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Effect of Vitamin D on Hospitalized Adults With COVID-19 Infection

Primary Purpose

Covid19

Status
Completed
Phase
Phase 4
Locations
Belgium
Study Type
Interventional
Intervention
Cholecalciferol
Placebo
Sponsored by
University of Liege
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Covid19

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female over 18 years old (18 years inclusive).
  • Has laboratory-confirmed SARS-CoV-2 infection as determined by PCR, or other commercial or public health assay in any specimen as diagnosed within 72 hours prior to randomization.
  • Expected to survive for at least 96 hours after study entry.
  • If patient is a female of childbearing potential, patient must use an effective means of birth control (oral, intravaginal or transdermal oestrogen-progestogen combined hormonal contraceptives or intrauterine devices or sexual abstinence).
  • Subject or legally authorized representative understands and agrees to comply with planned study procedures.
  • Subject or legally authorized representative provides informed consent prior to initiation of any study procedures.

Exclusion Criteria:

  • Women currently pregnant or breast-feeding.
  • Patients presenting acute impairment of renal function or nephrolithiasis.
  • Patients presenting hypercalcaemia and/or hypercalciuria
  • Patients presenting pseudohypoparathyroidism
  • Use of any vitamin D supplementation alone or in association at screening visit;
  • Use of any prohibited medication as detailed in the concomitant medication section
  • Patients with any sensitivity or allergy to any of the products used within this clinical trial.
  • Presence of any other condition or illness, which, in the opinion of the investigator, would interfere with optimal participation in the study.

Sites / Locations

  • CHU Liège

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Test treatment

Placebo treatment

Arm Description

Test Treatment: Ampoule for enteral use containing 25,000 IU/mL of cholecalciferol taken according to the following scheme: one ampoule on Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29 and Day 36.

Placebo Treatment: Ampoule of placebo for enteral use containing excipient only taken according to the following scheme: one ampoule on Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29 and Day 36.

Outcomes

Primary Outcome Measures

Vitamin D serum concentration
Mean change from screening to end of treatment phase in 25(OH)D3 serum concentration

Secondary Outcome Measures

Clinical improvement
Ordinal scale for clinical improvement as recommended by WHO
Hospital length of stay.
Hospital length of stay.
Intensive care unit length of stay.
Intensive care unit length of stay.
Supplemental oxygen, non-invasive or invasive ventilation or organ support
Number of patients requiring supplemental oxygen, non-invasive ventilation or high flow oxygen devices, invasive mechanical ventilation or additional organ support (pressors, renal replacement therapy, extracorporeal membrane oxygenation).
Duration of supplemental oxygen, non-invasive or invasive ventilation or organ support
Duration of any organ support
Absence of fever
Time until absence of fever for more than 48h without antipyretics.
Time until negative laboratory SARS-CoV-2 test.
Time until negative laboratory SARS-CoV-2 test.
Mortality all causes.
Mortality all causes.
Mortality related to Covid-19.
Mortality related to Covid-19.
Biological markers
Blood levels of C-reactive protein, interleukin 6 and 10, cathelicidin, white blood cells, creatinin and 1,25(OH)2-D3

Full Information

First Posted
November 17, 2020
Last Updated
May 17, 2022
Sponsor
University of Liege
Collaborators
Laboratoires SMB S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT04636086
Brief Title
Effect of Vitamin D on Hospitalized Adults With COVID-19 Infection
Official Title
Vitamin D Supplementation and Covid-19: a Randomised, Double- Blind, Controlled Study
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
November 12, 2020 (Actual)
Primary Completion Date
April 10, 2022 (Actual)
Study Completion Date
May 15, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Liege
Collaborators
Laboratoires SMB S.A.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of the study is to evaluate the clinical efficacy and safety of vitamin D supplementation in hospitalized patients with COVID-19.
Detailed Description
Phase IV, interventional, randomised, double blind, placebo-controlled and parallel study to evaluate the clinical efficacy and safety of vitamin D supplementation in hospitalized patients with COVID-19. Patients will participate in the study for a maximum of 9 weeks, which includes an up to 6-week treatment period and a maximum of 3-week follow-up period. A total of 100 (50 in each group) patients will be randomized in the study and will either receive the test treatment or the placebo treatment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Covid19

