A Clinical Trial to Study the Effect of the Addition of Vitamin D to Conventional Treatment in New Pulmonary Tuberculosis Patients
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Purpose
There is some evidence that supplemental Vitamin D may contribute to quicker recovery from TB when given in addition to normal TB therapy. This needs to be proven with a controlled clinical trial. People receiving Vitamin D with anti TB therapy will be compared against people receiving anti TB therapy alone to see if vitamin D contributes to a quicker recovery (as shown by a quicker sputum culture conversion).
| Condition | Intervention | Phase |
|---|---|---|
|
Pulmonary Tuberculosis |
Drug: A. 100,000 IU Cholecalciferol per dose of 3.3ml Other: B. Migliol Oil without Cholecalciferol |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Double Blind, Randomized, Parallel, Placebo Control Design Study to Determine the Effect of Addition of Vitamin D to Conventional Anti TB Therapy |
- Time to sputum culture conversion [ Time Frame: 8 weeks of treatment ] [ Designated as safety issue: Yes ]
- Percent of Patients Culture Positive [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
- Performance Status [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
- Time To Sputum Smear Conversion [ Time Frame: Continous ] [ Designated as safety issue: Yes ]
- Proportion of Patients Smear Positive [ Time Frame: 4 Weeks, 8 Weeks, 12 Weeks ] [ Designated as safety issue: Yes ]
- Time To Growth In Liquid Media [ Time Frame: 8 Weeks ] [ Designated as safety issue: No ]
- RNTCP Treatment Outcomes [ Time Frame: 24 Weeks ] [ Designated as safety issue: Yes ]
- Weight Gain [ Time Frame: 8 Weeks ] [ Designated as safety issue: Yes ]
| Enrollment: | 250 |
| Study Start Date: | November 2009 |
| Study Completion Date: | May 2012 |
| Primary Completion Date: | May 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
Vitamin D in doses of 100,000 IU
|
Drug: A. 100,000 IU Cholecalciferol per dose of 3.3ml
100,000 IU Cholecalciferol in 3.3ml Migliol (Carrier) oil, once every two weeks for 2 Months
|
| Placebo Comparator: B |
Other: B. Migliol Oil without Cholecalciferol
3.3 ml Migliol Oil, every two weeks for two months
|
Detailed Description:
The proposed study is a parallel, randomized, double-blinded, placebo-controlled clinical trial to quantify the change, if any, in microbiological outcome in TB patients treated with vitamin D in combination with standard DOTS therapy. It will take place in four South Indian DOTS centres. The required sample size is 250 patients receiving ATT, to be randomised in a 1:1 fashion (125 patients to receive vitamin D and 125 patients to receive placebo).
Eligibility| Ages Eligible for Study: | 18 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Newly diagnosed smear positive pulmonary tuberculosis.
- Age between 18 to 75 years
- No pre-existing liver or renal disease
- Available for return visits as outlined in the trial protocol
- A Firm home address
Exclusion Criteria:
- Extra-pulmonary or smear negative tuberculosis
- Patients receiving steroids, cytotoxic drugs, post transplant or metastatic malignancy, or not expected to survive for the duration of ATT
- Pregnant or lactating women
- Active diarrhoea, indicating possible fat-soluble vitamin malabsorption.
- Baseline Hypercalcemia >10.5 mg/dl
Contacts and Locations| India | |
| Christian Medical College | |
| Vellore, Tamil Nadu, India, 632004 | |
| Bethesda Hospital | |
| Ambur, Tamilnadu, India, 635 802 | |
| Principal Investigator: | Dilip Mathai, MD, FCAMS | Christian Medical College, Vellore, India |
More Information
No publications provided
| Responsible Party: | Peter Daley, Lecturer, Christian Medical College |
| ClinicalTrials.gov Identifier: | NCT00366470 History of Changes |
| Other Study ID Numbers: | TB-VitaminD, CTRI/2007/091/000008 |
| Study First Received: | August 18, 2006 |
| Last Updated: | July 4, 2012 |
| Health Authority: | India: Ministry of Health |
Additional relevant MeSH terms:
|
Tuberculosis Tuberculosis, Pulmonary Mycobacterium Infections Actinomycetales Infections Gram-Positive Bacterial Infections Bacterial Infections Lung Diseases Respiratory Tract Diseases Respiratory Tract Infections |
Cholecalciferol Vitamin D Vitamins Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents |
ClinicalTrials.gov processed this record on May 21, 2013