Vitamin D Status in Males in Jerusalem Area and Its Correlation to Parathyroid Hormone (PTH) Level and Bone Mineral Density
Recruitment status was Recruiting
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Purpose
Because of its high sun exposure, Israel was traditionally supposed to be protected from vitamin D deficiency, and the country food products hardly contain vitamin D supplements. However the Jerusalem ultra-Orthodox population, which constitutes a significant fraction of the city population, is at risk of developing vitamin D deficiency due to low sun exposure, as consequence of its dressing code covering most of the body and very limited time of outside activities. The investigators aim is to check whether vitamin D deficiency is found more frequently in the ultra-Orthodox male population in comparison to a non-ultra-Orthodox male population, and to study its eventual consequences. Correlation between vitamin D levels and PTH levels will be examined, according to age and to creatinine levels. Bone mineral density (BMD) will be evaluated in 2 selected subgroups of subjects (with lowest and highest vitamin D levels), and re-evaluated after 6 months of vitamin D supplementation in vitamin D-deficient subjects. An increase in BMD within 6 months would suggest osteomalacia as the main cause of low BMD in these subjects.
| Condition | Intervention | Phase |
|---|---|---|
|
Vitamin D Deficiency Secondary Hyperparathyroidism Osteomalacia |
Drug: 25 OH vitamin D |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Screening |
- plasma vitamin D level [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- bone mineral density before vitamin D supplementation [ Time Frame: 8 months ] [ Designated as safety issue: No ]
- plasma PTH level [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- bone mineral density after vitamin D supplementation in vitamin D deficient subjects [ Time Frame: 13 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 200 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: group A low D
ultra-Orthodox clinics patients aged 18-39 with lowest vitamin D levels
|
Drug: 25 OH vitamin D
oral supplementation of 25 OH vitamin D at dose of 2000 units/d for 3 months then 1000 units/d for 3 months
|
|
No Intervention: group A high D
ultra-Orthodox clinics patients aged 18-39 with highest vitamin D levels
|
|
|
Active Comparator: group B low D
mixed population clinics patients aged 18-39 with lowest vitamin D levels
|
Drug: 25 OH vitamin D
oral supplementation of 25 OH vitamin D at dose of 2000 units/d for 3 months then 1000 units/d for 3 months
|
|
No Intervention: group B high D
mixed population clinics patients aged 18-39 with highest vitamin D levels
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Male subjects aged 18-70
- If age below 40 must not be under any chronic medication
Exclusion Criteria:
- Medication: anti-convulsivants, non-topical steroids (past or present), anti-rejection medications
- Malabsorptive diseases (Crohn's disease, cystic fibrosis,Whipple' disease, s/p bariatric surgery)
- Morbid obesity (BMI above 35)
- Rheumatoid arthritis
- Liver failure
- Nephrotic syndrome
- Chronic kidney disease
- Genetic disorder
- Malignancy
- Primary hyperparathyroidism
- Granulomatous disease
- Hyperthyroidism
- Nephrolithiasis (present or past)
- S/P skin grafts surgery
- Mental disorder or cognitive disorder
Contacts and Locations| Contact: Anat Tsur, MD | +972522535475 | |
| Contact: Muriel Metzger, MD | +972547445443 | murielm2@012.net.il |
| Israel | |
| Endocrinology Clinic, Clalit Health Services | Recruiting |
| Jerusalem., Israel | |
| Contact: Muriel Metzger, MD +972547445443 murielm2@012.net.il | |
| Contact: Anat Tsur, MD +972522535475 | |
| Principal Investigator: Muriel Metzger, MD | |
| Principal Investigator: Anat Tsur, MD | |
| Principal Investigator: | Muriel Metzger, MD | Clalit Health Services, Jerusalem, Israel |
| Principal Investigator: | Anat Tsur, MD | Clalit Health Services, Jerusalem, Israel |
More Information
No publications provided
| Responsible Party: | Muriel Metzger M.D. and Anat Tsur M.D., Clalit Health Services |
| ClinicalTrials.gov Identifier: | NCT01025128 History of Changes |
| Other Study ID Numbers: | K129/09 |
| Study First Received: | December 1, 2009 |
| Last Updated: | June 27, 2011 |
| Health Authority: | Israel: Ministry of Health |
Additional relevant MeSH terms:
|
Hyperparathyroidism Hyperparathyroidism, Secondary Osteomalacia Vitamin D Deficiency Parathyroid Diseases Endocrine System Diseases Bone Diseases, Metabolic Bone Diseases Musculoskeletal Diseases Calcium Metabolism Disorders Metabolic Diseases Avitaminosis |
Deficiency Diseases Malnutrition Nutrition Disorders Vitamin D Ergocalciferols Vitamins Bone Density Conservation Agents Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 23, 2013