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
50 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test treatment
Arm Type
Experimental
Arm Description
Test Treatment: Ampoule for enteral use containing 25,000 IU/mL of cholecalciferol taken according to the following scheme: one ampoule on Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29 and Day 36.
Arm Title
Placebo treatment
Arm Type
Placebo Comparator
Arm Description
Placebo Treatment: Ampoule of placebo for enteral use containing excipient only taken according to the following scheme: one ampoule on Day 1, Day 2, Day 3, Day 4, Day 8, Day 15, Day 22, Day 29 and Day 36.
Intervention Type
Drug
Intervention Name(s)
Cholecalciferol
Other Intervention Name(s)
D-Cure
Intervention Description
Vitamin D supplementation
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Placebo comparator
Primary Outcome Measure Information:
Title
Vitamin D serum concentration
Description
Mean change from screening to end of treatment phase in 25(OH)D3 serum concentration
Time Frame
Baseline, on days 8, 15, 22, 29 (+/-1 day), or last day of hospitalization, and finally at day 15 to 30 after hospital discharge
Secondary Outcome Measure Information:
Title
Clinical improvement
Description
Ordinal scale for clinical improvement as recommended by WHO
Time Frame
Baseline and up to 4 weeks after randomization on days 8, 15, 22, 29 (+/-1 day), or last day of hospitalization, and finally at day 15 to 30 after hospital discharge
Title
Hospital length of stay.
Description
Hospital length of stay.
Time Frame
at day 15 to 30 after hospital discharge
Title
Intensive care unit length of stay.
Description
Intensive care unit length of stay.
Time Frame
at day 15 to 30 after hospital discharge
Title
Supplemental oxygen, non-invasive or invasive ventilation or organ support
Description
Number of patients requiring supplemental oxygen, non-invasive ventilation or high flow oxygen devices, invasive mechanical ventilation or additional organ support (pressors, renal replacement therapy, extracorporeal membrane oxygenation).
Time Frame
Baseline and up to 4 weeks after randomization on days 8, 15, 22, 29 (+/-1 day), or last day of hospitalization, and finally at day 15 to 30 after hospital discharge
Title
Duration of supplemental oxygen, non-invasive or invasive ventilation or organ support
Description
Duration of any organ support
Time Frame
at day 15 to 30 after hospital discharge
Title
Absence of fever
Description
Time until absence of fever for more than 48h without antipyretics.
Time Frame
Last day of hospitalization, or at at day 15 to 30 after hospital discharge
Title
Time until negative laboratory SARS-CoV-2 test.
Description
Time until negative laboratory SARS-CoV-2 test.
Time Frame
Last day of hospitalization , or at at day 15 to 30 after hospital discharge
Title
Mortality all causes.
Description
Mortality all causes.
Time Frame
Last day of hospitalization , or at at day 15 to 30 after hospital discharge
Title
Mortality related to Covid-19.
Description
Mortality related to Covid-19.
Time Frame
Last day of hospitalization , or at at day 15 to 30 after hospital discharge
Title
Biological markers
Description
Blood levels of C-reactive protein, interleukin 6 and 10, cathelicidin, white blood cells, creatinin and 1,25(OH)2-D3
Time Frame
Baseline, on days 8, 15, 22, 29 (+/-1 day), or last day of hospitalization, and finally at day 15 to 30 after hospital discharge

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female over 18 years old (18 years inclusive). Has laboratory-confirmed SARS-CoV-2 infection as determined by PCR, or other commercial or public health assay in any specimen as diagnosed within 72 hours prior to randomization. Expected to survive for at least 96 hours after study entry. If patient is a female of childbearing potential, patient must use an effective means of birth control (oral, intravaginal or transdermal oestrogen-progestogen combined hormonal contraceptives or intrauterine devices or sexual abstinence). Subject or legally authorized representative understands and agrees to comply with planned study procedures. Subject or legally authorized representative provides informed consent prior to initiation of any study procedures. Exclusion Criteria: Women currently pregnant or breast-feeding. Patients presenting acute impairment of renal function or nephrolithiasis. Patients presenting hypercalcaemia and/or hypercalciuria Patients presenting pseudohypoparathyroidism Use of any vitamin D supplementation alone or in association at screening visit; Use of any prohibited medication as detailed in the concomitant medication section Patients with any sensitivity or allergy to any of the products used within this clinical trial. Presence of any other condition or illness, which, in the opinion of the investigator, would interfere with optimal participation in the study.
Facility Information:
Facility Name
CHU Liège
City
Liège
ZIP/Postal Code
4000
Country
Belgium

