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Pharmacokinetics of Calcifediol and Cholecalciferol

Primary Purpose

Osteoporosis

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
25(OH)D3 (Calcifediol Hy.D) 10 mcg
25(OH)D3 (Calcifediol Hy.D) 15 mcg
25(OH)D3 (Calcifediol Hy.D) 20 mcg
Vitamin D3 (Cholecalciferol) 20 mcg
Sponsored by
DSM Nutritional Products, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis

Eligibility Criteria

50 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy males >50 years in age
  • Healthy postmenopausal women >50 years in age, who have not experienced a menstrual bleeding for a minimum of 12 months
  • BMI between 20-32 kg/m2
  • Subject understands the study procedures and signs the informed consent to participate in the study
  • Subject has clear understanding of the English language
  • Caucasian ethnicity
  • Willingness to avoid direct sun exposure and to restrict travel to sunny climates during the whole study period.

Exclusion Criteria:

  • Subject has any health conditions that would prevent him/her from fulfilling the study requirements, put the subject at risk or would confound the interpretation of the study results as judged by the Principal Investigator
  • Subjects with a history of hypercalcemia (Serum calcium adjusted for albumin of > 2.6 nmol/l)
  • Supplemental calcium intake beyond 500 mg per day during the entire study and follow up
  • Any vitamin D supplementation within 2 months before the baseline blood draw and during the entire study and follow up
  • Subject has gastrointestinal malabsorption (from coeliac disease, colitis, surgery etc.)
  • Subject has kidney disease or liver disease
  • Medication: Bisphosphonate or Parathyroid Hormone (PTH) treatment, use of steroids in any form, anticonvulsants, antibiotics, antipsychotics, use of any drug that alters fat absorption, e.g. Xenical (Ali).
  • Use of Hormone Replacement Therapy (HRT) within the previous 6 months
  • Subject has signs of acute or severe illness (i.e. unintentional weight loss, night sweats etc.)
  • Subject has a known allergy or sensitivity to the investigational products or any ingredients of the investigational products
  • Subject heavily consumes alcohol containing products defined as greater than (>) 3 drinks for men or 2 drinks for women (1 drink is 11 grams of alcohol or equivalence of 12 oz beer, 5 oz wine, or 1.5 oz distilled spirits) of alcoholic beverages per day
  • Subject has donated more than 300 mL of blood during the last three months prior to screening
  • Participating in another clinical trial
  • Women who are premenopausal
  • Subjects with active current psychiatric illness or condition which is likely to interfere with the subject's ability to understand the requirements of the biomedical research project
  • Sunbed users will be excluded from the study.
  • (Expected) increase in exposure to sunlight (e.g. a planned holiday of more than eight days, a beach holiday or a holiday outside Europe) in the study period of day 01 until day 28.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Active Comparator

    Arm Label

    25(OH)D3 (Calcifediol Hy.D) 10 mcg

    25(OH)D3 (Calcifediol Hy.D) 15 mcg

    25(OH)D3 (Calcifediol Hy.D) 20 mcg

    Vitamin D3 (Cholecalciferol) 20 mcg

    Arm Description

    25(OH)D3 (Calcifediol Hy.D), Dose: 10 mcg, 1 capsule/day before breakfast, Duration: 6 months

    25(OH)D3 (Calcifediol Hy.D), Dose: 15 mcg, 1 capsule/day before breakfast, Duration: 6 months

    25(OH)D3 (Calcifediol Hy.D), Dose: 20 mcg, 1 capsule/day before breakfast, Duration: 6 months

    Vitamin D3 (Cholecalciferol), Dose: 20 mcg, 1 capsule/day before breakfast, Duration: 6 months

    Outcomes

    Primary Outcome Measures

    Plasma 25(OH)D concentration at several visits

    Secondary Outcome Measures

    AUC(day1-day183) of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D
    AUC(day1), Cmax(day1), Tmax(day1) and AUC(day182), Cmax(day182), Tmax(day182) of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D
    Time point at which the plasma level of ≥75 nmol/L 25(OH)D is reached (t)
    Elimination rate and half-life of of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D after cessation of supplementation
    Serum calcium and creatinine, albumin, PTH, urine calcium and creatinine and vital signs throughout the study, (Serious) Adverse event assessment and reporting

