Effect of Vitamin D Supplementation on In-vitro Fertilization (IVF) Outcomes
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Purpose
Historically, vitamin D has been considered to play a role solely in bone and calcium metabolism. Numerous studies have suggested a link between vitamin D deficiency and adverse health outcomes such as malignancy, cardiovascular disease, immune functioning, and glucose metabolism. In the obstetrics literature, vitamin D deficiency has been linked to preeclampsia, gestational diabetes, and increased rate of cesarean section rate. Recent data from retrospective chart reviews have demonstrated a possible role of vitamin D in implantation and clinical pregnancy rates in patients undergoing in-vitro fertilization. Patients found to be deficient in vitamin D were found to have significantly lower clinical pregnancy rates when compared to patients who were replete in vitamin D levels. Currently, there are no prospective clinical trials investigating the effects of vitamin D supplementation on IVF outcomes such as clinical pregnancy rate and implantation rates. The investigators hypothesize that the vitamin D supplementation in patients found to be either deficient or insufficient in vitamin D will lead to improved pregnancy rates in infertility patients undergoing in-vitro fertilization.
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Randomized Controlled Trial: The Effects of Vitamin D Supplementation on In-vitro Fertilization Outcomes |
- Clinical pregnancy rate [ Time Frame: assessed at conclusion of the study (~ 1 yr) ] [ Designated as safety issue: No ]Serum hCG will be drawn per routine IVF protocol (~ 10 days after embryo transfer). Patients will have a repeat bHCG drawn 48hrs if they have a positive result from the first bHCG test. Clinical pregnancy will be defined as ultrasound documentation of fetal heart tones.
| Estimated Enrollment: | 250 |
| Study Start Date: | August 2011 |
| Groups/Cohorts |
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patients with Vit D level of < 20ng/mL: Group 1
randomized to receive 400 IU of vitamin D per day
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patients with Vit D levels <20ng/mL: Group 2
Randomized to receive 2000IU of Vitamin D per day
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patients with vit D levels between 20-30 ng/mL: Group 3
Randomized to receiving placebo
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patients with vit D levels between 20-30 ng/mL: Group 4
Randomized to receive 400IU of vitamin D per day
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patients with vit D levels between 20-30 ng/mL: Group 5
Randomized to receive 2000IU of vitamin D per day
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patients with vit D levels > 30ng/mL: Group 6
No treatment
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Detailed Description:
The trial will not pay for or subsidize for IVF treatment. Participants will receive blood Vitamin D screening test and any necessary supplements free of charge.
Eligibility| Ages Eligible for Study: | 18 Years to 38 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Infertile women aged ≤ 38 years undergoing fresh in-vitro fertilization cycles
Inclusion Criteria:
- Infertile women aged ≤ 38 years undergoing fresh invitro fertilization cycles
Exclusion Criteria:
- Infertile women aged > 38 undergoing fresh invitro fertilization cycles
- Patients undergoing frozen embryo transfers
- Patients undergoing donor-egg cycles
- Patients who have a contraindication to receiving Vitamin D (e.g. patients with history of primary hyperparathyroidism, sarcoidosis, tuberculosis, kidney disease, or lymphoma)
Contacts and Locations| Contact: Jennifer Eaton, MD | Jennifer-Eaton@fsm.northwestern.edu | |
| Contact: Ralph Kazer, MD | rkazer@northwestern.edu |
| United States, Illinois | |
| Northwestern Memorial Faculty Foundation | Not yet recruiting |
| Chicago, Illinois, United States, 60611 | |
| Sub-Investigator: Irene Moy, MD | |
| Northwestern University Feinberg School of Medicine | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| Northwestern Memorial Hospital | Recruiting |
| Chicago, Illinois, United States, 60611 | |
| Principal Investigator: | Ralph Kazer, MD | Northwestern Memorial Faculty Foundation |
| Study Chair: | Irene Moy, MD | Northwestern University |
More Information
Publications:
| Responsible Party: | Irene Moy, Clinical Fellow, Northwestern University |
| ClinicalTrials.gov Identifier: | NCT01419743 History of Changes |
| Other Study ID Numbers: | Moy 2011 Vit D |
| Study First Received: | August 16, 2011 |
| Last Updated: | July 9, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Northwestern University:
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Vitamin D deficiency Supplementation Infertility Clinical pregnancy rates |
Additional relevant MeSH terms:
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Infertility Vitamin D Deficiency Genital Diseases, Male Genital Diseases, Female 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 June 17, 2013