ClinicalTrials.gg
RecruitingNCT07448974D2d-TTTUpdated Aug 18, 2026

Vitamin D and Type 2 Diabetes - Treat-To-Target

A Phase 3 interventional study of Vitamin D (Cholecalciferol ) and Placebo in Prediabetes and Type 2 Diabetes (T2DM), sponsored by Tufts Medical Center. Recruiting at 1 site in United States. Open to participants aged 30 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-08-18.

Sponsored by Tufts Medical Center · Phase 3, Interventional, and Other

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
30 Years to 74 Years
Sex
All
01

Where this study stands

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

Among 390 studies in Prediabetic State with a site in United States — 84 open to participants now, 108 under way, 2 of them phase 3. Prediabetic State · United States.

Planned enrollment
95th of 362
100 · median 54
Started
2026
with 38 others
Phase 3
16 of 390
2 open now
Primary completion
2030-03
later than 104 of 107 live
Registered
360th of 390
by date

Among the 390 studies in Prediabetic State with a site in United States, this one is the 95th largest by planned enrollment of the 362 interventional ones that give a count, is one of 39 that started in 2026, is one of 16 in phase 3, reaches primary completion later than 104 of the 107 other live ones, and was the 360th registered.

Prediabetic State

918 studies on the registry are indexed under Prediabetic State; 232 are open to participants now.

Browse Prediabetic State studies →

Open to participants now

84 of the 390 studies in Prediabetic State with a site in United States are open now. Recruiting first, the newest first:

78 more — sign in →

All 84 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 145 Prediabetic State studies recruiting now, 51 (35%) set no upper age limit and 84 (58%) stop at 75 or younger; 12 take children under 18; 54 take healthy volunteers.

This study: 30 Years to 74 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 390 studies in Prediabetic State with a site in United States, or all of them as a file.
02

Study summary

This study tests whether taking a weekly dose of vitamin D, with the dose adjusted to reach a target blood vitamin D level, can help control blood sugar levels in adults at high risk of developing type 2 diabetes (prediabetes).

Research suggests that vitamin D may play a role in blood sugar control. The goal of this study is to see whether adjusting the dose of vitamin D to reach a specific blood vitamin D level improves blood sugar control compared with a placebo (a look-alike pill without vitamin D).

One hundred adults aged 30 to 74 with prediabetes will take part. Participants will be randomly assigned (by chance) to receive either weekly vitamin D supplements or a placebo. Neither the participants nor the research team will know which group a participant is in during the study.

Participants in the vitamin D group will start with one specific dose. After three months, a blood test will be used to decide whether the dose should stay the same or be increased to reach the target vitamin D level. Participants in the placebo group will continue taking the placebo each week.

All participants will be followed for about 18 months. During the study, they will attend scheduled study visits, have blood tests, and wear a continuous glucose monitor, a small device that measures blood sugar levels throughout the day and night. The research team will also make periodic phone calls to check on health changes, medication use, and study participation.

The main outcome of the study is the proportion of time that the participants' blood sugar levels remains in a healthy range.

03

Conditions studied

  • Prediabetes
  • Type 2 Diabetes (T2DM)

Keywords

  • vitamin D
  • cholecalciferol
  • continuous glucose monitoring
  • diabetes prevention
  • prediabetes
  • type 2 diabetes
04

Who can participate

Ages eligible
30 Years to 74 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. High-risk prediabetes ("at high risk for type 2 diabetes") defined by meeting the following 2 prediabetes criteria established by the American Diabetes Association (ADA) in the 2010 clinical practice guidelines:

    1. Fasting plasma glucose (FPG) 100-125 mg/dL, inclusive
    2. (HbA1c) 5.7-6.4%, inclusive
  2. Age 30-74 years, inclusive
  3. ≥ 23.0 and ≤ 35.0 kg/m2
  4. Provision of signed and dated written prior to any study procedures.

