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Vitamin D DeficiencyvdsinibdNCT03496246

Vitamin D Status in Inflammatory Bowel Disease

A study testing serum total 25 hydroxycholecalciferol 25(OH) vitamin D, complete blood count (CBC) and serum calcium level in people with Vitamin D Deficiency and Inflammatory Bowel Diseases, run by Assiut University at 1 site in Egypt.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Inflammatory bowel disease (IBD), comprising crohn's disease (CD) and ulcerative colitis (UC), is a a chronic, relapsing-remitting systemic disease. Vitamin D is a secosteroid hormone that possesses immunomodulatory properties and has been demonstrated to potentially influence inflammatory bowel disease (IBD)… Read more about this study

Who is it for?
Ages 20 to 60 years
What is being tested?
serum total 25 hydroxycholecalciferol 25(OH) vitamin D, complete blood count (CBC) and serum calcium level
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
1 siteEgypt
Study dates
Apr 2018to Jun 2019
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 20 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Any patient with Inflammatory Bowel Disease (either ulcerative colitis or crohns disease ) patients diagnosed through clinical evaluation ,laboratory ,colonoscopic and histopathological studies.

Who cannot join

  • patients known to have malignancy, or metabolic disease associated with vitamin D and calcium abnormalities e.g. hyperparathyroidism and history of vitamin D supplementations.
  • patients with known biliary disease, chronic liver and kidney diseases.
  • Patients with a mal-absorption syndrome other than IBD.
  • Pregnant or lactating patients.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Mohammed Ragab Osman

    Asyut

Other trials in Egypt

About this study

Inflammatory bowel disease (IBD), comprising crohn's disease (CD) and ulcerative colitis (UC), is a a chronic, relapsing-remitting systemic disease. Vitamin D is a secosteroid hormone that possesses immunomodulatory properties and has been demonstrated to potentially influence inflammatory bowel disease (IBD) pathogenesis and activity.

Read the detailed description

Inflammatory bowel disease (IBD), comprising crohn's disease (CD) and ulcerative colitis (UC), is a a chronic, relapsing-remitting systemic disease and it is increasing sharply with rapidly increasing proportion in developing countries., and the common medications are not effective for most patients.The key underlying pathogenic mechanisms for both diseases is a dysregulated host immune response to commensal intestinal flora in genetically susceptible individuals.Vitamin D is a fat-soluble vitamin, a secosteroid hormone whose active form, calcitriol or 1,25-dihydroxyvitaminD3 (1,25(OH)2D3) plays important roles in immune regulation, particularly involving the innate immune system, cell differentiation and intercellular adhesion, promotes the production of anti-microbial peptides, including β-defensins and cathelicidins, the shift towards Th2 immune responses, and regulates autophagy and epithelial barrier integrity.The relationship between vitamin D deficiency and IBD is bidirectional that vit D with its immunomodulatory effects influence IBD pathogenesis and activity and IBD itself can lead to vitamin D deficiency.Vitamin D deficiency has associated with increased IBD activity scores, lower quality-of-life, an increased risk of IBD-related surgery and increased hospitalizations.[4]. Vitamin D downregulate powerful proinflammatory cytokines, such as TNF, which enhance the durability of anti-TNF therapy in IBD and its deficency has been found to be associated with earlier cessation of anti-TNFα therapy( loss of response to biologic therapy.

Being tested
serum total 25 hydroxycholecalciferol 25(OH) vitamin D, complete blood count (CBC), serum calcium level, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP)
Medical subject headings
Vitamin D Deficiency, Inflammatory Bowel Diseases

What participants receive

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

  • serum total 25 hydroxycholecalciferol 25(OH) vitamin DDiagnostic test

    Quantitative measurement of serum total 25(OH) vitamin D by ELISA. Fasting (6-8 hours), venous blood samples(10ml) are collected from participants in the morning and after centrifugation, the serum are preserved in the deep freezer at -20 c. Serum levels will be determined by using commercially available kits.

  • complete blood count (CBC)Diagnostic test

    for measurement of hemoglobin level and white blood cell count percent of neutrophils ,lymphocytes and esoinphils

  • serum calcium levelDiagnostic test

    measurement of total calcium level after correction with albumin level as it is closely related to vitamin d with its effects on its level

  • erythrocyte sedimentation rate (ESR)Diagnostic test

    it is an indicator of activity in inflammatory bowel disease

  • C-reactive protein (CRP)Diagnostic test

    it is an indicator for increased possibility of infections

  • serum creatinineDiagnostic test

    for assessment of renal function

  • serum albumin levelDiagnostic test

    for possibility of malabsorbtion in patients with inflammatory bowel disease

  • seum alanine aminotransferaseDiagnostic test

    for assessment of liver function

  • serum potassium levelDiagnostic test

    indicator for hypokalemia increased in patients with diarrhea as result of inflammatory bowel disease

