Efficacy and Safety of High Dose Vitamin D Supplementation in Patients Undergoing HSCT
Study Details
Study Description
Brief Summary
Graft-versus-host-disease (GVHD) is common complication of hematopoietic stem cell transplantation. Vitamin D deficiency has been shown to be associated with increased risk of chronic GVHD in previous clinical studies. The purpose of this research is to investigate the effect of vitamin D supplementation in patients undergoing hematopoietic stem cell transplantation
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
Hematopoietic stem cell transplant candidates are randomized to vitamin D supplementation or usual care. Five milligrams (200,000 IU) of cholecalciferol is injected to intervention group before stem cell transplantation. Additional supplementation of cholecalciferol during follow-up period is determined according to the level of 25(OH)D3. The primary outcome is the incidence of chronic GVHD which is determined according to IBMTR criteria. The secondary outcome consists of the incidence of acute GVHD, incidence and severity of vitamin D deficiency, and serum concentration of 25(OH)D3. Study investigators expect that supplementation of vitamin D may improve the outcome of stem cell transplantation by reducing the incidence of chronic GVHD.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Cholecalciferol Cholecalciferol 5mg (200,000 IU) |
Drug: Cholecalciferol
Cholecalciferol 5mg (200,000 IU) up to maximum of three times during 1 year follow-up period according to measured 25(OH)D3 level.
Other Names:
|
No Intervention: Usual care Usual care |
Outcome Measures
Primary Outcome Measures
- Chronic GVHD [Up to 1 year]
Events will be graded according to IBMTR criteria
Secondary Outcome Measures
- Acute GVHD [Up to 100 days]
Events will be graded according to IBMTR criteria
- Vitamin D deficiency [Up to 1 year]
Severity and incidence of Vitamin D deficiency
- 25(OH)D3 [Up to 1 year]
Serum concentration of 25(OH)D3
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Adults with ≥ 18 years old
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Diagnosed with hematologic maligancies
-
Planned to undergo allogeneic stem cell transplantation
Exclusion Criteria:
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Hypercalcemia (ionized serum calcium level [iCa] > 1.3 mmol/L, corrected serum calcium level > 10.5 mg/dL)
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Impaired renal function (Serum creatinine ≥ 2.4 mg/dL)
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Not in complete remssion (except for myelodysplastic syndrome and myeloproliferative neoplasm)
-
Consent withdrawal
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Considered inadequate under investigator's discretion
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Seoul National University Hospital | Seoul | Korea, Republic of | 03080 |
Sponsors and Collaborators
- Seoul National University Hospital
- Seoul National University
Investigators
- Principal Investigator: Youngil Koh, M.D., Seoul National University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H-1702-040-830