Exclusion criteria

Exclusion Criteria:

  1. History of diabetes (ICD10 diabetes code E08.X through E13.X) or meeting a diabetes glycemic criterion at screening, as defined by the ADA guidelines (FPG ≥ 126 mg/dL or ≥ 6.5%).
  2. History (past 2 years) of hyperparathyroidism, symptomatic or asymptomatic (i.e., radiographic) nephrolithiasis or hypercalcemia.
  3. Any medical condition (past 2 years) that in the opinion of the site investigator may increase risk for nephrolithiasis or hypercalcemia during the trial (e.g., sarcoidosis).
  4. If older than 70 years, history (past 1 year) of a fall.
  5. Use of tanning devices within 12 weeks of the baseline visit and unwilling to stop use of tanning devices for the duration of the study.

    Medications and Supplements

  6. Use (past 6 months) of hypoglycemic pharmacotherapy (oral or injectable medication approved by the FDA for type 2 diabetes) for any condition (e.g., prediabetes, diabetes, polycystic ovarian syndrome, MASLD, sleep apnea) or any other medication that may affect glycemia (e.g., hydroxychloroquine)
  7. Current use of medications approved by the FDA for weight management (e.g., incretin receptor agonists) or planned use during the study.
  8. Use of supplements containing vitamin D at total doses higher than 1000 IU/day within 8 weeks of the baseline visit and unwillingness to limit vitamin D supplementation dosage to no higher than 1000 IU/day during the study. Because supplements vary widely in vitamin D content (e.g., may include cod liver or cod liver oi), participants will bring all supplements to the site for a review by the research team.
  9. Use of supplements containing calcium at total doses higher than 600 mg/day within 1 week of the baseline visit and unwillingness to limit calcium supplementation dosage to no higher than 600 mg/day during the study.
  10. Current use of medications or conditions (e.g., untreated celiac disease) that would interfere with the absorption or metabolism of vitamin D.
  11. Use of an anticonvulsant drug started within 6 months of screening. Stable regimen of anticonvulsants is allowed.
  12. History of intolerance to vitamin D supplements, allergic to any content of the study drug or unwilling to take vitamin D supplements (e.g., someone who eats a vegan diet and would object to the cholecalciferol ingredient which is produced from cholesterol extracted from sheep wool harvested from healthy living sheep).

    Other Medical History

  13. Severe symptomatic cardiovascular disease based on history (unstable angina, dyspnea on exertion, paroxysmal nocturnal dyspnea, arrhythmia, congestive heart failure class II or higher, claudication)
  14. History (past 1 year) of myocardial infarction, percutaneous coronary intervention, or coronary artery bypass graft.
  15. History (past 1 year) of cerebrovascular disease (stroke, ).
  16. Any type of cancer (past 5 years) except for basal cell skin cancer. Prostate cancer (for men over age 55) or well-differentiated thyroid cancer not expected to require treatment (except for suppression with thyroid hormone) over the next 3 years, are not exclusions. People with history of squamous cell cancer of the skin, which was completely excised and with no evidence of , are eligible.
  17. History (past 6 months) of treatment with oral (for > 7 days) or intravenous or disease likely to require oral or intravenous glucocorticoid therapy during the study. Inhaled glucocorticoid use is not an exclusion. Epidural or intra-articular glucocorticoid injections are not exclusions, but study visits need to be conducted at least two weeks after the injection. Persons with adrenal insufficiency treated with physiologic doses of glucocorticoids who are otherwise stable are not excluded.
  18. History (past 1 year) of substance abuse or unstable psychiatric disorder that in the opinion of the site investigator would impede competence or adherence with study procedures or hinder completion of the study or increase risk.
  19. History of bariatric surgery (e.g., Roux-en-Y gastric bypass, gastric sleeve) or planned bariatric surgery in the next 2 years.
  20. Extreme (over 18 hours) intermittent fasting diets because prolonged fasting downregulates CYP2R1 activity.
  21. A life-threatening event within 30 days of screening or currently planned major surgery.
  22. Any other active medical condition (including but not limited to liver disease, wasting illness, , tuberculosis, oxygen-dependent , organ transplant, Cushing's syndrome) that in the opinion of the site investigators would interfere with the study objectives, impede competence or adherence with study procedures or increase risk.
  23. Uncontrolled hypertension (systolic blood pressure > 160 mm Hg or diastolic blood pressure > 100 mm Hg).
  24. Poor venous access.

