- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02594579
Effect of Vitamin D3 Supplementation on Muscle Mass in ICU Patient
Effect of High Dose Vitamin D3 Supplementation on Skeletal Muscle Mass and Body Compositions in Critically Ill Patients With Vitamin D Deficiency
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
There is a high prevalence of vitamin D deficiency in critically ill patient which is associated with muscle wasting and physical disability. Recent study showed that treatment of vitamin D deficiency with high dose vitamin D improved muscle wasting and may prevent further muscle breakdown.
Investigator want to explore whether a high dose vitamin D3 supplementation, compare to placebo will be able to improve muscle wasting in critically ill patients.
The eligible participant will be asked to sign and date the informed consent document then they will be randomized to receive vitamin D3 supplement or placebo, using the computer generated code in conceal envelope.
Vitamin D3 or placebo will be given orally or feeding tube via feeding tube at a dose of 100,000 IU on day 1 and 3 then 50,000 IU on day 5,7,9,12 followed by 150,000 unit per week for 4 week.
Serum 25-Hydroxyvitamin D, 1,25-dihydroxyvitamin D will be measured at baseline (day 0) then day 10 and day 43 after vitamin D supplementation. Moreover, Investigator will assess the diameter of rectus femoris by using ultrasonography on day 0,10 and 43.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
-
-
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Bangkok, Thailand, 10400
- Department of Medicine, Faculty of medicine, Ramathibodi Hospital
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Age 18 - 70 years old
- Expected ICU stay ≥ 48 hrs
Exclusion Criteria:
- Participate in other clinical trial
- Contraindication to receive oral or enteral feeding
- Do not resuscitate /imminent death
- Vegetative state, generalize weakness, denervation of leg, both leg amputation
- Hypercalcemia or Hypercalcemia at risk
- Hyperphosphatemia,
- History of nephrolithiasis
- End stage renal disease on renal replacement therapy
- Pregnancy/lactation
- Consent refusal
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Vitamin D
Dietary Supplement: Vitamin D3
|
Vitamin D3 100,000 u per day on day 1,3 then 50,000 u/day on day 5,7,9,12 and continue 50,000 u 3 times/ week for 4 weeks
Andre navne:
|
|
Placebo komparator: Placebo
Kosttilskud: Placebo
|
Placebo on day 1,3,5,7,9,12 then 3 times/ week for 4 weeks
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Rectus femoris cross-sectional diameer
Tidsramme: Change from baseline Rectus femoris cross-sectional diameter at day 43
|
A difference of change from baseline Rectus femoris cross-sectional diameter at day 43 in participant who receive cholecalciferol or placebo
|
Change from baseline Rectus femoris cross-sectional diameter at day 43
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Length of hospital stays
Tidsramme: An expected average of 3 weeks
|
Participant will be followed for the duration of hospital stay
|
An expected average of 3 weeks
|
|
Length of ICU stays
Tidsramme: An expected average of 2 weeks
|
Participant will be followed for the duration of ICU stay
|
An expected average of 2 weeks
|
|
Percentage of skeletal muscle mass
Tidsramme: Change from basline percentage skeletal muscle mass at day 43
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Percentage of skeletal muscle mass will be assessed using bioelectrical impedance analysis
|
Change from basline percentage skeletal muscle mass at day 43
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Correction vitamin D deficiency
Tidsramme: 43 days
|
Number percentage of participant who above 25(OH)D concentration above or equal 30 in participant who receive cholecalciferol or placebo
|
43 days
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Daruneewan Warodomwichit, Division of Nutrition and Biochemical medicine, Department of Medicine, Faculty of medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Studieafslutning (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Patologiske processer
- Sygdomme i nervesystemet
- Neurologiske manifestationer
- Sygdomsegenskaber
- Ernæringsforstyrrelser
- Neuromuskulære manifestationer
- Patologiske Tilstande, Anatomiske
- Avitaminose
- Mangelsygdomme
- Fejlernæring
- Muskelatrofi
- Atrofi
- D-vitamin mangel
- Sarkopeni
- Kritisk sygdom
- Lægemidlers fysiologiske virkninger
- Mikronæringsstoffer
- Vitaminer
- Knogletæthedsbevarende midler
- Calciumregulerende hormoner og midler
- D-vitamin
- Cholecalciferol
Andre undersøgelses-id-numre
- 075802
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
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