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Controlled Trial of Prenatal Vitamin D3 Supplementation to Prevent Vitamin D Deficiency in Mothers and Their Infants (PA 03-103)

Primary Purpose

Vitamin D Deficiency

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Prenatal Vitamin
Cholecalciferol (Vitamin D3)
Cholecalciferol (Vitamin D3)
Sponsored by
Children's Hospital Medical Center, Cincinnati
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Vitamin D Deficiency

Eligibility Criteria

18 Years - 45 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Women who are within the ages of 18-45 years
  • In good general health
  • 12 weeks pregnant (based on last menstrual period)

Exclusion Criteria:

  • Mothers with preexisting type I or type II diabetes
  • Mothers with preexisting hypertension
  • Mothers with preexisting parathyroid disease or uncontrolled thyroid disease
  • Mothers with multiple fetuses (e.g., twins, triplets, etc.)

Sites / Locations

  • Cincinnati Children's Hospital Medical Center
  • United Arab Emirated Unitersity

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Placebo Comparator

Experimental

Experimental

Arm Label

Prenatal Vitamin D3

2

3

Arm Description

Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3)along with a placebo tablet containing 0IU of Vitamin D

Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3)along with a tablet containing 1600IU of Cholecalciferol (Vitamin D3)

Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3) along with a tablet containing 3600IU of Cholecalciferol (Vitamin D3).

Outcomes

Primary Outcome Measures

Maternal Serum and Neonatal Serum 25-hydroxyvitamin D Measurement
Maternal serum 25-hydroxyvitamin D measurement at 12, 16, 28 weeks during pregnancy and at delivery and cord blood or neonatal serum 25-hydroxyvitamin D measurement

Secondary Outcome Measures

Growth of the Newborn Infant as Measured by Crown-heel Length and Head Circumference at Birth
Growth of the newborn infant as measured by crown-heel length in centimeters and head circumference in centimeters at birth
Birthweight of Newborn Infant
Growth of the Newborn Infant as Measured by Birthweight in grams.

Full Information

First Posted
December 27, 2007
Last Updated
September 28, 2021
Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
United Arab Emirates University, Thrasher Research Fund
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1. Study Identification

Unique Protocol Identification Number
NCT00610688
Brief Title
Controlled Trial of Prenatal Vitamin D3 Supplementation to Prevent Vitamin D Deficiency in Mothers and Their Infants
Acronym
PA 03-103
Official Title
High Prevalence of Rickets and Subclinical Maternal and Childhood Vitamin D Deficiency in the Middle East: a Randomized Controlled Trial of Prenatal Vitamin D Supplementation to Prevent Vitamin D Deficiency in Mothers and Their Infants
Study Type
Interventional

2. Study Status

Record Verification Date
September 2021
Overall Recruitment Status
Completed
Study Start Date
January 2008 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
April 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
United Arab Emirates University, Thrasher Research Fund

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this research study is to compare the effects of higher dose vitamin D with commonly recommended dose in pregnant women to see which is better in achieving and/or maintaining sufficient vitamin D blood levels during pregnancy and in newborn infants as well as improving growth in the infant.
Detailed Description
Three dosages of Vitamin D will be administered; 400IU, 2000IU and 4000IU per day to pregnant women starting at less than 16 week gestation continued until delivery. The dose will be provided using a randomized control method. Serum levels of 25 hydroxy D will be measured in mothers at 12, 16, 28 and delivery. Cord blood 25 hydroxy D and the infants' birthweight, length and head circumference will be measured at birth.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vitamin D Deficiency

