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Vitamin D DeficiencyNCT05459298

ViDES Trial (Vitamin D Extra Supplementation)

A study testing 800 IU/day vitamin D supplementation with feedings in the first 28 days after birth in people with Vitamin D Deficiency, run by The University of Texas Health Science Center, Houston at 1 site in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The objective of the study is to compare supplementation with vitamin D at 800 IU/day to usual care for the first 28 days after birth with respect to 25 (OH) vitamin D levels and indicators of likely or plausible effects of vitamin D supplementation on the function or structure of the lung, bones, immune system, and… Read more about this study

Who is it for?
Ages 24 to 96 hours
Conditions the study is for
Vitamin D Deficiency
What is being tested?
800 IU/day vitamin D supplementation with feedings in the first 28 days after birth
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
1 siteUnited States
Study dates
6 Sep 2022to 1 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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 24 to 96 hours
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Infants born at < 28 weeks gestational age (GA) or <1000 grams birth weight (BW)
  • Inborn
  • Informed written consent in an Institutional Review Board (IRB)-approved manner

Who cannot join

  • GA >32 weeks regardless of birth weight (BW)
  • Any major congenital anomaly
  • A known congenital nonbacterial infection
  • Prenatal diagnosis of disorders that affect vitamin D absorption (e.g, cystic fibrosis)
  • Such severe illness or immaturity that the attending neonatologist judges intensive care to be unjustified.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The University of Texas Health Science Center at Houston

    Houston, Texas, 77006

Other trials in United States

About this study

Official title: Randomized Trial of Enteral Vitamin D Supplementation in Infants < 28 Weeks Gestational Age or <1000 Grams Birth Weight

The objective of the study is to compare supplementation with vitamin D at 800 IU/day to usual care for the first 28 days after birth with respect to 25 (OH) vitamin D levels and indicators of likely or plausible effects of vitamin D supplementation on the function or structure of the lung, bones, immune system, and brain in extremely premature (EP) infants who are <28 weeks gestational age (GA) or <1000 grams of birth weight (BW). The study results will be analyzed as intention to treat Bayesian analyses (Frequentist analyses will also be performed).

Being tested
Placebo, 800 IU/day vitamin D supplementation with feedings in the first 28 days after birth, Usual Care
Keywords
Premature infant, Vitamin D
Medical subject headings
Vitamin D Deficiency, Premature Birth

What participants receive

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

  • PlaceboDietary supplement

    Also called Normal saline

    Placebo is normal saline, given in the first 28 days after birth, prepared to have the same volume and appearance as vitamin D, which is a clear odorless solution.

  • 800 IU/day vitamin D supplementation with feedings in the first 28 days after birthDietary supplement

    Also called Cholecalciferol

    800 IU/day Vitamin D supplementation until 400 IU/day are provided as part of usual care (started when infants receive full feedings of about 120-160 mL/kg/day). At that point the intervention becomes a supplement of 400 IU/day above that given with usual care. In this way all infants in the intervention group receive 800 IU/day of vitamin D total supplementation in the first 28 days after birth with feedings.

  • Usual CareOther

    Care will be unaffected and provided based on the judgment of the attending neonatal faculty and NICU policies and routine practices. When the infant receives about 120 to 160 mL/kg/day of fortified milk at 24 kcal/ounce, the infant will receive supplementation with 400 IU/day of vitamin D as usual care.

