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RecruitingNCT06642428Updated Jan 17, 2025

Effect of Vitamin D Supplementation on the Efficacy and Adverse Effects of Neoadjuvant Therapy in Patients with Breast Cancer

An interventional study of Neoadjuvant therapy + vitamin D2 and Neoadjuvant therapy in Vitamin D, Neoadjuvant Therapy and Breast Cancer, sponsored by Jiuda Zhao. Recruiting at 2 sites in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-01-17.

Sponsored by Jiuda Zhao · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as recruiting.
  • Started Oct 2024; still recruiting 2 years later.
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

This randomized controlled Phase III trial was designed to evaluate the impact of supplemental vitamin D (VD) on the efficacy and side effects of neoadjuvant therapy in patients with breast cancer.

Read the detailed description

This is a parallel-group, open-label randomized controlled trial designed to investigate the effects of supplemental vitamin D (VD) on the outcomes and side effects of neoadjuvant therapy in patients with breast cancer. Both groups will receive standard neoadjuvant therapy on day 1 and for each subsequent cycle. Additionally, vitamin D2 will be randomly administered to both groups.Blood samples and imaging results will be collected and analyzed prior to the initiation of neoadjuvant therapy and after every two cycles. Key outcomes to be recorded include the pathological complete response rate (pCR), objective response rate (ORR), disease control rate (DCR), and grade III or higher adverse effects related to neoadjuvant therapy. The primary and secondary study findings, along with adverse events, will be thoroughly evaluated.

02

Conditions studied

  • Vitamin D
  • Neoadjuvant Therapy
  • Breast Cancer
  • Adverse Reaction
  • Efficacy
  • Chemotherapy

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Keywords

  • Vitamin D
  • Breast Cancer
  • Adverse Reaction
  • Efficacy
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 140 is above the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Jiuda Zhao is the lead sponsor of 10 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
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

  1. Age between 18 and 80 years, with an (ECOG) performance status of 0-2.
  2. Primary diagnosis of breast cancer confirmed by preoperative pathological examination.
  3. Serum 25(OH)D levels less than 20 ng/ml (50 nmol/L).
  4. Patients who have not previously received chemotherapy and who plan to undergo at least 4 cycles of 5. chemotherapy or combined targeted therapy.

6. of at least 6 months. 7.No other uncontrolled benign diseases at the time of recruitment. 8.All patients must have complete clinical medical records. 9.Willingness to voluntarily sign an form.

Exclusion criteria

Exclusion Criteria:

  1. History of invasive breast cancer.
  2. Prior systemic treatment for the treatment or prevention of breast cancer.
  3. Known allergic reactions to vitamin D or calcium compounds.
  4. Comorbidities that may affect vitamin D or calcium balance or bone health.
  5. Vitamin D or calcium supplementation in the past 3 months.
  6. Presence of other tumors.
  7. Pregnant or lactating women.
  8. Individuals who do not wish to participate in the study.
Terms in these criteria, in plain language(4)

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Neoadjuvant therapy + vitamin D2

    Before the start of treatment and every 3 weeks thereafter, participants will receive injections of vitamin D2 at a dosage of 10 mg until the completion of neoadjuvant therapy. They will undergo the standard neoadjuvant regimen, which includes the 10 mg injection of vitamin D2 per cycle during the therapy. The dosage of neoadjuvant drugs may be tailored based on the physician's clinical judgment.

    Drug: Neoadjuvant therapy + vitamin D2

  • Other
    Neoadjuvant therapy

    Participants will receive the standard neoadjuvant regimen during each cycle of neoadjuvant therapy. The dosage of the neoadjuvant drugs may be tailored based on the physician's clinical judgment.

    Drug: Neoadjuvant therapy

Interventions

  • DrugNeoadjuvant therapy + vitamin D2

    Drug page: Ergocalciferols

    Before the start of treatment and every 3 weeks thereafter, participants will receive injections of vitamin D2 at a dosage of 10 mg until the completion of neoadjuvant therapy. They will undergo the standard neoadjuvant regimen, which includes the 10 mg injection of vitamin D2 per cycle during the therapy. The dosage of neoadjuvant drugs may be tailored based on the physician's clinical judgment.

  • DrugNeoadjuvant therapy

    Participants will receive the standard neoadjuvant regimen during each cycle of neoadjuvant therapy. The dosage of the neoadjuvant drugs may be tailored based on the physician's clinical judgment.

06

What researchers measure

Primary outcomes

  1. The objective response rate

    Difference in change in the objective response rate from first to last assessment between two arms

    Time frame: 4-6months

  2. The pathological complete response rate

    Difference in change the pathological complete response rate from first to last assessment between two arms

    Time frame: 4-6months

Secondary outcomes

  1. The disease control rate

    Difference in change the disease control rate rate from first to last assessment between two arms

    Time frame: 4-6months

  2. Evaluation of side effects related to neoadjuvant therapy (CTCAE v5.0).

    Side effects of neoadjuvant therapy will be assessed according to the CTCAE v5.0 criteria.

    Time frame: From the initiation of neoadjuvant therapy to 21 days after the last cycle of neoadjuvant therapy.

  3. Pathological response assessment using the Miller & Payne scoring system in conjunction with residual disease in lymph nodes following neoadjuvant therapy.

    The pathological response will be assessed using the Miller \& Payne scoring system, considering residual disease in lymph nodes after neoadjuvant therapy.

    Time frame: 4-6months

07

Study locations

1 of 2 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for Jan 2026, 15 months after the start.

Of 2,661 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's planned 15 months is below that.

Counting every sponsor, half of 2,771 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

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

Registered
Oct 13, 2024
First posted
Oct 15, 2024
StartActual
Oct 18, 2024
Primary completionEst.
Jan 31, 2026
CompletionEst.
Apr 30, 2026
Last update
Jan 17, 2025
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 Jan 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06642428
Lead sponsor
Jiuda Zhao
Responsible party
Jiuda Zhao (Breast Disease Diagnosis and Treatment Center, Affiliated Hospital of Qinghai University) — Sponsor-investigator
First posted
Oct 15, 2024
Start date
Oct 18, 2024
Primary completion
Jan 31, 2026 (estimated)
Completion
Apr 30, 2026 (estimated)
Last update
Jan 17, 2025

Study contacts

Jiuda Zhao
Contact
jiudazhao@126.com
869716230893

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
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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