Efficacy of Calcitriol in Recent Onset Type 1 Diabetes (IMDIABXIII)
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Purpose
Reduction in vitamin D levels has been reported in subjects with recent onset type 1 diabetes. Several studies suggest that vitamin D supplementation in early childhood decreases the risk of developing type 1 diabetes, therefore vitamin D deficiency might play a role in the disease pathogenesis. We investigated whether the supplementation of the active form of vitamin D (calcitriol) in subjects with recent-onset type 1 diabetes can protect residual beta cell function evaluated by C peptide and improve glycaemic control as evaluated by HbA1c and insulin requirement.
Thirty-four subjects (age range 11-35 years, median 18 years) with recent-onset type 1 diabetes (<12 weeks duration) and high basal C-peptide >0.25 nmol/l were randomized in a double-blind trial to calcitriol (the active form of vitamin D, 1.25-dihydroxyvitamin D3 [1,25-(OH)2D3] ) at the dose of 0.25 ug/day or placebo, and followed up for 2 years.
| Condition | Intervention | Phase |
|---|---|---|
|
Diabetes Mellitus, Type 1 |
Drug: Calcitriol |
Phase 2 |
| Study Type: | Interventional |
| Official Title: | Clinical Study to Evaluate the Efficacy of 1,25(OH)2D3 (Calcitriol) Versus Placebo in Recent Onset Type 1 Diabetes(IMDIAB XIII) |
- C peptideevaluation of baseline and stimulated C peptide
- Glycometabolic controlTo measure insulin requirement and HbA1c
| Arms | Assigned Interventions |
|---|---|
| Experimental: Calcitriol | Drug: Calcitriol |
| Placebo Comparator: placebo | Drug: Calcitriol |
Eligibility| Ages Eligible for Study: | 11 Years to 40 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diagnosis of type 1 diabetes according to the American Diabetes Association (ADA) guidelines;
- age at presentation between 11 and 35 years;
- duration of clinical disease (since the beginning of insulin therapy) <12 weeks;
- baseline C-peptide >0.25 nmol/l;
- no medical contra-indications or any other major chronic disease;
- willingness and capability to participate in a regular follow-up.
Exclusion Criteria:
- cardiovascular disease;
- renal disease;
- liver disease;
- neurological disorders;
- allergic diathesis;
- hyperparathyroidism;
- neoplasia.
Contacts and Locations| Italy | |
| University Campus Bio Medico | |
| Rome, Italy, 00128 | |
| Bambino Gesù Children's Hospital | |
| Rome, Italy | |
| Catholic University, | |
| Rome, Italy | |
| Sandro Pertini Hospital | |
| Rome, Italy | |
| University Sapienza | |
| Rome, Italy | |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Paolo Pozzilli/Principal Investigator, University Campus Bio Medico |
| ClinicalTrials.gov Identifier: | NCT01120119 History of Changes |
| Other Study ID Numbers: | CLF-1 2005-000751-15 |
| Study First Received: | May 6, 2010 |
| Last Updated: | May 7, 2010 |
| Health Authority: | Italy: Ministry of Health |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 1 Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Autoimmune Diseases Immune System Diseases Calcitriol Vitamins Micronutrients |
Growth Substances Physiological Effects of Drugs Pharmacologic Actions Bone Density Conservation Agents Calcium Channel Agonists Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Vasoconstrictor Agents Cardiovascular Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on June 18, 2013