Study groups in NCT05459298
Study groupRoleWhat they receive
Usual care plus placeboActive comparatorInfants will receive placebo (normal saline) in the first 28 days after birth. Care will be unaffected and provided based on the judgment of the attending neonatal faculty and NICU policies and routine practices. When the infant receives about 120 to 160 mL/kg/day of fortified milk at 24 kcal/ounce, the infant will receive supplementation with 400 IU/day of vitamin D as usual care.
Receives: Dietary Supplement: Placebo; Other: Usual Care
Usual care plus vitamin D supplementationExperimentalInfants will receive cholecalciferol 800 IU/day in the first 28 days after birth, given enterally four times per day (0.5mL per dose = 200 IU) until the infant is provided 400 IU/day (when feedings reach about 120 -160 mL/kg/day). At that point the study cholecalciferol will be reduced to 400 IU/day for a total supplementation of 800 IU/day.
Receives: Dietary Supplement: 800 IU/day vitamin D supplementation with feedings in the first 28 days after birth; Other: Usual Care

What is being measured

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

  1. 25-hydroxyvitamin D (25[OH]D) level

    Measured: about 28 days after birth

  2. Type of respiratory support required at 36 weeks postmenstrual age

    Data will be reported categorically as:

    • Number of participants who survive without respiratory support
    • Number of participants who survive with nasal cannula at ≤ 2 liters (L)/minute
    • Number of participants who survive with nasal cannula >2 L/minute or noninvasive positive airway pressure
    • Number of participants who survive with invasive mechanical ventilation
    • Number of participants who die

    Measured: 36 weeks postmenstrual age (or at the time of discharge home if earlier)

Secondary outcomes (35)
  1. 25-hydroxyvitamin D (25[OH]D) level

    Measured: 36 weeks after birth

  2. Length of Hospital stay

    Measured: from time of birth to time of discharge (about 0 to 60 weeks after birth)

  3. Number of participants who are still on respiratory support

    Respiratory support includes supplemental oxygen and positive pressure ventilation.

    Measured: 22 to 26 months corrected age

  4. Number of days of supplemental oxygen

    Measured: from time of birth to time of discharge (about 0 to 60 weeks after birth)

  5. Number of days of mechanical ventilation

    Measured: from time of birth to time of discharge (about 0 to 60 weeks after birth)

  6. Number of days of positive pressure support

    Measured: from time of birth to time of discharge (about 0 to 60 weeks after birth)

  7. Number of participants who receive steroid treatment to decrease respiratory support

    Measured: from baseline to 36 weeks postmenstrual age

  8. Number of participants with pulmonary hypertension

    Measured: 36 weeks postmenstrual age

  9. Number of participants with recurrent wheezing

    Assessed using the validated International Study of Asthma and Allergies modified asthma scale, which is defined as having more than two episodes (with or without a documented respiratory tract infection) in the 6 months before the 2-year-old visit

    Measured: 2 years

  10. Weight as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 28 days of life

  11. Weight as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 36 weeks postmenstrual age

  12. Weight as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 2 years

  13. Length as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 28 days of life

  14. Length as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 36 weeks postmenstrual age

  15. Length as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 2 years

  16. Head circumference as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 28 days of life

  17. Head circumference as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 36 weeks postmenstrual age

  18. Head circumference as assessed by sex-specific Z-score on the Fenton 2013 Growth Calculator

    Z-scores range from -4 standard deviations to +4 standard deviations. A higher Z-score indicates a better outcome.

    Measured: 2 years

  19. Number of participants with any fractures

    Measured: from baseline to 36 weeks postmenstrual age

  20. Number of participants with hospital-acquired sepsis

    Measured: from day 3 after birth to the time of discharge (which is 0 to 60 weeks after birth)

  21. Calcium level

    Measured: 0 to 36 weeks postmenstrual age

  22. Phosphorus level

    Measured: 0 to 36 weeks postmenstrual age

  23. Alkaline phosphatase level

    Measured: 0 to 36 weeks postmenstrual age

  24. Neurodevelopment as assessed by the Bayley-IV Scales of Infant and Toddler Development

    Score ranges from 40 to 160, with a higher score indicating a better outcome.

    Measured: 2 years

  25. Number of participants with neurodevelopmental impairment (NDI)

    Measured: 2 years

  26. Number of participants who die or have a morbidity

    Morbidities include retinopathy of prematurity (ROP), intraventricular hemorrhage (IVH), bronchopulmonary dysplasia (BPD), neurodevelopmental impairment (NDI), necrotizing enterocolitis (NEC), and patent ductus arteriosus (PDA).

