Title
Prospective Intervention Study on Vitamin D in Patients With Cystic Fibrosis
5-month Pilot Intervention Study on Vitamin D in Patients With Cystic Fibrosis
Phase
Phase 2Lead Sponsor
Karolinska InstituteStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Cystic FibrosisIntervention/Treatment
vitamin d3 ergocalciferol ...Study Participants
15The vast majority of Cystic Fibrosis (CF) patients worldwide are vitamin D insufficient. There is no evidence of benefit of vitamin D supplementation for CF patients yet. However, descriptive cross-sectional studies suggest that vitamin D might be beneficial with respect to bone health, as well as to the newly described "non-classical" functions of vitamin D such as the potential anti-diabetic and immunomodulatory effects. To prove causation, and to determine which serum vitamin D concentration is optimal for CF patients, vitamin D supplementation interventional studies are needed, such as our trial.
Patients younger than 16 years of age are administered 35,000 IU ergo-/chole-calciferol per week divided into doses 5000 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring. The intervention time is 3 months, followed by 2-months wash-out period when patients do not take any more extra vitamin D but they are still monitored. Patients 16 or more years of age are administered 50,000 IU ergo-/chole-calciferol per week divided into doses 7150 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring.
Patients younger than 16 years of age are administered 35,000 IU ergocalciferol per week divided into doses 5000 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring. Patients 16 or more years of age are administered 50,000 IU ergocalciferol per week divided into doses 7150 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring.
Patients younger than 16 years of age are administered 35,000 IU cholecalciferol per week divided into doses 5000 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring. Patients 16 or more years of age are administered 50,000 IU cholecalciferol per week divided into doses 7150 IU per day as a starting dose that is further adjusted by serum 25-hydroxy vitamin D concentration monitoring.
Patients continue their ordinary vitamin supplementation without getting extra vitamin D supplements.
Inclusion Criteria: Established diagnosis of cystic fibrosis Age 6 years and more Serum 25-hydroxy vitamin D concentration at the latest visit < 75 nmol/L Exclusion Criteria: Pregnancy or lactation Established diagnosis of CF-related diabetes CF-related liver disease Status post transplantation (lung, liver or other) Long-term corticosteroid treatment per os Hypercalcaemia or kidney stones Use of tanning beds more often than once a month At inclusion, plans to travel to a sunny location for more than 1 week during the study period Any known disorders of the endocrine system affecting vitamin D metabolism (hyperparathyroidism, malignancy, advanced renal disease) Inclusion into another study testing immunomodulatory substances