Trial Outcomes & Findings for Vitamin D HIV Study on Postmenopausal Women (NCT NCT01375010)

NCT ID: NCT01375010

Last Updated: 2019-03-07

Results Overview

Percent change from baseline in BMD at lumbar spine (as measured by Dual-emission X-ray absorptiometry (DXA) scan) at 12 months

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

85 participants

Primary outcome timeframe

Baseline, 12 months

Results posted on

2019-03-07

Participant Flow

Participant milestones

Participant milestones
Measure
Group A
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Overall Study
STARTED
43
42
Overall Study
COMPLETED
31
38
Overall Study
NOT COMPLETED
12
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Group A
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Overall Study
Lost to Follow-up
8
2
Overall Study
Withdrawal by Subject
4
2

Baseline Characteristics

Vitamin D HIV Study on Postmenopausal Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=43 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=42 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Total
n=85 Participants
Total of all reporting groups
Age, Continuous
56.2 years
STANDARD_DEVIATION 4.9 • n=39 Participants
56.5 years
STANDARD_DEVIATION 5.6 • n=41 Participants
56.3 years
STANDARD_DEVIATION 5.2 • n=35 Participants
Sex: Female, Male
Female
43 Participants
n=39 Participants
42 Participants
n=41 Participants
85 Participants
n=35 Participants
Sex: Female, Male
Male
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
Race/Ethnicity, Customized
African American
17 Participants
n=39 Participants
20 Participants
n=41 Participants
37 Participants
n=35 Participants
Race/Ethnicity, Customized
Hispanic
26 Participants
n=39 Participants
22 Participants
n=41 Participants
48 Participants
n=35 Participants

PRIMARY outcome

Timeframe: Baseline, 12 months

Population: A complete case approach was utilized for outcome in participants with BMD data at 12 months (n=69).

Percent change from baseline in BMD at lumbar spine (as measured by Dual-emission X-ray absorptiometry (DXA) scan) at 12 months

Outcome measures

Outcome measures
Measure
Group A
n=31 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=38 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Change in Bone Mineral Density (BMD)
0.4 percentage change
Standard Deviation 4.4
-0.8 percentage change
Standard Deviation 4.6

SECONDARY outcome

Timeframe: Baseline,12 months

Population: A complete case approach was utilized for outcome in participants with BMD data at 12 months (n=69).

To evaluate the change in areal BMD (aBMD) at the total hip (TH)

Outcome measures

Outcome measures
Measure
Group A
n=31 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=38 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Areal Change in Bone Mineral Density (aBMD)
-0.5 percentage of change
Standard Deviation 3.1
-0.8 percentage of change
Standard Deviation 3.2

SECONDARY outcome

Timeframe: Baseline, 12 months

Population: A complete case approach was utilized for secondary outcomes in participants with vBMD data at 12 months (n=69).

To evaluate the change in volumetric BMD (VBMD) at the Tibia

Outcome measures

Outcome measures
Measure
Group A
n=31 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=38 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Change in Volumetric Bone Mineral Density (vBMD)
-0.3 percentage of change
Standard Deviation 2.9
-0.9 percentage of change
Standard Deviation 2.5

SECONDARY outcome

Timeframe: 12 months

Population: A complete case approach was utilized for secondary outcomes in participants with data at 12 months (n=69).

To evaluate the change in vitamin D levels with supplementation

Outcome measures

Outcome measures
Measure
Group A
n=31 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=38 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Change in Vitamin D Levels
33.7 percentage of change
Standard Deviation 41.9
64.1 percentage of change
Standard Deviation 68.6

SECONDARY outcome

Timeframe: 12 months

Population: A complete case approach was utilized for secondary outcomes in participants with data at 12 months (n=69).

To evaluate the effect of vitamin D and calcium supplementation on biochemical markers of bone turnover and markers of inflammation. (PTH)

Outcome measures

Outcome measures
Measure
Group A
n=31 Participants
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=38 Participants
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Change in Biochemical Markers
-7.2 percentage of change
Standard Deviation 71.4
-16.8 percentage of change
Standard Deviation 33.0

Adverse Events

Group A

Serious events: 1 serious events
Other events: 6 other events
Deaths: 0 deaths

Group B

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group A
n=43 participants at risk
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=42 participants at risk
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Gastrointestinal disorders
Rectal bleeding/ hemorrhage
2.3%
1/43 • Number of events 1 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
0.00%
0/42 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
Cardiac disorders
Cardiac Ischemia
0.00%
0/43 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
2.4%
1/42 • Number of events 1 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.

Other adverse events

Other adverse events
Measure
Group A
n=43 participants at risk
Placebo vitamin D3 capsule daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 1000 IU. Placebo: An inactive treatment that is intended to provide baseline measurements for the experimental protocol of a clinical trial, in this case, the vitamin D3. Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
Group B
n=42 participants at risk
2000 IU vitamin D3 daily plus vitamin supplements that contains 1000 IU vitamin D3 and 1000 mg calcium carbonate daily. Total daily vitamin D3 dose = 3000 IU. Vitamin D3: 2000 mg QD Vitamin Supplements: Specially formulated supplements (Tishcon, Inc.) that contain 500 mg of calcium (carbonate) and 500 IU of vitamin D3 to be taken twice daily with breakfast and dinner (1000 mg of elemental calcium and 1000 IU of vitamin D).
General disorders
Pain
4.7%
2/43 • Number of events 3 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
4.8%
2/42 • Number of events 2 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
Gastrointestinal disorders
Diarrhea
4.7%
2/43 • Number of events 3 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
0.00%
0/42 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
Renal and urinary disorders
Kidney Stones
4.7%
2/43 • Number of events 2 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.
7.1%
3/42 • Number of events 3 • 1 year
Adverse event reporting was collected at every visit as part of the protocol.

Additional Information

Elizabeth Shane, MD

Columbia University

Phone: 212-305-6289

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place