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Trial registered on ANZCTR
Registration number
ACTRN12609001063202
Ethics application status
Approved
Date submitted
9/12/2009
Date registered
10/12/2009
Date last updated
9/01/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
A pilot trial of vitamin D for the reduction of chronic disease and mortality in older adults.
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Scientific title
A randomised placebo-controlled double-blind trial with participants randomised to receive either placebo, 60,000 International Units per month (IU/month) of vitamin D3 or 30,000 IU/month of vitamin D3, each taken once a month for 12 months with an aim to determine the feasibility and inform the design of a large-scale randomised, placebo-controlled chemoprevention trial of vitamin D3 (cholecalciferol) for the reduction of total mortality.
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Secondary ID [1]
1181
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None
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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:
This trial is using healthy volunteers from the electoral roll. The overall aim of this study is to determine the feasibility and inform the design of a large-scale randomised, placebo-controlled chemoprevention trial of vitamin D3 (cholecalciferol) for the reduction of total mortality.
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Condition category
Condition code
Public Health
252513
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0
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Other public health
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention 1: 30,000 IU/month of vitamin D3 (cholecalciferol) for 12 months.
Intervention 2: 60,000 IU/month of vitamin D3 for 12 months.
The vitamin D3 and placebo will be supplied as identical capsules.
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Intervention code [1]
255637
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Prevention
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Comparator / control treatment
Intervention 3: Patients randomised to the placebo arm will receive one placebo capsule per month for 12 months.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Feasibility: recruitment rate and representativeness
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Assessment method [1]
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Timepoint [1]
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Using baseline questionnaires to assess variation in participation across population subgroups.
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Primary outcome [2]
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Feasibility: compliance (self report)
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Assessment method [2]
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Timepoint [2]
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At the end of the intervention participants will be asked to report the number of tablets taken.
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Primary outcome [3]
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Feasibility: compliance (serum Vitamin D levels)
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Assessment method [3]
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Timepoint [3]
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Blood tests will be taken at baseline and at 12 months (cessation of the intervention).
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Residents in Queensland, New South Wales, Tasmania and Victoria aged between 60 and 85 years will be selected at random from the Commonwealth Electoral Roll. Half will be selected from capital cities and half from regional centres, selecting from postcodes that are within 20 kilometres of a pathology collection clinic. Selection will be stratified by state, region, age (in five-year age bands) and sex to ensure an equal state, region, age- and sex-distribution.
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Minimum age
60
Years
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Maximum age
85
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
People will be excluded if they are unable to give consent or to communicate well enough in English to understand study materials or if they indicate in an initial screening questionnaire that they:
1.Have any of the following medical conditions (which either preclude or require high dose vitamin D supplementation or prevent informed consent): hyperparathyroidism, sarcoidosis, nephrolithiasis, osteomalacia, osteoporosis, a history of renal calculi or colic
2. Are taking vitamin D at doses >600IU/day
3. Do not have a telephone (landline or mobile)
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Study design
Purpose of the study
Prevention
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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)
660 participants will be targeted for randomisation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratified allocation - participants will be stratified according to state, metropolitan/regional residence and sex.
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Masking / blinding
Blinded (masking 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 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/09/2010
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Actual
10/09/2010
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Date of last participant enrolment
Anticipated
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Actual
1/12/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
660
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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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Government body
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Name [1]
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National Health and Medical Research Council
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Address [1]
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National Health and Medical Research Council
GPO Box 1421
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
Queensland Institute of Medical Research
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Address
QIMR
300 Herston Road
Herston
Brisbane
QLD
4006
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Queensland Institute of Medical Research Human Research Ethics Committee
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Ethics committee address [1]
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QIMR HREC 300 Herston Road Herston Brisbane QLD 4006
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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01/02/2009
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Approval date [1]
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Ethics approval number [1]
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P1294:
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Summary
Brief summary
Observational studies, mostly from Europe and North America, suggest that people with low vitamin D status may have increased risks of some chronic diseases and death. Given that sunlight is essential for vitamin D synthesis this has prompted calls from some to relax sun protection messages or so increased population-wide vitamin D supplementation through expanded mandatory food fortification. However there is no strong evidence from clinical trials to support these measures and the International Agency for Research on Cancer has specifically called for randomised trials of high dose vitamin D supplementation for prevention of cancer and lowering of total mortality. We propose here to assess the feasibility of such a trial in the four eastern states of Australia. Participants randomly selected from the electoral roll will be invited to participate, and randomly assigned to a monthly intake of one of two vitamin D doses (60,000 IU/month or 30,000 IU/month) or placebo for 12 months. Baseline and post-intervention serum vitamin D levels will be measured. Outcomes will be recruitment rate, representativeness of the general population, change in vitamin D levels according to population subgroup and economics.
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Trial website
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Trial related presentations / publications
1. Tran B, Armstrong BK, Ebeling PR, English DR, Kimlin MG, van der Pols JC, Venn A, Gebski, V, Whiteman DC, Webb PM, Neale RE. Effect of vitamin D supplementation on antibiotic use: a randomized controlled trial. Am J Clin Nutr 2013 ;79:631-640 2. Tran B, Armstrong BK, McGeechan K, Ebeling PR, English DR, Kimlin MG, Lucas R, van der Pols JC, Venn A, Gebski V, Whiteman DC, Webb PM, Neale RE. Predicting vitamin D deficiency in older Australian adults. Clin Endocrinol. 2013 (Mar 28, Epub ahead of print) 3. Tran B, Armstrong BK, Carlin JB, Ebeling PR, English DR, Kimlin MG, Rahman B, van der Pols JC, Venn A, Gebski V, Whiteman DC, Webb PM and Neale RE. Recruitment and Results of a Pilot Trial of Vitamin D Supplementation in the General Population of Australia. J Clin Endocrinol Metab 2012;97:4473-80
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Public notes
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Contacts
Principal investigator
Name
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Dr Rachel Neale
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Address
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Cancer and Population Studies Group QIMR Berghofer
300 Herston Road Herston Brisbane QLD 4006
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Country
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Australia
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Phone
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+61 7 3845 3598
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Fax
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+61 7 3845 3502
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Email
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[email protected]
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Contact person for public queries
Name
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Rachel Neale
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Address
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Cancer and Population Studies Group QIMR Berghofer
300 Herston Road Herston Brisbane QLD 4006
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Country
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Australia
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Phone
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+61 7 3845 3598
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Fax
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+61 7 3845 3502
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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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Rachel Neale
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Address
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Cancer and Population Studies Group QIMR Berghofer
300 Herston Road Herston Brisbane QLD 4006
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Country
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Australia
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Phone
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+61 7 3845 3598
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Fax
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+61 7 3845 3502
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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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