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BronchiolitisPhase 2/3NCT05795933

Efficacy of Vitamin D Supplementation for Children With Bronchiolitis

A Phase 2/3 study testing Vitamin D3 in people with Bronchiolitis, run by Sohag University at 1 site in Egypt.

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 plays an important role in enhancing mucosal immune defense, decreasing excessive inflammation, and increasing mucociliary clearance. Experimental studies have shown that vitamin D reduces inflammation of epithelial cells in airways infected with Respiratory Syncytial Virus and confers antiviral effects. Read more about this study

Who is it for?
Ages 3 to 24 months
Conditions the study is for
Bronchiolitis
What is being tested?
Vitamin D3
Could I receive a placebo?
No, everyone receives an active treatment
How many people
146 participants
Where
1 siteEgypt
Study dates
1 Apr 2023to 14 Jul 2024
Phase
Phase 2/3
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 3 to 24 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age between 3 to 24 months.
  • Clinical diagnosis of first episode of bronchiolitis
  • First 24 hours of admission.
  • Stable or decreasing requirement for oxygen on 2 measurements 2 hours apart.
  • Pulse rate less than 180 beat/minute.
  • Respiratory rate less than 80 breath/min.
  • Oxygen supplementation < 40% Fraction of inspired oxygen or < 2 L/min by nasal prong
  • Not on high flow nasal cannula, continuous positive airway pressure, or mechanical ventilation at the time of enrollment.

Who cannot join

  • .• History of previous episodes of wheezing.
  • History of apnea
  • Need for positive pressure support or high flow nasal cannula at the time of enrollment.
  • Chronic lung disease (requiring home oxygen, or pulmonary hypertension)
  • Cardiac disease (cyanotic, hemodynamically significant [requiring diuretics], or pulmonary hypertension).
  • Neuromuscular disease.
Show all 14Show fewer
  • Metabolic disease.
  • Immunodeficiency.
  • Chromosomal abnormalities.
  • Craniofacial malformation
  • Hemoglobinopathy.
  • Hypercalcemia
  • Chromosomal abnormalities
  • Use of large doses of vitamin D (> 400 IU/day) in the last month.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Sohag University Hospital

    Sohag, 82524

Other trials in Egypt

About this study

Official title: Efficacy of Vitamin D Supplementation for Children With Bronchiolitis at Sohag University Hospital

Vitamin D plays an important role in enhancing mucosal immune defense, decreasing excessive inflammation, and increasing mucociliary clearance. Experimental studies have shown that vitamin D reduces inflammation of epithelial cells in airways infected with Respiratory Syncytial Virus and confers antiviral effects. Furthermore, several studies have shown lower serum vitamin D levels in hospitalized children with bronchiolitis. However, studies on the efficacy of Vitamin D supplementation for children with bronchiolitis are scarce with inconsistent findings. In this study, we aim to evaluate the efficacy of vitamin D supplementation in children with bronchiolitis.

Read the detailed description

Bronchiolitis is the most frequent lower respiratory tract infection in children under two years of age, which represents a major cause of medical visits, hospital admissions, and death. This disease predominantly affects small airways with acute inflammatory edema epithelial cells, excess mucus production, and bronchospasm. The most commonly involved organisms are Respiratory Syncytial Virus (accounting for 60% of cases), followed by Rhinovirus, Parainfluenza, Metapneumovirus, Influenza, and Adenovirus. Certain factors are associated with a higher risk of severe bronchiolitis, such as prematurity, chronic lung disease, cardiac disease, immunodeficiency, neuromuscular disease, and Down syndrome.

Diagnosis of bronchiolitis relies on a constellation of clinical manifestations, including respiratory distress and wheezing preceded by viral upper respiratory tract prodrome in children under two years of age. Common manifestations of bronchiolitis are rhinorrhea, cough, wheezing, tachypnea, and increased work of breathing, including nasal flaring, retractions, and grunting. Management of bronchiolitis is mainly supportive, aiming at maintaining adequate oxygenation and hydration.

