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Hypovitaminosis DNCT07199829

Evaluating Response to Vitamin D3 and K2 Supplementation in Healthcare Personnel

A study testing Vitamin Arm 1, Vitamin Arm 2 and Vitamin Arm 3 in people with Hypovitaminosis D and Hypovitaminosis, run by Madigan Army Medical Center at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The main purpose of this research study is to learn about the effects of supplemental vitamin D3 and vitamin K2 on blood levels and the gut microbial community, called the gut microbiome. Read more about this study

Who is it for?
Ages 18 to 69 yearsHealthy volunteers can take part
Conditions the study is for
Hypovitaminosis D, Hypovitaminosis
What is being tested?
Vitamin Arm 1, Vitamin Arm 2 and Vitamin Arm 3
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
96 participants
Where
1 siteUnited States
Study dates
27 Mar 2025to Mar 2026
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 18 to 69 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • able to read and understand English
  • 25 OHD serum level equal to or less than 30 ng/mL
  • willing to discontinue vitamin D3 and/or K2 supplements for 4.5 months
  • military beneficiary (Active Duty, Retired, Dependent)
  • remaining employed at workplace for 6 months

Who cannot join

  • Diagnosed medical condition that prevents nutrient absorption from food (e.g. Inflammatory Bowel Disease, Celiac Disease, post-Roux-en-Y/Gastric sleeve surgery)
  • Pregnant or breastfeeding
  • Current antibiotic use or within past 3 months
  • Current anticoagulant use or within past 3 months
  • Current weight loss or fat malabsorption medication use (e.g. Glucagon-Like Peptide 1 agonists, Orlistat)
  • Allergies or sensitivities to methylcellulose, vitamin D (D3, D2), or vitamin K (K2, Menaquinone-4, Menaquinone-7)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site, 1 recruiting
  • Madigan Army Medical Center

    Tacoma, Washington, 98431

    Mary S McCarthy, PhD, 253-968-3695, mary.s.mccarthy1.civ@health.mil

    Hyojin C Yi, BSN, 253-968-2898, hyojin.c.yi.ctr@health.mil

    Recruiting

Other trials in United States

About this study

Official title: A Double-Blind Randomized Controlled Trial Evaluating Response to Vitamin D3 and K2 Supplementation Through Inflammatory Markers and the Gut Microbiome in Healthcare Personnel

The main purpose of this research study is to learn about the effects of supplemental vitamin D3 and vitamin K2 on blood levels and the gut microbial community, called the gut microbiome. There are many influences on blood levels of vitamin D and K to include your dietary intake, lifestyle behaviors (physical activity, sleep), genetic alterations in metabolism of these vitamins, and the gut microbial abundance and diversity. You will be asked to take one capsule containing vitamin D3 (125 mcg), vitamin K2 (180 mcg), a combination of vitamins D3 and K2 (same doses as previous), or a placebo powder for 90 days. You will also be asked to complete questionnaires, undergo body composition and blood pressure measurements, provide blood samples and a stool swab, all on 2 occasions about 3 - 4 months apart. By conducting this study, we aim to identify the frequency of common genetic alterations in vitamins D and K metabolism and establish the impact on the gut microbiome for the first time. Your participation in this study will last about 4 - 6 months and include up to 3 visits.

