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PrediabetesD2dNCT01942694

Vitamin D and Type 2 Diabetes Study

A study testing Vitamin D (Cholecalciferol) in people with Prediabetes and Type 2 Diabetes, run by Tufts Medical Center at 25 sites 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

The goal of the Vitamin D and type 2 diabetes (D2d) study is to determine if vitamin D supplementation works to delay the onset of type 2 diabetes in people at risk for the disease and to gain a better understand how vitamin D affects glucose (sugar) metabolism. Read more about this study

Who is it for?
Ages 30 years and older
Conditions the study is for
Prediabetes, Type 2 Diabetes
What is being tested?
Vitamin D (Cholecalciferol)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
2,423 participants
Where
25 sitesUnited States
Study dates
Oct 2013to Nov 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 30 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Pre-diabetes ("at increased risk for diabetes") defined by meeting 2-out-of-3 of the following glycemic criteria at the baseline visit:
  • Fasting plasma glucose (FPG) 100-125 mg/dL
  • 2-hour plasma glucose (2hPG) 140-199 mg/dL
  • Hemoglobin A1c (HbA1c) 5.7-6.4%
  • Age ≥ 30 years .(≥25 years for people of the following races: American-Indian, Alaska Native, Native Hawaiian or Other Pacific Islander).
  • Body Mass Index ≥ 24.0 (22.5 for Asians) and ≤ 42.0 kg/m2
Show all 14Show fewer
  • Provision of signed and dated written informed consent prior to any study procedures.
  • Major Exclusion Criteria:
  • Diabetes based on either of the following criteria:
  • History (past 1 year) of hypoglycemic pharmacotherapy (oral or injectable medication approved by the FDA for type 2 diabetes), used for any condition (e.g. pre-diabetes, diabetes, polycystic ovarian syndrome.
  • Meeting the diagnosis criteria for diabetes
  • History (past 3 years) of hyperparathyroidism, nephrolithiasis or hypercalcemia.
  • Pregnancy (past 1 year by report or positive pregnancy test at screening), intent to become pregnant in the next 4 years or unprotected intercourse. History of gestational diabetes is not an exclusion criterion.
  • Currently breastfeeding.

Who cannot join

None listed.

Trial locations and contacts

25 sites in 1 country.

25 sites in 1 country

United States25 sites
  • University of Colorado, Denver

    Aurora, Colorado, 80045

  • Pennington Biomedical Research Center

    Baton Rouge, Louisiana, 70808

  • Tufts Medical Center

    Boston, Massachusetts, 02111

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Northwestern University

    Chicago, Illinois, 60611

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • Atlanta VA Medical Center

    Decatur, Georgia, 30033

  • Duke University

    Durham, North Carolina, 27704

  • Baylor College of Medicine

    Houston, Texas, 77030

  • MedStar Community Clinical Research Center

    Hyattsville, Maryland, 20782

  • University of Kansas Medical Center

    Kansas City, Kansas, 66205

  • University of Southern California

    Los Angeles, California, 90022

  • University of Tennessee Health Science Center

    Memphis, Tennessee, 38105

  • Health Partners Riverside Clinic

    Minneapolis, Minnesota, 55454

  • Tulane University Health Sciences

    New Orleans, Louisiana, 70112

  • Beth Israel Medical Center

    New York, New York, 10003

  • Omaha VA Medical Center

    Omaha, Nebraska, 68105

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • Orlando VA Medical Center

    Orlando, Florida, 32803

  • Florida Hospital Translational Research Institute

    Orlando, Florida, 32804

  • Stanford University

    Palo Alto, California, 94304

  • Southwest American Indian Center

    Phoenix, Arizona, 85016

  • Kaiser Permanente Center for Health Research

    Portland, Oregon, 97227

  • Maine Medical Center

    Scarborough, Maine, 04074

Other trials in United States

About this study

The goal of the Vitamin D and type 2 diabetes (D2d) study is to determine if vitamin D supplementation works to delay the onset of type 2 diabetes in people at risk for the disease and to gain a better understand how vitamin D affects glucose (sugar) metabolism.

