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Trial registered on ANZCTR
Registration number
ACTRN12609000874213
Ethics application status
Approved
Date submitted
6/10/2009
Date registered
7/10/2009
Date last updated
9/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
This is a randomised study to assess the safety and efficacy of a high dose vitamin D supplement compared to the standard vitamin D therapy in children.
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Scientific title
A study to assess the safety and efficacy of stoss therapy (high dose vitamin D supplement) compared to standard daily therapy in children diagnosed with simple vitamin D deficiency.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vitamin D deficiency
251957
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Condition category
Condition code
Diet and Nutrition
252142
252142
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
An oral intervention of 100,000 IU cholecalciferol weekly for 4 weeks with calcium supplementation 500mg daily for 4 weeks.
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Intervention code [1]
241368
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Treatment: Drugs
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Comparator / control treatment
An oral active control of 5000 IU cholecalciferol daily for 90 days with calcium supplementation 500mg daily for 90 days.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Normalisation of 25-hydroxyvitamin D levels to > 50 nmol/L by blood analysis.
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Assessment method [1]
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Timepoint [1]
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At 12 weeks following randomisation.
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Primary outcome [2]
253016
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Normalisation of alkaline phosphatase levels indicates restoration of bone mineral homeostasis by blood analysis.
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Assessment method [2]
253016
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Timepoint [2]
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At 12 weeks following randomisation.
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Secondary outcome [1]
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Safety measure of urinary calcium: creatinine ratios.
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Assessment method [1]
257814
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Timepoint [1]
257814
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At 4 and 12 weeks following randomisation.
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Secondary outcome [2]
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Safety measure of other biochemical variables by blood analysis.
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Assessment method [2]
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Timepoint [2]
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Following randomisation, blood analysis at 4 weeks to assess alkaline phosphatase concentrations and hypercalcaemia and at 12 weeks to assess for normalisation of mineral homeostasis.
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Secondary outcome [3]
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Bone Age Assessment
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Assessment method [3]
257836
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Timepoint [3]
257836
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At the baseline visit and only at 12 weeks to assess for resolution if rickets is present on x-ray.
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Secondary outcome [4]
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Adherence as assessed by return medication.
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Assessment method [4]
257837
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Timepoint [4]
257837
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At 4 weeks following randomisation for the high dose group and at 12 weeks following randomisation for the low dose group.
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Eligibility
Key inclusion criteria
Diagnosis of simple Vitamin D deficiency, <50 nmol/L.
Be under the care of Endocrinologist and / or Refugee Clinic paediatrician
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Minimum age
2
Years
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pre-existing medical condition predisposing to Vitamin D deficiency e.g malabsorption.
Bone active medication e.g bisphosphonates. anticonvulsants.
No metabolic cause for rickets
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Consent obtained after diagnosis of simple Vitamin D deficiency (<50 nmol/L) for randomise treatment for either the stoss (high dose therapy) or to the low dose standard treatment.
Concealment procedures using random number tables with equal numbers by an independent person.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using random number tables.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
140
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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The Children's Hospital at Westmead
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Address [1]
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Cnr Hainsworth Street and Hawkesbury Road. Locked Bag 4001 Westmead NSW 2145
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
The Children's Hospital at Westmead
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Address
Cnr Hainesworth Street and Hawkesbury Road Locked Bag 4001 Westmead NSW 2145
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
237191
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Country [1]
237191
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Royal Alexander Hospital for Children Ethics Committee
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Ethics committee address [1]
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Cnr Hainesworth Street and Hawkesbury Road Westmead Locked Bag 4001 Westmead NSW 2145
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
243965
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Approval date [1]
243965
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Ethics approval number [1]
243965
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2006 / 107
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Summary
Brief summary
This study is a randomised study that will investigate the safety and effacy of stoss therapy (high dose weekly vitamin D supplementation for 4 weeks) compared to daily vitamin D for 3 months. The hypothesis is that stoss vitamin D therapy is a safe and effective treatment for vitamin D deficency. If proven safe and effective, stoss therapy would have significant advantages where therapy is shortened, thus improving compliance and ultimate recovery from Vitamin D deficiency.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Craig Munns
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Address
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Genetic and Metabolic Bone Disorders
Institute of Endocrinology and Diabetes
Cnr Hainsworth Street and Hawkesbury Road Locked Bag 4001 Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 98453200
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Fax
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+61 2 98453170
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Craig Munns
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Address
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Genetic and Metabolic Bone Disorders
Institute of Endocrinology and Diabetes
Cnr Hainsworth Street and Hawkesbury Road Locked Bag 4001 Westmead NSW 2145
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Country
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Australia
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Phone
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+61 2 98453200
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Fax
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+61 2 98453170
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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