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Trial registered on ANZCTR
Registration number
ACTRN12607000321448
Ethics application status
Approved
Date submitted
13/06/2007
Date registered
18/06/2007
Date last updated
1/02/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Vitamin D and Cognition Trial
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Scientific title
A randomised, placebo controlled trial of Vitamin D in older adults with mild cognitive impairment and low vitamin D concentration to prevent cognitive decline and delay progression of cognitive decline.
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Secondary ID [1]
372
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National Health & Medical Research Council (NHMRC): NHMRC Application ID 458791
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Universal Trial Number (UTN)
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Trial acronym
VITA-D
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Mild Cognitive Impairment and vitamin D (25-hydroxyvitamin D) blood concentration between 50 nmol/L and 12.5 nmol/L.
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Condition category
Condition code
Mental Health
1963
1963
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0
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Studies of normal psychology, cognitive function and behaviour
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Diet and Nutrition
1964
1964
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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
18-month trial of 1000 IU Vitamin D daily by oral tablet.
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Intervention code [1]
1823
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Prevention
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Comparator / control treatment
Placebo (soyabean oil tablet indistinguishable from active tablet).
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Cognitive Decline as measured by the Cambridge Examination for mental disorders in the Elderly - Cognitive section (CAMCOG)
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Assessment method [1]
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Timepoint [1]
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Measured at 6, 12, and 18 month follow-up.
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Secondary outcome [1]
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Cognitive decline as tested by the Digit-symbol coding task, California Verbal Learning Scale-Revised, or CERAD battery
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Assessment method [1]
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Timepoint [1]
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At 18-month follow-up.
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Secondary outcome [2]
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Development of dementia
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Assessment method [2]
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Timepoint [2]
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Any time during study (Clinical Dementia Rating)
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Secondary outcome [3]
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Depression as measured by the PHQ-9 questionnaire.
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Assessment method [3]
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Timepoint [3]
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At 6, 12 and 18-month follow-ups
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Secondary outcome [4]
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Quality of Life as measured by the SF-12 questionnaire.
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Assessment method [4]
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Timepoint [4]
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At 18-months
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Secondary outcome [5]
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Walking speed as measured by the 6-meter walk and Get-up and Go task.
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Assessment method [5]
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Timepoint [5]
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At 6 and 18-month follow-ups
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Secondary outcome [6]
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Quadriceps strength as measured by the knee extension task.
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Assessment method [6]
4683
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Timepoint [6]
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At 6 and 18-month follow-ups
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Secondary outcome [7]
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Lower limb strength as measured by the Timed Sit-to-Stand.
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Assessment method [7]
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Timepoint [7]
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At 6 and 18-month follow-ups
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Secondary outcome [8]
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Dynamic single leg balance as measured by the Step Test.
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Assessment method [8]
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Timepoint [8]
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At 6 and 18-month follow-ups
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Secondary outcome [9]
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Standing balance as measured by the Functional Reach task.
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Assessment method [9]
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Timepoint [9]
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At 6 and 18-month follow-ups
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Secondary outcome [10]
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Weight and waist girth.
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Assessment method [10]
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Timepoint [10]
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At 6 and 18-month follow-ups
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Secondary outcome [11]
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Fear of falling in activities of daily living, as measured by the Modified Falls Efficacy Scale.
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Assessment method [11]
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Timepoint [11]
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At 6 and 18-month follow-ups
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Secondary outcome [12]
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Activity level, as measured by the Human Activity Profile.
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Assessment method [12]
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Timepoint [12]
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Measured at 6 and 18-month follow-ups
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Eligibility
Key inclusion criteria
Adults with mild cognitive impairment (-1.5 standard deviations below norm on any task in the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) neuropsychological battery), over 65 years of age, Vitamin D concentration between 12.5 and 50 nmol/L at baseline.