Read the detailed description

The goal of the Vitamin D and type 2 diabetes (D2d) study is to determine if vitamin D supplementation works to delay the onset of type 2 diabetes in people at risk for the disease and to gain a better understand how vitamin D affects glucose (sugar) metabolism. Researchers at US sites will enroll people with pre-diabetes (people who have higher than normal blood glucose level but not high enough to meet the diagnosis of diabetes). The study will enroll participants over approximately 2 years and participants will be followed for approximately 3 years. Participants will receive either Vitamin D or a placebo by chance. Participants will take 1 pill a day for the duration of the study.

Being tested
Vitamin D (Cholecalciferol), Placebo
Keywords
Prediabetes, Vitamin D
Medical subject headings
Prediabetic State, Diabetes Mellitus, Type 2

What participants receive

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

  • Vitamin D (Cholecalciferol)Dietary supplement

    Vitamin D (Cholecalciferol) 4000 IU, administered as 1 soft-gel pill daily by mouth.

  • PlaceboOther

    Administered as one soft-gel pill daily by mouth

Study groups in NCT01942694
Study groupRoleWhat they receive
PlaceboPlacebo comparatorOne pill daily
Receives: Other: Placebo
Vitamin D (Cholecalciferol)Active comparatorOne vitamin D pill daily
Receives: Dietary Supplement: Vitamin D (Cholecalciferol)

What is being measured

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

  1. Time to Development of Diabetes

    New-onset diabetes was based on annual glycemic testing of fasting plasma glucose, glycated hemoglobin, and 2-hour post-load plasma glucose and semiannual testing of fasting plasma glucose and glycated hemoglobin. If two or three of the glycemic measures met the 2010 ADA thresholds for diabetes, the participant was considered to have met the diabetes outcome. When only the measure for fasting plasma glucose or glycated hemoglobin met the threshold, confirmatory testing was performed for the positive measure within 8 weeks. If only the measure for 2-hour post-load plasma glucose met the threshold, then a 75-g oral glucose tolerance test to reassess all three glycemic measures was repeated. If the repeat measure was positive or both fasting plasma glucose and glycated hemoglobin were positive (in the case of a repeat oral glucose tolerance test), than the participant was considered to have met the diabetes outcome.

    Measured: Approximately 48 months

Secondary outcomes (18)
  1. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: 25OHD Concentration

    Measured: Approximately 48 months

  2. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Race (as a Proxy for Skin Pigmentation)

    Race and ethnic group were reporting by the participant. The category "other" includes American Indian or Alaska Native; Native Hawaiian or other Pacific Islander; and other race. Ethnic group includes any race.

    Measured: Approximately 48 months

  3. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Pre-diabetes Criteria (Two vs. Three Criteria)

    Participants met at least two of three glycemic criteria for prediabetes: fasting plasma glucose level, 100 to 125 mg per deciliter (5.6 to 6.9 mmol per liter); plasma glucose level 2 hours after a 75-g oral glucose load, 140 to 199 mg per deciliter (7.8 to 11.0 mmol per liter) (impaired glucose tolerance); and glycated hemoglobin level, 5.7 to 6.4% (39 to 47 mmol per mole).

    Measured: Approximately 48 months

  4. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: BMI

    Measured: Approximately 48 months

  5. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Waist Circumference

    Measured: Approximately 48 months

  6. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Age

    Measured: Approximately 48 months

  7. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Geographic Location (as a Proxy for Sun Exposure)

    Measured: Approximately 48 months

  8. Variability of Response to Vitamin D Supplementation by Baseline Characteristic: Calcium Intake From Supplements

    Measured: Approximately 48 months

  9. Blood Plasma 25OHD Concentration.

    Measured: Approximately 48 months

  10. Number of Participants With Adverse Events.

    Measured: Approximately 48 months

  11. Change in Blood Pressure as a Continuous Variable.

    Measured: Approximately 48 months

  12. Number of Participants Who Discontinue Study Pills.

    Measured: Approximately 48 months

  13. Change in FPG as a Continuous Variable.

    Measured: Every 12 months for approximately 48 months

  14. Change in 2hPG as a Continuous Variable.

    Measured: Every 12 months for approximately 48 months.

