ClinicalTrials.gg
RecruitingNCT07670611VITD-CHOLUpdated Aug 3, 2026

Vitamin D2 vs Vitamin D2 Plus Calcitriol in Cholestatic Children With Vitamin D Deficiency

A Phase 4 interventional study of Vitamin D2 and Calcitriol in Cholestatic Liver Disease, Chronic Liver Disease (CLD) and Vitamin D Deficiency, sponsored by Chulalongkorn University. Recruiting at 1 site in Thailand. Open to participants aged Up to 18 Years. Per ClinicalTrials.gov, last updated 2026-08-03.

Sponsored by Chulalongkorn University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 6 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
Up to 18 Years
Sex
All
01

Study summary

The goal of this clinical trial is to learn whether adding calcitriol to vitamin D2 can improve vitamin D deficiency in children with cholestasis and chronic liver disease. Cholestasis is a condition in which bile flow is reduced, which can make it difficult for the body to absorb and process vitamin D. The study will also learn about the safety of using vitamin D2 together with calcitriol.

The main questions it aims to answer are:

  • Does vitamin D2 plus calcitriol increase blood 25-hydroxyvitamin D (25-OHD) levels more than vitamin D2 alone after 3 months of treatment?
  • Does vitamin D2 plus calcitriol help more children reach an adequate vitamin D level by 3 and 6 months?
  • What medical problems, especially high calcium or high phosphorus levels, occur during treatment?

Researchers will compare children who receive vitamin D2 alone with children who receive vitamin D2 plus calcitriol to see which treatment improves vitamin D levels more effectively and safely.

Participants will:

  • Take vitamin D2 alone or vitamin D2 plus calcitriol as assigned by randomization
  • Visit the clinic for study assessments at the start of the study, at 3 months, and at 6 months
  • Have blood tests to measure vitamin D levels, calcium, phosphorus, parathyroid hormone, liver function, and other safety markers
  • Have their treatment reviewed at 3 months; participants whose vitamin D level remains low may have their treatment adjusted according to the study plan
  • Bring back medication packages so researchers can check how regularly the study medicines were taken
02

Conditions studied

  • Cholestatic Liver Disease
  • Chronic Liver Disease (CLD)
  • Vitamin D Deficiency
  • Children

Keywords

  • cholestasis
  • pediatrics
  • vitamin d deficiency
  • Calcitriol
  • 25-Hydroxyvitamin D2
03

In context

Vitamin D Deficiency

801 studies on the registry are indexed under Vitamin D Deficiency; 60 are open to participants now.

This study's planned enrollment of 54 is below the median of 78 across 590 interventional studies indexed under Vitamin D Deficiency.

Browse Vitamin D Deficiency studies →

Lead sponsor

Chulalongkorn University is the lead sponsor of 322 studies on the registry; 66 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 18 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

  • Patients younger than 18 years of age.
  • Patients diagnosed with cholestasis, defined as direct/conjugated >1 mg/dL for more than 1 month.
  • Patients diagnosed with chronic liver disease.
  • Patients with vitamin D deficiency, defined as serum 25-hydroxyvitamin D (25-OHD) level \<20 ng/mL, according to the Endocrine Society Clinical Practice Guideline.

Exclusion criteria

Exclusion Criteria:

  • Pre-existing hypercalciuria, screened by urine calcium testing before enrollment.
  • Patients with benign or malignant tumors.
  • Patients with renal tubular defects, screened by electrolyte testing before enrollment.
  • Patients currently receiving anticonvulsant therapy.
  • Patients who do not attend scheduled follow-up visits.
Terms in these criteria, in plain language(1)

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
54 participants (estimated)

Study arms

  • Active comparator
    Vitamin D2 Monotherapy

    Participants in this arm will receive vitamin D2 40,000 IU orally once weekly for 3 months. At month 3, participants whose 25-hydroxyvitamin D level remains below 20 ng/mL may receive treatment adjustment according to the study protocol.

    Drug: Vitamin D2

  • Experimental
    Vitamin D2 Plus Calcitriol

    Participants in this arm will receive vitamin D2 40,000 IU orally once weekly plus calcitriol 50 ng/kg/day orally for 3 months. At month 3, participants whose 25-hydroxyvitamin D level remains below 20 ng/mL may receive treatment adjustment according to the study protocol.

    Drug: Vitamin D2 · Drug: Calcitriol

Interventions

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Serum 25-Hydroxyvitamin D Concentration at Month 3

    Change from baseline in serum 25-hydroxyvitamin D \[25(OH)D\] concentration, measured in ng/mL, at 3 months after treatment initiation. The change will be calculated as the Month 3 value minus the baseline value and compared between treatment groups.