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Minimum age
65
Years
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Maximum age
Not stated
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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
Diagnosis of osteoporosis requiring treatment, no informant available, severe physical or medical illness that would preclude completion of the trial, hearing or visual impairment that would preclude assessments, already in an intervention trial, clinical history of stroke, fall in the last 3 months, heart attack in the last 3 months, fall with fracture over the age of 65, history of kidney or bladder stones, current acute depression, history of schizophrenia, current diagnosis of dementia.
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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)
Concealed allocation with sequential study numbers being given to subjects found to be eligible by trial personnel, and then administration of pre-filled, numbered containers obtained from a remote site (Royal Perth Hospital Pharmacy) that holds the allocation schedule. Trial personnel (who decide who is eligible) do not have access to the allocation schedule and are not involved with the process of packing medications or numbering containers.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Study medication (vitamin D or placebo) will be randomised using computer generated lists, by Royal Perth Hospital pharmacy staff who have no direct contact with study participants.
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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
Subjects and trial personnel (those responsible for recruiting and assessing subjects) will be blinded to treatment allocation until conclusion of trial and finalisation of data
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
25/06/2007
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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
110
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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 Dementia Research Grants Program
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Address [1]
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GPO BOX 1421 Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor Nicola Lautenschlager
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Address
WA Centre for Health & Ageing, University of Western Australia, M573 35 Stirling Highway Crawley WA 6009
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Professor Leon Flicker
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Address [1]
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WA Centre for Health & Ageing, University of Western Australia 35 Stirling Highway Crawley WA 6009
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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Professor Osvaldo Almeida
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Address [2]
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WA Centre for Health & Ageing, University of Western Australia, M573 35 Stirling Hwy Crawley WA 6009
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Country [2]
1910
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Australia
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Secondary sponsor category [3]
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Individual
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Name [3]
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Dr Chris Beer
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Address [3]
1911
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WA Centre for Health & Ageing, University of Western Australia, 35 Stirling Highway Crawley WA 6009
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Country [3]
1911
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3893
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Royal Perth Hospital Ethics Committee
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Ethics committee address [1]
3893
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Ethics committee country [1]
3893
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Australia
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Date submitted for ethics approval [1]
3893
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Approval date [1]
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08/02/2007
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Ethics approval number [1]
3893
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EC 2007/079
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Ethics committee name [2]
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University of Western Australia Human Research Ethics Committee
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Ethics committee address [2]
3894
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
3894
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Approval date [2]
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21/02/2007
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Ethics approval number [2]
3894
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Ethics committee name [3]
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Mercy Hospital, Mount Lawley Ethics Committee
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Ethics committee address [3]
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
3895
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Approval date [3]
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16/04/2007
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Ethics approval number [3]
3895
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EC 2007/079
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Summary
Brief summary
The primary aim of this 18-month randomised, double-blind, placebo-controlled clinical trial is to establish whether vitamin D supplementation can delay progression of cognitive decline amongst older adults with Mild Cognitive Impairment (MCI) who have low vitamin D concentrations (between 12.5 and 50 nmol/L). The main hypothesis of this study is that older adults with MCI randomised to a 18-month treatment with vitamin D will experience significantly less cognitive decline (as measured with the CAMCOG) at the end of the 18-months follow-up than subjects with MCI randomised to placebo. Secondary outcomes of interest for this study include quality of life, gait, balance and muscle strength.
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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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Professor Nicola Lautenschlager
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Address
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University of Western Australia WA Centre for Health & Ageing, M573, 35 Stirling Highway Crawley, 6009 WA,
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Country
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Australia
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Phone
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61-8-92242855
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Fax
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61-8-92248009
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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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Professor Nicola Lautenschlager
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Address
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University of Western Australia
WA Centre for Health & Ageing
M573
35 Stirling Highway Crawley
WA 6009
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Country
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Australia
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Phone
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61-8-92242855
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Fax
1940
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61-8-92248009
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Email
1940
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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
Source
Title
Year of Publication
DOI
Embase
Prevention of sporadic Alzheimer's disease: Lessons learned from clinical trials and future directions.
2015
https://dx.doi.org/10.1016/S1474-4422%2815%2900153-2
N.B. These documents automatically identified may not have been verified by the study sponsor.
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