  15. Change in HbA1c as a Continuous Variable.

    Measured: Every 6 months for approximately 48 months

  16. Measurement of Insulin Resistance (Derived From the OGTT).

    Measured: Every 12 months for approximately 48 months

  17. Measurement of Beta Cell Secretion (Derived From the OGTT)

    Measured: Every 12 months for approximately 48 months

  18. Identification of Characteristics Associated With the Variability in Achieved 25OHD Concentration.

    Measured: Every 12 months for approximately 48 months

Timeline

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

  1. First posted16 Sep 2013 (estimated)
  2. Study startOct 2013
  3. Primary completionNov 2018
  4. Study completionNov 2018

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
2,423 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01942694
Sponsor's protocol ID
U01DK098245
Other IDs
U01DK098245
Acronym
D2d
Status last verified
Jul 2022
First submitted
9 Aug 2013
Last updated
16 Aug 2022
Data monitoring committee
Yes

Publications

  • Corbin KD, Pittas AG, Desouza C, Grdinovac KK, Herzig KH, Kashyap SR, Kim SH, Nelson J, Rasouli N, Vickery EM, Knowler WC, Pratley RE. Indices of hepatic steatosis and fibrosis in prediabetes and association with diabetes development in the vitamin D and type 2 diabetes study. J Diabetes Complications. 2023 Jun;37(6):108475. doi: 10.1016/j.jdiacomp.2023.108475. Epub 2023 Apr 12.

    PubMed 37104979
  • Chatterjee R, Davenport CA, Vickery EM, Johnson KC, Kashyap SR, LeBlanc ES, Nelson J, Dagogo-Jack S, Pittas AG, Hughes BD; D2d Research Group. Effect of intratrial mean 25(OH)D concentration on diabetes risk, by race and weight: an ancillary analysis in the D2d study. Am J Clin Nutr. 2023 Jul;118(1):59-67. doi: 10.1016/j.ajcnut.2023.03.021. Epub 2023 Mar 29.

    PubMed 37001590
  • Desouza C, Chatterjee R, Vickery EM, Nelson J, Johnson KC, Kashyap SR, Lewis MR, Margolis K, Pratley R, Rasouli N, Sheehan PR, Pittas AG; D2d Research Group. Electronic address: d2d@tuftsmedicalcenter.org. The effect of vitamin D supplementation on cardiovascular risk in patients with prediabetes: A secondary analysis of the D2d study. J Diabetes Complications. 2022 Aug;36(8):108230. doi: 10.1016/j.jdiacomp.2022.108230. Epub 2022 Jun 12.

    PubMed 35753926
  • Johnson KC, Pittas AG, Margolis KL, Peters AL, Phillips LS, Vickery EM, Nelson J, Sheehan PR, Reboussin D, Malozowski S, Chatterjee R; D2d research group. Safety and tolerability of high-dose daily vitamin D3 supplementation in the vitamin D and type 2 diabetes (D2d) study-a randomized trial in persons with prediabetes. Eur J Clin Nutr. 2022 Aug;76(8):1117-1124. doi: 10.1038/s41430-022-01068-8. Epub 2022 Feb 9.

    PubMed 35140313
  • Chatterjee R, Fuss P, Vickery EM, LeBlanc ES, Sheehan PR, Lewis MR, Dolor RJ, Johnson KC, Kashyap SR, Nelson J, Pittas AG; D2d Research Group. Vitamin D Supplementation for Prevention of Cancer: The D2d Cancer Outcomes (D2dCA) Ancillary Study. J Clin Endocrinol Metab. 2021 Aug 18;106(9):2767-2778. doi: 10.1210/clinem/dgab153.

