D deficiency is linked to an increased risk of vascular disease.

There is an urgent need for well controlled randomized interventional studies in healthy elderly individuals demonstrating that vitamin D levels can improve vascular function in healthy elderly with vitamin D insufficiency. High dose vitamin D (5000 IU) replacement is required to improve systemic inflammation which may contribute to arterial stiffness and vascular aging.

The hypothesis is that daily 5000 IU vitamin D3 will regress or at least prevent progression of arterial stiffness as assessed by the carotid-femoral pulse wave velocity. Furthermore, investigators postulate that this improvement will be linked to improved oxidative and inflammatory status. Investigators will measure plasma measurements of Sulforaphane and plasma F2-isoprostane to assess the anti-oxidative mechanisms by which vitamin D could influence arterial stiffness.

02

Conditions studied

  • Vitamin D Deficiency
  • Arterial Stiffness

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03

In context

Vitamin D Deficiency

772 studies on the registry are indexed under Vitamin D Deficiency; 61 are open to participants now.

This study's enrollment of 52 is below the median of 77 across 564 interventional studies indexed under Vitamin D Deficiency.

Browse Vitamin D Deficiency studies →

Lead sponsor

Texas Tech University Health Sciences Center is the lead sponsor of 97 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Community dwelling adults (Subjects) aged between 65 and 89 years of age
  • Subjects should be ambulatory, living at home and capable of self-care
  • Subjects should be able to drive an automobile independently and without assistance
  • Subjects agree to home visitation by coordinators to assess pill counts or willing to come to TTUHSC for such a visit every 4 weeks ± 3 days
  • 25(OH) Vitamin D value \< 30 ng/ml
  • Subjects able to read and understand the English language

Exclusion criteria

Exclusion Criteria:

  • Subjects unable or unwilling to have follow up for the duration of the study
  • Subjects that cannot take a daily Vitamin D supplement or unwilling to have multiple blood draws
  • Subjects on peritoneal or hemodialysis or a life expectancy less than 2 years
  • Subjects with Sarcoidosis or diseases associated with hypercalcemia
  • Subjects with prior cerebrovascular disease or memory problems
  • Subjects with prior myocardial infarction or atrial fibrillation or on anticoagulants
  • Subjects on medications for memory or cognitive issues or mental health
  • Subjects unable to tolerate Sphygamocor and Complior testing protocol
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
52 participants (actual)

Study arms

  • Placebo comparator
    Low dose Vitamin D-800 IU

    Intervention includes low dose arm-800 IU given daily

    Dietary Supplement: Low dose vitamin D3

  • Active comparator
    High dose Vitamin D-5000 IU

    Intervention includes high dose arm-5000 IU given daily

    Dietary Supplement: High dose vitamin D3

Interventions

  • Dietary supplementLow dose vitamin D3

    Low dose arm-800 IU given daily

  • Dietary supplementHigh dose vitamin D3

    High dose arm-5000 IU given daily

06

What researchers measure

Primary outcomes

  1. Carotid-femoral pulse wave velocity measured by equipment provided by Complior pulse wave analysis

    Indicator of arterial stiffness meters per second

    Time frame: 1 year

  2. 24 hour BP ambulatory monitoring

    Using Central and Brachial BP in mm Hg determination using Sphygmacor

    Time frame: 1 year

  3. Heart rate variability

    Using postural changes to assess heart rate variability in beats per minute using Sphygmacor

    Time frame: 1 year

Secondary outcomes

  1. Plasma sulphoraphane and F2-isoprostanes. Isoprostanes will be measured by gas chromatography mass spectrometry and sulphoraphane will be measured using LC-MS/MS techniques

    Markers for oxidative stress- both markers will be measured in ng/ml

    Time frame: 1 year

07

Study locations

1 site
  • Texas Tech University Health Sciences Center
    Lubbock, Texas 79430, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03649802
Lead sponsor
Texas Tech University Health Sciences Center
Responsible party
Sponsor
First posted
Aug 28, 2018
Start date
Aug 16, 2018
Primary completion
Dec 31, 2021
Completion
Dec 31, 2021
Last update
Mar 21, 2022

Study contacts

Pooja N Sethi, MD
principal investigator · Texas Tech University Health Sciences Center

Oversight

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

Not currently enrolling

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

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