Pre-frail ElderlyPhase 1D-DOSENCT01868945
Dose Finding Study in Physically Frail Elderly to Measure 25(OH) Vitamin D Levels After Supplementation With Hy.D Calcifediol 25 SD/S and Vitamin D3
A Phase 1 study testing 5 µg/day Hy.D Calcifediol, 10 µg/day Hy.D Calcifediol and 15 µg/day Hy.D Calcifediol in people with Pre-frail Elderly and Frail Elderly, run by dsm-firmenich Switzerland AG at 1 site in Netherlands.
Trial summary
The purpose of this study is to assess the dose of Hy.D Calcifediol 25 SD/S (a metabolite of vitamin D3) which will achieve the range of mean serum 25(OH)D between 75-100nmol/L in physically frail elderly people after 24 weeks of daily supplementation with different doses of Hy.D Calcifediol 25 SD/S compared to… Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Pre-frail Elderly, Frail Elderly
- What is being tested?
- 5 µg/day Hy.D Calcifediol, 10 µg/day Hy.D Calcifediol and 15 µg/day Hy.D Calcifediol
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 59 participants
- Where
- 1 siteNetherlands
- Study dates
- Apr 2013to Jun 2014
- Phase
- Phase 1
- 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 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- 25(OH)D levels between 25 - 50 nmol/L;
- Age 65 and older;
- Physically frail, based on the criteria designed by Fried et al. [1]. Frailty will be defined as a clinical syndrome in which one or more of the following criteria are present: unintentional weight loss (4.5 kg in past year), selfreported exhaustion (CES-D questionnaire), weakness (grip strength), slow walking speed and low physical activity (Minnesota questionnaire). These criteria are easily assessable and have been commonly used to determine frailty;
- Men and women;
- Body mass index between 20 and 35 kg/m2 (used for stratification);
- Willingness and ability to comply with the protocol.
Who cannot join
- Medical Illness: malabsorption syndrome: known intestinal malabsorption, celiac diseases, inflammatory bowel disease; diseases that may enhance serum calcium concentration: sarcoidosis, lymphoma, kidney stone in the last 10 years, primary hyperparathyroidism; abnormal indices of calcium metabolism, uncontrolled hypocalcaemia; diagnosed renal insufficiency, diagnosed cancer, diagnosed liver failure.
- Hypercalcemia : serum calcium adjusted for albumin of > 2.6 nmol/L.
- Medication: bisphosphonate or Parathyroid hormone (PTH) treatment, tuberculostatics, epilepsy medication, interfering with vitamin D metabolism and vitamin D supplementation.
- Use of vitamin D supplementation in the last three months (excluding multivitamin supplementation).
- Not willing to stop the use of multivitamin supplementation during the study.
- (Expected) increase in exposure to sunlight (e.g. travelling to a sunny resort).
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- Patient heavily consumes alcohol containing products defined as greater than (>) 3 drinks (beer, wine, or distilled spirits) of alcoholic beverages per day.
- Donating blood in the period of 2 months before, until 1 month after the end of the study.
- Planned surgery.
- Participation in another clinical trial.
Trial locations and contacts
1 site in 1 country.
About this study
The purpose of this study is to assess the dose of Hy.D Calcifediol 25 SD/S (a metabolite of vitamin D3) which will achieve the range of mean serum 25(OH)D between 75-100nmol/L in physically frail elderly people after 24 weeks of daily supplementation with different doses of Hy.D Calcifediol 25 SD/S compared to vitamin D3.