Given the high burden of bronchiolitis and the lack of specific treatment, studies have investigated several therapeutic options. One of these potential therapies is vitamin D. Vitamin D is a fat-soluble vitamin that is mainly formed in the skin after exposure to ultraviolet rays, while less than 10% is obtained from dietary sources. Besides regulation of calcium and phosphorus homeostasis, vitamin D plays an important role in enhancing mucosal immune defense, decreasing excessive inflammation, and increasing mucociliary clearance. Vitamin D deficiency is common among children, particularly in developing countries, and has been linked to an increased risk of several diseases, including bronchiolitis, pneumonia, and otitis media.

Experimental studies have shown that vitamin D reduces inflammation of epithelial cells in airways infected with Respiratory Syncytial Virus and confers antiviral effects. Furthermore, several studies have shown lower serum vitamin D levels in hospitalized children with bronchiolitis. However, studies on the efficacy of Vitamin D supplementation for children with bronchiolitis are scarce with inconsistent findings.

In this study, we aim to evaluate the efficacy of vitamin D supplementation in children with bronchiolitis.

Conditions
Bronchiolitis
Being tested
Vitamin D3
Keywords
Bronchiolitis, Vitamin D, Children
Medical subject headings
Bronchiolitis

What participants receive

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

  • Vitamin D3Drug

    Also called Cholecalciferol, Devarol

    A single dose of intramuscular 200,000 IU vitamin D3 within 24 hours of admission

Study groups in NCT05795933
Study groupRoleWhat they receive
Study groupExperimentalChildren receive a single dose of intramuscular 200,000 IU vitamin D3
Receives: Drug: Vitamin D3
Control groupNo interventionChildren receiving only the standard recommended dose of vitamin D3 as 400 IU/day orally

What is being measured

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

  1. Time from randomization to discharge

    Time from randomization to hospital discharge (in hours)

    Measured: 4 weeks

Secondary outcomes (11)
  1. Time from randomization to discontinuation of oxygen therapy

    Time from randomization to discontinuation of oxygen therapy (in hours)

    Measured: 4 weeks

  2. Time from randomization to discontinuation of intravenous fluids

    Time from randomization to discontinuation of intravenous fluids (in hours)

    Measured: 4 weeks

  3. Time from randomization to meeting discharge criteria

    Time from randomization to meeting hospital discharge criteria (in hours)

    Measured: 4 weeks

  4. Time from hospital admission to discharge

    Time from hospital admission to discharge (in hours)

    Measured: 4 weeks

  5. Blood level of 25-hydroxycholecalciferol

    Blood level of 25-hydroxycholecalciferol

    Measured: On day 3 after randomization

  6. Serum level of ionized calcium

    Serum level of ionized calcium

    Measured: On day 3 after randomization

  7. Admission to pediatric intensive care unit

    Proportion of patients admitted to pediatric intensive care unit

    Measured: 4 weeks

  8. Intubation

    Proportion of patients who underwent endotracheal intubation

    Measured: 4 weeks

  9. Mortality

    Proportion of patients who died during hospital admission

    Measured: 4 weeks

  10. Bronchodilator therapy

    Proportion of patients who received bronchodilator therapy

    Measured: 4 weeks

  11. Systemic steroids

    Proportion of patients who received systemic steroids

    Measured: 4 weeks

Timeline

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

  1. First posted3 Apr 2023
  2. Study start1 Apr 2023
  3. Primary completion22 Jun 2024
  4. Study completion14 Jul 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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Two groups of children with bronchiolitis: Study group: will receive a single dose of intramuscular 200,000 IU vitamin D3 within 24 hours of admission. Control group: will receive the standard recommended dose of vitamin D3 as 400 IU/day orally
Masking
None (open label)
Enrolment
146 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05795933
Sponsor's protocol ID
Soh-Med-23-03-11MS
Status last verified
Oct 2024
First submitted
8 Mar 2023
Last updated
29 Oct 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Unidentified patients' data will be available upon reasonable request after publication

Publications

  • Manti S, Staiano A, Orfeo L, Midulla F, Marseglia GL, Ghizzi C, Zampogna S, Carnielli VP, Favilli S, Ruggieri M, Perri D, Di Mauro G, Gattinara GC, D'Avino A, Becherucci P, Prete A, Zampino G, Lanari M, Biban P, Manzoni P, Esposito S, Corsello G, Baraldi E. UPDATE - 2022 Italian guidelines on the management of bronchiolitis in infants. Ital J Pediatr. 2023 Feb 10;49(1):19. doi: 10.1186/s13052-022-01392-6.