    Full Information

    First Posted
    October 20, 2014
    Last Updated
    April 12, 2016
    Sponsor
    DSM Nutritional Products, Inc.
    Collaborators
    Leatherhead Food Research
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02333682
    Brief Title
    Pharmacokinetics of Calcifediol and Cholecalciferol
    Official Title
    The Response of Serum 25-hydroxyvitamin D to Different Doses of Calcifediol Hy.D Compared to Vitamin D3 Supplementation: A Randomized, Controlled, Double Blind, Long Term Pharmacokinetic Study
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2014 (undefined)
    Primary Completion Date
    December 2015 (Actual)
    Study Completion Date
    December 2015 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    DSM Nutritional Products, Inc.
    Collaborators
    Leatherhead Food Research

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    The investigators are intending to perform a clinical study in healthy subjects on the pharmacokinetics of different doses of Hy.D Calcifediol compared to vitamin D3 (cholecalciferol) in order to gain insight into the dose response relationship and to assess kinetic differences including the steady state. The metabolites 1,25(OH)2D, 24,25(OH)2D will be assessed throughout the study to assess the metabolism of vitamin D vs. 25(OH)D. Vitamin D3 will be measured throughout the study to assess compliance with the restriction of exogenous vitamin D supplementation.
    Detailed Description
    Reaching consistent levels of 25(OH)D has been shown to be crucial in decreasing falls, fractures and increasing calcium absorption. One way to circumvent the variability of 25(OH)D response to vitamin D might be to use calcifediol supplementation and bypass the 25-hydroxylase enzyme entirely. This approach also permits the physician to achieve desired serum levels in a matter of just a few days, rather than the several weeks required when using native vitamin D. Compared to native vitamin D, calcifediol is more water soluble, has a shorter half-life and increases 25(OH)D levels more quickly. Calcifediol is also more potent, about 3.5 times more potent in raising 25(OH)D levels than vitamin D. Its water solubility may also confer an advantage in patients who have difficulty absorbing fat soluble vitamins. This form of vitamin D metabolite has been used historically to increase calcium absorption, treat osteomalacia, and increase Bone Mineral Density (BMD). Using calcifediol seems to be a practical solution, but little is known about the dose response variability in humans and how it compares to that of native vitamin D. The investigators are intending to perform a clinical study in healthy subjects on the pharmacokinetics of different doses of Hy.D Calcifediol compared to vitamin D3 (cholecalciferol) in order to gain insight into the dose response relationship and to assess kinetic differences including the steady state. The metabolites 1,25(OH)2D, 24,25(OH)2D will be assessed throughout the study to assess the metabolism of vitamin D vs. 25(OH)D. Vitamin D3 will be measured throughout the study to assess compliance with the restriction of exogenous vitamin D supplementation.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantInvestigator
    Allocation
    Randomized
    Enrollment
    93 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    25(OH)D3 (Calcifediol Hy.D) 10 mcg
    Arm Type
    Experimental
    Arm Description
    25(OH)D3 (Calcifediol Hy.D), Dose: 10 mcg, 1 capsule/day before breakfast, Duration: 6 months
    Arm Title
    25(OH)D3 (Calcifediol Hy.D) 15 mcg
    Arm Type
    Experimental
    Arm Description
    25(OH)D3 (Calcifediol Hy.D), Dose: 15 mcg, 1 capsule/day before breakfast, Duration: 6 months
    Arm Title
    25(OH)D3 (Calcifediol Hy.D) 20 mcg
    Arm Type
    Experimental
    Arm Description
    25(OH)D3 (Calcifediol Hy.D), Dose: 20 mcg, 1 capsule/day before breakfast, Duration: 6 months
    Arm Title
    Vitamin D3 (Cholecalciferol) 20 mcg
    Arm Type
    Active Comparator
    Arm Description
    Vitamin D3 (Cholecalciferol), Dose: 20 mcg, 1 capsule/day before breakfast, Duration: 6 months
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    25(OH)D3 (Calcifediol Hy.D) 10 mcg
    Intervention Description
    25(OH)D3 (Calcifediol Hy.D)
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    25(OH)D3 (Calcifediol Hy.D) 15 mcg
    Intervention Description
    25(OH)D3 (Calcifediol Hy.D)
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    25(OH)D3 (Calcifediol Hy.D) 20 mcg
    Intervention Description
    25(OH)D3 (Calcifediol Hy.D)
    Intervention Type
    Dietary Supplement
    Intervention Name(s)
    Vitamin D3 (Cholecalciferol) 20 mcg
    Intervention Description
    Vitamin D3 (Cholecalciferol)
    Primary Outcome Measure Information:
    Title
    Plasma 25(OH)D concentration at several visits
    Time Frame
    6 months
    Secondary Outcome Measure Information:
    Title
    AUC(day1-day183) of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D
    Time Frame
    6 months
    Title
    AUC(day1), Cmax(day1), Tmax(day1) and AUC(day182), Cmax(day182), Tmax(day182) of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D
    Time Frame
    6 months
    Title
    Time point at which the plasma level of ≥75 nmol/L 25(OH)D is reached (t)
    Time Frame
    6 months
    Title
    Elimination rate and half-life of of 25(OH)D, 1,25(OH)2D, 24,25(OH)2D and vitamin D after cessation of supplementation
    Time Frame
    6 months
    Title
    Serum calcium and creatinine, albumin, PTH, urine calcium and creatinine and vital signs throughout the study, (Serious) Adverse event assessment and reporting
    Time Frame
    6 months

