Status:

COMPLETED

Prevention of Secondary Hyperparathyroidism With Vitamin D in Stage II/III Chronic Kidney Disease

Lead Sponsor:

Atlanta VA Medical Center

Collaborating Sponsors:

Emory University

Conditions:

Kidney Disease

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

This study will evaluate whether earlier intervention with vitamin D in stage II/III chronic kidney disease will prevent or delay secondary hyperparathyroidism. Subjects will receive vitamin D or plac...

Detailed Description

Vitamin D is important to maintain normal calcium homeostasis and optimal bone health (1, 2). The synthesis of vitamin D and its metabolism to 1,25(OH)2D is regulated by parathyroid hormone (PTH), ser...

Eligibility Criteria

Inclusion

  • Study subjects must be patients with CKD stage II/III (estimated glomerular filtration rate, 30-90 ml/min/1.73m body surface area), 25-hydroxyvitamin D (25(OH) D) level \>10 ng/ml documented in the medical record for the past 6 months.
  • Estimated Glomerular Filtration Rate will be calculated by using the original Modification of Diet in Renal Disease Study equation (online at http://www.nkdep.nih.gov)(16)
  • Study subjects must agree to participate in the study and provide written informed consent
  • Histology: not applicable
  • Sites: Atlanta VA Medical Center
  • Stage of Disease: CKD stage II/III, who has 25-hydroxyvitamin D (25(OH)D) level \>10 ng/ml, but less than 30 ng/ml
  • Age: Study subjects must be \>18 but \<85 years old
  • Performance Status: Study subjects will be patients with CKD stage II/III (estimated glomerular filtration rate, 30-90 ml/min/1.73m body surface area), 25-hydroxyvitamin D (25(OH)D) level \>10 ng/ml, but less than 30 ng/ml
  • Informed consent requirements: All study subjects must agree to participate in the study and provide written informed consent, which will be written in English.

Exclusion

  • Age \< 18years or \>85 years old
  • Prior other diseases: History of liver failure (AST or ALT \>3 ULN), history of intestinal malabsorption or chronic diarrhea, corrected serum calcium \>10.5 mg/dl, calcium x phosphorus product \>70,treatment with more than 1000 IU of vitamin D per day; or current treatment with a vitamin D analogue or calcimimitec, taking antiepileptic medication, or other medications that could alter vitamin D metabolism(eg, phenytoin, phenobarbital, rifampin(17)
  • Infection: not applicable

Key Trial Info

Start Date :

October 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2011

Estimated Enrollment :

48 Patients enrolled

Trial Details

Trial ID

NCT00781417

Start Date

October 1 2008

End Date

December 1 2011

Last Update

February 7 2012

Active Locations (1)

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Page 1 of 1 (1 locations)

1

Atlanta VAMC

Atlanta, Georgia, United States, 30300