Vitamin D Supplementation in Cutaneous Malignant Melanoma Outcome (ViDMe)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Edegem, Belgium, 2650
- Universitair Ziekenhuis Antwerpen, Dermatology
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Leuven, Belgium, 3000
- UZLeuven Gasthuisberg
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Liège, Belgium, 4000
- Chef de Service du Service Universitaire de Dermatologie
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Debrecen, Hungary, 4032
- Dep. of Dermatology, Medical and Health Science Center University of Debrecen
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Older than 18 years and younger than 80 years of age.
- Histologically proven malignant melanoma, stage one B (IB) to three (III) Not participating in other clinical trial.
- The only treatment for melanoma is surgical treatment.
- Complete resection of melanoma.
- Single primary invasive cutaneous melanoma
- Signed ethical committee approved informed consent
- Serum phosphate, serum calcium at the entry of the study within normal limits of laboratory reference
Exclusion criteria
- Pregnant/lactating women or planning on becoming pregnant during the study
- Known hypersensitivity to vitamin D or its components.
- Pre-existing renal stone disease, chronic renal disease with glomerular filtration rate (eGFR) < 30 mL/min/1.73 m2 or renal dialysis.
- Liver failure or chronic liver disease with liver enzymes > 2 fold upper limit of normal (ULN).
- History of parathyroid disease or granulomatous disease (TBC and sarcoidosis)
- History of malabsorption syndrome or any medical condition that might interfere with vitamin D absorption.
- History of small intestine resection.
- History of other malignancy within the last 5 years except for carcinoma in situ of the cervix or basal cell carcinoma or squamous cell carcinoma of the skin or in situ malignant melanoma.
- Chronic alcohol abuse.
- Medical or logistic problems likely to preclude completion of the study.
- Taking medication that predisposes to hypercalcemia (digoxin, lithium, thiazide diuretics) or taking medication that would affect metabolism of vitamin D (anticonvulsants, corticosteroids, H2-receptor antagonists)
- Intake of vitamin D supplements within 6 months prior to entry of the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Vitamin D
Every month 100 000 units of Vitamin D in syringe oral dispenser is taken .
Study duration is maximum 3,5 years or until relapse occurs
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Other Names:
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Placebo Comparator: Placebo: Oil
Every month 100 000 units of vitamin D in syringe Oral dispenser is taken.
Study duration is maximum of 3.5 years or until relapse occurs
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Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Relapse Free Survival
Time Frame: study duration maximum 9 years and 7 months or until relapse
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Disease free survival will be the primary endpoint of this phase III trial.
Study duration for one patient is maximum 9 years and 7 months.
Patients are supplemented with studymedication (Vitamin D or placebo) for maximum 3.5 years.
This is the treatment period.
After the treatment period (in which the patients take study medication, placebo or Vitamin D), there is the follow-up period, no more study medication is taken, the study is still double blind, and the patients are followed at the clinical department for relapse and/or death.
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study duration maximum 9 years and 7 months or until relapse
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Melanoma Subtype, as Assessed Clinically and Histologically
Time Frame: Time at diagnosis
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Vitamin D levels at diagnosis will be correlated with melanoma subtype, as assessed clinically and histologically.
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Time at diagnosis
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Melanoma Site, as Clinically Recorded
Time Frame: Time at diagnosis
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Vitamin D levels at diagnosis will be correlated with melanoma site, as clinically recorded.
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Time at diagnosis
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25(OH)D3 Serum Levels
Time Frame: study duration maximum 3.5 years (Treatment period) or until relapse
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25(OH)D3 serum levels will be recorded at diagnosis and at 6 months intervals up to final study visit.
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study duration maximum 3.5 years (Treatment period) or until relapse
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Stage of Melanoma Patient
Time Frame: Time at diagnosis
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Stage of melanoma patient at diagnosis according to the 8th American Joint Committee of Cancer (AJCC) Melanoma staging and classification. The eighth edition of the AJCC staging system is currently the most widely accepted and standardized approach to melanoma staging and classification at initial diagnosis. Melanoma staging is based on the American Joint Committee on Cancer (AJCC) staging system that uses three key pieces of information for assigning Tumor-Node-Metastasis (TNM) classifications. AJCC staging ifacilitates accurate risk stratification and is essential to guide patient treatment. The higher the stage, the more severe the melanoma. |
Time at diagnosis
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Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Safety Endpoints:Incidence and Severity of Adverse Events
Time Frame: study duration maximum 3.5 years (Treatment period) or until relapse
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Incidence and severity of adverse events will be recorded every 3 months up to final study visit (from the treatment period).
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study duration maximum 3.5 years (Treatment period) or until relapse
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Marjan Garmyn, MD, PhD, Universitaire Ziekenhuizen KU Leuven
Publications and helpful links
General Publications
- De Smedt J, Van Kelst S, Boecxstaens V, Stas M, Bogaerts K, Vanderschueren D, Aura C, Vandenberghe K, Lambrechts D, Wolter P, Bechter O, Nikkels A, Strobbe T, Emri G, Marasigan V, Garmyn M. Vitamin D supplementation in cutaneous malignant melanoma outcome (ViDMe): a randomized controlled trial. BMC Cancer. 2017 Aug 23;17(1):562. doi: 10.1186/s12885-017-3538-4.
- De Smedt J, Van Kelst S, Janssen L, Marasigan V, Boecxstaens V, Bogaerts K, Belmans A, Vanderschueren D, Vandenberghe K, Bechter O, Aura C, Lambrechts D, Strobbe T, Emri G, Nikkels A, Garmyn M. High-dose vitamin D supplementation does not improve outcome in a cutaneous melanoma population: results of a randomized double-blind placebo-controlled study (ViDMe trial). Br J Dermatol. 2024 Nov 18;191(6):886-896. doi: 10.1093/bjd/ljae257.
- De Smedt J, Aura C, Van Kelst S, Janssen L, Marasigan V, Boecxstaens V, Stas M, Bogaerts K, Belmans A, Cleynen I, Vanderschueren D, Vandenberghe K, Bechter O, Nikkels A, Strobbe T, Emri G, Lambrechts D, Garmyn M. Clinical and genetic determinants of vitamin D receptor expression in cutaneous melanoma patients. Melanoma Res. 2024 Apr 1;34(2):125-133. doi: 10.1097/CMR.0000000000000929. Epub 2024 Feb 13.
- De Smedt J, Van Kelst S, Janssen L, Marasigan V, Boecxstaens V, Stas M, Vanderschueren D, Guler I, Bogaerts K, Vandenberghe K, Bechter O, Billen J, Nikkels A, Strobbe T, Emri G, Lambrechts D, Garmyn M. Determinants of 25-hydroxyvitamin D Status in a Cutaneous Melanoma Population. Acta Derm Venereol. 2022 Apr 8;102:adv00692. doi: 10.2340/actadv.v102.262.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Skin Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Melanoma, Cutaneous Malignant
- Melanoma
- Skin Neoplasms
- Calcium-Regulating Hormones and Agents
- Physiological Effects of Drugs
- Bone Density Conservation Agents
- Micronutrients
- Vitamins
- Vitamin D
- Cholecalciferol
Other Study ID Numbers
Other Study ID Numbers
- 2012LRDVDCM
- 2012-002125-30 (EudraCT Number)
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