    Laboratory Evaluation

  25. Serum liver transaminase higher than 3 times the normal range for the clinical site's laboratory, within 18 months of screening.
  26. Anemia (hematocrit \< 32 for women, \< 36 for men), whole blood transfusion (within 18 months of screening) or chronic requirement, whole blood donation (within 3 months of screening) or other condition (hemolysis, hemoglobinopathy) rendering HbA1c results unreliable as indicator of chronic glycemia. Participants who donate are not excluded.
  27. Low platelet count (\< 100,000) within 18 months of screening.
  28. Chronic kidney disease, defined as estimated [GFR] \< 50 mL/min per 1.73 m2 from creatinine level and GFR calculated by the new Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations that omit race within 18 months of screening.
  29. Hypercalcemia, defined as serum calcium concentration ≥ within 18 months of screening.
  30. Hypercalciuria, defined as spot urine (morning void) calcium-creatinine ratio > 0.275 within 18 months of screening.
  31. Baseline serum 25(OH)D level greater than 100 ng/mL.

    Other

  32. Participation (within 30 days of screening) in another interventional research study, and unwillingness to refrain from participating in another intervention study during the study.
  33. Previous randomization in the study. Participants who did not qualify after screening may be screened again if the prior reason for exclusion has been addressed (e.g., high blood pressure is treated).
  34. Any other reason that in the opinion of the site investigator would interfere with the study objectives, impede adherence with study procedures or hinder completion of the study or increase risk.

    Women only

  35. Pregnancy (past 1 year by report or positive pregnancy test at screening), intent to become pregnant in the next 2 years. History of gestational diabetes is not an exclusion criterion.
  36. Currently breastfeeding.
  37. Use of oral or menopausal hormone therapy started within 3 months of baseline. .

    Continuous Glucose Monitoring specific

  38. Regular use of personal CGM and unwillingness to refrain from using personal CGM for the duration of the study.
  39. Use of hydroxyurea or regular use of high doses of acetaminophen (may impact CGM).
  40. Extensive skin changes (e.g., skin breakdown, rash) making CGM sensor use problematic.
  41. Significant skin sensitivity to adhesive (making CGM sensor unfeasible).
Terms in these criteria, in plain language(13)

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.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Active comparator
    Vitamin D

    Participants will receive oral vitamin D (cholecalciferol) once weekly throughout the study.

    Drug: Vitamin D (Cholecalciferol )

  • Placebo comparator
    Placebo

    Participants in this arm will receive an oral placebo taken once weekly throughout the study.

    Drug: Placebo

Interventions

  • Vitamin D (cholecalciferol) will be administered orally once weekly for approximately 18 months. The vitamin D will be provided in liquid form in an ampule. Participants in the intervention group will begin with a dose of 25,000 IU per week. A blood vitamin D level will be measured at 3 months, and the dose will be increased to 50,000 IU per week for participants whose results are below the study target.

  • DrugPlacebo

    Placebo will be administered orally once weekly for approximately 18 months. The placebo will be provided in an ampule and will be matched in appearance, dosing schedule, and duration to the active study medication.

06

What researchers measure

Primary outcomes

  1. Time-in-normoglycemia 140

    The cumulative proportion of time that a participant's glucose level is below 140 mg/dL at each CGM measurement period.

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

  2. Time-In-Normoglycemia 126

    The cumulative proportion of time that a participant's glucose level is below 126 mg/dL at each CGM measurement period.

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

Secondary outcomes

  1. Mean glycemia (mg/dL)

    The average glucose level at each CGM measurement period.

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months

  2. Glycemic variability

    Glycemic variability will be assessed using the mean amplitude of glycemic excursions at each CGM measurement period.

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months

  3. Hemoglobin A1c (%)

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

  4. Fasting plasma glucose (mg/dL)

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

  5. Atherosclerotic cardiovascular risk

    Atherosclerotic cardiovascular risk, assessed by the PREVENT risk calculator. The calculator requires a lipid profile and a urine albumin creatinine ratio. Higher PREVENT values generally indicate higher estimated cardiovascular risk.

