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Trial registered on ANZCTR
Registration number
ACTRN12613000700730
Ethics application status
Approved
Date submitted
4/06/2013
Date registered
26/06/2013
Date last updated
7/07/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Vitamin D for correcting deficiency in adolescents: a general
practice-based randomised controlled trial
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Scientific title
Vitamin D deficient adolescents randomised to 50000 international units (IU) of vitamin D3 given orally monthly or 150000 IU of vitamin D3 given orally 3-monthly or placebo given monthly and 3-monthly, assessed by correcting vitamin D deficiency, feasibility of recruiting adolescents using general practice, and obtaining pilot bone density outcome data.
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Secondary ID [1]
282617
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Nil
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Universal Trial Number (UTN)
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Trial acronym
GP VitD
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Vitamin D deficiency
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Condition category
Condition code
Musculoskeletal
289645
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0
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Osteoporosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
50000 IU vitamin D3 orally monthly or 150000 IU (3 x 50 000 IU tablets) orally 3-monthly for 12 months
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Intervention code [1]
287283
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Treatment: Drugs
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Comparator / control treatment
Placebo (tablet) orally monthly and 3-monthly. The placebo consists of a filler called microcrystalline cellulose (C6H10O5)n.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Correction of vitamin D deficiency which will be assessed by blood test measuring serum 25-hydroxyvitamin D
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Assessment method [1]
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Timepoint [1]
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3, 6, and 12 months from commencement of treatment
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Secondary outcome [1]
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Feasibility of using general practice as the setting through which vitamin D deficient adolescents can be identified and treated. This will be assessed by assessing how long it takes to recruit 33 adolescents and keeping track of the number of adolescents contacted, screened and then enrolled in the study.
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Assessment method [1]
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Timepoint [1]
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Recruitment and screening
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Secondary outcome [2]
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Obtaining pilot bone density outcome data by measuring bone mineral density (BMD) at the total hip, lumbar spine and femoral neck determined using dual-energy x-ray absorptiometry.
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Assessment method [2]
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Timepoint [2]
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12 months from commencement of treatment
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Eligibility
Key inclusion criteria
Healthy adolescents aged 15-17 years.
Mild to moderate vitamin D deficiency (serum 25-OHD 12.5-50 nmol/L).
No known severe renal impairment, malabsorption, pregnancy, or lactation.
No clinical signs of rickets.
No reason known to GP to prevent participation or which makes making contact with the young person inappropriate (there may be cases where for reasons of patient confidentiality the GP will not wish a letter to be sent to a young person’s parents for example).
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Minimum age
15
Years
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Maximum age
17
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Normal vitamin D levels (serum 25-OHD > 50 nmol/L).
Severe vitamin D deficiency (serum 25-OHD < 12.5 nmol/L). These patients will be referred to their GP for assessment and consideration of treatment. We will send a copy of these results together with a letter outlining appropriate treatment advice to the GP.
Known severe renal impairment, malabsorption, pregnancy, or lactation.
Clinical signs of rickets.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
Based on our previous pilot study, we expect near total correction of mild to moderate vitamin D deficiency by a dose equivalent of 300,000IU orally of vitamin D3 over 6 months and that only 16% of children receiving placebo would correct their vitamin deficiency. Assuming 10% drop out (i.e. 10 children remaining in each group at 12 months) and with statistical significance set at p<0.05 (two-tailed), we have power of 0.85 to detect a difference in prevalence of deficiency between each vitamin D supplemented group and placebo of 70% i.e. between 90% of children no longer being deficient in vitamin D groups and 20% of children no longer being deficiency in the placebo group.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2013
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Actual
14/10/2013
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Date of last participant enrolment
Anticipated
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Actual
8/04/2015
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Date of last data collection
Anticipated
6/04/2016
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Actual
6/04/2016
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Sample size
Target
33
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Accrual to date
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Final
28
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Recruitment in Australia
Recruitment state(s)
TAS
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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The Royal Australian College of General Practitioners
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Address [1]
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College House
1 Palmerston Crescent
South Melbourne, Victoria 3205
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Menzies Research Institute Tasmania, University of Tasmania
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Address
17 Liverpool St (Private Bag 23)
Hobart, TAS
7000
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
286136
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Tasmania Health & Medical Human Research Ethics Committee (EC00337)
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Ethics committee address [1]
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Office of Research Services University of Tasmania Private Bag 01 Hobart TAS 7001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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10/12/2012
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Approval date [1]
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28/05/2013
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Ethics approval number [1]
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H0012969
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Summary
Brief summary
Adolescents are at particular risk of vitamin D deficiency and are also a group who may not take medications regularly. The optimal dosage regimen for adolescents to help them take vitamin D regularly enough to correct deficiency is not known. Therefore the main aim of this study is to test two different vitamin D dosage regimens to see if they can both correct vitamin D deficiency in adolescents. The study will also show whether vitamin D deficient adolescents can be successfully identified through general practice and provide preliminary pilot data on whether correcting vitamin D deficiency results in significant improvements in bone density.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Tania Winzenberg
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Address
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Menzies Research Institute Tasmania
17 Liverpool St (Private Bag 23)
Hobart, TAS
7000
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Country
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Australia
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Phone
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+61 3 6226 7770
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Tania Winzenberg
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Address
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Menzies Research Institute Tasmania
17 Liverpool St (Private Bag 23)
Hobart, TAS
7000
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Country
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Australia
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Phone
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+61 3 6226 7770
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Tania Winzenberg
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Address
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Menzies Research Institute Tasmania
17 Liverpool St (Private Bag 23)
Hobart, TAS
7000
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Country
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Australia
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Phone
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+61 3 6226 7770
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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