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NCT01443728

Vitamin D for Sickle-cell Respiratory Complications

Completed Phase 2 Results posted Last updated 9 August 2024
What this trial tests

Phase 2 trial testing Experimental: Vitamin D3 100,000 IU in Sickle Cell Disease in 70 participants. Completed in 15 February 2015.

Timeline
13 December 2011
Primary endpoint
20 June 2013
15 February 2015

Quick facts

Lead sponsorGary M Brittenham, MD
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment70
Start date13 December 2011
Primary completion20 June 2013
Estimated completion15 February 2015
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Gary M Brittenham, MD — full company profile →

Who can join

Adults 3 to 20, any sex, with Sickle Cell Disease or Vitamin D Deficiency. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean Annual Rate of Respiratory Events Primary · Up to 2 years

Defined as respiratory infection, acute asthma exacerbation, and acute chest syndrome.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU3.91± 0.35
Vitamin D3 12,000 IU4.34± 0.35
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU3.34± 0.37
Vitamin D3 12,000 IU4.28± 0.36
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU1.54± 0.37
Vitamin D3 12,000 IU1.49± 0.37
Mean 25-Hydroxyvitamin D (25-OHD) Secondary · 2 years

The overall mean serum 25-OHD concentration will be measured for both groups.

GroupValue95% CI
Vitamin D3 100,000 IU36.114 – 38
Vitamin D3 12,000 IU19.113 – 20
Forced Vital Capacity (FVC) Secondary · Up to 2 years

Percent predicted forced vital capacity will be calculated for both groups.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU85.5± 2.8
Vitamin D3 12,000 IU90.2± 2.3
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU85.2± 2.7
Vitamin D3 12,000 IU92.4± 2.3
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU85.0± 2.5
Vitamin D3 12,000 IU92.1± 2.5
Forced Expiratory Volume (FEV) in 1 Second (FEV1) Secondary · Up to 2 years

Percent predicted forced expiratory volume in 1 second will be calculated for both groups.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU80.4± 2.4
Vitamin D3 12,000 IU84.9± 2.3
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU79.1± 2.7
Vitamin D3 12,000 IU85.3± 2.1
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU78.9± 2.8
Vitamin D3 12,000 IU84.5± 2.0
FEV1/FVC Ratio Secondary · Up to 2 years

The ratio of FEV1 to FVC will be calculated (in percentage).

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU84.0± 1.5
Vitamin D3 12,000 IU83.3± 1.5
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU82.6± 1.0
Vitamin D3 12,000 IU81.7± 1.3
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU82.2± 1.5
Vitamin D3 12,000 IU81.6± 1.2
FEF 25-75 Secondary · Up to 2 years

Percent predicted forced expiratory flow (FEF) during expiration of 25 to 75% of the FVC will be calculated.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU69.8± 5.2
Vitamin D3 12,000 IU68.8± 4.9
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU62.9± 4.4
Vitamin D3 12,000 IU64.8± 4.3
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU62.8± 4.4
Vitamin D3 12,000 IU65.6± 4.3
RV/TLC Ratio Secondary · Up to 2 years

The ratio of residual volume (RV) to total lung capacity (TLC) will be calculated (in percentage).

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU26.9± 1.3
Vitamin D3 12,000 IU25.1± 1.6
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU25.4± 1.8
Vitamin D3 12,000 IU22.6± 1.9
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU22.8± 1.6
Vitamin D3 12,000 IU21.8± 1.9
DLCO Secondary · Up to 2 years

Percent predicted of the diffusing capacity for carbon monoxide in the lungs (DLCO) will be measured.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU68.0± 3.2
Vitamin D3 12,000 IU72.3± 3.9
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU62.9± 3.2
Vitamin D3 12,000 IU67.8± 2.4
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU68.1± 3.8
Vitamin D3 12,000 IU72.9± 2.9
FeNO Secondary · Up to 2 years

Fractional exhaled nitric oxide (FeNO) will be measured in parts per billion (ppb).

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU19.3± 2.7
Vitamin D3 12,000 IU16.9± 2.1
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU20.5± 3.5
Vitamin D3 12,000 IU16.1± 2.1
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU18.1± 2.7
Vitamin D3 12,000 IU16.4± 2.4
MIP Secondary · Up to 2 years

Maximum inspiratory pressure (MIP) will be measured.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU69.1± 5.6
Vitamin D3 12,000 IU59.9± 5.3
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU78.7± 6.1
Vitamin D3 12,000 IU80.4± 6.3
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU77.4± 5.0
Vitamin D3 12,000 IU74.6± 4.7
MEP Secondary · Up to 2 years

Maximum expiratory pressure (MEP) will be measured.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU66.3± 3.9
Vitamin D3 12,000 IU66.3± 5.4
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU60.4± 3.3
Vitamin D3 12,000 IU57.3± 3.1
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU58.7± 3.4
Vitamin D3 12,000 IU56.2± 4.0
Hand-grip, Right Secondary · Up to 2 years

Muscle strength was measured by looking at hand-grip strength in the right hand.

