A Trial to Study the Effect of Long Term Vitamin D Supplementation on Insulin Sensitivity (LongtermVitD)
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Purpose
Type 2 diabetes is a major public health problem in India with an estimated a prevalence of approximately 4% and 12% in rural and urban areas respectively. Accumulating evidence suggests that serum cholecalciferol levels may be inversely related to the prevalence of diabetes, insulin resistance and metabolic syndrome. The trials available on the effect of Vitamin D supplementation on insulin/glucose metabolism have been conducted using small sample sizes in different subgroups document variable results (significant decrease in HbA1c concentration with insulin concentration in hemodialysis patients; insulin levels lower with oral Vitamin D in gestational diabetes; no effect of Vitamin D on serum insulin levels in post menopausal women). A double blind randomized controlled trial conducted at our institute using 3,60,000 IU of cholecalciferol over 6 weeks documented improvement in OGIS index of insulin sensitivity. We therefore, plan to study the long term effect of vitamin D supplementation on peripheral insulin sensitivity.
| Condition | Intervention | Phase |
|---|---|---|
|
Obesity Insulin Resistance |
Drug: Cholecalciferol Drug: placebo |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Double Blind Randomized Control Trial to Study the Effect of Long Term Vitamin D Supplementation on Peripheral Insulin Sensitivity in Apparently Healthy Middle Aged Centrally Obese Adults |
- INsulin Sensitivity [ Time Frame: 1 year ] [ Designated as safety issue: No ]
- symptoms of toxicity [ Time Frame: 1 year ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 300 |
| Study Start Date: | January 2010 |
| Estimated Study Completion Date: | June 2012 |
| Estimated Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Vitamin D supplementation
Cholecalciferol sachets 120,000 IU monthly for 12 months
|
Drug: Cholecalciferol
Oral Cholecalciferol sachets 120,000 IU monthly for 1 year
Other Name: Calcirol
|
|
Placebo Comparator: placebo
placebo with same taste, color, odor
|
Drug: placebo
2 sachets monthly for an year
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | 35 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- 35 to 75 years of age
- Waist circumference (WC) ≥78 cm in men and ≥ 72 cm in women
Exclusion Criteria:
- Diabetic- Fasting Blood Sugar >126 mg/dl or on anti-diabetic medication
- Resting Blood Pressure>140/90 mmHg or on anti-hypertensive medication
- Receiving/received Vitamin D or calcium supplementation in the previous 6 months
- Chronic disease-renal/hepatic/malignancy/gastrointestinal
- On any medication within the last one month which could potentially influence insulin secretion, insulin sensitivity, Vitamin D or Calcium metabolism
- Febrile illness or infective morbidity in the past 10 days
Contacts and Locations| India | |
| Sitaram Bhartia Institute of Science and Research | |
| New Delhi, Delhi, India, 110016 | |
| Principal Investigator: | Jitender Nagpal, MD | Sitaram Bhartia Institute of Science and Research |
More Information
Publications:
| Responsible Party: | Dr Jitender Nagpal, PI, Sitaram Bhartia Institute of Science and Research |
| ClinicalTrials.gov Identifier: | NCT01052181 History of Changes |
| Other Study ID Numbers: | SBISR/2010/01 |
| Study First Received: | January 16, 2010 |
| Last Updated: | June 5, 2012 |
| Health Authority: | India: Indian Council of Medical Research |
Keywords provided by Sitaram Bhartia Institute of Science and Research:
|
Vitamin D Insulin sensitivity Centrally obese |
Additional relevant MeSH terms:
|
Insulin Resistance Obesity Hyperinsulinism Glucose Metabolism Disorders Metabolic Diseases Overnutrition Nutrition Disorders Overweight Body Weight Signs and Symptoms Cholecalciferol |
Vitamin D Ergocalciferols Vitamins Insulin Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents Hypoglycemic Agents |
ClinicalTrials.gov processed this record on June 18, 2013