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Vitamin D DeficiencyPREDINNCT05329428

PREDIN: Pregnancy and Vitamin D Intervention Study

A study testing Vitamin D Supplementation 20 µg/day, Vitamin D Supplementation 40 µg/day and Usual Antenatal Care in people with Vitamin D Deficiency and Vitamin D3 Deficiency, run by Göteborg University at 1 site in Sweden.

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

Vitamin D deficiency is common among certain risk groups in Sweden, and occurs approximately in every tenth pregnant woman.The aim of the randomized double-blind controlled trial Pregnancy vitamin D intervention (PREDIN) is to investigate the dose of vitamin D supplementation required in achieving vitamin D… Read more about this study

Who is it for?
Ages 18 to 45 years, women only
What is being tested?
Vitamin D Supplementation 20 µg/day, Vitamin D Supplementation 40 µg/day and Usual Antenatal Care
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
105 participants
Where
1 siteSweden
Study dates
14 Apr 2022to 16 Sep 2024
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 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • pregnant women in gestational week <15

Who cannot join

  • multi-fetal pregnancy
  • known disorder to the metabolism of vitamin D, calcium or phosphate (e.g. adrenal gland disorders, kidney disease)
  • ongoing treatment with vitamin D of ≥10 µg/day
  • difficulties understanding the study information

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Antenatal Care

    Gothenburg

Other trials in Sweden

About this study

Official title: PREDIN: Pregnancy and Vitamin D Intervention Study - A Randomized Controlled Trial

Vitamin D deficiency is common among certain risk groups in Sweden, and occurs approximately in every tenth pregnant woman.The aim of the randomized double-blind controlled trial Pregnancy vitamin D intervention (PREDIN) is to investigate the dose of vitamin D supplementation required in achieving vitamin D sufficiency (25OHD ≥50 nmol/l) in pregnant women at risk of vitamin D deficiency. In addition, the investigators aim to examine if the overall vitamin D status and vitamin D intake have increased since the expanded vitamin D fortification program was initiated in year 2020.

Read the detailed description

The effect of maternal vitamin D in pregnancy for maternal and offspring health needs to be clarified. In observational studies, the investigators and others show associations between poor maternal vitamin D status in pregnancy and an increased risk of pregnancy complications. Poor maternal vitamin D status is also linked to impaired growth in the first year of life, and potentially also to higher risk of developing obesity in childhood. Risk factors for vitamin D deficiency in Swedish pregnant women are related to lower intake of vitamin D and to less sun exposure.

Since the evidence for positive effects of maternal vitamin D status or intake is limited, vitamin D interventions in pregnancy are warranted to clarify the causal effects of vitamin D in pregnancy and the doses required to achieve sufficient vitamin D status in deficient women. In the first trimester, pregnant women will be screened at a routine visit in the antenatal care for the risk of vitamin D deficiency using a validated questionnaire. Women who are classified as having a high risk of vitamin D deficiency will be randomized to one of three study arms: usual antenatal care, 20 µg vitamin D per day or 40 µg vitamin D per day. The participants will be followed up until delivery. Blood will be collected for analysis of vitamin D status (25OHD) at screening and in the third trimester of pregnancy. Information regarding pregnancy, gestational complication and fetal growth will be retrieved from medical records after delivery. About 500 women will be screened and their vitamin D status and vitamin D intake will be compared to a previous population-based cohort study, to investigate if the status or intake of vitamin D has increased since the expanded food fortification program was introduced.

The study hypothesis is that vitamin D status and/or vitamin D intake is related to risk of developing complications during pregnancy or delivery and that maternal supplementation with vitamin D during pregnancy will be effective in achieving vitamin D sufficiency in pregnant women at risk of vitamin D deficiency. In addition, the investigators hypothesize that the expanded vitamin D food fortification program has increased the vitamin D status and vitamin D intake of pregnant women in Gothenburg since 2013-2014.

Being tested
Vitamin D Supplementation 20 µg/day, Vitamin D Supplementation 40 µg/day, Usual Antenatal Care
Medical subject headings
Vitamin D Deficiency, Pregnancy Complications

What participants receive

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

  • Vitamin D Supplementation 20 µg/dayDietary supplement

    At a routine visit at the antenatal care in early pregnancy (gestational week <15) women will be provided with with vitamin D3 (cholecalciferol) supplements. Two tablets, with a total content of 20 µg (800 IE), are taken daily throughout pregnancy.

  • Vitamin D Supplementation 40 µg/dayDietary supplement

    At a routine visit at the antenatal care in early pregnancy (gestational week <15) women will be provided with with vitamin D3 (cholecalciferol) supplements. Two tablets, with a total content of 40 µg (1600 IE), are taken daily throughout pregnancy.

  • Usual Antenatal CareOther

    In early pregnancy (gestational week <15) women are advised by the regular midwife to take a daily supplement of Vitamin D throughout pregnancy, according to usual antenatal care routines.