    Time frame: Assessed at baseline, month 12 and month 18

  6. Hypercalcemia

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

  7. Hypercalciuria

    Time frame: Assessed every 6 months from enrollment to the end of the study at 18 months.

Other outcomes

  1. Insulin resistance

    Insulin resistance by the homeostasis model assessment (HOMA-IR). Higher HOMA-IR values generally indicate greater estimated insulin resistance.

    Time frame: Assessed at baseline, 12 months, and 18 months.

  2. Insulin secretion

    Insulin secretion by the homeostasis model assessment (HOMA-beta). Higher HOMA beta values generally indicate greater estimated pancreatic β-cell insulin secretion.

    Time frame: Assessed from enrollment to the end of study at 18 months.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Chatterjee R, Davenport CA, Vickery EM, Johnson KC, Kashyap SR, LeBlanc ES, Nelson J, Dagogo-Jack S, Pittas AG, Hughes BD; D2d Research Group. Effect of intratrial mean 25(OH)D concentration on diabetes risk, by race and weight: an ancillary analysis in the D2d study. Am J Clin Nutr. 2023 Jul;118(1):59-67. doi: 10.1016/j.ajcnut.2023.03.021. Epub 2023 Mar 29. PubMed 37001590 ↗
  • Pittas AG, Kawahara T, Jorde R, Dawson-Hughes B, Vickery EM, Angellotti E, Nelson J, Trikalinos TA, Balk EM. Vitamin D and Risk for Type 2 Diabetes in People With Prediabetes : A Systematic Review and Meta-analysis of Individual Participant Data From 3 Randomized Clinical Trials. Ann Intern Med. 2023 Mar;176(3):355-363. doi: 10.7326/M22-3018. Epub 2023 Feb 7. PubMed 36745886 ↗
  • Pittas AG, Dawson-Hughes B, Sheehan P, Ware JH, Knowler WC, Aroda VR, Brodsky I, Ceglia L, Chadha C, Chatterjee R, Desouza C, Dolor R, Foreyt J, Fuss P, Ghazi A, Hsia DS, Johnson KC, Kashyap SR, Kim S, LeBlanc ES, Lewis MR, Liao E, Neff LM, Nelson J, O'Neil P, Park J, Peters A, Phillips LS, Pratley R, Raskin P, Rasouli N, Robbins D, Rosen C, Vickery EM, Staten M; D2d Research Group. Vitamin D Supplementation and Prevention of Type 2 Diabetes. N Engl J Med. 2019 Aug 8;381(6):520-530. doi: 10.1056/NEJMoa1900906. Epub 2019 Jun 7. PubMed 31173679 ↗

Related links

Individual participant data

Plan to share: Yes — Consistent with the International Committee of Medical Journal Editors (ICMJE) policy, we will make de-identified individual participant data available, following publication, upon reasonable request to qualified investigators who provide a methodologically sound proposal and agree to a data use agreement to protect participant confidentiality. A data dictionary (a description of the variables collected for each individual) will be provided so that the data can be fully interpreted.

09

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 Aug 2026 (actual). Primary completion is estimated for Mar 2030, 43 months after the start.

Of 18 phase 3 interventional studies under Prediabetic State, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 40. This study's planned 43 months is above that.

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

Registered
Jan 16, 2026
First posted
Mar 4, 2026
StartActual
Aug 4, 2026
Primary completionEst.
Mar 2030
CompletionEst.
Mar 2031
Last update
Aug 18, 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 Aug 18, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07448974
Collaborators
Abiogen Pharma
Responsible party
Sponsor
First posted
Mar 4, 2026
Start date
Aug 4, 2026
Primary completion
Mar 2030 (estimated)
Completion
Mar 2031 (estimated)
Last update
Aug 18, 2026

Study contacts

Tufts Medical Center Endocrine Research Team
Contact
endocrine-research@tuftsmedicine.org
617-636-3232

Oversight

Data monitoring committee
No
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: Vitamin D

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