Impact of Vitamin D Supplementation on Severity of Pediatric Atopic Dermatitis (VIDATOPIC)
Impact of Vitamin D Supplementation on Clinical Severity and Immunologic Tolerance of Pediatric Atopic Dermatitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Santiago, Chile
- School of Medicine, Pontificia Universidad Catolica de Chile
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Atopic dermatitis diagnosed according to Hanifin and Rajka criteria
- Age 2 - 17 years
- SCORAD 10 - 103
Exclusion Criteria:
- Active skin infection
- History of underlying illness causing immunosuppression within the past 2 years
- Immunosuppressors taken within the past month
- Parathyroid disease
- Sarcoidosis
- Acute or chronic renal disease
- Hyper or hypocalcemia
- Thyroid disease
- Osteomalacia or Paget's disease of bone
- Malabsorption
- Use of VD supplements (> 400 IU daily) or fish oil supplements in the past month
- Treatment for known VD deficiency in the last 6 months
- Treatment with moderate or high potency topical corticosteroids, oral or topical antibiotics, oral antivirals, immune enhancers, or topical calcineurin inhibitors in the past 7 days
- Phototherapy in the past month
- Autoimmune disease or immunodeficiency
- Planned trip to sunny climate during the 6-week 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 |
|---|---|
|
Experimental: Vitamin D3 supplementation
Subjects in the experimental arm will receive weekly vitamin D3 doses in oral suspension during 6 weeks.
Weekly dose varies according to age group: VD3 8000 IU between ages 2-5.9 years, VD3 12000 IU between ages 6-11.9 years, VD3 16000 IU between ages 12-17.9
years.
|
Other Names:
|
|
Placebo Comparator: Placebo
Subjects in the placebo arm will receive weekly placebo oral suspension during 6 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in SCORAD index
Time Frame: baseline and 6 weeks
|
Change in Scoring Atopic Dermatitis (SCORAD) index after 6 weeks of vitamin D3 (VD3) supplementation or placebo in children with atopic dermatitis.
|
baseline and 6 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Changes in Th2 immunity
Time Frame: baseline and 6 weeks
|
Eosinophil blood counts, serum IgE, Th2 lymphocytes among stimulated PBMCs, serum CCL17, CCL22, and CCL27.
|
baseline and 6 weeks
|
|
Change in dendritic cell-mediated tolerance and regulatory T cells
Time Frame: baseline and 6 weeks
|
Number and phenotype of blood dendritic cells and number of regulatory T cells.
|
baseline and 6 weeks
|
|
Effect of VD3 supplementation on immunity to Staphylococcus aureus
Time Frame: baseline and 6 weeks
|
Serum cathelicidin levels, S. aureus skin carriage, and specific IgE to staphylococcal enterotoxins.
|
baseline and 6 weeks
|
|
Vitamin D receptor single nucleotide polymorphisms
Time Frame: baseline and 6 weeks
|
Effect of VDR SNPs on the VD3 response.
|
baseline and 6 weeks
|
|
Change in epidermal protein expression
Time Frame: 6 weeks
|
Gene expression of epidermal proteins by PCR obtained from lesional and non-lesional tape stripping samples.
|
6 weeks
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with adverse events
Time Frame: 6 weeks
|
Adverse events of atopic dermatitis patients with VD3 and placebo
|
6 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Arturo Borzutzky, M.D., School of Medicine, Pontificia Universidad Catolica de Chile
- Study Director: Carlos A Camargo Jr., M.D., DrPH, Massachusetts General Hospital, Harvard University, Boston, USA
- Study Director: Cristian Vera, M.D., School of Medicine, Pontificia Universidad Catolica de Chile
- Study Director: Lorena Cifuentes, M.D., School of Medicine, Pontificia Universidad Catolica de Chile
- Study Director: Sergio Silva, M.D., School of Medicine, Pontificia Universidad Catolica de Chile
Study record dates
Study Major Dates
Study Start
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 (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
- Skin Diseases
- Immune System Diseases
- Hypersensitivity, Immediate
- Genetic Diseases, Inborn
- Skin Diseases, Genetic
- Hypersensitivity
- Skin Diseases, Eczematous
- Dermatitis
- Eczema
- Dermatitis, Atopic
- Physiological Effects of Drugs
- Micronutrients
- Vitamins
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Vitamin D
- Cholecalciferol
Other Study ID Numbers
Other Study ID Numbers
- 12-185
- 1130615 (Other Grant/Funding Number: FONDECYT)
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