| CTRI Number |
CTRI/2025/07/089992 [Registered on: 02/07/2025] Trial Registered Prospectively |
| Last Modified On: |
01/07/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Other |
|
Public Title of Study
|
Study on whether giving Vitamin D helps speed up recovery in patients with Drug-Sensitive Tuberculosis treated at public hospital in Western India. |
|
Scientific Title of Study
|
Effect of vitamin D supplementation on tuberculosis treatment outcome among Newly Registered Drug-Sensitive Tuberculosis (DSTB) patients at public health facilities of Western India. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Dularikunwarba Zala |
| Designation |
1st year PG resident, department of community medicine |
| Affiliation |
GMERS medical college, Gotri. |
| Address |
Department of community medicine, 1st floor, GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021
Vadodara GUJARAT 390021 India |
| Phone |
9978657007 |
| Fax |
|
| Email |
pritishakti1969@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Kedar Mehta |
| Designation |
Associate professor, department of community medicine |
| Affiliation |
GMERS medical college, Gotri. |
| Address |
Department of community medicine, 1st floor, GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021
Vadodara GUJARAT 390021 India |
| Phone |
9879036835 |
| Fax |
|
| Email |
kedar_mehta20@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Dr Kedar Mehta |
| Designation |
Associate professor, department of community medicine |
| Affiliation |
GMERS medical college, Gotri. |
| Address |
Department of community medicine, 1st floor, GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021
Vadodara GUJARAT 390021 India |
| Phone |
9879036835 |
| Fax |
|
| Email |
kedar_mehta20@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| GMERS medical college and hospital, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat, India. Pin code- 390021 |
|
|
Primary Sponsor
|
| Name |
Dr Dularikunwarba Zala |
| Address |
GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021 |
| Type of Sponsor |
Other [self funded] |
|
|
Details of Secondary Sponsor
|
| Name |
Address |
| Dr Kedar Mehta |
GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021 |
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Kedar Mehta |
GMERS medical college and hospital, Gotri, Vadodara |
Department of community medicine, 1st floor, GMERS medical college, Old TB campus, Gotri road, Gotri, Vadodara, Gujarat- 390021 Vadodara GUJARAT |
9879036835
kedar_mehta20@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| International Human Ethics Committee, GMERS medical college and hospital, Gotri, Vadodara. |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: A150||Tuberculosis of lung, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Standard anti-tuberculosis therapy (DOTS) alone as per NTEP guidelines. |
Standard DOTS therapy- Daily oral fixed-dose combination (FDC) of first-line anti-TB drugs — Isoniazid- 75mg (H), Rifampicin- 150 mg (R), Ethambutol- 275mg (E), and Pyrazinamide- 400mg (Z) — given according to patient body weight. Treatment will be divided into two phases- Intensive Phase (IP)- First 2 months, with daily oral FDC containing HRZE. Continuation Phase (CP)- Following 4 months, with daily oral FDC containing HRE. FDC dose is based on body weight as per NTEP guidelines- 25–34 kg- 2 tablets per day. 35–49 kg- 3 tablets per day. 50–64 kg- 4 tablets per day. more than 65 kg- 5 tablets per day. Route- Oral. Frequency- Daily- 7 days per week. Total duration of DOTS therapy- 6 months. From October 2025 to December 2025. |
| Intervention |
Vitamin D3 (Cholecalciferol) supplementation in addition to standard anti-tuberculosis therapy (DOTS) as per NTEP guidelines. |
Vitamin D3-
Dose- 60,000 IU.
Frequency- once a week.
Route of administration- oral.
Total duration of intervention- 8 weeks.
Standard DOTS therapy-
Daily oral fixed-dose combination (FDC) of first-line anti-TB drugs — Isoniazid- 75mg (H), Rifampicin- 150 mg (R), Ethambutol- 275mg (E), and Pyrazinamide- 400mg (Z) — given according to patient body weight. Treatment will be divided into two phases-
Intensive Phase (IP)- First 2 months, with daily oral FDC containing HRZE.
Continuation Phase (CP)- Following 4 months, with daily oral FDC containing HRE.
FDC dose is based on body weight as per NTEP guidelines-
25–34 kg- 2 tablets per day.
35–49 kg- 3 tablets per day.
50–64 kg- 4 tablets per day.
more than 65 kg- 5 tablets per day.
Route- Oral.
Frequency- Daily- 7 days per week.
Total duration of DOTS therapy- 6 months. From January 2026 to March 2026.
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
Newly diagnosed drug-sensitive tuberculosis (DSTB) patients, pulmonary or extra-pulmonary, aged 18 years and above, willing to participate and provide written informed consent. |
|
| ExclusionCriteria |
| Details |
Patients will be excluded if they have drug-resistant tuberculosis (MDR/XDR), are HIV-positive, have chronic kidney disease evidenced by elevated serum creatinine levels or have significant chronic liver disease. Patients will also be excluded if they have known hypercalcemia, a history of vitamin D toxicity, granulomatous diseases such as sarcoidosis, primary hyperparathyroidism, or malignancies associated with hypercalcemia (e.g., lymphoma, multiple myeloma). Individuals currently taking vitamin D supplements, those on digitalis (digoxin) therapy, pregnant or lactating women, and patients with a known hypersensitivity to vitamin D preparations will also be excluded from the study. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Higher sputum smear conversion rates and improved overall treatment success rate.
|
Sputum smear microscopy will be performed at- 2 months and at 6 months, to assess conversion from smear-positive to smear-negative status.
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Greater weight gain, improvement in other clinical symptoms, monitoring & recording of any adverse events. |
Outcome parameters will be assessed at baseline prior to treatment initiation, at 4 weeks, 8 weeks & monthly thereafter at 12, 16, 20 & 24 weeks, including at the point of treatment completion at 6 months.
|
|
|
Target Sample Size
|
Total Sample Size="1000" Sample Size from India="1000"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
01/10/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" Months="9" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Tuberculosis is still a significant public health issue in India. Vitamin D is recognized for its ability to maintain the body’s immune system and potentially help manage tuberculosis infection by boosting the body’s natural protection. The impact of oral vitamin D supplementation provided in addition to regular anti-tuberculosis treatment among newly diagnosed drug-sensitive TB patients in public health centre in Western India will be assessed in this study. These patients will be divided into two groups: one group will receive vitamin D supplements along with conventional treatment, and the second group will receive conventional treatment alone. The expected outcomes will be sputum smear conversion at two and six months, overall success of treatment, weight gain, improvement in clinical findings. Any side effects or adverse events will also be observed and documented. The research will track each patient for a maximum of six months to compare findings and present evidence on whether vitamin D can serve as an effective additional strategy in standard TB care. |