    Time frame: Baseline and Month 3

Secondary outcomes

  1. Number of Participants With Correction of Vitamin D Deficiency at Month 3

    Number and percentage of participants with serum 25-hydroxyvitamin D \[25(OH)D\] concentration greater than or equal to 20 ng/mL at Month 3.

    Time frame: Month 3

  2. Number of Participants With Correction of Vitamin D Deficiency at Month 6

    Number and percentage of participants with serum 25-hydroxyvitamin D \[25(OH)D\] concentration greater than or equal to 20 ng/mL at Month 6.

    Time frame: Month 6

  3. Change in Serum 25-Hydroxyvitamin D Level From Baseline to Month 6

    Change in serum 25-hydroxyvitamin D (25-OHD) level, measured in ng/mL, from baseline to 6 months after treatment initiation.

    Time frame: Baseline to Month 6

  4. Change From Baseline in Serum Parathyroid Hormone Concentration at Month 3 and Month 6

    Change from baseline in serum parathyroid hormone concentration, measured in pg/mL, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  5. Change From Baseline in Serum 1,25-Dihydroxyvitamin D Concentration at Month 3 and Month 6

    Change from baseline in serum 1,25-dihydroxyvitamin D concentration, measured in pg/mL, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: baseline , Month 3, Month 6

  6. Number of Participants With Hypercalcemia During the 6-Month Study Period

    Number and percentage of participants who develop hypercalcemia during the 6-month study period. Hypercalcemia is defined as albumin-corrected serum calcium above the age-specific upper limit of normal according to the study laboratory reference range.

    Time frame: Baseline to Month 6

  7. Change From Baseline in Pediatric End-Stage Liver Disease Score at Month 3 and Month 6

    Change from baseline in the Pediatric End-Stage Liver Disease (PELD) score at Month 3 and Month 6. The PELD score is calculated using serum bilirubin, international normalized ratio, serum albumin, age less than 1 year, and growth failure. The PELD score has no fixed absolute minimum or maximum possible value and may range from negative to positive values. Higher scores indicate more severe liver disease and a higher risk of short-term mortality/transplant priority.

    Time frame: Baseline, Month 3, and Month 6

  8. Change From Baseline in Serum Alanine Aminotransferase Concentration at Month 3 and Month 6

    Change from baseline in serum alanine aminotransferase (ALT) concentration, measured in U/L, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  9. Change From Baseline in Serum Aspartate Aminotransferase Concentration at Month 3 and Month 6

    Change from baseline in serum aspartate aminotransferase (AST) concentration, measured in U/L, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  10. Change From Baseline in Serum Alkaline Phosphatase Concentration at Month 3 and Month 6

    Change from baseline in serum alkaline phosphatase concentration, measured in U/L, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  11. Change From Baseline in Serum Total Bilirubin Concentration at Month 3 and Month 6

    Change from baseline in serum total bilirubin concentration, measured in mg/dL, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  12. Change From Baseline in Serum Direct Bilirubin Concentration at Month 3 and Month 6

    Change from baseline in serum direct bilirubin concentration, measured in mg/dL, at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value.

    Time frame: Baseline, Month 3, and Month 6

  13. Change From Baseline in International Normalized Ratio at Month 3 and Month 6

    Change from baseline in international normalized ratio (INR) at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value. Higher INR values indicate worse coagulation function.

    Time frame: Baseline, Month 3, and Month 6

  14. Change From Baseline in Serum Albumin Concentration at Month 3 and Month 6

    Change from baseline in Serum Albumin Concentration at Month 3 and Month 6. The change will be calculated as the follow-up value minus the baseline value. Lower serum albumin values indicate worse hepatic synthetic function.

    Time frame: Baseline, Month 3, and Month 6

07

Study locations

1 of 1 sites recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

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 Apr 2026 (actual). Primary completion is estimated for Nov 2026, 6 months after the start.

Of 36 non-industry phase 4 interventional studies under Vitamin D Deficiency, half reached primary completion within 17 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 31. This study's planned 6 months is below that.

Counting every sponsor, half of 37 studies reached it within 18 months; a quarter within 8 and three quarters within 29.

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

Registered
Jun 22, 2026
First posted
Jun 26, 2026
StartActual
Apr 28, 2026
Primary completionEst.
Nov 10, 2026
CompletionEst.
Apr 20, 2027
Last update
Aug 3, 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 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07670611
Responsible party
Sponsor
First posted
Jun 26, 2026
Start date
Apr 28, 2026
Primary completion
Nov 10, 2026 (estimated)
Completion
Apr 20, 2027 (estimated)
Last update
Aug 3, 2026

Study contacts

THANAPORN NiLYAEM
Contact
namobnamob@docchula.com
66852811244

Oversight

Data monitoring committee
No
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: Calcitriol

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