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy males >50 years in age Healthy postmenopausal women >50 years in age, who have not experienced a menstrual bleeding for a minimum of 12 months BMI between 20-32 kg/m2 Subject understands the study procedures and signs the informed consent to participate in the study Subject has clear understanding of the English language Caucasian ethnicity Willingness to avoid direct sun exposure and to restrict travel to sunny climates during the whole study period. Exclusion Criteria: Subject has any health conditions that would prevent him/her from fulfilling the study requirements, put the subject at risk or would confound the interpretation of the study results as judged by the Principal Investigator Subjects with a history of hypercalcemia (Serum calcium adjusted for albumin of > 2.6 nmol/l) Supplemental calcium intake beyond 500 mg per day during the entire study and follow up Any vitamin D supplementation within 2 months before the baseline blood draw and during the entire study and follow up Subject has gastrointestinal malabsorption (from coeliac disease, colitis, surgery etc.) Subject has kidney disease or liver disease Medication: Bisphosphonate or Parathyroid Hormone (PTH) treatment, use of steroids in any form, anticonvulsants, antibiotics, antipsychotics, use of any drug that alters fat absorption, e.g. Xenical (Ali). Use of Hormone Replacement Therapy (HRT) within the previous 6 months Subject has signs of acute or severe illness (i.e. unintentional weight loss, night sweats etc.) Subject has a known allergy or sensitivity to the investigational products or any ingredients of the investigational products Subject heavily consumes alcohol containing products defined as greater than (>) 3 drinks for men or 2 drinks for women (1 drink is 11 grams of alcohol or equivalence of 12 oz beer, 5 oz wine, or 1.5 oz distilled spirits) of alcoholic beverages per day Subject has donated more than 300 mL of blood during the last three months prior to screening Participating in another clinical trial Women who are premenopausal Subjects with active current psychiatric illness or condition which is likely to interfere with the subject's ability to understand the requirements of the biomedical research project Sunbed users will be excluded from the study. (Expected) increase in exposure to sunlight (e.g. a planned holiday of more than eight days, a beach holiday or a holiday outside Europe) in the study period of day 01 until day 28.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Sarah Hull, MSc
    Organizational Affiliation
    Leatherhead Food Research
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    31518424
    Citation
    Graeff-Armas LA, Bendik I, Kunz I, Schoop R, Hull S, Beck M. Supplemental 25-Hydroxycholecalciferol Is More Effective than Cholecalciferol in Raising Serum 25-Hydroxyvitamin D Concentrations in Older Adults. J Nutr. 2020 Jan 1;150(1):73-81. doi: 10.1093/jn/nxz209.
    Results Reference
    derived

    Learn more about this trial

    Pharmacokinetics of Calcifediol and Cholecalciferol

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