- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04117581
A Study to Investigate the Effect of Vitamin D3 Supplementation on Asthma Symptoms in Adults With Asthma (VITDAS) (VITDAS)
A Daily 5000 IU Vitamin D Supplement for the Improvement of Lung Function and Asthma Control in Adults With Asthma: a Randomised Controlled Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Recruitment and sampling strategy:
Participants will be recruited from the University of Chester (staff and students) and surrounding areas, United Kingdom (UK) only. Emails, posters and social media will be used to advertise the study to the target group (adults with asthma). A total of 28 adults with asthma aged 18-65 years old will be included in the study based on criteria described below. Eligibility will be based upon previous diagnosis of asthma by a general practitioner (GP) and the number of times asthma medication is required at screening before the start of the study. Participants will be required to complete a screening questionnaire which will provide information about participant's health status, drugs/medication/supplement usage and sun exposure. Those that have had asthma diagnosed by a GP and require their medication more than twice per week will be included. All eligible participants will be briefed on the study protocol before the beginning of the study, and the eligible participants will be given a participant information sheet (PIS) and asked to provide written informed consent.
A 12 week, double blind, randomised controlled trial will be carried out in the clinical laboratory at The University of Chester, UK. Most vitamin D and asthma studies have used supplement concentrations up to 120, 000 international units (IU) with no adverse effects. The European Food Standards Agency (EFSA) set a no-observed-adverse-effect-level (NOAEL) of 10,000IU/day (COT, 2015).
Participants will be randomly allocated to 2 groups:
- vitamin D group
- placebo group
Participants assigned to the vitamin D group will consume one capsule containing 5000 IU vitamin D every day. Participants in the placebo group will take an identical capsule containing inert filler. Participants will be asked to maintain their dietary habits and physical activity. The remaining supplements will be returned at the final clinic (week 12) and compliance will be estimated.
Participants will be required to attend three clinics in total over a period of 12 weeks, and they will be assessed at baseline (Day 0), interim (Week 6) and post-intervention (Week 12). At each clinic, a 30ml blood sample will be taken and both height and weight will be measured. Before the start and end of the study, participants will be required to keep a 3-day food diary which includes two weekdays and one weekend day to represent the habitual dietary intake of the participants. At each clinic, participants will complete spirometry to measure forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) to assess lung function and complete the Asthma Control Test™ (ACT) to assess asthma symptoms. Blood samples will be analysed on collection for a total blood cell count. Blood samples will be centrifuged to remove plasma. Plasma samples will be batch analysed at the end of the intervention to assess biomarkers of vitamin D metabolism and inflammation.
Sample size and justification:
Sample size was estimated using vitamin D supplementation data from a study in which FEV1 post intervention at 6 months (mean ± standard deviation (S.D)) of 51.6 ± 9.4 L (vitamin D treatment group) and 31.9 ± 7.6 L (placebo group) was reported in chronic obstructive pulmonary disease patients receiving 100, 000 IU vitamin D each month. With an effect size of 1.8493555, the total sample size required for each group in the proposed study is 9. Taking into account a 20% drop out rate, and this study lasting only 12 weeks, the total sample size required is 14 (power = 0.9). Therefore, the total sample size needed for the whole study is 28. Sample size was estimated using G Power Software.
Statistical Analysis:
All statistical analyses will be conducted with the International Business Machines (IBM) Statistical Package for the Social Sciences (SPSS) Statistic Data Editor Software (version 25). Assuming the data is normally distributed after performing a Shapiro Wilks normality test, a mixed model analysis of variance (ANOVA) with t-test post-hoc analysis will be conducted to compare the mean differences for all measured parameters between the groups at the different time points. A non-parametric approach will be adopted if the data is not normally distributed for all analyses. Differences will be considered significant with a p value ≤ 0.05.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Chesire
-
Chester, Chesire, United Kingdom, CH1 4BJ
- University of Chester
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Males or females aged 18 years to 65 years
- Asthma diagnosed by a general practitioner
- Taking inhaled therapy to treat asthma that is required at least two times per week
Exclusion Criteria:
- Taking vitamin D supplements or supplements containing calcium
- History of asthma requiring treatment with intubation and mechanical ventilation within the past five years
- Require inhaled asthma therapy more than four times per day
- Respiratory tract infection within the past four weeks
- Suffering from chronic diseases of the lung (other than asthma), heart, liver, kidney, endocrine or nervous system or immunodeficiency
- History of smoking within the past year or > 10 years total
- Been on a sun holiday within a month of taking part in the study or during the study. For the purpose of this study a sun holiday is defined as: spending one week or more in a hotter climate with the intention of sun-bathing
- Unable to communicate in English
Study Plan
How is the study designed?
Design Details
- Primary Purpose: PREVENTION
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: Vitamin D3 supplement
Participant will be asked to take one capsule of vitamin D3 supplement (5000 IU) (125 μg) daily for a total duration of 12 weeks.
|
5000 IU (125 μg) vitamin D3 capsules daily over 12 weeks (84 days)
Other Names:
|
PLACEBO_COMPARATOR: Placebo
Participants will be asked to take one capsule of placebo (inert filler) daily for a total duration of 12 weeks.
|
Inert filler capsules daily over 12 weeks (84 days)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in lung function from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Forced expiratory volume in one second (FEV1) and forced expiratory volume (FVC) measured by spirometry
|
0 weeks, 6 weeks, 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Asthma Control Test™ score
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Indication of level of asthma control according to participant. Score between 0 and 25. Scores indicate: 25: Asthma appears to have been under control over the last 4 weeks 20 - 24: Asthma appears to have been reasonably well controlled over the last 4 weeks Less than 20: Asthma may not have been controlled during the past 4 weeks |
0 weeks, 6 weeks, 12 weeks
|
Change in vitamin D concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Vitamin D3 status measured in plasma samples by enzyme-linked immunosorbent assay (ELISA) commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in parathyroid hormone (PTH) concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Vitamin D metabolism biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in Full Blood Count Concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Percentage granulocytes measured in whole blood samples by Beckman Coulter haematological analyser
|
0 weeks, 6 weeks, 12 weeks
|
Change in interferon-gamma (IFN-ϒ) concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in tumour-necrosis-factor-alpha (TNF-α) concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in C-reactive protein (CRP) concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in immunoglobulin E (IgE) concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Antibody measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in interleukin-(IL)4 concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in IL-10 concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Change in IL-13 concentration from baseline to 12 weeks
Time Frame: 0 weeks, 6 weeks, 12 weeks
|
Inflammatory biomarker measured in plasma samples by ELISA commercial kit
|
0 weeks, 6 weeks, 12 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Immune System Diseases
- Lung Diseases
- Hypersensitivity, Immediate
- Bronchial Diseases
- Nutrition Disorders
- Avitaminosis
- Deficiency Diseases
- Lung Diseases, Obstructive
- Respiratory Hypersensitivity
- Hypersensitivity
- Inflammation
- Vitamin D Deficiency
- Asthma
- Malnutrition
- Physiological Effects of Drugs
- Micronutrients
- Vitamins
- Bone Density Conservation Agents
- Calcium-Regulating Hormones and Agents
- Vitamin D
- Cholecalciferol
Other Study ID Numbers
- 1583/19/SW/CSN
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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