Vitamin D and Chronic Obstructive Lung Disease
Vitamin D and COPD. A Randomised, Double-blind, Placebo-controlled Trial of the Effect of Vitamin D on Withdrawal From Pulmonary Rehabilitation and Exercise Endurance
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
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-
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Hvidovre, Denmark, 2650
- Hvidovre University Hospital, Department of Respiratory Medicine
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Hvidovre, Denmark, 2650
- Medical Unit, Hvidovre University Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age ≥ 50 years
- Diagnosed COPD with forced expiratory volume in 1 second (FEV1) < 50 % of predicted
- Breathlessness relative to MRC dyspnoea grade 3 or more
Exclusion Criteria:
- Patients with known diseases of bone metabolism apart from osteoporosis and patients with granulomatous disease
- Patients with hyper- or hypocalcemia at inclusion
- Patients with cardiovascular or musculoskeletal disease that impacts significantly on walking based on the investigator's judgement
- Patients with dementia or other mental conditions rendering them unable to understand the study information and thus provide informed consent
- Patients with terminal disease or known cancer with bone metastases, increasing their risk of hypercalcemia
- Patients taking more than 20 mcg vitamin D on a daily basis. If a patient takes vitamin D below this limit, dose should have been stable 6 months prior to inclusion in order to achieve steady-state.
- Pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Vitamin D (D3, cholecalciferol)
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Week 0-4: 152 mcg/daily (4 tablets) Week 5-52: 76 mcg/daily (2 tablets)
Other Names:
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Placebo Comparator: Placebo (cellulose)
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Week 0-4: 4 tablets daily Week 4-52: 2 tablets daily
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Withdrawal from rehabilitation.
Time Frame: 24 weeks
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Withdrawal will be defined as giving up rehabilitation or delaying any training visit by more than 3 weeks.
|
24 weeks
|
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Improvement in walking distance
Time Frame: 24 weeks
|
Change in walking distance from week 0 to week 24.
Exercise capacity is evaluated using paced walking (Incremental Shuttle Walk Test(ISWT) and Endurance Shuttle Walk Test (ESWT)).
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24 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in vitamin D status.
Time Frame: 52 weeks
|
se-25-OHD se-PTH
|
52 weeks
|
|
Change in calcium metabolic status.
Time Frame: 52 weeks
|
se-calcium se-phosphate se-magnesium
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52 weeks
|
|
Change in quality of life.
Time Frame: 52 weeks
|
COPD Assessment Test (CAT) and St George Respiratory Questionnaire (SGRQ).
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52 weeks
|
|
Change in status of bone metabolism.
Time Frame: 52 weeks
|
DXA (Dual energy X-ray Absorptiometry) scans
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52 weeks
|
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Change in walking distance.
Time Frame: 52 weeks
|
Change in walking distance from week 0 to week 11 and week 52.
Exercise capacity is evaluated using paced walking (Incremental Shuttle Walk Test (ISWT) and Endurance Shuttle Walk Test (ESWT)).
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52 weeks
|
|
Change in fat mass and fat free mass.
Time Frame: 52 weeks
|
Whole body DXA scans.
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52 weeks
|
|
Change in physical activity.
Time Frame: 24 weeks
|
Physical activity at home is measured over a week using an activity sensor (SenseWear Pro armband).
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24 weeks
|
|
COPD exacerbations.
Time Frame: 52 weeks
|
52 weeks
|
|
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All cause hospital admissions.
Time Frame: 52 weeks
|
52 weeks
|
|
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All cause mortality.
Time Frame: 52 weeks.
|
52 weeks.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jørgen Vestbo, DMSc, Hvidovre Universityl Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DvitKOL01022011
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