    PubMed 33693713
  • Hsia DS, Rasouli N, Pittas AG, Lary CW, Peters A, Lewis MR, Kashyap SR, Johnson KC, LeBlanc ES, Phillips LS, Hempe JM, Desouza CV; D2d Research Group. Implications of the Hemoglobin Glycation Index on the Diagnosis of Prediabetes and Diabetes. J Clin Endocrinol Metab. 2020 Mar 1;105(3):e130-8. doi: 10.1210/clinem/dgaa029.

    PubMed 31965161
  • Pittas AG, Dawson-Hughes B, Sheehan P, Ware JH, Knowler WC, Aroda VR, Brodsky I, Ceglia L, Chadha C, Chatterjee R, Desouza C, Dolor R, Foreyt J, Fuss P, Ghazi A, Hsia DS, Johnson KC, Kashyap SR, Kim S, LeBlanc ES, Lewis MR, Liao E, Neff LM, Nelson J, O'Neil P, Park J, Peters A, Phillips LS, Pratley R, Raskin P, Rasouli N, Robbins D, Rosen C, Vickery EM, Staten M; D2d Research Group. Vitamin D Supplementation and Prevention of Type 2 Diabetes. N Engl J Med. 2019 Aug 8;381(6):520-530. doi: 10.1056/NEJMoa1900906. Epub 2019 Jun 7.

    PubMed 31173679
  • Aroda VR, Sheehan PR, Vickery EM, Staten MA, LeBlanc ES, Phillips LS, Brodsky IG, Chadha C, Chatterjee R, Ouellette MG, Desouza C, Pittas AG; D2d Research Group. Establishing an electronic health record-supported approach for outreach to and recruitment of persons at high risk of type 2 diabetes in clinical trials: The vitamin D and type 2 diabetes (D2d) study experience. Clin Trials. 2019 Jun;16(3):306-315. doi: 10.1177/1740774519839062. Epub 2019 Apr 22.

    PubMed 31007049
  • LeBlanc ES, Pratley RE, Dawson-Hughes B, Staten MA, Sheehan PR, Lewis MR, Peters A, Kim SH, Chatterjee R, Aroda VR, Chadha C, Neff LM, Brodsky IG, Rosen C, Desouza CV, Foreyt JP, Hsia DS, Johnson KC, Raskin P, Kashyap SR, O'Neil P, Phillips LS, Rasouli N, Liao EP, Robbins DC, Pittas AG; D2d Research Group. Baseline Characteristics of the Vitamin D and Type 2 Diabetes (D2d) Study: A Contemporary Prediabetes Cohort That Will Inform Diabetes Prevention Efforts. Diabetes Care. 2018 Aug;41(8):1590-1599. doi: 10.2337/dc18-0240. Epub 2018 Jun 25.

    PubMed 29941495
  • Lewis MR, Macauley RC, Sheehan PR, Staten MA, Phillips LS, Rasouli N, Pittas AG; D2d Research Group. Management of Hemoglobin Variants Detected Incidentally in HbA1c Testing: A Common Problem Currently Lacking a Standard Approach. Diabetes Care. 2017 Feb;40(2):e8-e9. doi: 10.2337/dc16-1667. Epub 2016 Nov 29. No abstract available.

    PubMed 27899488
  • Pittas AG, Dawson-Hughes B, Sheehan PR, Rosen CJ, Ware JH, Knowler WC, Staten MA; D2d Research Group. Rationale and design of the Vitamin D and Type 2 Diabetes (D2d) study: a diabetes prevention trial. Diabetes Care. 2014 Dec;37(12):3227-34. doi: 10.2337/dc14-1005. Epub 2014 Sep 9.

    PubMed 25205139

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D (Cholecalciferol) in people with Prediabetes and Type 2 Diabetes, run by Tufts Medical Center at 25 sites 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 14 inclusion and 0 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 16 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites 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. Some participants in this study may receive a placebo. 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?

Yes. Results are posted in the registry (first posted 9 Sep 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Time to Development of Diabetes (time frame: Approximately 48 months). 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 NCT01942694, which also lists 11 linked publications.

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 16 Aug 2022.

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