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Vitamin d DeficiencyVDSSNCT05654818

Peripheral Immunological Effects of High-dose Vitamin D Treatment in Healthy Subjects

A study testing Vitamin D in people with Vitamin d Deficiency, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

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 associated with the risk of developing MS. Vitamin D treatment has therefore been tested as a background treatment for this pathology, with a seemingly modest clinical effect. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Vitamin d Deficiency
What is being tested?
Vitamin D
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteFrance
Study dates
13 Apr 2023to 10 Oct 2023
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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • Women of childbearing potential must have effective contraception during the study period. Effective contraception is defined by a low failure rate (less than 1% per year) when used correctly and consistently, such as implants, injectables, oral contraceptives, IUDs, abstinence, or partner vasectomy. A urine pregnancy test will be performed at inclusion.

Who cannot join

  • The subject is participating in another therapeutic study, or is in a period of exclusion determined by a previous study
  • The subject is unable to express their consent
  • It is impossible to give the subject informed information
  • The patient is under safeguard of justice or state guardianship
  • Pregnant or breastfeeding
  • Infectious disease or vaccination within previous 3 months
Show all 16Show fewer
  • Chronic psychiatric disease, or disease that, in the opinion of the investigator ,may put the patient at risk or affect compliance.
  • Chronic inflammatory or dysimmune disease or subject on immunomodulatory or immunosuppressive therapy (including corticosteroids) within the last 3 months.
  • Uncontrolled epilepsy.
  • Known vitamin D deficiency secondary to active or other digestive disease (celiac disease, IBD, gastrectomy or bypass, cirrhosis, short bowel syndrome, nephrotic syndrome, hyperthyroidism, hypoparathyroidism, cancer, granulomatous pathology, lymphoma, rickettsiosis).
  • History of hypercalcemia, osteopenia or osteoporosis, urinary lithiasis, heart rhythm disorders.
  • Pathology requiring a daily intake of more than 1 gram of Calcium.
  • Contraindication to vitamin D3 treatment as mentioned on the VIDAL documentation of UVEDOSE.
  • Treatment affecting vitamin D metabolism other than corticosteroids: anti-epileptic drugs [phenobarbital, primidone, phenytoin], rifampicin, isoniazid, ketoconazole, 5-FU and leucovorin, thiazide diuretic.
  • Active vitamin supplementation or dietary supplements rich in vitamin D.
  • Present or past neurological symptoms that may suggest an undiagnosed inflammatory neurological pathology.

Trial locations and contacts

1 site in 1 country.

France1 site
  • CHU de Nîmes

    Nîmes

Other trials in France

About this study

Official title: Peripheral Immunological Effects of High-dose Vitamin D Treatment in Healthy Subjects: Randomized, Single-center, Double-blind Trial

Vitamin D deficiency is associated with the risk of developing MS. Vitamin D treatment has therefore been tested as a background treatment for this pathology, with a seemingly modest clinical effect. Indeed, the first therapeutic trials using high doses of vitamin D (SOLAR and CHOLINE) did not show a significant effect on short-term relapses. However, these two studies showed a significant decrease in the radiological activity of MS on MRI, suggesting a significant immunomodulatory efficacy but a weak clinical benefit in the short term.

Vitamin D has a pleiotropic effect on the immune system inducing overall immunomodulation through transcriptomic modulations, under the control of many individual genetic factors. However, in vivo, only one therapeutic trial has compared the immunological effect of Vitamin D in healthy subjects and in patients with a first demyelinating episode. Analysis of PBMC by flow cytometric cell sorting based on a very small number of markers (CD3, CD8, IL-17, IFN-g) did not find any significant quantitative modulation of Th17 or of their production of IL-10, IL-17 and IFN-g after treatment with Vitamin D measured by ELISA. However, the evolution of anti-inflammatory lymphocyte populations has not been evaluated. A few in vitro studies suggest that the effect of vitamin D may be incomplete on the lymphocytes of MS patients.

The study investigators will use an immunological FACS approach to describe activation markers and measure the intensity of changes induced in healthy subjects after 3 months of high-dose cholecalciferol versus placebo treatment using the same protocol as the D-Lay MS (NCT01817166) study.

Being tested
Vitamin D, Placebo
Keywords
Multiple sclerosis, Immunomodulation, lymphocyte subset
Medical subject headings
Vitamin D Deficiency, Multiple Sclerosis

What participants receive

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

  • Vitamin DDrug

    100,000 UI

  • PlaceboDrug

    The placebo is identical in appearance to the active treatment: a drinkable solution in ampoules that is clear, yellowish in color with a slightly lemony odor and an oily, slightly sweet, lemony taste.