    Measured: 36 weeks postmenstrual age

  27. Vitamin D status as indicated by serum concentration of 24,25(OH)2D3 as assessed by Liquid Chromatography with tandem mass spectrometry (LC-MS/MS)

    Measured: about 28 days after birth

  28. Vitamin D status as indicated by serum concentration of 24,25(OH)2D3 as assessed by LC-MS/MS

    Measured: 36 weeks postmenstrual age

  29. Vitamin D status as indicated by serum concentration of 3-epi-25(OH)D3 as assessed by LC-MS/MS

    Measured: about 28 days after birth

  30. Vitamin D status as indicated by serum concentration of 3-epi-25(OH)D3 as assessed by LC-MS/MS

    Measured: 36 weeks postmenstrual age

  31. Vitamin D status as indicated by serum concentration of 25(OH)D3 as assessed by LC-MS/MS

    Measured: about 28 days after birth

  32. Vitamin D status as indicated by serum concentration of 25(OH)D3 as assessed by LC-MS/MS

    Measured: 36 weeks postmenstrual age

  33. Pre-discharge health system costs

    Facility costs will be extracted from the hospital's cost-accounting systems. Costs associated with physician services during the birth admission will be estimated using CPT-based claims data and Relative Value Units (RVUs) from the Medicare Fee Schedule. The cost of oral vitamin D will be determined using the average wholesale price listed in the Micromedex RedBook

    Measured: From time of birth to time of discharge (about 0 to 60 weeks after birth)

  34. Cost-effectiveness in preventing days of respiratory support

    Incremental health system costs per prevented day of respiratory support

    Measured: From time of birth to time of discharge (about 0 to 60 weeks after birth)

  35. Cost-effectiveness in increasing survival without BPD

    Incremental health system costs per prevented day of respiratory support

    Measured: From time of birth to time of discharge (about 0 to 60 weeks after birth)

Timeline

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

  1. First posted14 Jul 2022
  2. Study start6 Sep 2022
  3. Primary completion12 Aug 2025
  4. Study completion1 Dec 2027 (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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
180 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05459298
Sponsor's protocol ID
HSC-MS-22-0563
Other IDs
KL2TR003168, R03TR005545
Status last verified
Jun 2026
First submitted
11 Jul 2022
Last updated
11 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Romero-Lopez M, Tyson JE, Naik M, Pedroza C, Holzapfel LF, Avritscher E, Mosquera R, Khan A, Rysavy M. Randomized Controlled Trial of Enteral Vitamin D Supplementation (ViDES) in Infants <28 Weeks Gestational Age or <1000 Grams Birth Weight: Study Protocol. Res Sq [Preprint]. 2024 Jun 25:rs.3.rs-4049246. doi: 10.21203/rs.3.rs-4049246/v1.

    PubMed 38978597
  • Romero-Lopez M, Tyson JE, Naik M, Pedroza C, Holzapfel LF, Avritscher E, Mosquera R, Khan A, Rysavy M. Randomized controlled trial of enteral vitamin D supplementation (ViDES) in infants <28 weeks gestational age or <1000 g birth weight: study protocol. Trials. 2024 Jun 28;25(1):423. doi: 10.1186/s13063-024-08274-8.

    PubMed 38943179

Questions about this trial

What is this clinical trial studying?

A study testing 800 IU/day vitamin D supplementation with feedings in the first 28 days after birth in people with Vitamin D Deficiency, run by The University of Texas Health Science Center, Houston 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 3 inclusion and 5 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: under way, not looking for participants, as of the sponsor's last update on 11 Jun 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 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?

This study is still under way. Results are not available in the source record yet.

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?

25-hydroxyvitamin D (25[OH]D) level (time frame: about 28 days after birth). 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 NCT05459298, which also lists 2 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 11 Jun 2026.

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