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
192 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Prenatal Vitamin D3
Arm Type
Placebo Comparator
Arm Description
Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3)along with a placebo tablet containing 0IU of Vitamin D
Arm Title
2
Arm Type
Experimental
Arm Description
Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3)along with a tablet containing 1600IU of Cholecalciferol (Vitamin D3)
Arm Title
3
Arm Type
Experimental
Arm Description
Arm will receive prenatal vitamin with 400IU of cholecalciferol (Vitamin D3) along with a tablet containing 3600IU of Cholecalciferol (Vitamin D3).
Intervention Type
Drug
Intervention Name(s)
Prenatal Vitamin
Intervention Description
Once daily, prenatal vitamin containing 400IU of Vitamin D, until delivery
Intervention Type
Drug
Intervention Name(s)
Cholecalciferol (Vitamin D3)
Intervention Description
Once daily, 1600IU dose of Vitamin D from 12 weeks gestation to delivery
Intervention Type
Drug
Intervention Name(s)
Cholecalciferol (Vitamin D3)
Intervention Description
Once daily, 3600IU dose of Vitamin D, from 12 weeks until delivery
Primary Outcome Measure Information:
Title
Maternal Serum and Neonatal Serum 25-hydroxyvitamin D Measurement
Description
Maternal serum 25-hydroxyvitamin D measurement at 12, 16, 28 weeks during pregnancy and at delivery and cord blood or neonatal serum 25-hydroxyvitamin D measurement
Time Frame
12, 16, 28 weeks and at maternal delivery and neonatal birth
Secondary Outcome Measure Information:
Title
Growth of the Newborn Infant as Measured by Crown-heel Length and Head Circumference at Birth
Description
Growth of the newborn infant as measured by crown-heel length in centimeters and head circumference in centimeters at birth
Time Frame
At delivery
Title
Birthweight of Newborn Infant
Description
Growth of the Newborn Infant as Measured by Birthweight in grams.
Time Frame
Measured at birth.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Women who are within the ages of 18-45 years In good general health 12 weeks pregnant (based on last menstrual period) Exclusion Criteria: Mothers with preexisting type I or type II diabetes Mothers with preexisting hypertension Mothers with preexisting parathyroid disease or uncontrolled thyroid disease Mothers with multiple fetuses (e.g., twins, triplets, etc.)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adekunle Dawodu, MBBS
Organizational Affiliation
Children's Hospital Medical Center, Cincinnati
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Hussein F Saadi, MD
Organizational Affiliation
United Arab Emirates University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cincinnati Children's Hospital Medical Center
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45229
Country
United States
Facility Name
United Arab Emirated Unitersity
City
Al-Ain
State/Province
Abu Dhabi
Country
United Arab Emirates

12. IPD Sharing Statement

Citations:
PubMed Identifier
16027707
Citation
Dawodu A, Agarwal M, Sankarankutty M, Hardy D, Kochiyil J, Badrinath P. Higher prevalence of vitamin D deficiency in mothers of rachitic than nonrachitic children. J Pediatr. 2005 Jul;147(1):109-11. doi: 10.1016/j.jpeds.2005.03.001.
Results Reference
background
PubMed Identifier
12584539
Citation
Dawodu A, Agarwal M, Hossain M, Kochiyil J, Zayed R. Hypovitaminosis D and vitamin D deficiency in exclusively breast-feeding infants and their mothers in summer: a justification for vitamin D supplementation of breast-feeding infants. J Pediatr. 2003 Feb;142(2):169-73. doi: 10.1067/mpd.2003.63.
Results Reference
background
PubMed Identifier
17556694
Citation
Saadi HF, Dawodu A, Afandi BO, Zayed R, Benedict S, Nagelkerke N. Efficacy of daily and monthly high-dose calciferol in vitamin D-deficient nulliparous and lactating women. Am J Clin Nutr. 2007 Jun;85(6):1565-71. doi: 10.1093/ajcn/85.6.1565.
Results Reference
background
PubMed Identifier
17715433
Citation
Dawodu A, Wagner CL. Mother-child vitamin D deficiency: an international perspective. Arch Dis Child. 2007 Sep;92(9):737-40. doi: 10.1136/adc.2007.122689.
Results Reference
background
PubMed Identifier
22666547
Citation
Wagner CL, Taylor SN, Dawodu A, Johnson DD, Hollis BW. Vitamin D and its role during pregnancy in attaining optimal health of mother and fetus. Nutrients. 2012 Mar;4(3):208-30. doi: 10.3390/nu4030208. Epub 2012 Mar 21.
Results Reference
background
PubMed Identifier
22585912
Citation
Dawodu A, Tsang RC. Maternal vitamin D status: effect on milk vitamin D content and vitamin D status of breastfeeding infants. Adv Nutr. 2012 May 1;3(3):353-61. doi: 10.3945/an.111.000950.
Results Reference
background
PubMed Identifier
22525442
Citation
Dawodu A, Wagner CL. Prevention of vitamin D deficiency in mothers and infants worldwide - a paradigm shift. Paediatr Int Child Health. 2012 Feb;32(1):3-13. doi: 10.1179/1465328111Y.0000000024.
Results Reference
background
PubMed Identifier
23559082
Citation
Dawodu A, Saadi HF, Bekdache G, Javed Y, Altaye M, Hollis BW. Randomized controlled trial (RCT) of vitamin D supplementation in pregnancy in a population with endemic vitamin D deficiency. J Clin Endocrinol Metab. 2013 Jun;98(6):2337-46. doi: 10.1210/jc.2013-1154. Epub 2013 Apr 4.
Results Reference
derived

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Controlled Trial of Prenatal Vitamin D3 Supplementation to Prevent Vitamin D Deficiency in Mothers and Their Infants

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