Study groups in NCT05654818
Study groupRoleWhat they receive
Vitamin DExperimentalNot described
Receives: Drug: Vitamin D
ControlPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Change in Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD3+/CD4+

    Measured: Month 3

  2. Change in T helper1 (Th1) Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3+ /CCR6-

    Measured: Month 3

  3. Change in Th1*Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3+/CCR+

    Measured: Month 3

  4. Change in naive Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/CCR7+

    Measured: Month 3

  5. Change in effector memory Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/CCR7-

    Measured: Month 3

  6. Change in central memory Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/CCR7+

    Measured: Month 3

  7. Change in Teffector memory RA+ Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/CCR7-

    Measured: Month 3

  8. Change in FOXP3 Treg / Treg Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD25+/CD127+/FOXP3+

    Measured: Month 3

  9. Change in naive Treg Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/FOXP3+

    Measured: Month 3

  10. Change in memory Treg Lymphocyte T CD4+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/FOXP3+

    Measured: Month 3

  11. Change in Tr1 Lymphocyte T cells CD4+ since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD49b+/LAG3+

    Measured: Month 3

  12. Change in Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD3+/CD4-

    Measured: Month 3

  13. Change in naive Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/CCR7+

    Measured: Month 3

  14. Change in effector memory Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/CCR7-

    Measured: Month 3

  15. Change in central memory Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/CCR7+

    Measured: Month 3

  16. Change in Teffector memory RA+ Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/CCR7-

    Measured: Month 3

  17. Change in Tc1 Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3+/CCR6-

    Measured: Month 3

  18. Change in Tc1* Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3+/CCR6+

    Measured: Month 3

  19. Change in Tc2 Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3-/CCR6-

    Measured: Month 3

  20. Change in Tc17 Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CXCR3-/CCR6+

    Measured: Month 3

  21. Change in CD8 Tcreg / TcReg Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD25+/CD127+/FOXP3+

    Measured: Month 3

  22. Change in naive Tcreg Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA+/FOXP3+

    Measured: Month 3

  23. Change in memory Tcreg Lymphocyte T CD8+ cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD45RA-/FOXP3+

    Measured: Month 3

  24. Change in Lymphocyte B cells since baseline

    Percentage variation measured by Fluorescence Activated Cell Sorting of cells CD19+

    Measured: Month 3

Secondary outcomes (21)
  1. lymphocyte subpopulations change in CD6 phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  2. lymphocyte subpopulations change in CD162 phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  3. lymphocyte subpopulations change in CD226 phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  4. lymphocyte subpopulations change in CD46 phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  5. lymphocyte subpopulations change in CD11a phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  6. lymphocyte subpopulations change in CD49d phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  7. lymphocyte subpopulations change in CLA phenotype after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  8. Change in production of cytokine IL-10 in lymphocyte subpopulations after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  9. Change in production of cytokine IFNg in lymphocyte subpopulations after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  10. Change in production of cytokine IL-17 in lymphocyte subpopulations after 3 months of high dose vitamin D treatment or placebo

    Measured by Fluorescence Activated Cell Sorting of cells

    Measured: Month 3

  11. Change in plasma Vitamin D levels 3 months after baseline of high dose Vitamin D treatment versus placebo

    Determination of 25-OH-D2 and 25-OH-D3 forms in nmol/L in plasma with the "vitamin D total II" kit

    Measured: Month 3

  12. Change in 16sRNA levels 3 months after baseline of high dose Vitamin D treatment versus placebo

    Measured: Month 3

  13. Nature of gut microbiota taxonomy 3 months after high dose Vitamin D treatment versus placebo

    Number of operational taxonomic units

    Measured: Month 3

  14. Nature of blood microbiota taxonomy 3 months after high dose Vitamin D treatment versus placebo

    Number of operational taxonomic units

    Measured: Month 3

  15. Percentage of gut microbiota taxonomy 3 months after high dose Vitamin D treatment versus placebo

    Percentage of operational taxonomic units

    Measured: Month 3

  16. Percentage of blood microbiota taxonomy 3 months after high dose Vitamin D treatment versus placebo

    Percentage of operational taxonomic units

    Measured: Month 3

  17. Diversity of gut microbiota 3 months after high dose Vitamin D treatment versus placebo

    Shannon index

    Measured: Month 3

  18. Diversity of blood microbiota 3 months after high dose Vitamin D treatment versus placebo

    Shannon index

    Measured: Month 3

  19. Beta diversity of gut microbiota 3 months after high dose Vitamin D treatment versus placebo

    Bray-Curtis index

    Measured: Month 3

  20. Beta diversity of blood microbiota 3 months after high dose Vitamin D treatment versus placebo

    Bray-Curtis index

    Measured: Month 3

  21. Describing the genetic determinants of vitamin D response using a Single Nucleotide Polymorphism (SNP) database

    Description of individual SNPs

    Measured: Month 3

Timeline

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

  1. First posted16 Dec 2022
  2. Study start13 Apr 2023
  3. Primary completion10 Oct 2023
  4. Study completion10 Oct 2023

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05654818
Sponsor's protocol ID
CIVI/2021/ET-01
Other IDs
2022-002157-25
Acronym
VDSS
Status last verified
Dec 2025
First submitted
8 Dec 2022
Last updated
10 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin D in people with Vitamin d Deficiency, run by Centre Hospitalier Universitaire de Nīmes at 1 site in France.

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 16 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 10 Dec 2025. 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 France. 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?

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?

Change in Lymphocyte T CD4+ cells since baseline (time frame: Month 3). The study lists 24 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 10 Dec 2025.

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