- Conditions
- Pre-frail Elderly, Frail Elderly
- Being tested
- 5 µg/day Hy.D Calcifediol, 10 µg/day Hy.D Calcifediol, 15 µg/day Hy.D Calcifediol, 20 µg/day vitamin D3
- Keywords
- Vitamin D3, Calcifediol 25, Frail, Dose-response
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
5 µg/day Hy.D CalcifediolDietary supplement
5 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
10 µg/day Hy.D CalcifediolDietary supplement
10 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
15 µg/day Hy.D CalcifediolDietary supplement
15 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks
20 µg/day vitamin D3Dietary supplement
20 µg/day vitamin D3 taken together with breakfast for a total period of 24 weeks
| Study group | Role | What they receive |
|---|---|---|
| 5 µg/day Hy.D Calcifediol | Experimental | Not described Receives: Dietary Supplement: 5 µg/day Hy.D Calcifediol |
| 10 µg/day Hy.D Calcifediol | Experimental | Not described Receives: Dietary Supplement: 10 µg/day Hy.D Calcifediol |
| 15 µg/day Hy.D Calcifediol | Experimental | Not described Receives: Dietary Supplement: 15 µg/day Hy.D Calcifediol |
| 20 µg/day vitamin D3 | Active comparator | Not described Receives: Dietary Supplement: 20 µg/day vitamin D3 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups at baseline
Outcome measurement: Mean serum 25(OH)D levels at baseline before supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: Baseline (day 0)
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 4 weeks
Outcome measurement: Mean serum 25(OH)D levels after 4 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 4 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 8 weeks
Outcome measurement: Mean serum 25(OH)D levels after 8 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 8 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 12 weeks
Outcome measurement: Mean serum 25(OH)D levels after 12 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 12 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 16 weeks
Outcome measurement: Mean serum 25(OH)D levels after 16 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 16 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 20 weeks
Outcome measurement: Mean serum 25(OH)D levels after 20 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 20 weeks after initial compound intake
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 24 weeks
Outcome measurement: Mean serum 25(OH)D levels after 24 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Measured: 24 weeks after initial compound intake
Secondary outcomes (1)
Descriptive: 25(OH)D3 serum steady state reached?
Assessment if 25(OH)D3 serum levels will reach a steady state after 24 weeks supplementation of 3 doses of Hy.D and 1 dose of vitamin D3
Measured: 0, 4, 8, 12, 16, 20, 24 weeks after study start
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jun 2013 (estimated)
- Study startApr 2013
- Primary completionJun 2014
- Study completionJun 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Pre-frail ElderlyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 59 participants (actual)
Sponsor and investigators
- Lead sponsor
- dsm-firmenich Switzerland AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Lisette De Groot, Prof, Principal investigator, Wageningen UniversityMichael Tieland, PhD, Principal investigator, Wageningen UniversityLuc van Loon, Prof, Principal investigator, Maastricht University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01868945
- Sponsor's protocol ID
- 2012-10-24-HyD
- Acronym
- D-DOSE
- Status last verified
- Mar 2015
- First submitted
- 24 May 2013
- Last updated
- 27 Mar 2015
- Results posted
- No
- Data monitoring committee
- No
Publications
Vaes AMM, Tieland M, de Regt MF, Wittwer J, van Loon LJC, de Groot LCPGM. Dose-response effects of supplementation with calcifediol on serum 25-hydroxyvitamin D status and its metabolites: A randomized controlled trial in older adults. Clin Nutr. 2018 Jun;37(3):808-814. doi: 10.1016/j.clnu.2017.03.029. Epub 2017 Mar 31.
PubMed 28433267
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Dose Finding Study in Physically Frail Elderly to Measure 25(OH) Vitamin D Levels After Supplementation With Hy.D Calcifediol 25 SD/S and Vitamin D3
- ClinicalTrials.gov ID
- NCT01868945
- Acronym / sponsor ID
- D-DOSE / 2012-10-24-HyD
- Conditions
- Pre-frail Elderly, Frail Elderly
- Keywords
- Vitamin D3, Calcifediol 25, Frail, Dose-response
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 59 participants (actual)
- Lead sponsor
- dsm-firmenich Switzerland AGIndustry (pharma, biotech, devices)
- Study start
- Apr 2013
- Primary completion
- Jun 2014 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 5 Jun 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the dose of Hy.D Calcifediol 25 SD/S (a metabolite of vitamin D3) which will achieve the range of mean serum 25(OH)D between 75-100nmol/L in physically frail elderly people after 24 weeks of daily supplementation with different doses of Hy.D Calcifediol 25 SD/S compared to vitamin D3.
