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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03257215
Registration number
NCT03257215
Ethics application status
Date submitted
13/08/2017
Date registered
22/08/2017
Date last updated
25/03/2024
Titles & IDs
Public title
Can Vitamin D Treatment Help Treat Moderate to Severe Atopic Dermatitis in Young Children? The D-Vex Pilot Study
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Scientific title
A Phase IV, Double-blind, Randomised, Placebo-controlled Trial to Assess the Efficacy and Safety of Stoss Versus Daily Dose Oral Vitamin D Compared to Placebo for the Treatment of Atopic Dermatitis in Pre-school Aged Children- a Pilot Study
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Secondary ID [1]
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HREC 36237
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Universal Trial Number (UTN)
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Trial acronym
D-Vex
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Atopic Dermatitis
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Condition category
Condition code
Skin
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Dermatological conditions
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Skin
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Other skin conditions
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Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Stoss vitamin D
Treatment: Drugs - Daily vitamin D
Treatment: Drugs - Stoss placebo
Treatment: Drugs - Daily placebo
Active comparator: Stoss vitamin D - Stoss vitamin D at Day 1 and daily placebo for 90 days (Day 1 to 90)
Active comparator: Daily vitamin D - Stoss placebo at Day 1 and daily vitamin D for 90 days (Day 1 to 90)
Placebo comparator: Placebo - Stoss placebo at Day 1 and daily placebo for 90 days (Day 1 to 90)
Treatment: Drugs: Stoss vitamin D
A single 1.5 mL dose containing 150,000 IU cholecalciferol (100,000 IU/mL) administered on Day 1 (Solution in Olive Oil B.P. )
Treatment: Drugs: Daily vitamin D
Daily 0.2 mL dose containing 1000 IU cholecalciferol administered from Day 1 to 90
Treatment: Drugs: Stoss placebo
A single 1.5 mL dose administered on Day 1
Treatment: Drugs: Daily placebo
A once daily 0.2 mL dose administered from Day 1 to 90
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Change in SCORAD
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Assessment method [1]
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Atopic dermatitis severity score (SCORAD)
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Timepoint [1]
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Change from baseline at 3 months
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Secondary outcome [1]
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Vitamin D levels
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Assessment method [1]
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vitamin D level in serum
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Timepoint [1]
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Baseline and 3 months
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Secondary outcome [2]
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Vitamin D polymorphisms
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Assessment method [2]
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Presence of defined vitamin D polymorphisms
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Timepoint [2]
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Baseline
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Secondary outcome [3]
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Immunoglobulin E (IgE) (serum)
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Assessment method [3]
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Serum
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Timepoint [3]
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Baseline and 3 months
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Secondary outcome [4]
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Effects on Parameters of bone metabolism (serum)
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Assessment method [4]
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Calcium, Phosphate, Parathyroid hormone, Alkaline Phosphatase
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Timepoint [4]
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Baseline and 3 months
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Secondary outcome [5]
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Effects on Parameters of bone metabolism (urine)
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Assessment method [5]
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Calcium:Creatinine (urine)
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Timepoint [5]
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Baseline, 1 month and 3 months
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Secondary outcome [6]
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Quality of life (family)
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Assessment method [6]
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Standardised questionnaire: Family Dermatology Life Quality Index (FDLQI)
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Timepoint [6]
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Baseline and 3 months
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Secondary outcome [7]
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Quality of life (child)
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Assessment method [7]
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Standardised questionnaire: Child Dermatology Life Quality Index (CDLQI) if \>= 4 years of age OR Infant Dermatology Quality of Life (IDQOL) if \<4 years of age
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Timepoint [7]
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Baseline and 3 months
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Secondary outcome [8]
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Compliance to study medications
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Assessment method [8]
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Vitamin D stoss/daily and placebo stoss/daily
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Timepoint [8]
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Throughout the study period, , an average of 3 months
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Secondary outcome [9]
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Adverse events
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Assessment method [9]
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Serious adverse events and serious adverse events
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Timepoint [9]
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Throughout the study period, an average of 3 months
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Secondary outcome [10]
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SCORAD
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Assessment method [10]
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Atopic dermatitis severity score (SCORAD)
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Timepoint [10]
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At 3 months
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Eligibility
Key inclusion criteria
* moderate to severe atopic dermatitis with a SCORAD = 20 at baseline.
* aged between 1 = 12 years of age at the time of randomisation.
* regularly ingest the recommended dietary intake (RDI) of calcium and plan to do so for the next 3 months
* have a legally acceptable representative capable of understanding the informed consent document and providing consent on the participant's behalf.
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Minimum age
1
Year
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Maximum age
12
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
* use of vitamin D supplementation, including a stoss dose of vitamin D in the previous year, or daily supplementation in the past month
* drink vitamin D fortified formula (all formulas) as the main milk intake
* received oral steroids within the past 6 months
* received oral immunosuppression in the past (cyclosporine, azathioprine, methotrexate)
* received UV therapy in the past 12 months
* have been fully formula fed within the past 6 months
* ave renal or liver or gastrointestinal (e.g.: coeliac, inflammatory bowel disease) disease
* receiving thiazide-type diuretics or anticonvulsant therapy
* have ever been diagnosed with Hypercalcaemia, Hypertension or Rickets
* unable to provide consent without the aid of an interpreter
* in the opinion of the Investigator, are unable to follow the protocol
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Other
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Suspended
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
16/10/2017
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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
1/08/2024
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Royal Children's Hospital Melbourne - Melbourne
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Recruitment postcode(s) [1]
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3052 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
Murdoch Childrens Research Institute
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Vitamin D is known to have a regulatory influence on both the immune system and skin barrier function. Studies in paediatric populations have found an inverse association of vitamin D levels and with both prevalence and severity of atopic dermatitis (AD). Trials of vitamin D as a treatment for AD are limited in number and size. There has never been a placebo-controlled randomised controlled trial of stoss high dose versus daily standard dose for the treatment of AD. Further, no trials have explored the presence of vitamin D pathway genes and response to treatment of AD. This pilot study will be used as a reference to determine outcomes and feasibility for undertaking a larger and more in depth definitive study.
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Trial website
https://clinicaltrials.gov/study/NCT03257215
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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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Kirsten P Perrett, MBBS
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Address
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Murdoch Children's Research Institute
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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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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 scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03257215
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