ClinicalTrials.gg
CompletedNCT07899138Updated Oct 27, 2026

Effect of Vitamin D and Zinc Supplementation on Inflammatory Biomarkers in Pulmonary Tuberculosis Patients

An interventional study of Vitamin D (Cholecalciferol ) and Zinc (zinc sulphate) in Pulmonary Tuberculosis, sponsored by Hasanuddin University. Completed at 1 site in Indonesia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Hasanuddin University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Jun 2026, registered Oct 2026).
Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study evaluates the effect of combined Vitamin D and Zinc supplementation on inflammatory biomarkers in pulmonary tuberculosis (TB) patients during the intensive phase of treatment. The main goal is to determine if this nutritional supplementation can help improve inflammatory levels by measuring biomarkers such as Neutrophil-to-Lymphocyte Ratio (NLR), Interleukin-6 (IL-6), and albumin.

Read the detailed description

Pulmonary tuberculosis remains a major global health issue, often leading to chronic inflammation and nutritional deficiencies. This clinical trial utilizes a true experimental, randomized parallel-group design to assess the therapeutic benefits of adding Vitamin D and Zinc to standard intensive-phase anti-tuberculosis therapy. Patients are evaluated over an 8-week intervention period to analyze changes in key inflammatory markers, including NLR, IL-6, and serum albumin levels.

02

Conditions studied

  • Pulmonary Tuberculosis

Keywords

  • Tuberculosis
  • Vitamin D
  • Zinc
  • Biomarkers
03

In context

Tuberculosis, Pulmonary

319 studies on the registry are indexed under Tuberculosis, Pulmonary; 71 are open to participants now.

This study's enrollment of 32 is below the median of 146 across 227 interventional studies indexed under Tuberculosis, Pulmonary.

Browse Tuberculosis, Pulmonary studies →

Lead sponsor

Hasanuddin University is the lead sponsor of 69 studies on the registry; 6 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
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. Adult patients aged 18 years or older.
  2. Active pulmonary tuberculosis confirmed by positive acid-fast bacilli (AFB) sputum smear or positive molecular rapid test (GeneXpert/TCM), diagnosed by a pulmonologist.
  3. Currently undergoing the intensive phase of anti-tuberculosis therapy (ATT), with the duration of ATT treatment less than 14 days since initiation at the time of recruitment.
  4. Patients with vitamin D deficiency or insufficiency and zinc deficiency.
  5. Patient is willing to follow all study procedures for 8 weeks and signed the written .
  6. Patients who have not consumed vitamin D and/or zinc supplements within the last 30 days ().

Exclusion criteria

Exclusion Criteria:

  1. Patients with extra-pulmonary tuberculosis without lung involvement, or patients with suspected or confirmed MDR-TB/XDR-TB.
  2. Pregnant or breastfeeding women.
  3. Patients with diseases or conditions that alter vitamin D or calcium metabolism, such as hypercalcemia (total calcium >= 10.5 mg/dL), hyperparathyroidism, or a history of recurrent calcium nephrolitiasis.
  4. Severe liver failure or end-stage renal disease requiring chronic dialysis.
  5. Patients taking systemic drugs (e.g., prednisone equivalent >10 mg/day for >= 14 days), active chemotherapy, or active unstable disease.
  6. Patients with severe uncontrolled co-infections (e.g., sepsis, severe non-TB pneumonia) at the time of screening.
  7. Patients with known allergy or to cholecalciferol or zinc preparations used in this study.
  8. Patients unable to follow the follow-up schedules or considered likely to drop out based on investigator's assessment.
Terms in these criteria, in plain language(5)

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.

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    High-Dose Vitamin D and Zinc

    Participants in this arm receive standard anti-tuberculosis therapy supplemented with a high-dose micronutrient regimen daily for 8 weeks, consisting of Vitamin D3 10,000 IU/day and elemental zinc 20 mg/day administered orally.

    Dietary Supplement: Vitamin D (Cholecalciferol ) · Dietary Supplement: Zinc (zinc sulphate)

  • Experimental
    Low-Dose Vitamin D and Zinc

    Participants in this arm receive standard anti-tuberculosis therapy supplemented with a low-dose comparison micronutrient regimen daily for 8 weeks, consisting of Vitamin D3 1,000 IU/day and elemental zinc 10 mg/day administered orally.

    Dietary Supplement: Vitamin D (Cholecalciferol ) · Dietary Supplement: Zinc (zinc sulphate)

Interventions

  • Vitamin D3 (Cholecalciferol) supplementation administered orally daily for 8 weeks, given in addition to standard anti-tuberculosis therapy. Participants in the High-Dose group receive 10,000 IU/day

  • Dietary supplementZinc (zinc sulphate)

    Zinc sulphate supplementation administered orally daily for 8 weeks. Participants in the High-Dose group receive an amount equivalent to 20 mg of elemental zinc/day.

  • Vitamin D3 (Cholecalciferol) supplementation administered orally daily for 8 weeks, given in addition to standard anti-tuberculosis therapy. Participants in the Low-Dose group receive 1,000 IU/day

  • Dietary supplementZinc (zinc sulphate)

    Zinc sulphate supplementation administered orally daily for 8 weeks. Participants in the Low-Dose group receive an amount equivalent to 10 mg of elemental zinc/day.

06

What researchers measure

Primary outcomes

  1. Change from baseline in Neutrophil-to-Lymphocyte Ratio (NLR)

    NLR is calculated by dividing the absolute neutrophil count by the absolute lymphocyte count from peripheral blood samples to assess inflammatory status

    Time frame: Baseline and week 8

  2. Change from baseline in Interleukin-6 (IL-6) levels

    IL-6 levels are measured in pg/mL from serum samples using ELISA or standard laboratory assays to evaluate systemic inflammatory response.

    Time frame: Baseline and week 8

  3. Change from baseline in serum albumin levels

    Serum albumin levels are measured in g/dL from blood samples using standard automated laboratory chemistry analyzers to assess nutritional and inflammatory status.

    Time frame: Baseline and week 8

Secondary outcomes

  1. Change from baseline in malnutrition status based on GLIM criteria

    Nutritional status and malnutrition severity are evaluated using the Global Leadership Initiative on Malnutrition (GLIM) criteria, incorporating phenotypic criteria (non-volitional weight loss, low body mass index, or reduced muscle mass) and etiologic criteria (reduced food intake/assimilation or disease burden/inflammation).

    Time frame: Baseline and Week 8

07

Study locations

1 site
  • Balai Besar Kesehatan Paru Masyarakat (BBKPM) Makassar
    Makassar, South Sulawesi 90143, Indonesia
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared outside the research team to maintain patient confidentiality and privacy regarding their medical records, in accordance with the informed consent agreement.

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07899138
Lead sponsor
Hasanuddin University
Responsible party
Astri Nova (Principal Investigator, Hasanuddin University) — Principal investigator
First posted
Oct 27, 2026
Start date
Jun 3, 2026
Primary completion
Aug 28, 2026
Completion
Aug 28, 2026
Last update
Oct 27, 2026

Study contacts

Aminuddin Aminuddin, MD, Ph.D, Sp.GK
study chair · Department of Clinical Nutrition, Faculty of Medicine, Hasanuddin University

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Vitamin D · Zinc Sulfate

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