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
About this trial
This is an interventional treatment trial for Osteoporosis
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.
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
NCT ID
NCT02333682
First Posted
October 20, 2014
Last Updated
April 12, 2016
Sponsor
DSM Nutritional Products, Inc.
Collaborators
Leatherhead Food Research
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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