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RecruitingNCT04331639Updated Mar 3, 2025

High Dose Interval Vitamin D Supplementation in Patients With Inflammatory Bowel Disease Receiving Biologic Therapy

An observational study in Inflammatory Bowel Disease, Crohn Disease and Ulcerative Colitis, sponsored by Boston Children's Hospital. Recruiting at 1 site in United States. Open to participants aged 5 Years to 25 Years. Per ClinicalTrials.gov, last updated 2025-03-03.

Sponsored by Boston Children's Hospital · Observational

From the registry’s dates

  • Started Nov 2020; still recruiting 5 years 11 months later.
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
50
Ages
5 Years to 25 Years
Sex
All
01

Study summary

The investigators will be administering oral high dose interval vitamin D, concurrently when participants are receiving biologic therapy for their inflammatory bowel disease. The investigators will be collecting some additional bloodwork and questionnaires at the time of participants infusions.

Read the detailed description

The investigators will be administering oral high dose interval vitamin D3 concurrently when participants with inflammatory bowel disease (IBD) are receiving biologic therapy every 4-8 weeks. The investigators will collect additional bloodwork when participants are getting clinical labwork in order to assess markers of bone health and inflammation in response to vitamin D treatment. The investigators will serially assess with questionnaires associated measures, including dietary vitamin D and calcium intake, sunlight exposure, physical activity, fracture history, IBD disease activity, and overall health.

02

Conditions studied

  • Inflammatory Bowel Disease
  • Crohn Disease
  • Ulcerative Colitis
  • Vitamin D Deficiency
03

In context

Crohn Disease

1,880 studies on the registry are indexed under Crohn Disease; 462 are open to participants now.

This study's planned enrollment of 50 is below the median of 162 across 608 observational studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Boston Children's Hospital is the lead sponsor of 598 studies on the registry; 151 are open to participants now.

Of its 31 completed or terminated interventional studies of FDA-regulated products, 18 (58%) have results posted.

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

04

Who can participate

Ages eligible
5 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

See above. Enrolling all eligible participants, who wish to participate, until reach enrollment target.

Inclusion criteria

  • Existing diagnosis of IBD, including Crohn disease, ulcerative colitis, and indeterminate colitis
  • Receiving treatment with Infliximab or Vedolizumab every 4-8 weeks
  • Age 5-25 years old, at study entry
  • Measured serum level of 25-OHD of less than 40 ng/mL in the last 4-8 weeks and no changes in vitamin D supplementation in the interim. Of note, 25-OHD levels are evaluated routinely as part of standard clinical care for IBD

Exclusion criteria

Exclusion Criteria:

  • History of any underlying kidney disease
  • History of preexisting liver disease
  • History of granulomatous disease
  • Inability to take oral vitamin D3 as a pill
  • History of hypercalcemia or hypercalciuria
  • Currently, or within the past 3 months, taking an anti-epileptic medication or Lasix
05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Interventions

  • Dietary supplementvitamin D3

    Subjects will receive oral high dose interval vitamin D3, concurrently when they are receiving their biologic treatment for their inflammatory bowel disease every 4-8 weeks.

    Also known as: cholecalciferol

06

What researchers measure

Primary outcomes

  1. vitamin D target

    assessment of the percentage of patients achieving a serum 25-OHD level in the range of 40-60 ng/mL

    Time frame: at study conclusion, up to 64 weeks

Secondary outcomes

  1. change in vitamin D level

    assess change in serum 25-OHD level from study entry to study conclusion

    Time frame: at study conclusion, up to 64 weeks

  2. vitamin D binding protein

    assessing vitamin D binding protein and free vitamin D

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  3. parathyroid hormone

    assessing parathyroid hormone

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  4. serum safety parameter

    evaluate serum calcium level

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  5. urine safety parameter

    evaluate urinary calcium to creatinine ratio

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  6. bone mineral density

    assess changes in bone density and body composition as assessed by DXA scan, when clinically available

    Time frame: at study conclusion, up to 64 weeks, when clinically available

  7. markers of bone turnover

    evaluating bone turnover markers such as c-telopeptide, bone specific alkaline phosphatase, osteocalcin, and N-terminal propeptide of type 1 procollagen. May do some of these, and then depending upon the results, consider doing additional analytes, as exploratory analysis.

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  8. inflammatory bowel disease treatment parameters

    assess level of Inflixmab, including antibodies to Infliximab and Infliximab levels, when clinically available

    Time frame: at between 12 and 24 weeks (midway through study) and up to 64 weeks (at study conclusion)

  9. cytokine measurements

    evaluating pro-inflammatory and anti-inflammatory cytokine levels, specifically interleukin-17 and interferon gamma, with likely additional exploratory studies to further characterize immune response to vitamin D repletion depending upon these results.

    Time frame: at 0 weeks (entry into study) and up to 64 weeks (at study conclusion)

  10. c-reactive protein

    evaluating c-reactive protein

    Time frame: at all study time points, from 0 weeks (entry into study) to up to 64 weeks (at study conclusion), as clinically available

  11. erythrocyte sedimentation rate

    evaluating erythrocyte sedimentation rate

    Time frame: at all study time points, from 0 weeks (entry into study) to up to 64 weeks (at study conclusion), as clinically available

  12. health-related quality of life questionnaire for inflammatory bowel disease

    assess quality of life measures in children with inflammatory bowel disease

    Time frame: at 0 weeks (entry into study) and up to 64 weeks (at study conclusion)

  13. baseline questionnaire on overall health

    assess overall health questionnaire

    Time frame: at 0 weeks (entry into study)

  14. fracture history questionnaire

    assess fracture history

    Time frame: at 0 weeks (entry into study)

  15. food frequency questionnaire

    assess calcium and vitamin D food frequency

    Time frame: at 0 weeks (entry into study)

  16. physical activity questionnaire

    assess physical activity level

    Time frame: at 0 weeks (entry into study) and up to 64 weeks (at study conclusion)

  17. sun exposure questionnaire

    assess sunlight exposure

    Time frame: at 0 weeks (entry into study) and up to 64 weeks (at study conclusion)

  18. follow-up questionnaire on overall health

    assess for any changes in inflammatory bowel disease treatment since last visit

    Time frame: at 4 weeks to up to 64 weeks, at all study visits except the initial visit (0 weeks)

07

Study locations

1 of 1 sites recruiting
  • Boston Children's Hospital
    Boston, Massachusetts 02115, United States
    • Rebecca Gordon, MD · Contact
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Mar 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04331639
Lead sponsor
Boston Children's Hospital
Responsible party
Rebecca Gordon (Attending Physician, Boston Children's Hospital) — Principal investigator
First posted
Apr 2, 2020
Start date
Nov 1, 2020
Primary completion
Sep 1, 2024
Completion
Dec 31, 2025 (estimated)
Last update
Mar 3, 2025

Study contacts

Rebecca Gordon, MD
Contact
rebecca.gordon@childrens.harvard.edu
617-355-7476
Rebecca Gordon, MD
principal investigator · Boston Children's Hospital

Oversight

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

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