Read the detailed description

Health promotion efforts for all branches of Service aim to ensure the health and readiness of the Force. This timely, relevant study supports this effort as well as the TriService Nursing Research Program priorities of Fit and Ready Force, Care for the Caregiver, and Translate Research into Practice. In 2023, the Defense Health Agency unveiled its strategic plan through 2028 which included these two priorities, 1) 'achieving new levels of excellence by fully leveraging emerging scientific and technological advancements to optimize the health and care experience of our beneficiaries', and 2) 'creating a workplace where people are the primary focus, and the principles of high reliability nurture and energize each individual'. The previous nutrigenomics work by this research team, the expertise and enthusiasm of our new members, and the choice of diverse cohorts for this study, presents an exciting and potentially impactful extension of nutrigenomics with metagenomics of the gut microbiome to provide insight into complex nutrient pathways and specifically, the response of the gut microbial community to select micronutrients. Vitamin D and vitamin K2 are vital micronutrients that support immune, bone, gut, and cardiometabolic health with insufficiencies contributing to musculoskeletal injuries (MSKi), metabolic syndrome, cardiovascular disease, and gut dysbiosis. This Follow-On research application advances the science linking vitamin D, lifestyle behaviors, and chronic disease prevention in healthy adults by probing unexplored areas such as a key symbiotic nutrient, vitamin K2, with vitamin D3, next generation sequencing (NGS) of polymorphisms involved in vitamin metabolism pathways as well as metagenomics to assess the response of the gut microbial community to dietary and supplemental nutrients. The Specific Aims and research questions for our study include:

Specific Aim 1. Evaluate effect of vitamin D3 and K2 dietary intake and supplementation groups vs placebo group on the gut microbiome; Research Question (RQ)1.a. Will gut microbiome composition, diversity, and richness respond differently to each treatment group - vitamin D3, vitamin K2, D3+K2 versus the control group? RQ1.b. What effect will vitamin D3 and/or K2 metabolism pathway single nucleotide polymorphisms (SNPs) have on gut microbiome response?

Specific Aim 2. Assess response to vitamin supplementation with serum 25-hydroxyvitamin D [25(OH)D] and osteocalcin levels pre and post supplement; RQ2. Will selected doses, based on clinical experience and published data, achieve designated endpoints for sufficiency; serum 25(OH)D greater than 30 ng/mL and undercarboxylated osteocalcin (ucOC) within normal limits?

Specific Aim 3. Assess the influence of vitamin D and K metabolism pathway SNPs on serum 25(OH)D and osteocalcin to determine vitamin D3, K2, and D3 + K2 supplementation efficacy; RQ3. To what extent does the presence of vitamin D and/or K metabolism pathway SNPs affect supplement efficacy when comparing treatment vs control group response measured by serum biomarkers?

Specific Aim 4. Explore relationships between diet/Dietary Inflammatory Index (DII), lifestyle behaviors (steps and sleep), body composition, metabolic and inflammatory biomarkers, SNPs, and the gut microbiome from Baseline to 3 months; RQ4.a. What factors need consideration when exploring genetic and non-genetic contributions to the gut microbiome in the treatment vs control group? RQ4.b. What role do age, gender, body mass index, inflammation status, and lipid profile play in the gut microbiome composition?

Hypothesis 1: Genotypic alterations in vitamin D3 and/or K2 metabolism pathways will influence gut microbiome composition in response to supplementation.

Hypothesis 2: Genotypic alterations in vitamin D3 and/or K2 metabolism pathways will influence serum response to supplementation.

Being tested
Vitamin Arm 1, Vitamin Arm 2, Vitamin Arm 3, Placebo
Keywords
Hypovitaminosis D, Hypovitaminosis K, Gut microbiome
Medical subject headings
Vitamin D Deficiency, Avitaminosis

What participants receive

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

  • Vitamin Arm 1Dietary supplement

    Subject receives dietary supplement for 90 days

  • Vitamin Arm 2Dietary supplement

    Subject receives dietary supplement for 90 days

  • Vitamin Arm 3Dietary supplement

    Subject receives dietary supplement for 90 days

  • PlaceboOther

    Subject receives placebo for 90 days

Study groups in NCT07199829
Study groupRoleWhat they receive
Vitamin Arm 1Active comparatorVitamin D3 125 mcg taken orally once daily for 90 days
Receives: Dietary Supplement: Vitamin Arm 1
Vitamin Arm 2Active comparatorVitamin K2 180 mcg taken orally once daily for 90 days
Receives: Dietary Supplement: Vitamin Arm 2
Vitamin Arm 3Active comparatorVitamin D3 125 mcg combined with vitamin K2 180 mcg taken orally once daily for 90 days
Receives: Dietary Supplement: Vitamin Arm 3
Placebo ArmPlacebo comparatorInert capsule taken orally once daily for 90 days
Receives: Other: Placebo