    PubMed 36765418
  • Ralston SL, Lieberthal AS, Meissner HC, Alverson BK, Baley JE, Gadomski AM, Johnson DW, Light MJ, Maraqa NF, Mendonca EA, Phelan KJ, Zorc JJ, Stanko-Lopp D, Brown MA, Nathanson I, Rosenblum E, Sayles S 3rd, Hernandez-Cancio S; American Academy of Pediatrics. Clinical practice guideline: the diagnosis, management, and prevention of bronchiolitis. Pediatrics. 2014 Nov;134(5):e1474-502. doi: 10.1542/peds.2014-2742.

    PubMed 25349312
  • Munns CF, Shaw N, Kiely M, Specker BL, Thacher TD, Ozono K, Michigami T, Tiosano D, Mughal MZ, Makitie O, Ramos-Abad L, Ward L, DiMeglio LA, Atapattu N, Cassinelli H, Braegger C, Pettifor JM, Seth A, Idris HW, Bhatia V, Fu J, Goldberg G, Savendahl L, Khadgawat R, Pludowski P, Maddock J, Hypponen E, Oduwole A, Frew E, Aguiar M, Tulchinsky T, Butler G, Hogler W. Global Consensus Recommendations on Prevention and Management of Nutritional Rickets. J Clin Endocrinol Metab. 2016 Feb;101(2):394-415. doi: 10.1210/jc.2015-2175. Epub 2016 Jan 8.

    PubMed 26745253
  • Esposito S, Lelii M. Vitamin D and respiratory tract infections in childhood. BMC Infect Dis. 2015 Oct 28;15:487. doi: 10.1186/s12879-015-1196-1.

    PubMed 26521023
  • Golan-Tripto I, Loewenthal N, Tal A, Dizitzer Y, Baumfeld Y, Goldbart A. Vitamin D deficiency in children with acute bronchiolitis: a prospective cross-sectional case- control study. BMC Pediatr. 2021 Apr 30;21(1):211. doi: 10.1186/s12887-021-02666-4.

    PubMed 33931018
  • Khoshnevisasl P, Sadeghzadeh M, Kamali K, Ardalani A. A randomized clinical trial to assess the effect of zinc and vitamin D supplementation in addition to hypertonic saline on treatment of acute bronchiolitis. BMC Infect Dis. 2022 Jun 13;22(1):538. doi: 10.1186/s12879-022-07492-2.

    PubMed 35692038
  • Wang EE, Milner RA, Navas L, Maj H. Observer agreement for respiratory signs and oximetry in infants hospitalized with lower respiratory infections. Am Rev Respir Dis. 1992 Jan;145(1):106-9. doi: 10.1164/ajrccm/145.1.106.

    PubMed 1731571
  • Brustad N, Yousef S, Stokholm J, Bonnelykke K, Bisgaard H, Chawes BL. Safety of High-Dose Vitamin D Supplementation Among Children Aged 0 to 6 Years: A Systematic Review and Meta-analysis. JAMA Netw Open. 2022 Apr 1;5(4):e227410. doi: 10.1001/jamanetworkopen.2022.7410.

    PubMed 35420658
  • Sarhan AA, Saeed NM, Mostafa AA, Osman AM. Vitamin D supplementation for acute bronchiolitis: a double-blind randomized controlled trial. Alexandria Journal of Pediatrics. 2019;32(2):61.

  • Saad K, Abd Aziz NH, El-Houfey AA, El-Asheer O, Mohamed SA, Ahmed AE, Abdel Baseer KA, Darwish MM. Trial of vitamin D supplementation in infants with bronchiolitis: a randomized, double-blind, placebo-controlled study. Pediatric Allergy, Immunology, and Pulmonology. 2015;28(2):102-6

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Vitamin D3 in people with Bronchiolitis, run by Sohag 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 8 inclusion and 14 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 29 Oct 2024. 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.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Time from randomization to discharge (time frame: 4 weeks). 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 NCT05795933, which also lists 10 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 29 Oct 2024.

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