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Vitamin D DeficiencyNCT01477034

Vitamin D and Adipose Tissue Inflammation

A study testing Vitamin D3 in people with Vitamin D Deficiency and Obesity, run by Fred Hutchinson Cancer Center at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Chronic, low-grade adipose tissue inflammation is a major risk factor for type 2 diabetes mellitus. The cause of adipose tissue inflammation has remained largely unclear. We hypothesize that vitamin D deficiency predisposes individuals to the development of adipose tissue inflammation, and that treatment of vitamin D… Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
What is being tested?
Vitamin D3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
1 siteUnited States
Study dates
Nov 2011to Jun 2013
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Age: 18-65 years;
  • BMI ≥25 kg/m2;
  • Plasma 25-OH-vitamin D between 7 and 20 ng/mL
  • Weight stable to within 10 pounds for 6 months prior to entering the study, and within 30 pounds of their lifetime maximum weight (excluding pregnancy);
  • Ability to be admitted for ~6.5 hours on three occasions to the FHCRC Prevention Center,
  • Ability to provide informed written consent;
  • Willingness to take vitamin D3 capsules daily for 6 months

Who cannot join

  • Chronic disease such as thyroid disease, liver disease, or kidney disease;
  • Diabetes mellitus, or fasting glucose >125 mg/dL;
  • Chronic inflammatory condition such as autoimmune disease or inflammatory bowel disease;
  • Malabsorption syndromes (untreated celiac disease; condition after stomach or intestinal resection);
  • Current or recent (within one month) chronic intake of medications likely to interfere with study endpoints [(insulin, antidiabetics, anabolic steroids, glucocorticosteroids, statins, blood thinners (warfarin, aspirin), non-steroidal anti-inflammatory drugs (if daily)];
  • Current or recent (within 3 months) intake of vitamin D in excess of 600 IU/day;
  • Anemia, recent history (within 3 months) of anemia; recent (within 3 months) blood donation; recent (within 3 months) participation in another study that involved blood draws; or plans to participate in other research that involves blood draws during the study period;
  • Pregnancy in the last 6 months, plans to become pregnant during the study period, or current breastfeeding.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

Other trials in United States

About this study

Chronic, low-grade adipose tissue inflammation is a major risk factor for type 2 diabetes mellitus. The cause of adipose tissue inflammation has remained largely unclear. We hypothesize that vitamin D deficiency predisposes individuals to the development of adipose tissue inflammation, and that treatment of vitamin D deficient subjects with high dose vitamin D will reduce adipose tissue inflammation.

Read the detailed description

The objective of this project is to investigate whether vitamin D modulates chronic low-grade adipose tissue inflammation in overweight and obese, vitamin D deficient men and women.

Obesity is associated with insulin resistance and an increased risk for type 2 diabetes mellitus. Numerous studies, mostly conducted in mouse models of obesity, strongly suggest that chronic low-grade inflammation of adipose and other tissues is the major mechanism by which increased adiposity is linked to insulin resistance. Adipose tissue inflammation may therefore be a promising therapeutic target to reduce insulin resistance and the risk of type 2 diabetes mellitus in obese individuals.

Based on several lines of evidence, we hypothesize that vitamin D is an environmental factor that affects the course of the inflammatory response in most tissues of the body, including adipose tissue. In our previous studies, we found that circulating plasma concentrations of 25-hydroxy vitamin D (25-OH-D) and the primary degradation product 24,25-dihydroxy vitamin D (24,25-OH2-D) were significantly associated with adipose tissue expression of adiponectin and negatively with TNF-alpha, even when adjusted for body mass index. Because these previous studies were cross-sectional, it is critical to complete an intervention study in humans to determine whether the observed association of vitamin D levels and adipose tissue inflammation is causal. The objectives of this pilot study are therefore to collect relevant preliminary data, and to begin an exploration of the mechanisms underlying this association such as intestinal permeability.

Increased intestinal permeability may contribute to chronic low-grade inflammation and signaling through the vitamin D receptor plays an important role in the maintenance of intestinal integrity. We will assess whether normalization of vitamin D status is associated with changes in intestinal permeability.

Being tested
Vitamin D3
Keywords
Vitamin D deficiency, Obesity, Inflammation, Low-grade, chronic inflammation, Adipose tissue inflammation, Diabetes, Type 2 diabetes mellitus, Insulin resistance, Intestinal permeability
Medical subject headings
Vitamin D Deficiency, Obesity, Diabetes Mellitus, Type 2, Inflammation, Diabetes Mellitus, Insulin Resistance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vitamin D3Dietary supplement

    Also called Carlson Labs Vitamin D3 capsules (2,000/4,000 IU/capsule)

    2,000 or 4,000 IU/day vitamin D3 for 3 or 6 months.