What is being measured

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

  1. Gut microbiome composition

    Evaluate effect of vitamin D3 and K2 dietary intake, and assigned vitamin supplementation group versus placebo group, on the gut microbiome composition

    Measured: 90 days

  2. Gut microbiome richness

    Will use Operational Taxonomic Units, Simpson Index and /or Chao1 index to evaluate gut microbiome richness before and after vitamin supplementation vs placebo

    Measured: 90 days

  3. Gut microbiome diversity

    Will use Operational Taxonomic Units, Simpson Index and /or Chao1 index to evaluate gut microbiome diversity before and after vitamin supplementation vs placebo

    Measured: 90 days

Secondary outcomes (4)
  1. Serum 25OHD

    Response to vitamin supplementation with serum 25(OH)D level pre and post supplement

    Measured: 90 days

  2. Serum Osteocalcin level

    Response to vitamin supplementation with serum osteocalcin level pre and post supplement

    Measured: 90 days

  3. Vitamin D3 and K2 metabolic pathway variants on supplementation efficacy

    Examine vitamin D3 and K2 metabolism pathway single nucleotide polymorphisms for effect on serum 25(OH)D and osteocalcin levels

    Measured: 90 days

  4. Genetic and non-genetic factor contributions to gut microbiome composition

    Explore relationships between diet, lifestyle behaviors (steps and sleep), body composition, metabolic and inflammatory serum biomarkers, and single nucleotide polymorphisms, and the gut microbiome

    Measured: 90 days

Timeline

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

  1. First posted30 Sep 2025
  2. Study start27 Mar 2025
  3. Primary completionMar 2026 (estimated)
  4. Study completionMar 2026 (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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double-blind randomized controlled trial (RCT) with 4 arms.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
96 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07199829
Sponsor's protocol ID
225015
Other IDs
11207-N24-B11
Status last verified
Sep 2025
First submitted
6 Feb 2025
Last updated
30 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: A data sharing agreement has been developed and submitted to the Defense Health Agency; approval has been received.

Publications

  • Akimbekov NS, Digel I, Sherelkhan DK, Lutfor AB, Razzaque MS. Vitamin D and the Host-Gut Microbiome: A Brief Overview. Acta Histochem Cytochem. 2020 Jun 26;53(3):33-42. doi: 10.1267/ahc.20011. Epub 2020 Jun 16.

    PubMed 32624628
  • Levin GP, Robinson-Cohen C, de Boer IH, Houston DK, Lohman K, Liu Y, Kritchevsky SB, Cauley JA, Tanaka T, Ferrucci L, Bandinelli S, Patel KV, Hagstrom E, Michaelsson K, Melhus H, Wang T, Wolf M, Psaty BM, Siscovick D, Kestenbaum B. Genetic variants and associations of 25-hydroxyvitamin D concentrations with major clinical outcomes. JAMA. 2012 Nov 14;308(18):1898-905. doi: 10.1001/jama.2012.17304.

    PubMed 23150009
  • Ammar M, Heni S, Tira MS, Khalij Y, Hamdouni H, Amor D, Ksibi S, Omezzine A, Bouslama A. Variability in response to vitamin D supplementation according to vitamin D metabolism related gene polymorphisms in healthy adults. Eur J Clin Nutr. 2023 Feb;77(2):189-194. doi: 10.1038/s41430-022-01218-y. Epub 2022 Sep 27.

    PubMed 36167979

Questions about this trial

What is this clinical trial studying?

A study testing Vitamin Arm 1, Vitamin Arm 2 and Vitamin Arm 3 in people with Hypovitaminosis D and Hypovitaminosis, run by Madigan Army Medical Center 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 5 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 30 Sep 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 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. 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?

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?

Contact Mary S McCarthy, PhD (253-968-3695, mary.s.mccarthy1.civ@health.mil), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Gut microbiome composition (time frame: 90 days). The study lists 3 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 NCT07199829, which also lists 3 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 30 Sep 2025.

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