Effect of Vitamin D3 Supplementation in Pregnancy on Risk of Pre-eclampsia
Primary Purpose
Vitamin D Deficiency, Pre-Eclampsia
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
400 IU Vitamin D3
4000 IU Vitamin D3
Sponsored by
About this trial
This is an interventional prevention trial for Vitamin D Deficiency focused on measuring Maternal vitamin D, Deficiency, Insufficiency, Pregnancy, Pre-eclampsia, IUGR
Eligibility Criteria
Inclusion Criteria:
- Confirmed singleton pregnancy of less than 13 completed weeks of gestation at the time of consent.
- Planned to receive antenatal care in King Fahad Medical City antenatal clinic.
- The ability to provide written informed consent at the first visit.
- Low risk pregnancy; and Serum vitamin D3 levels less than < 25nmol/L.
Exclusion Criteria:
- Mothers with pregnancy with abnormal foetus.
- Previous history of hypertension, pre-eclampsia, recurrent miscarriages.
- Chronic kidney disease, chronic liver disease, and malignancy.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
400 IU Vitamin D3
4000 IU Vitamin D3
Arm Description
400IU vitamin D3 contained in antenatal multivitamin once daily by mouth starting from 14 weeks of pregnancy till delivery.
4000 IU Vitamin D3 drops once daily by mouth starting from 14 weeks of pregnancy till delivery.
Outcomes
Primary Outcome Measures
Number of Participants With Pre-eclampsia in Both Arms
Occurrence of pre-eclampsia or not in all patients irrespective of Vitamin D dose.
Secondary Outcome Measures
Change in Vitamin D Level
Level of Improvement in Vitamin D status in both arms
Number of Patients With Intrauterine Growth Retardation
Patients having fetus with retardation of growth in both arms.
Full Information
NCT ID
NCT03101150
First Posted
March 21, 2017
Last Updated
February 24, 2018
Sponsor
King Fahad Medical City
1. Study Identification
Unique Protocol Identification Number
NCT03101150
Brief Title
Effect of Vitamin D3 Supplementation in Pregnancy on Risk of Pre-eclampsia
Official Title
Effect of Antenatal Vitamin D3 Supplementation on Risk of Pre-eclampsia
Study Type
Interventional
2. Study Status
Record Verification Date
February 2018
Overall Recruitment Status
Completed
Study Start Date
October 1, 2012 (Actual)
Primary Completion Date
October 31, 2014 (Actual)
Study Completion Date
December 31, 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
King Fahad Medical City
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
Yes
5. Study Description
Brief Summary
Vitamin D deficient pregnant ladies were selected and randomized into 2 groups for routine daily dose of multivitamin (400IU vitamin D3) versus maximum safest treatment daily dose (4000IU vitamin D3). Participants were assessed and compared for number of pre-eclampsia cases.
Detailed Description
Vitamin D3 has key role in decidualization and implantation of placenta.Vitamin D deficiency is thought to have positive association with pre-eclampsia.Vitamin D deficiency is highly prevalent in some parts of the world and it is not universally screened antenatally. Pre-eclampsia is a known multifactorial pregnancy disorder with significant maternal and perinatal morbidity and mortality. Vitamin D3 has a down-regulating effect on inflammatory pathways and reducing endothelial cell damage.
Investigators want to assess in vitamin D deficient group whether treatment reduces the risk of pre-eclampsia.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vitamin D Deficiency, Pre-Eclampsia
Keywords
Maternal vitamin D, Deficiency, Insufficiency, Pregnancy, Pre-eclampsia, IUGR
7. Study Design
Primary Purpose
Prevention
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
179 (Actual)
8. Arms, Groups, and Interventions
Arm Title
400 IU Vitamin D3
Arm Type
Active Comparator
Arm Description
400IU vitamin D3 contained in antenatal multivitamin once daily by mouth starting from 14 weeks of pregnancy till delivery.
Arm Title
4000 IU Vitamin D3
Arm Type
Experimental
Arm Description
4000 IU Vitamin D3 drops once daily by mouth starting from 14 weeks of pregnancy till delivery.
Intervention Type
Drug
Intervention Name(s)
400 IU Vitamin D3
Other Intervention Name(s)
Materna
Intervention Description
Antenatal multivitamin
Intervention Type
Drug
Intervention Name(s)
4000 IU Vitamin D3
Other Intervention Name(s)
Vidrop
Intervention Description
4000 IU Vitamin D3 (cholecalciferol) daily = 40 drops daily
Primary Outcome Measure Information:
Title
Number of Participants With Pre-eclampsia in Both Arms
Description
Occurrence of pre-eclampsia or not in all patients irrespective of Vitamin D dose.
Time Frame
From 20 weeks of pregnancy till event of pre-eclampsia seen, whichever came first, assessed up to 32 weeks.
Secondary Outcome Measure Information:
Title
Change in Vitamin D Level
Description
Level of Improvement in Vitamin D status in both arms
Time Frame
At 36th week of pregnancy
Title
Number of Patients With Intrauterine Growth Retardation
Description
Patients having fetus with retardation of growth in both arms.
Time Frame
At delivery
10. Eligibility
Sex
Female
Gender Based
Yes
Gender Eligibility Description
Pregnant population
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Confirmed singleton pregnancy of less than 13 completed weeks of gestation at the time of consent.
Planned to receive antenatal care in King Fahad Medical City antenatal clinic.
The ability to provide written informed consent at the first visit.
Low risk pregnancy; and Serum vitamin D3 levels less than < 25nmol/L.
Exclusion Criteria:
Mothers with pregnancy with abnormal foetus.
Previous history of hypertension, pre-eclampsia, recurrent miscarriages.
Chronic kidney disease, chronic liver disease, and malignancy.
12. IPD Sharing Statement
Plan to Share IPD
Undecided
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Effect of Vitamin D3 Supplementation in Pregnancy on Risk of Pre-eclampsia
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