Study groups in NCT05329428
Study groupRoleWhat they receive
Vitamin D Supplementation 20 µg/dayExperimentalDietary supplements containing 20 µg of vitamin D per day will be provided to study subjects.
Receives: Dietary Supplement: Vitamin D Supplementation 20 µg/day
Vitamin D Supplementation 40 µg/dayExperimentalDietary supplements containing 40 µg of vitamin D per day will be provided to study subjects.
Receives: Dietary Supplement: Vitamin D Supplementation 40 µg/day
Usual Antenatal CareActive comparatorWomen randomized to usual antenatal care will receive advise about vitamin D supplementation according to usual antenatal care routines.
Receives: Other: Usual Antenatal Care

What is being measured

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

  1. Difference in maternal vitamin D status (25OHD) between intake of vitamin D supplements containing either 40 µg per day or 20 µg per day during pregnancy

    Analyses of 25OHD (25OHD3 and 25OHD2) from blood samples drawn in first- and third trimester of pregnancy

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  2. Difference in maternal vitamin D status (25OHD) between intake of vitamin D supplements (both 40 µg per day or 20 µg per day) during pregnancy and usual antenatal care routines

    Analyses of 25OHD (25OHD3 and 25OHD2) from blood samples drawn in first- and third trimester of pregnancy

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  3. Difference in maternal 3-epi-25-Hydroxyvitamin D between the three groups; intakes of vitamin D supplements 40 µg/day or 20 µg/day or usual antenatal care routines

    Analyses of vitamin D metabolites 3-epi-25-Hydroxyvitamin D3 from blood samples drawn in first- and third trimester of pregnancy

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  4. Difference in maternal 1,25-dihydroxyvitamin D between the three groups; intakes of vitamin D supplements 40 µg/day or 20 µg/day or usual antenatal care routines

    Analyses of 1,25-dihydroxyvitamin D from blood samples drawn in first- and third trimester of pregnancy

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  5. Difference in maternal vitamin D binding proteins between the three groups; intakes of vitamin D supplements 40 µg/day or 20 µg/day or usual antenatal care routines

    Analyses of vitamin D binding proteins from blood samples drawn in first- and third trimester of pregnancy

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

Secondary outcomes (25)
  1. Gene variant related to vitamin D metabolism

    Analyses of gene variants in blood sample drawn at inclusion in first trimester of pregnancy

    Measured: At inclusion in first trimester of pregnancy

  2. Ferritin

    Analyses of ferritin

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  3. Hemoglobin

    Analyses of hemoglobin

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  4. Metabolomics

    Analyses of metabolomics in blood

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  5. C-reactive protein

    Analyses of inflammation e.g. c-reactive protein

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  6. Interleukines

    Analyses of inflammation e.g. interleukines

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  7. Cytokines

    Analyses of inflammation e.g. cytokines

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  8. Cortisol

    Analyses of cortisol

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  9. Parathyroid hormone

    Analysis of parathyroid hormone in sampled blood at the routine laboratory

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  10. Estrogen

    Analyses of estrogen, in sampled blood, at the routine laboratory

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  11. Progesterone

    Analyses of progesterone, in sampled blood, at the routine laboratory

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  12. 24,25-Dihydroxyvitamin D

    Analyses of 24,25(OH)2D (24,25(OH)2D3 and 24,25(OH)2D2)

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  13. Dietary intake

    Dietary intake of mother during pregnancy assessed by dietary record at two time points

    Measured: At inclusion in first trimester and at follow-up in third trimester, up to 9 months

  14. Body weight development

    Self-reported weight (in kilograms) during pregnancy until delivery.

    Measured: From inclusion in first trimester to follow-up in third trimester, up to 9 months

  15. Incidence of pregnancy-induced hypertension

    Diagnosis of pregnancy-induced hypertension

    Measured: Up to delivery

  16. Incidence of pre-eclampsia

    Diagnosis of pre-eclampsia

    Measured: Up to delivery

  17. Incidence of gestational diabetes

    Diagnosis of gestational diabetes

    Measured: Up to delivery (up to 9 months)

  18. Incidence of preterm delivery

    Delivery before 37 weeks completed weeks of gestation

    Measured: Up to 37 completed weeks

  19. Incidence of small for gestational age (SGA)

    SGA born infant

    Measured: At delivery

  20. Incidence of large for gestational age (LGA)

    LGA born infant

    Measured: At delivery

  21. Incidence of Intrauterine growth restriction (IUGR)

    IUGR

    Measured: At delivery

  22. Apgar scores

    Vitality signs are estimated as Apgar scores at 1, 5 and 10 minutes after birth of the newborn. Apgar stands for Appearance, pulse, grimace, activity and respiration. The maximium score at each time point is 10 scores and a high score indicates high vitality, where as a low score indicates very low vitality.

    Measured: At 1, 5 and 10 minutes after delivery

  23. Incidence of Caesarean sections

    Delivery by caesarean sections

    Measured: At delivery

  24. Incidence of miscarriage

    Miscarriage

    Measured: During the first 21+6 weeks of pregnancy

  25. Incidence of Intrauterine fetal demise (IUFD)

    IUFD

    Measured: Any time during pregnancy after pregnancy week 22+0 (up to 9 months)

Timeline

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

  1. First posted15 Apr 2022
  2. Study start14 Apr 2022
  3. Primary completion18 Jul 2024
  4. Study completion16 Sep 2024

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
105 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05329428
Sponsor's protocol ID
2021-03871
Acronym
PREDIN
Status last verified
Oct 2025
First submitted
9 Dec 2021
Last updated
11 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Karlsson T, Forsby M, Hagman A, Jerhamre-Sundh K, Hoppe M, Augustin H. Iron Status During Early and Late Pregnancy in a Swedish Multiethnic Population. Anemia. 2026 Oct 22;2026:7110858. doi: 10.1155/anem/7110858. eCollection 2026.

    PubMed 42920799

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D Supplementation 20 µg/day, Vitamin D Supplementation 40 µg/day and Usual Antenatal Care in people with Vitamin D Deficiency and Vitamin D3 Deficiency, run by Göteborg University at 1 site in Sweden.

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: finished, as of the sponsor's last update on 11 Mar 2026. 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 Sweden. 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?

Difference in maternal vitamin D status (25OHD) between intake of vitamin D supplements containing either 40 µg per day or 20 µg per day during pregnancy (time frame: From inclusion in first trimester to follow-up in third trimester, up to 9 months). The study lists 5 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 NCT05329428, 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 11 Mar 2026.

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