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
24661739
Citation
Amrein K, Zajic P, Schnedl C, Waltensdorfer A, Fruhwald S, Holl A, Purkart T, Wunsch G, Valentin T, Grisold A, Stojakovic T, Amrein S, Pieber TR, Dobnig H. Vitamin D status and its association with season, hospital and sepsis mortality in critical illness. Crit Care. 2014 Mar 24;18(2):R47. doi: 10.1186/cc13790.
Results Reference
background
PubMed Identifier
25935851
Citation
Amrein K, Litonjua AA, Moromizato T, Quraishi SA, Gibbons FK, Pieber TR, Camargo CA Jr, Giovannucci E, Christopher KB. Increases in pre-hospitalization serum 25(OH)D concentrations are associated with improved 30-day mortality after hospital admission: A cohort study. Clin Nutr. 2016 Apr;35(2):514-521. doi: 10.1016/j.clnu.2015.03.020. Epub 2015 Apr 14.
Results Reference
background
PubMed Identifier
25268295
Citation
Amrein K, Schnedl C, Holl A, Riedl R, Christopher KB, Pachler C, Urbanic Purkart T, Waltensdorfer A, Munch A, Warnkross H, Stojakovic T, Bisping E, Toller W, Smolle KH, Berghold A, Pieber TR, Dobnig H. Effect of high-dose vitamin D3 on hospital length of stay in critically ill patients with vitamin D deficiency: the VITdAL-ICU randomized clinical trial. JAMA. 2014 Oct 15;312(15):1520-30. doi: 10.1001/jama.2014.13204. Erratum In: JAMA. 2014 Nov 12;312(18):1932.
Results Reference
background
PubMed Identifier
20097832
Citation
Barlow PG, Beaumont PE, Cosseau C, Mackellar A, Wilkinson TS, Hancock RE, Haslett C, Govan JR, Simpson AJ, Davidson DJ. The human cathelicidin LL-37 preferentially promotes apoptosis of infected airway epithelium. Am J Respir Cell Mol Biol. 2010 Dec;43(6):692-702. doi: 10.1165/rcmb.2009-0250OC. Epub 2010 Jan 22.
Results Reference
background
PubMed Identifier
24559079
Citation
Barnett N, Zhao Z, Koyama T, Janz DR, Wang CY, May AK, Bernard GR, Ware LB. Vitamin D deficiency and risk of acute lung injury in severe sepsis and severe trauma: a case-control study. Ann Intensive Care. 2014 Feb 24;4(1):5. doi: 10.1186/2110-5820-4-5.
Results Reference
background
PubMed Identifier
21242105
Citation
Beard JA, Bearden A, Striker R. Vitamin D and the anti-viral state. J Clin Virol. 2011 Mar;50(3):194-200. doi: 10.1016/j.jcv.2010.12.006. Epub 2011 Jan 15.
Results Reference
background
PubMed Identifier
21926604
Citation
Braun AB, Gibbons FK, Litonjua AA, Giovannucci E, Christopher KB. Low serum 25-hydroxyvitamin D at critical care initiation is associated with increased mortality. Crit Care Med. 2012 Jan;40(1):63-72. doi: 10.1097/CCM.0b013e31822d74f3.
Results Reference
background
PubMed Identifier
23431293
Citation
Cavalier E, Fache W, Souberbielle JC. A Randomised, Double-Blinded, Placebo-Controlled, Parallel Study of Vitamin D3 Supplementation with Different Schemes Based on Multiples of 25,000 IU Doses. Int J Endocrinol. 2013;2013:327265. doi: 10.1155/2013/327265. Epub 2013 Jan 28.
Results Reference
background
PubMed Identifier
28078341
Citation
Abhimanyu, Coussens AK. The role of UV radiation and vitamin D in the seasonality and outcomes of infectious disease. Photochem Photobiol Sci. 2017 Mar 16;16(3):314-338. doi: 10.1039/c6pp00355a.
Results Reference
background
PubMed Identifier
25903964
Citation
Dancer RC, Parekh D, Lax S, D'Souza V, Zheng S, Bassford CR, Park D, Bartis DG, Mahida R, Turner AM, Sapey E, Wei W, Naidu B, Stewart PM, Fraser WD, Christopher KB, Cooper MS, Gao F, Sansom DM, Martineau AR, Perkins GD, Thickett DR. Vitamin D deficiency contributes directly to the acute respiratory distress syndrome (ARDS). Thorax. 2015 Jul;70(7):617-24. doi: 10.1136/thoraxjnl-2014-206680. Epub 2015 Apr 22.