Study groups in NCT01477034
Study groupRoleWhat they receive
2,000 IU/day vitamin D3 x 6 monthsExperimentalSubjects will take a 2,000 IU daily vitamin D3 supplement for 6 months.
Receives: Dietary Supplement: Vitamin D3
4,000 IU/day vitamin D3 x 6 monthsExperimentalSubjects will take a 4,000 IU daily vitamin D3 supplement for 6 months.
Receives: Dietary Supplement: Vitamin D3
2,000 IU/day vitamin D3 x 3 monthsExperimentalSubjects will take a 2,000 IU daily vitamin D3 supplement for 3 months.
Receives: Dietary Supplement: Vitamin D3
4,000 IU/day vitamin D3 x 3 monthsExperimentalSubjects will take a 4,000 IU daily vitamin D3 supplement for 3 months.
Receives: Dietary Supplement: Vitamin D3

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Tumor Necrosis Factor alpha expression in adipose tissue

    Total RNA will be extracted from whole adipose tissue. TNF alpha mRNA will be quantified using PCR, and normalized using a normalization factor based on three housekeeping genes. We will compute the change in adipose tissue TNF alpha mRNA level between baseline and the 6 month visit.

    Measured: Change from baseline to the 6 month visit

  2. Tumor Necrosis Factor alpha expression in adipose tissue

    Total RNA will be extracted from whole adipose tissue. TNF alpha mRNA will be quantified using PCR, and normalized using a normalization factor based on three housekeeping genes. We will compute the change in adipose tissue TNF alpha mRNA level between baseline and the 3 month visit.

    Measured: Change from baseline to the 3 month visit

Secondary outcomes (22)
  1. Plasma concentrations of 24,25-dihydroxy vitamin D [24,25(OH)2D]

    The concentration of 24,25(OH)2D will be measured in fasting plasma using high performance liquid chromatography-tandem mass spectometry (LC/MS/MS).

    Measured: Change from baseline to the 6 month visit

  2. Adipose tissue concentration of 25-hydroxy vitamin D [25(OH)D]

    Adipose tissue 25(OH)D will be measured using high performance liquid chromatography-tandem mass spectometry (LC/MS/MS.)

    Measured: Change from baseline to the 6 month visit

  3. CD16+ macrophages in adipose tissue

    The number or CD16+ macrophages in adipose tissue, normalized to the total number of CD14+CD206+ macrophages or the total number of CD45+ cells, will be measured using multi-parameter flow cytometry.

    Measured: Change from baseline to the 6 month visit

  4. CD8+ T cells in adipose tissue

    The number of CD8+ T cells in adipose tissue, normalized to the total number of CD3+ cells, will be measured using multi-parameter flow cytometry.

    Measured: Change from baseline to the 6 month visit

  5. Plasma concentration of 25-hydroxy vitamin D [25(OH)D]

    Plasma 25(OH)D will be measured by high performance liquid chromatography-tandem mass spectometry (LC/MS/MS).

    Measured: Change from baseline to the 6 month visit

  6. Adipose tissue concentration of cholecalciferol (vitamin D3)

    Adipose tissue concentrations of cholecalciferol will be measured by high performance liquid chromatography-tandem mass spectometry (LC/MS/MS)

    Measured: Change from baseline to the 6 month visit

  7. CD11c+ macrophages in adipose tissue

    The number of CD11c+ macrophages in adipose tissue, normalized to the total number of CD45+ cells, will be measured by multi-parameter flow cytometry.

    Measured: Change from baseline to the 6 month visit

  8. CD4+CD25+ T cells in adipose tissue

    The number of CD4+CD25+ T cells in adipose tissue, normalized to the total number of CD4+ T cells, will be measured by multi-parameter flow cytometry.

    Measured: Change from baseline to the 6 month visit

  9. Intestinal permeability, as assessed by the 5-hour urinary lactulose/mannitol test

    Intestinal permeability will be assessed at each clinic visit by administering 2g of mannitol and 5 g of lactulose to the oral glucose tolerance test beverage followed by collection of urine for 5 hours afterwards. Recovery of mannitol and lactulose in urine will be measured by gas chromatography, and will be indicative of the degree of intestinal permeability.

    Measured: Change from baseline to 6 month clinic visit.

  10. Fasting plasma zonulin concentrations

    Zonulin concentrations will be measured by enzyme-linked immunosorbent assay in fasting plasma collected at all clinic visits. Plasma zonulin is a marker of intestinal permeability.

