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Trial registered on ANZCTR
Registration number
ACTRN12621000059864
Ethics application status
Approved
Date submitted
16/11/2020
Date registered
25/01/2021
Date last updated
25/01/2021
Date data sharing statement initially provided
25/01/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The D-Frail Study 2: Does vitamin D deficiency cause frailty through its effects on early-stage vascular dysfunction (endothelial dysfunction)? – Interplay between vitamin D deficiency, chronic inflammation, and sarcopenia - A vitamin D intervention
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Scientific title
The D-Frail Study 2: Does vitamin D deficiency cause frailty through its effects on early stage vascular dysfunction (endothelial dysfunction)? – Interplay between vitamin D deficiency, chronic inflammation and sarcopenia - A vitamin D intervention in healthy older adults
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Secondary ID [1]
302500
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nil
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Universal Trial Number (UTN)
U1111-1259-5727
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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:
Physical frailty
319487
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Sarcopenia
319488
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Cognitive function
319489
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Vascular endothelial dysfunction
319490
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Condition category
Condition code
Cardiovascular
317453
317453
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0
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Other cardiovascular diseases
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Musculoskeletal
317454
317454
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0
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Other muscular and skeletal disorders
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Mental Health
317455
317455
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is a pilot study to test the hypothesis, if the study produces positive outcomes, this intervention will be extended to patient cohort with cardiovascular comorbidities.
The research study consists of a single armed, open labelled vitamin D intervention study, which will be carried over 6 months’ period. Healthy working participants will be recruited and vitamin D supplement (oral 2000 IU Cholecalciferol dose (2 vitamin D capsules) per day in the morning) will be given to the participants for 6 months, data will be collected at baseline, 3 months and 6 months. The participants will be screened for their muscle function and strength, cognitive function, vascular function, inflammatory markers and vitamin D states (plasma vitamin D level, dietary intake and sun exposure).
Dosage compliance will be assessed by left-over tablet counts and reviewing diary records at each study visit (3 months and 6 months).
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Intervention code [1]
318887
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Prevention
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Intervention code [2]
318888
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Treatment: Drugs
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Sarcopenia status measured by hand grip strength assessment by hand-held dynamometer
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Assessment method [1]
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Timepoint [1]
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Baseline, 3 months and 6 months post-vitamin D commencement
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Primary outcome [2]
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Vascular endothelial dysfunction measured by blood plasma markers (asymmetric dimethylarginine [ADMA]; thrombospondin 1 [TSP-1]) measured using Enzyme linked immunosorbent assay (ELISA)
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Assessment method [2]
325733
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Timepoint [2]
325733
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Baseline, 3 months and 6 months post-vitamin D commencement
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Primary outcome [3]
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Plasma inflammatory markers (IL-6, hs-CRP) levels measured by ELISA
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Assessment method [3]
325734
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Timepoint [3]
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Baseline, 3 months and 6 months post-vitamin D commencement
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Secondary outcome [1]
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Cognitive function measured by MiniCog tool
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Assessment method [1]
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Timepoint [1]
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Baseline, 3 months and 6 months post-vitamin D commencement
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Secondary outcome [2]
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Plasma vitamin D levels measured by ELISA
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Assessment method [2]
390051
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Timepoint [2]
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Baseline, 3 months and 6 months post-vitamin D commencement
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Eligibility
Key inclusion criteria
• Age greater than or equal to 45 years
• Working adults from Blacktown Hospital and Western Sydney University
• Free from cardiovascular complications, cancer and autoimmune/inflammatory diseases, free from liver disease or renal dysfunction
• Ability to attend follow-up visits and blood collection at Blacktown Hospital
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Minimum age
45
Years
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Maximum age
No limit
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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
• Diagnosed renal/liver diseases
• Pregnant or breastfeeding
• Severe cognitive impairment or psychological condition
• Diagnosed musculoskeletal disorders
• Diagnosed cardiovascular, autoimmune/inflammatory disease or cancer
• Previous allergic reactions to vitamin D
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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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
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Data will be analysed in such a way to identify the independent relationships of the parameters. Controlled multivariate analysis will be used to evaluate the relationship of vascular endothelial dysfunction and physical frailty, independent from participants’ demographic characteristics, medical history, medication and other confounding factors.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
5/11/2020
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Date of last participant enrolment
Anticipated
30/07/2021
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Actual
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Date of last data collection
Anticipated
31/08/2021
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Actual
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Sample size
Target
75
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Accrual to date
46
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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The Sydney Partnership for Health, Education, Research and Enterprise (SPHERE)
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Address [1]
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Sydney Partnership for Health, Education, Research and Enterprise (SPHERE)
Cardiovascular Health Clinical Academic Group
PO Box 3151
Liverpool, NSW 2170
Australia
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Blackmores Institute
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Address [2]
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Blackmores Limited,
20 Jubilee Avenue,
Warriewood NSW 2102
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Country [2]
307224
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Australia
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Primary sponsor type
Government body
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Name
Western Sydney Local Health District
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Address
Blacktown Hospital, Western Sydney Local Health District,
Marcel Crescent
Blacktown
NSW, 2148, Australia
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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]
307488
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Country [1]
307488
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Western Sydney Local Health District HREC
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Ethics committee address [1]
307075
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Research Office, Western Sydney Local Health District, Cnr Hawkesbury & Darcy Roads, Westmead NSW 2147, Sydney, Australia,
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Ethics committee country [1]
307075
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Australia
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Date submitted for ethics approval [1]
307075
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29/05/2020
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Approval date [1]
307075
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18/08/2020
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Ethics approval number [1]
307075
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2020/ETH01551
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Summary
Brief summary
Physical frailty (functional decline including muscle weakness) is one of the significant public health problems in elderly and is strongly correlated with poor health outcomes including cardiovascular diseases, but we do not know why this occurs. Frailty is associated with the initial stages of vascular dysfunction, inflammation and vitamin D deficiency. Low vitamin D levels are common among old people due to low dietary intake, less sun exposure and low level of production in the body. Previous research show that vitamin D supplements can improve both vascular function and physical frailty (including muscle function). Therefore, this project will determine if the reduction of inflammation using vitamin D supplementation can prevent people becoming frail.
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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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Dr Anjalee T. Amarasekera
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Address
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Level 2, Blacktown Clinical and Research school, Blacktown Hospital, Marcel Crescent, Blacktown, NSW, 2148
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Country
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Australia
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Phone
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+61 298516063
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Fax
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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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Anjalee T. Amarasekera
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Address
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Level 2, Blacktown Clinical and Research school, Blacktown Hospital, Marcel Crescent, Blacktown, NSW, 2148
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Country
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Australia
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Phone
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+61 298516063
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Fax
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Email
105943
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[email protected]
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Contact person for scientific queries
Name
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Anjalee T. Amarasekera
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Address
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Level 2, Blacktown Clinical and Research school, Blacktown Hospital, Marcel Crescent, Blacktown, NSW, 2148
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Country
105944
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Australia
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Phone
105944
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+61 298516063
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Fax
105944
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Email
105944
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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