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CompletedNCT04280601PRAVDAUpdated Mar 14, 2023

PRagmatic Analysis of Vitamin D in ANCA-Associated Vasculitis

An interventional study of vitamin D in ANCA-associated Vasculitis, Granulomatosis With Polyangiitis and Microscopic Polyangiitis, sponsored by Christian Pagnoux. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-03-14.

Sponsored by Christian Pagnoux · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This prospective study will assess if 12 months of vitamin D3 (cholecalciferol) supplementation, in patients with AAV (GPA, MPA, and EGPA) who have deficient or insufficient 25(OH)D3 status at enrollment, correlates with improved disease activity and/or lower frequency of relapse (compared to historical data and a previously conducted cross sectional study (part I) that assessed vitamin D status in a cohort of similar patients).

Read the detailed description
  1. Subject cohorts: Patients with a diagnosis of AAV from the MSH Rheumatology clinic in a cohort of consecutive patients over a 3 month recruitment period.
  2. Study Design, Data Collection: Patients with insufficient and/or deficient vitamin D status at study enrolment will be instructed to take 12 months of vitamin D3 (cholecalciferol) supplementation (1000 IU for those not on vitamin D, or to increase the dose up to 2000 IU per day for those already on vitamin D) vs. those with sufficient status who will be observed for 12-months.
  3. Study Duration: 12 months.
  4. Study Endpoints: Vitamin D status vs. disease activity.
02

Conditions studied

  • ANCA-associated Vasculitis
  • Granulomatosis With Polyangiitis
  • Microscopic Polyangiitis
  • Eosinophilic Granulomatosis With Polyangiitis

Keywords

  • Vitamin D
  • ANCA
  • Vasculitis
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients at least 18 years of age, women and men
  • Followed at the Mount Sinai Hospital, Vasculitis clinic, Toronto
  • With a diagnosis of AAV (GPA, MPA or EGPA) satisfying the modified American College of Rheumatology 1990 classification criteria and/or the revised 2012 Chapel Hill nomenclature definition.

Exclusion criteria

Exclusion criteria:

  • Current or history of hypercalcemia, primary hyperparathyroidism, sarcoidosis, hypervitaminosis D, Williams syndrome, other autoimmune, chronic inflammatory or infectious conditions, malabsorptive disorders, cancer, type 1 diabetes, liver disease
  • Current or planned pregnancy within the next year.
  • Intolerance, allergy to oral vitamin D, and/or contra-indication to take oral vitamin D
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
102 participants (actual)

Study arms

  • Other
    Low vitamin level at baseline

    At specific time points we will measure vitamin D status (baseline and 12-months) and re-enforcing vitamin D supplementation in those with insufficient or deficient vitamin D levels. More specifically, we will ask patients with insufficient or deficient vitamin D levels at enrollment to increase vitamin D intake by 1,000 IU units (to a maximum of 2,000 IU if the patient is already on vitamin D supplementation) for the 12 month period.

    Dietary Supplement: vitamin D

Interventions

  • Dietary supplementvitamin D

    Patients with insufficient and/or deficient vitamin D status (\<75 nmol/L) at study enrolment will be instructed to take a 12-month supply of vitamin D3 supplementation (to a maximum of 2,000 IU/day) vs. those with sufficient status will be observed for 12-months

05

What researchers measure

Primary outcomes

  1. Disease activity and disease relapse (using BVAS)

    Number of patients with active disease (BVAS score) or disease relapse (new item on the BVAS, in patients previously in remission) between enrollment and month 12, according to the study arm intervention (normal baseline vitamin D level vs. low baseline level and asked to increase vitamin D intake)

    Time frame: 12 months

Secondary outcomes

  1. Renal function (GFR)

    Number of patients with progressive renal AAV-related disease (worsening GFR) in each study arm between enrollments and month 12

    Time frame: 12 Months

  2. Cardiovascular events

    Number of patients with cardiovascular events (IM, stroke) in each study arm between enrollments and month 12

    Time frame: 12 Months

  3. Interstitial lung disease diagnosis or progression (imaging and PFT)

    Number of patients with new diagnosis of ILD or worsening of ILD in each study arm (based on clinical, and either imaging and/or PFT findings) between enrollments and month 12

    Time frame: 12 Months

  4. Glucocorticoid use (and cumulative dose, mg)

    Use of glucocorticoids (including cumulative dose) in each study arm between enrollment and month 12

    Time frame: 12 months

06

Study locations

1 site
  • Mount Sinai Hospital, Vasculitis clinic
    Toronto, Canada
07

References and documents

08

Registry details

Key details

Study ID
NCT04280601
Lead sponsor
Christian Pagnoux
Responsible party
Christian Pagnoux (MD, MPH, MSc, Mount Sinai Hospital, Canada) — Sponsor-investigator
First posted
Feb 21, 2020
Start date
Aug 1, 2020
Primary completion
Mar 1, 2023
Completion
Mar 1, 2023
Last update
Mar 14, 2023

Study contacts

Christian Pagnoux, MD
principal investigator · MOUNT SINAI HOSPITAL

Oversight

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

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