  • serum phosphurus levelDiagnostic test

    measurement of phosphurus level as it is closely related to vitamin d with its effects on its level

Study groups in NCT03496246
Study groupRoleWhat they receive
Group AActive comparatorpatients with vitamin D deficiency are investigated for serum total 25 hydroxycholecalciferol 25(OH) vitamin D,complete blood count (CBC),serum calcium level ,serum phosphurus level,erythrocyte sedimentation rate (ESR),C-reactive protein (CRP),serum creatinine ,serum albumin level,seum alanine aminotransferase and serum potassium level.
Receives: Diagnostic Test: serum total 25 hydroxycholecalciferol 25(OH) vitamin D; Diagnostic Test: complete blood count (CBC); Diagnostic Test: serum calcium level; Diagnostic Test: erythrocyte sedimentation rate (ESR); Diagnostic Test: C-reactive protein (CRP); Diagnostic Test: serum creatinine; Diagnostic Test: serum albumin level; Diagnostic Test: seum alanine aminotransferase; Diagnostic Test: serum potassium level; Diagnostic Test: serum phosphurus level
Group BActive comparatorpatients with vitamin D insufficiency are investigated for serum total 25 hydroxycholecalciferol 25(OH) vitamin D,complete blood count (CBC),serum calcium level ,serum phosphurus level,erythrocyte sedimentation rate (ESR),C-reactive protein (CRP),serum creatinine ,serum albumin level,seum alanine aminotransferase and serum potassium level.
Receives: Diagnostic Test: serum total 25 hydroxycholecalciferol 25(OH) vitamin D; Diagnostic Test: complete blood count (CBC); Diagnostic Test: serum calcium level; Diagnostic Test: erythrocyte sedimentation rate (ESR); Diagnostic Test: C-reactive protein (CRP); Diagnostic Test: serum creatinine; Diagnostic Test: serum albumin level; Diagnostic Test: seum alanine aminotransferase; Diagnostic Test: serum potassium level; Diagnostic Test: serum phosphurus level
Group CActive comparatorpatients with normal vitamin D level normal are investigated for serum total 25 hydroxycholecalciferol 25(OH) vitamin D,complete blood count (CBC),serum calcium level ,serum phosphurus level,erythrocyte sedimentation rate (ESR),C-reactive protein (CRP),serum creatinine ,serum albumin level,seum alanine aminotransferase and serum potassium level.
Receives: Diagnostic Test: serum total 25 hydroxycholecalciferol 25(OH) vitamin D; Diagnostic Test: complete blood count (CBC); Diagnostic Test: serum calcium level; Diagnostic Test: erythrocyte sedimentation rate (ESR); Diagnostic Test: C-reactive protein (CRP); Diagnostic Test: serum creatinine; Diagnostic Test: serum albumin level; Diagnostic Test: seum alanine aminotransferase; Diagnostic Test: serum potassium level; Diagnostic Test: serum phosphurus level

What is being measured

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

  1. vitamin D deficency in Inflammatory Bowel Disease

    serum total 25(OH) vitamin D is measured in patients with Inflammatory Bowel Disease (either ulcerative colitis or crohns disease) by Quantitative measurement by ELISA with Fasting (6-8 hours), venous blood samples will be collected from participants in the morning. Serum 25(OH)D levels of less than 20 ng/mL indicate vitamin D deficiency.

    Measured: one day

  2. vitamin D insufficiency in Inflammatory Bowel Disease

    by Quantitative measurement of serum total 25(OH) vitamin D by ELISA with Fasting (6-8 hours), venous blood samples will be collected from participants in the morning. Serum 25(OH)D levels between 21 and 29 ng/mL indicate vitamin D insufficiency.

    Measured: one day

Secondary outcomes (1)
  1. the severity of Inflammatory Bowel Disease with its relation to vitamin D level the severity is detected by a composite clinical and biomarker index called the Seo index

    severity of Inflammatory Bowel Disease is detected by a composite clinical and biomarker index that combines the clinical symptoms including fever, bleeding and stool frequency with biomarkers including C-reactive protein (CRP), erythrocyte sedimentation rate(ESR),complete blood count (CBC), serum electrolytes.

    we will investigate the relation between vitamin D deficiency and severity of Inflammatory Bowel Disease

    Measured: one day

Timeline

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

  1. First posted12 Apr 2018
  2. Study startApr 2018 (estimated)
  3. Primary completionApr 2019 (estimated)
  4. Study completionJun 2019 (estimated)

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
Diagnosis
Allocation
Randomised
Intervention model
Parallel groups
Model description
It is a Clinical trial with three arms
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03496246
Sponsor's protocol ID
2929mroam
Acronym
vdsinibd
Status last verified
Apr 2018
First submitted
1 Apr 2018
Last updated
12 Apr 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Burisch J, Munkholm P. Inflammatory bowel disease epidemiology. Curr Opin Gastroenterol. 2013 Jul;29(4):357-62. doi: 10.1097/MOG.0b013e32836229fb.