Baseline
GroupValue95% CI
Vitamin D3 100,000 IU21.2± 3.2
Vitamin D3 12,000 IU16.9± 2.2
Year 1
GroupValue95% CI
Vitamin D3 100,000 IU20.6± 3.0
Vitamin D3 12,000 IU16.6± 2.4
Year 2
GroupValue95% CI
Vitamin D3 100,000 IU23.8± 4.1
Vitamin D3 12,000 IU17.4± 2.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 2 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Vitamin D3 100,000 IU
Serious: 11/31 (35%)
Deaths:
Vitamin D3 12,000 IU
Serious: 6/31 (19%)
Deaths:

Serious adverse events (12 terms)

ReactionSystemVitamin D3 100,000 IUVitamin D3 12,000 IU
Pain Syndrome (Grade 3 & 4)General disorders
Acute Chest SyndromeGeneral disorders
Mucosal Infection (Herpetic Gingivostomatitis)Infections and infestations
StrokeNervous system disorders
CholecystitisGastrointestinal disorders
Asthma ExacerbationRespiratory, thoracic and mediastinal disorders
CholecystitisGastrointestinal disorders
HypoxemiaBlood and lymphatic system disorders
PneumoniaGeneral disorders
SepsisBlood and lymphatic system disorders
Varicella ZosterInfections and infestations
Cervical LymphadenitisBlood and lymphatic system disorders
Other adverse events (17 terms — click to expand)

ReactionSystemVitamin D3 100,000 IUVitamin D3 12,000 IU
Pain Syndrome (Grade 1 or 2)General disorders
FeverGeneral disorders
Acute Chest Syndrome (Grade 1 & 2)General disorders
Upper Respiratory InfectionInfections and infestations
AnemiaBlood and lymphatic system disorders
Streptococcal PharyngitisInfections and infestations
Influenza A/BInfections and infestations
Blood Bilirubin IncreasedBlood and lymphatic system disorders
InjuryInjury, poisoning and procedural complications
Asthma ExacerbationRespiratory, thoracic and mediastinal disorders
Acute PharyngitisGeneral disorders
Urinary Tract InfectionRenal and urinary disorders
ConstipationGastrointestinal disorders
LeukocytosisBlood and lymphatic system disorders
Acute Otitis MediaInfections and infestations
SeizureGeneral disorders
HeadacheGeneral disorders

Most-reported serious reactions: Pain Syndrome (Grade 3 & 4), Acute Chest Syndrome, Mucosal Infection (Herpetic Gingivostomatitis), Stroke, Cholecystitis, Asthma Exacerbation, Cholecystitis, Hypoxemia.

Data from ClinicalTrials.gov NCT01443728 adverse events section.

Sponsor's own description

This study aims to answer the question whether oral vitamin D supplementation can decrease lung complications in children and adolescents with sickle cell disease. Lung complications are the leading causes of morbidity and of death in sickle cell disease. Infections and increased inflammation play important roles in the development of the lung problems in sickle cell disease. Emerging evidence shows that vitamin D helps the immune system to fight infection and to control inflammation and could potentially help prevent respiratory complications in patients with sickle cell disease. The investigators hypothesize that oral vitamin D3, 100,000 IU (2.5 mg), given once a month to a group of children and adolescents with sickle cell disease, will reduce the rate of respiratory events (infection, asthma exacerbation and acute chest syndrome) compared to the rate in a group given standard dose oral vitamin D3, 12,000 IU (0.3 mg) given once a month. Funding Source - U.S. Food \& Drug Administration, Office of Orphan Products Development

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Randomized phase 2 trial of monthly vitamin D to prevent respiratory complications in children with sickle cell disease.
    Lee MT, Kattan M, Fennoy I, Arpadi SM, et al · · 2018 · cited 27× · PMID 29712666 · DOI 10.1182/bloodadvances.2017013979
  2. Vitamin D supplementation for sickle cell disease.
    Soe HH, Abas AB, Than NN, Ni H, et al · · 2017 · cited 19× · PMID 28105733 · DOI 10.1002/14651858.cd010858.pub2

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing