Hypovitaminosis DNCT02535910
Effect of vitaminD3 or 25(OH)D3 Fortified Dairy on Vitmain D Status and CVD Risk Markers
A study testing vitamin D3 and 25(OH) D3 in people with Hypovitaminosis D and Cardiovascular Diseases, run by University of Reading at 1 site in United Kingdom.
Trial summary
This study aims to compare the acute effect of consuming milk and butter fortified with either vitamin D3 or 25 (OH) D3 on serum/plasma vitamin D status in humans. In addition, the effect of vitamin D3 or 25 (OH) D3 in milk and butter on certain CVD risk markers and cognitive function will be examined. Read more about this study
- Who is it for?
- Ages 30 to 65 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Hypovitaminosis D, Cardiovascular Diseases
- What is being tested?
- vitamin D3 and 25(OH) D3
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 18 participants
- Where
- 1 siteUnited Kingdom
- Study dates
- Aug 2015to May 2016
- 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 30 to 65 years
- Men only
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- BMI: 20-35 kg/m2
- Glucose <7 mmol/l (not diagnosed with diabetes)
- Total cholesterol <7 mmol/l
- TAG <4 mmol/l
- Serum 25(OH)D3 ≤50 nmol/L
- Normal liver and kidney function
- Haemoglobin: adult male >125 g/L
Who cannot join
- Milk allergy/intolerance or lactose intolerance
- Cardiovascular, renal, gastrointestinal, respiratory, endocrine disease or cancer
- Use of nutritional supplements, particularly those containing vitamin D
- Outdoor workers and use of tanning beds
- Overseas holidays two months before or during study period
Trial locations and contacts
1 site in 1 country.
United Kingdom1 site
Hugh Sinclair Unit of Human Nutrition, Department of Food and Nutritional Sciences, University of Reading
Reading, Berkshire, RG6 6AP
About this study
Official title: Fortification of Milk and Butter With Either vitaminD3 or 25(OH)D3: The Effect on Vitamin D Status and Cardiovascular Disease Risk Markers in Humans
This study aims to compare the acute effect of consuming milk and butter fortified with either vitamin D3 or 25 (OH) D3 on serum/plasma vitamin D status in humans. In addition, the effect of vitamin D3 or 25 (OH) D3 in milk and butter on certain CVD risk markers and cognitive function will be examined.
Read the detailed description
There is mounting evidence to show that vitamin D deficiency may increase the risk of many common and serious diseases, including osteoporosis, cardiovascular disease, some cancers and type 1 diabetes (Holick and Chen, 2008). Hypovitaminosis D is now prevalent in the UK general population. Due to diet and lifestyle changes and the use of sun block products most people do not endogenously synthesise sufficient vitamin D from sunlight exposure (Hyppönen and Power, 2007). Therefore, vitamin D intakes from dietary sources have become very important, however this is limited as there are only a few foods naturally rich in vitamin D.
Some countries (e.g. USA, Canada) fortify milk with vitamin D which results in milk being the major contributor to vitamin D intake. Vitamin D3 is the most common form used for the fortification of currently fortified foods. However, there is now some evidence that 25(OH)D3 can increase vitamin D status of humans more effectively than vitamin D3 (Bischoff-Ferrari et al, 2012; Cashman et al, 2012). To our knowledge, very few human intervention studies have compared the efficacy of 25(OH)D3 versus vitamin D3 to increase vitamin D status, and there has been no acute human study to examine the effect of the both forms of vitamin D fortified dairy products on vitamin D status in humans.
- Conditions
- Hypovitaminosis D, Cardiovascular Diseases
- Being tested
- vitamin D3, 25(OH) D3, Control
- Keywords
- vitamin D3, 25(OH)D3, vitamin D status, risk factors of cardiovascular diease
- Medical subject headings
- Vitamin D Deficiency, Cardiovascular Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
vitamin D3Dietary supplement
Also called cholecalciferol
Subjects are asked to consume a breakfast rich in 20 µg vitamin D3
25(OH) D3Dietary supplement
Also called calcifediol
Subjects are asked to consume a breakfast rich in 20 µg 25(OH)D3
ControlDietary supplement
Subjects are asked to consume a breakfast without vitamin D
| Study group | Role | What they receive |
|---|---|---|
| breakfast rich in vitamin D3 | Experimental | subjects are asked to consume a breakfast with (20µg) vitamin D3 fortified milk and butter Receives: Dietary Supplement: vitamin D3 |
| breakfast rich in 25(OH) D3 | Experimental | subjects are asked to consume a breakfast with (20µg) 25(OH) D3 fortified milk and butter Receives: Dietary Supplement: 25(OH) D3 |
| Control | Placebo comparator | subjects are asked to consume a normal milk and butter (no vitamin D is added) in the breakfast Receives: Dietary Supplement: Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in the concentrations of vitamin D3, 25(OH)D3, 1, 25(OH)2D3 of the blood
Measured: Acute study: measured at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour
Change from baseline in the concentrations of vitamin D3 and 25(OH)D3 of the chylomicron
Measured: Acute study: measured at 0 (baseline), 3, 6, 8 hour
Secondary outcomes (8)
change from baseline in vascular reactivity measured by Endo-PAT
Measured: Acute study: measured at 0 (baseline) and the 24 hour
change from baseline in vascular reactivity measured by digital volume pulse (DVP)
Measured: Acute study: measured at 0 (baseline), 120, 240, 360, 480 min and 24 hour
change from baseline in plasma lipids (primarily triacylglycerol, apolipoprotein B, apolipoprotein B-48, apolipoprotien B-100, total-cholesterol, HDL-cholesterol, non-esterified fatty acids)
non-esterified fatty acids, apolipoprotein B, apolipoprotein B-48, apolipoprotein B-100 are taken at 0(baseline), 60, 120, 240, 360, 480 min and 24 hour; triacylglycerol is taken at 0, 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour; total and HDL-cholesterol only be measured at 0 (baseline)
Measured: from 0 to 24 hour, but different measured time points for diferent lipids
change from baseline in markers of insulin resistance (glucose and insulin)
Measured: Acute study: measured at 0, 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour
change from baseline in nitric oxide
Measured: Acute study: measured at 0, 60, 120, 240, 360, 480 min and 24 hour
change from baseline in inflammatory markers (tumor necrosis factor alpha, C-reactive protein and interleukin 6) of the blood
Measured: Acute study: measured at 0, 60, 120, 240, 360, 480 min and 24 hour
change from baseline in blood pressure
Measured: Acute study: measured at 0, 120, 240, 360, 480 min and 24 hour
change from baseline in cognitive test
Trail Making Test (TMT) will be used for cognitive test, which can provides information on visual search, scanning, speed of processing, mental flexibility, and executive function. The TMT consists of two parts: TMT-A requires a participant to draw lines sequentially connecting 25 encircled numbers distributed on a computer screen, whilst in the TMT-B the participant must alternate between numbers and letters (e.g., 1, A, 2, B, 3, C, etc.). TMT-A and TMT-B will be administered using a laptop computer. Results from this two tasks reported as the number of seconds required to complete the task (completion time). The longer time spent reveal greater cognitive impairment."
Measured: Acute study: measured at 0, 480 min and 24 hour
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Aug 2015 (estimated)
- Study startAug 2015
- Primary completionDec 2015 (estimated)
- Study completionMay 2016 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hypovitaminosis DStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 18 participants (estimated)
Sponsor and investigators
- Lead sponsor
- University of Reading
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Julie Lovegrove, University of Reading
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02535910
- Sponsor's protocol ID
- VitD
- Status last verified
- Sep 2015
- First submitted
- 28 Jul 2015
- Last updated
- 24 Sep 2015
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Guo J, Jackson KG, Che Taha CSB, Li Y, Givens DI, Lovegrove JA. A 25-Hydroxycholecalciferol-Fortified Dairy Drink Is More Effective at Raising a Marker of Postprandial Vitamin D Status than Cholecalciferol in Men with Suboptimal Vitamin D Status. J Nutr. 2017 Nov;147(11):2076-2082. doi: 10.3945/jn.117.254789. Epub 2017 Sep 20.
PubMed 28931588
Study at a glance
From the registry record, last updated by the sponsor on 24 Sep 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Fortification of Milk and Butter With Either vitaminD3 or 25(OH)D3: The Effect on Vitamin D Status and Cardiovascular Disease Risk Markers in Humans
- ClinicalTrials.gov ID
- NCT02535910
- Acronym / sponsor ID
- VitD
- Conditions
- Hypovitaminosis D, Cardiovascular Diseases
- Keywords
- vitamin D3, 25(OH)D3, vitamin D status, risk factors of cardiovascular diease
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 18 participants (estimated)
- Lead sponsor
- University of ReadingUniversity, hospital or other
- Study start
- Aug 2015
- Primary completion
- Dec 2015 (estimated)
- Study completion
- May 2016 (estimated)
- First posted
- 31 Aug 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to compare the acute effect of consuming milk and butter fortified with either vitamin D3 or 25 (OH) D3 on serum/plasma vitamin D status in humans. In addition, the effect of vitamin D3 or 25 (OH) D3 in milk and butter on certain CVD risk markers and cognitive function will be examined.
Detailed description
There is mounting evidence to show that vitamin D deficiency may increase the risk of many common and serious diseases, including osteoporosis, cardiovascular disease, some cancers and type 1 diabetes (Holick and Chen, 2008). Hypovitaminosis D is now prevalent in the UK general population. Due to diet and lifestyle changes and the use of sun block products most people do not endogenously synthesise sufficient vitamin D from sunlight exposure (Hyppönen and Power, 2007). Therefore, vitamin D intakes from dietary sources have become very important, however this is limited as there are only a few foods naturally rich in vitamin D.
Some countries (e.g. USA, Canada) fortify milk with vitamin D which results in milk being the major contributor to vitamin D intake. Vitamin D3 is the most common form used for the fortification of currently fortified foods. However, there is now some evidence that 25(OH)D3 can increase vitamin D status of humans more effectively than vitamin D3 (Bischoff-Ferrari et al, 2012; Cashman et al, 2012). To our knowledge, very few human intervention studies have compared the efficacy of 25(OH)D3 versus vitamin D3 to increase vitamin D status, and there has been no acute human study to examine the effect of the both forms of vitamin D fortified dairy products on vitamin D status in humans.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| breakfast rich in vitamin D3 | Experimental | Dietary Supplement: vitamin D3subjects are asked to consume a breakfast with (20µg) vitamin D3 fortified milk and butter |
| breakfast rich in 25(OH) D3 | Experimental | Dietary Supplement: 25(OH) D3subjects are asked to consume a breakfast with (20µg) 25(OH) D3 fortified milk and butter |
| Control | Placebo comparator | Dietary Supplement: Controlsubjects are asked to consume a normal milk and butter (no vitamin D is added) in the breakfast |
Who may qualify
- Ages
- 30 to 65 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- BMI: 20-35 kg/m2
- Glucose <7 mmol/l (not diagnosed with diabetes)
- Total cholesterol <7 mmol/l
- TAG <4 mmol/l
- Serum 25(OH)D3 ≤50 nmol/L
Key exclusion criteria (5 listed)
- Milk allergy/intolerance or lactose intolerance
- Cardiovascular, renal, gastrointestinal, respiratory, endocrine disease or cancer
- Use of nutritional supplements, particularly those containing vitamin D
- Outdoor workers and use of tanning beds
- Overseas holidays two months before or during study period
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| vitamin D3Also: cholecalciferolSubjects are asked to consume a breakfast rich in 20 µg vitamin D3 | Dietary supplement | breakfast rich in vitamin D3 |
| 25(OH) D3Also: calcifediolSubjects are asked to consume a breakfast rich in 20 µg 25(OH)D3 | Dietary supplement | breakfast rich in 25(OH) D3 |
| ControlSubjects are asked to consume a breakfast without vitamin D | Dietary supplement | Control |
Primary outcome
Change from baseline in the concentrations of vitamin D3, 25(OH)D3, 1, 25(OH)2D3 of the blood
Time frame: Acute study: measured at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour
Change from baseline in the concentrations of vitamin D3 and 25(OH)D3 of the chylomicron
Time frame: Acute study: measured at 0 (baseline), 3, 6, 8 hour
8 secondary outcomes
change from baseline in vascular reactivity measured by Endo-PAT
Time frame: Acute study: measured at 0 (baseline) and the 24 hour
change from baseline in vascular reactivity measured by digital volume pulse (DVP)
Time frame: Acute study: measured at 0 (baseline), 120, 240, 360, 480 min and 24 hour
change from baseline in plasma lipids (primarily triacylglycerol, apolipoprotein B, apolipoprotein B-48, apolipoprotien B-100, total-cholesterol, HDL-cholesterol, non-esterified fatty acids)
Time frame: from 0 to 24 hour, but different measured time points for diferent lipids
change from baseline in markers of insulin resistance (glucose and insulin)
Time frame: Acute study: measured at 0, 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour
change from baseline in nitric oxide
Time frame: Acute study: measured at 0, 60, 120, 240, 360, 480 min and 24 hour
change from baseline in inflammatory markers (tumor necrosis factor alpha, C-reactive protein and interleukin 6) of the blood
Time frame: Acute study: measured at 0, 60, 120, 240, 360, 480 min and 24 hour
change from baseline in blood pressure
Time frame: Acute study: measured at 0, 120, 240, 360, 480 min and 24 hour
change from baseline in cognitive test
Time frame: Acute study: measured at 0, 480 min and 24 hour
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Sep 2015.
- Derived from this study: PubMed 28931588Guo J, Jackson KG, Che Taha CSB, Li Y, Givens DI, Lovegrove JA. A 25-Hydroxycholecalciferol-Fortified Dairy Drink Is More Effective at Raising a Marker of Postprandial Vitamin D Status than Cholecalciferol in Men with Suboptimal Vitamin D Status. J Nutr. 2017 Nov;147(11):2076-2082. doi: 10.3945/jn.117.254789. Epub 2017 Sep 20.
Related trials for Hypovitaminosis D
RecruitingPhase 1/2
A First-in-human Study of KK8123 in Adults With X-linked Hypophosphatemia
X-linked Hypophosphatemia
Not yet recruitingPhase 2
REducing Systemic Inflammation With LOw-dose Colchicine to ImproVE Cardiovascular Calcification in Chronic Kidney Disease: A Pilot Randomized Open-Label Trial
Chronic Kidney Disease Mineral and Bone Disorder, Cognitive Function
Recruiting
Role of Vitamin D Supplementation in Children With Irritable Bowel Syndrome
Irritable Bowel Syndrome (IBS), Vitamin D Deficiency
RecruitingObservational study
Post Marketing Surveillance Study to Observe Safety and Effectiveness of CRYSVITA® in S. Korean Patients
FGF23-related Hypophosphataemic Rickets and Osteomalacia
Not yet recruiting
Effect of Vitamin D Supplementation Added to Iron Therapy in Children With Iron Deficiency Anemia
Iron Deficiency Anemia
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing vitamin D3 and 25(OH) D3 in people with Hypovitaminosis D and Cardiovascular Diseases, run by University of Reading at 1 site in United Kingdom.
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 7 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: status not confirmed, as of the sponsor's last update on 24 Sep 2015. 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 Kingdom. 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?
Results are not available in the source record.
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 from baseline in the concentrations of vitamin D3, 25(OH)D3, 1, 25(OH)2D3 of the blood (time frame: Acute study: measured at 0 (baseline), 30, 60, 90, 120, 180, 240, 300, 360, 420, 480 min and 24 hour). 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 NCT02535910, 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 24 Sep 2015.