    PubMed 23695429
  • Ananthakrishnan AN. Environmental risk factors for inflammatory bowel diseases: a review. Dig Dis Sci. 2015 Feb;60(2):290-8. doi: 10.1007/s10620-014-3350-9. Epub 2014 Sep 10.

    PubMed 25204669
  • Abraham BP, Prasad P, Malaty HM. Vitamin D deficiency and corticosteroid use are risk factors for low bone mineral density in inflammatory bowel disease patients. Dig Dis Sci. 2014 Aug;59(8):1878-84. doi: 10.1007/s10620-014-3102-x. Epub 2014 Mar 12.

    PubMed 24619280
  • Ananthakrishnan AN, Cagan A, Gainer VS, Cai T, Cheng SC, Savova G, Chen P, Szolovits P, Xia Z, De Jager PL, Shaw SY, Churchill S, Karlson EW, Kohane I, Plenge RM, Murphy SN, Liao KP. Normalization of plasma 25-hydroxy vitamin D is associated with reduced risk of surgery in Crohn's disease. Inflamm Bowel Dis. 2013 Aug;19(9):1921-7. doi: 10.1097/MIB.0b013e3182902ad9.

    PubMed 23751398
  • Zator ZA, Cantu SM, Konijeti GG, Nguyen DD, Sauk J, Yajnik V, Ananthakrishnan AN. Pretreatment 25-hydroxyvitamin D levels and durability of anti-tumor necrosis factor-alpha therapy in inflammatory bowel diseases. JPEN J Parenter Enteral Nutr. 2014 Mar-Apr;38(3):385-91. doi: 10.1177/0148607113504002. Epub 2013 Oct 2.

    PubMed 24088707
  • Holick MF. The vitamin D deficiency pandemic: Approaches for diagnosis, treatment and prevention. Rev Endocr Metab Disord. 2017 Jun;18(2):153-165. doi: 10.1007/s11154-017-9424-1.

    PubMed 28516265
  • Rosen CJ. Clinical practice. Vitamin D insufficiency. N Engl J Med. 2011 Jan 20;364(3):248-54. doi: 10.1056/NEJMcp1009570. No abstract available.

    PubMed 21247315
  • Farraye FA, Nimitphong H, Stucchi A, Dendrinos K, Boulanger AB, Vijjeswarapu A, Tanennbaum A, Biancuzzo R, Chen TC, Holick MF. Use of a novel vitamin D bioavailability test demonstrates that vitamin D absorption is decreased in patients with quiescent Crohn's disease. Inflamm Bowel Dis. 2011 Oct;17(10):2116-21. doi: 10.1002/ibd.21595. Epub 2011 Jan 6.

    PubMed 21910173
  • Ulitsky A, Ananthakrishnan AN, Naik A, Skaros S, Zadvornova Y, Binion DG, Issa M. Vitamin D deficiency in patients with inflammatory bowel disease: association with disease activity and quality of life. JPEN J Parenter Enteral Nutr. 2011 May;35(3):308-16. doi: 10.1177/0148607110381267.

    PubMed 21527593
  • Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011 Jul;96(7):1911-30. doi: 10.1210/jc.2011-0385. Epub 2011 Jun 6.

    PubMed 21646368
  • Bernstein CN, Leslie WD. Review article: Osteoporosis and inflammatory bowel disease. Aliment Pharmacol Ther. 2004 May 1;19(9):941-52. doi: 10.1111/j.1365-2036.2004.01876.x.

    PubMed 15113361
  • Shih DQ, Targan SR. Immunopathogenesis of inflammatory bowel disease. World J Gastroenterol. 2008 Jan 21;14(3):390-400. doi: 10.3748/wjg.14.390.

    PubMed 18200661

Questions about this trial

What is this clinical trial studying?

A study testing serum total 25 hydroxycholecalciferol 25(OH) vitamin D, complete blood count (CBC) and serum calcium level in people with Vitamin D Deficiency and Inflammatory Bowel Diseases, run by Assiut University at 1 site in Egypt.

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 1 inclusion and 4 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: status not confirmed, as of the sponsor's last update on 12 Apr 2018. 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 Egypt. 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?

Results are not available in the source record.

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?

vitamin D deficency in Inflammatory Bowel Disease (time frame: one day). 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 NCT03496246, which also lists 12 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 12 Apr 2018.

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