    Measured: Change from baseline to 6 month clinic visit

  11. Fasting plasma lipopolysaccharide binding protein (LBP)

    Lipopolysaccharide binding protein (LBP) will be measured by enzyme-linked immunosorbent assay in fasting plasma collected at all clinic visits. LBP is an acute phase protein secreted by the liver in response to endotoxin (lipopolysaccharide) exposure.

    Measured: Change from baseline to 6 month clinic visit

  12. Plasma concentrations of 24,25-dihydroxy vitamin D [24,25(OH)2D]

    The concentration of 24,25(OH)2D will be measured in fasting plasma using high performance liquid chromatography-tandem mass spectometry (LC/MS/MS).

    Measured: Change from baseline to the 3 month visit

  13. Adipose tissue concentration of 25-hydroxy vitamin D [25(OH)D]

    Adipose tissue 25(OH)D will be measured using high performance liquid chromatography-tandem mass spectometry (LC/MS/MS.)

    Measured: Change from baseline to the 3 month visit

  14. CD16+ macrophages in adipose tissue

    The number or CD16+ macrophages in adipose tissue, normalized to the total number of CD14+CD206+ macrophages or the total number of CD45+ cells, will be measured using multi-parameter flow cytometry.

    Measured: Change from baseline to the 3 month visit

  15. CD8+ T cells in adipose tissue

    The number of CD8+ T cells in adipose tissue, normalized to the total number of CD3+ cells, will be measured using multi-parameter flow cytometry.

    Measured: Change from baseline to the 3 month visit

  16. Plasma concentration of 25-hydroxy vitamin D [25(OH)D]

    Plasma 25(OH)D will be measured by high performance liquid chromatography-tandem mass spectometry (LC/MS/MS).

    Measured: Change from baseline to the 3 month visit

  17. Adipose tissue concentration of cholecalciferol (vitamin D3)

    Adipose tissue concentrations of cholecalciferol will be measured by high performance liquid chromatography-tandem mass spectometry (LC/MS/MS)

    Measured: Change from baseline to the 3 month visit

  18. CD11c+ macrophages in adipose tissue

    The number of CD11c+ macrophages in adipose tissue, normalized to the total number of CD45+ cells, will be measured by multi-parameter flow cytometry.

    Measured: Change from baseline to the 3 month visit

  19. CD4+CD25+ T cells in adipose tissue

    The number of CD4+CD25+ T cells in adipose tissue, normalized to the total number of CD4+ T cells, will be measured by multi-parameter flow cytometry.

    Measured: Change from baseline to the 3 month visit

  20. Intestinal permeability, as assessed by the 5-hour urinary lactulose/mannitol test

    Intestinal permeability will be assessed at each clinic visit by administering 2g of mannitol and 5 g of lactulose to the oral glucose tolerance test beverage followed by collection of urine for 5 hours afterwards. Recovery of mannitol and lactulose in urine will be measured by gas chromatography, and will be indicative of the degree of intestinal permeability.

    Measured: Change from baseline to 3 month clinic visit.

  21. Fasting plasma zonulin concentrations

    Zonulin concentrations will be measured by enzyme-linked immunosorbent assay in fasting plasma collected at all clinic visits. Plasma zonulin is a marker of intestinal permeability.

    Measured: Change from baseline to 3 month clinic visit

  22. Fasting plasma lipopolysaccharide binding protein (LBP)

    Lipopolysaccharide binding protein (LBP) will be measured by enzyme-linked immunosorbent assay in fasting plasma collected at all clinic visits. LBP is an acute phase protein secreted by the liver in response to endotoxin (lipopolysaccharide) exposure.

    Measured: Change from baseline to 3 month clinic visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Nov 2011 (estimated)
  2. Study startNov 2011
  3. Primary completionJun 2013
  4. Study completionJun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01477034
Sponsor's protocol ID
UW NORC P&F KRATZ
Other IDs
7598
Status last verified
Apr 2014
First submitted
1 Nov 2011
Last updated
4 Apr 2014
Results posted
No
Data monitoring committee
No

Publications

  • Best CM, Riley DV, Laha TJ, Pflaum H, Zelnick LR, Hsu S, Thummel KE, Foster-Schubert KE, Kuzma JN, Cromer G, Larson I, Hagman DK, Heshelman K, Kratz M, de Boer IH, Hoofnagle AN. Vitamin D in human serum and adipose tissue after supplementation. Am J Clin Nutr. 2021 Jan 4;113(1):83-91. doi: 10.1093/ajcn/nqaa295.

    PubMed 33184642

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D3 in people with Vitamin D Deficiency and Obesity, run by Fred Hutchinson Cancer Center at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Tumor Necrosis Factor alpha expression in adipose tissue (time frame: Change from baseline to the 6 month visit). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01477034, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Apr 2014; AzTrials last refreshed its copy on 31 Oct 2026.

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