Results Reference
background
PubMed Identifier
32169119
Citation
Guo YR, Cao QD, Hong ZS, Tan YY, Chen SD, Jin HJ, Tan KS, Wang DY, Yan Y. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak - an update on the status. Mil Med Res. 2020 Mar 13;7(1):11. doi: 10.1186/s40779-020-00240-0.
Results Reference
background
PubMed Identifier
29882841
Citation
De Niet S, Coffiner M, Da Silva S, Jandrain B, Souberbielle JC, Cavalier E. A Randomized Study to Compare a Monthly to a Daily Administration of Vitamin D(3) Supplementation. Nutrients. 2018 May 23;10(6):659. doi: 10.3390/nu10060659.
Results Reference
background
PubMed Identifier
31963293
Citation
Gombart AF, Pierre A, Maggini S. A Review of Micronutrients and the Immune System-Working in Harmony to Reduce the Risk of Infection. Nutrients. 2020 Jan 16;12(1):236. doi: 10.3390/nu12010236.
Results Reference
background
PubMed Identifier
32252338
Citation
Grant WB, Lahore H, McDonnell SL, Baggerly CA, French CB, Aliano JL, Bhattoa HP. Evidence that Vitamin D Supplementation Could Reduce Risk of Influenza and COVID-19 Infections and Deaths. Nutrients. 2020 Apr 2;12(4):988. doi: 10.3390/nu12040988.
Results Reference
background
PubMed Identifier
26035247
Citation
Greiller CL, Martineau AR. Modulation of the immune response to respiratory viruses by vitamin D. Nutrients. 2015 May 29;7(6):4240-70. doi: 10.3390/nu7064240.
Results Reference
background
PubMed Identifier
30115864
Citation
Gruber-Bzura BM. Vitamin D and Influenza-Prevention or Therapy? Int J Mol Sci. 2018 Aug 16;19(8):2419. doi: 10.3390/ijms19082419.
Results Reference
background
PubMed Identifier
27419080
Citation
Han JE, Jones JL, Tangpricha V, Brown MA, Brown LAS, Hao L, Hebbar G, Lee MJ, Liu S, Ziegler TR, Martin GS. High Dose Vitamin D Administration in Ventilated Intensive Care Unit Patients: A Pilot Double Blind Randomized Controlled Trial. J Clin Transl Endocrinol. 2016 Jun;4:59-65. doi: 10.1016/j.jcte.2016.04.004. Epub 2016 May 5.
Results Reference
background
PubMed Identifier
32171076
Citation
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, Wang Y, Song B, Gu X, Guan L, Wei Y, Li H, Wu X, Xu J, Tu S, Zhang Y, Chen H, Cao B. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020 Mar 28;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3. Epub 2020 Mar 11. Erratum In: Lancet. 2020 Mar 28;395(10229):1038. Lancet. 2020 Mar 28;395(10229):1038.
Results Reference
background
PubMed Identifier
17467345
Citation
Yim S, Dhawan P, Ragunath C, Christakos S, Diamond G. Induction of cathelicidin in normal and CF bronchial epithelial cells by 1,25-dihydroxyvitamin D(3). J Cyst Fibros. 2007 Nov 30;6(6):403-10. doi: 10.1016/j.jcf.2007.03.003. Epub 2007 Apr 27.
Results Reference
background
PubMed Identifier
33757717
Citation
Shakoor H, Feehan J, Al Dhaheri AS, Cheikh Ismail L, Ali HI, Alhebshi SH, Apostolopoulos V, Stojanovska L. Role of vitamin D supplementation in aging patients with COVID-19. Maturitas. 2021 Oct;152:63-65. doi: 10.1016/j.maturitas.2021.03.006. Epub 2021 Mar 16. No abstract available.
Results Reference
derived

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Effect of Vitamin D on Hospitalized Adults With COVID-19 Infection

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