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N/A Completed N=57 Other

Pharmacokinetics of Vitamin D in Multiple Sclerosis and in Health

Multiple Sclerosis, Relapsing-remitting
Source: ClinicalTrials.gov NCT01667796 ↗
Enrolled (actual)
57
Serious AEs
0.0%
Results posted
Feb 2016
Primary outcomePrimary: Change in Mean Serum Level of 25-hydroxyvitamin D — 65.9; 82.4 nmol/L — p=0.001

Summary

This is a pilot study of oral vitamin D supplementation to determine if patients with Multiple Sclerosis (MS) and healthy individuals attain a similar increase in serum 25-hydroxyvitamin D levels. The investigators will also assess whether the immunologic or relevant gene expression response to oral vitamin D supplementation differs in patients with MS and healthy controls.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Mean Serum Level of 25-hydroxyvitamin D
65.9; 82.4 0.001 sig
SECONDARY
Change in Percentages of T Cell Subsets (IFNγ+ and IL-17+)
-5.2; -13.2; 0.21; -0.17
SECONDARY
Gene Expression Microarray
SECONDARY
Change in Cytokine Levels
SECONDARY
Change in Percentage of B Cells

Eligibility Criteria

Inclusion Criteria

  • Female
  • Healthy or multiple sclerosis
  • Aged 18 to 60
  • Body mass index is between 18 kg/m2 and 30 kg/m2
  • Screening 25-hydroxyvitamin D level ≤ 75 nmol/L (30 ng/mL)
  • White race
  • Non-Hispanic ethnicity
  • Willing to use birth control during study
  • Willing to not use tanning bed during study

If subject has multiple sclerosis:

  • Relapsing-remitting MS, as defined by McDonald 2005 criteria
  • Screening Expanded Disability Status Scale score ≤ 3.0
  • Using no medication for MS, or taking Copaxone, (glatiramer acetate), interferons, or natalizumab

Exclusion Criteria

  • Pregnant or nursing
  • Taking multivitamin & unwilling to remain off it during study
  • Taking cod liver oil & unwilling to remain off it during study
  • On a fat-restricted diet
  • History of renal disease or nephrolithiasis (kidney stones)
  • History of liver disease
  • Taking thiazide diuretics
  • History of hyperthyroidism
  • History of infection with Mycobacterium species
  • History of sarcoidosis
  • History of cancer
  • History of cardiac disease
  • History of HIV
  • History of gastrointestinal disorder
  • Taking medications that interfere with gastrointestinal absorption
  • Cigarette smoker in past month
  • Use of illicit drugs in past month
  • Use of steroids in past month
  • History of hypercalcemia, and screening serum calcium ≤ 10 mg/dL (UCSF) or ≤ 10.7 mg/dL (Johns Hopkins)
  • History of hypercalciuria
  • Evidence of anemia (Hgb <11.0 g/dL)
  • History of other serious medical conditions
  • Taking medications that involve the P450 system or may interact with vitamin D (digoxin, diltiazem, verapamil, cimetidine, heparin, or low-molecular weight heparin)
  • Other concerns about safety from the perspective of the treating physician

If subject has MS:

-History of major heat sensitivity (leading to sun-avoidant behaviors)

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01667796). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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