Study design
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| 5 µg/day Hy.D Calcifediol | Experimental | Dietary Supplement: 5 µg/day Hy.D Calcifediol |
| 10 µg/day Hy.D Calcifediol | Experimental | Dietary Supplement: 10 µg/day Hy.D Calcifediol |
| 15 µg/day Hy.D Calcifediol | Experimental | Dietary Supplement: 15 µg/day Hy.D Calcifediol |
| 20 µg/day vitamin D3 | Active comparator | Dietary Supplement: 20 µg/day vitamin D3 |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (6 listed)
- 25(OH)D levels between 25 - 50 nmol/L;
- Age 65 and older;
- Physically frail, based on the criteria designed by Fried et al. [1]. Frailty will be defined as a clinical syndrome in which one or more of the following criteria are present: unintentional weight loss (4.5 kg in past year), selfreported exhaustion (CES-D questionnaire), weakness (grip strength), slow walking speed and low physical activity (Minnesota questionnaire). These criteria are easily assessable and have been commonly used to determine frailty;
- Men and women;
- Body mass index between 20 and 35 kg/m2 (used for stratification);
Key exclusion criteria (10 listed)
- Medical Illness: malabsorption syndrome: known intestinal malabsorption, celiac diseases, inflammatory bowel disease; diseases that may enhance serum calcium concentration: sarcoidosis, lymphoma, kidney stone in the last 10 years, primary hyperparathyroidism; abnormal indices of calcium metabolism, uncontrolled hypocalcaemia; diagnosed renal insufficiency, diagnosed cancer, diagnosed liver failure.
- Hypercalcemia : serum calcium adjusted for albumin of > 2.6 nmol/L.
- Medication: bisphosphonate or Parathyroid hormone (PTH) treatment, tuberculostatics, epilepsy medication, interfering with vitamin D metabolism and vitamin D supplementation.
- Use of vitamin D supplementation in the last three months (excluding multivitamin supplementation).
- Not willing to stop the use of multivitamin supplementation during the study.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 5 µg/day Hy.D Calcifediol5 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks | Dietary supplement | 5 µg/day Hy.D Calcifediol |
| 10 µg/day Hy.D Calcifediol10 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks | Dietary supplement | 10 µg/day Hy.D Calcifediol |
| 15 µg/day Hy.D Calcifediol15 µg/day Hy.D Calcifediol taken together with breakfast for a total period of 24 weeks | Dietary supplement | 15 µg/day Hy.D Calcifediol |
| 20 µg/day vitamin D320 µg/day vitamin D3 taken together with breakfast for a total period of 24 weeks | Dietary supplement | 20 µg/day vitamin D3 |
Primary outcome
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups at baseline
Time frame: Baseline (day 0)
Outcome measurement: Mean serum 25(OH)D levels at baseline before supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 4 weeks
Time frame: 4 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 4 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 8 weeks
Time frame: 8 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 8 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 12 weeks
Time frame: 12 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 12 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 16 weeks
Time frame: 16 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 16 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 20 weeks
Time frame: 20 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 20 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups after 24 weeks
Time frame: 24 weeks after initial compound intake
Outcome measurement: Mean serum 25(OH)D levels after 24 weeks of supplementation of three doses of Hy.D and 1 dose of vitamin D3.
1 secondary outcome
Descriptive: 25(OH)D3 serum steady state reached?
Time frame: 0, 4, 8, 12, 16, 20, 24 weeks after study start
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2015.
- Derived from this study: PubMed 28433267Vaes AMM, Tieland M, de Regt MF, Wittwer J, van Loon LJC, de Groot LCPGM. Dose-response effects of supplementation with calcifediol on serum 25-hydroxyvitamin D status and its metabolites: A randomized controlled trial in older adults. Clin Nutr. 2018 Jun;37(3):808-814. doi: 10.1016/j.clnu.2017.03.029. Epub 2017 Mar 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lisette De Groot, Prof principal investigator
Wageningen University
Michael Tieland, PhD principal investigator
Wageningen University
Luc van Loon, Prof principal investigator
Maastricht University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing 5 µg/day Hy.D Calcifediol, 10 µg/day Hy.D Calcifediol and 15 µg/day Hy.D Calcifediol in people with Pre-frail Elderly and Frail Elderly, run by dsm-firmenich Switzerland AG at 1 site in Netherlands.
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 6 inclusion and 10 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 27 Mar 2015. 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 Netherlands. 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.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
Mean serum 25(OH)D levels in Hy.D and vitamin D3 supplemented groups at baseline (time frame: Baseline (day 0)). The study lists 7 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 NCT01868945, 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 27 Mar 2015.