CTRI Number |
CTRI/2014/06/004670 [Registered on: 13/06/2014] Trial Registered Retrospectively |
Last Modified On: |
11/06/2015 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Other (Specify) [Vitamin D] |
Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
Public Title of Study
|
Vitamin D supplementation in Pregnancy |
Scientific Title of Study
|
A Randomized Controlled Trial to Investigate the Effects of Vitamin D supplementation on maternal and new-born baby’s vitamin D status in Asian-Indian Subjects. |
Trial Acronym |
VIDIMAN |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Garima Kachhawa |
Designation |
Assistant Professor |
Affiliation |
All India Institute of Medical Sciences |
Address |
Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 New Delhi DELHI 110029 India |
Phone |
09868398231 |
Fax |
|
Email |
garimakachhawa2012@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Garima Kachhawa |
Designation |
Assistant Professor |
Affiliation |
All India Institute of Medical Sciences |
Address |
Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 New Delhi DELHI 110029 India |
Phone |
09868398231 |
Fax |
|
Email |
garimakachhawa2012@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Garima Kachhawa |
Designation |
Assistant Professor |
Affiliation |
All India Institute of Medical Sciences |
Address |
Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 Department of Obstetrics and Gynecology
AIIMS , New Delhi-29 New Delhi DELHI 110029 India |
Phone |
09868398231 |
Fax |
|
Email |
garimakachhawa2012@gmail.com |
|
Source of Monetary or Material Support
|
Indian Council of Medical Research (ICMR) |
|
Primary Sponsor
|
Name |
Indian Council of Medical Research ICMR |
Address |
Indian Council of Medical Research
P.O. Box No. 4911
Ansari Nagar
New Delhi - 110029
India |
Type of Sponsor |
Government funding agency |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Garima Kachhawa |
All India Institute of Medical Sciences |
Department of Obstetrics and Gynecology, Room No. 3086
3rd Floor, Teaching Block, AIIMS New Delhi-29 New Delhi DELHI |
9868398231
garimakachhawa2012@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
The Ethics Committee, AIIMS |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Healthy Human Volunteers |
Pregnancy |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Vitamin D in dose of 1000 IU/day |
Group 1 - subjects will receive 1000 IU of vitamin D per day. Although dose of supplementation has been calculated from daily dose basis, but it will be given, orally as once a month dose (30,000 IU once a month orally,supervised in the hospital), supervised in the hospital till delivery. |
Intervention |
Vitamin D in dose of 2000IU/day |
Group 2 - subjects will receive 2000 IU of vitamin D per day. Although dose of supplementation has been calculated from daily dose basis, but it will be given, orally as once a month dose (60,000 IU once a month orally,supervised in the hospital) till delivery.
|
Intervention |
Vitamin D in dose of 4000 IU/day |
Group 3 - subjects will receive 4000 IU of vitamin D per day. Although dose of supplementation has been calculated from daily dose basis, but it will be given, orally as once a month dose (120,000 IU once a month orally,supervised in the hospital) till delivery. |
Comparator Agent |
Vitamin D in dose of 600 IU/day |
Control group - subjects will receive 600 IU of vitamin D per day. Although dose of supplementation has been calculated from daily dose basis, but it will be given, orally as once a month dose (18,000 IU once a month orally,supervised in the hospital) till delivery. |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
35.00 Year(s) |
Gender |
Female |
Details |
•Pregnant women between 12-16 weeks of gestation.
•Age between 18 to 35 years.
•Subjects agrees for delivery conducted at the AIIMS
|
|
ExclusionCriteria |
Details |
Subjects will be excluded from the study if they
•Have more than one gestation in current pregnancy
•Complicated medical or obstetric history that may increase the risk of preterm birth or labor/ delivery complications, based on self-report or clinical assessment by obstetrician (cardiovascular disease, more than three abortions ,hypertension, preeclampsia or Rh isoimmunization)
•Prior history of delivery of an infant with chromosomal abnormalities or IUGR in previous pregnancy
•Presence of any diagnosed systemic disease known to affect vitamin D status such as malabsorption states, liver and renal disorders, primary and tertiary hyperparathyroidism.
•Have features suggestive of osteomalacia or severe VDD.
•Pre-existing hypertension
•Already diagnosed with diabetes (type 1 or 2)
•Are taking or had taken vitamin D supplementation in last two months in doses exceeding 600 IU/day.
•Are using medications known to interact with vitamin D metabolism (steroids,thiazide diuretics, phenytoin, phenobarbitone and antitubercular drugs).
•Have known hypersensitivity to Vitamin D
preparations.
•Have participated in any other investigational drug study in previous three months.
•Have past history of bariatric surgery.
•Are using Ultra-Violet (UV) radiations as a part of medical therapy.
•Are diagnosed with albinism or have other condition associated with decreased skin pigmentation.
•Have any medical condition that in the judgment of the investigator would jeopardize the subject’s safety or evaluation of study drug for efficacy or safety .
Additional exclusion criteria will be applied after biochemical screening:
•Having gestational diabetes between 12-16 weeks of pregnancy.
•Have serum calcium more than 1 mg/dL above the upper limit of normal for age.
•Have serum S.25(OH)D level more than 100 ng/mL.
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
An Open list of random numbers |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Changes in vitamin D status of mother and newborn as measured by serum 25 hydroxy vitamin D level |
Mother: at start of study, 26-30 week and at the time of delivery; Newborn: cord blood |
|
Secondary Outcome
|
Outcome |
TimePoints |
1. Weight gain
2. pre-eclampsia
3. Preterm labour
4.Fetal growth
5. New borns Anthropometry
6.Insulin resistance in Mother
7. Insulin resistance in newborn.
|
1. Wt at recuritment and at delivery
2. After 20 weeks
3. After 24-37 weeks
4.At 28 and 32 week
5. At birth
6. At delivery
7. At birth
|
|
Target Sample Size
|
Total Sample Size="368" Sample Size from India="368"
Final Enrollment numbers achieved (Total)= "351"
Final Enrollment numbers achieved (India)="351" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
01/02/2014 |
Date of Study Completion (India) |
31/05/2017 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
31/05/2017 |
Estimated Duration of Trial
|
Years="3" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Completed |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
No publication yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
In the proposed study, we are planning to investigate the efficacy of three doses of vitamin D supplementation on vitamin D status of mother and newborn at the time of delivery, in comparison to control group who will receive 600 IU per day. Subjects will be randomized into one of the four groups (three intervention groups and one control group), in the ratio of 1:1. Subjects in intervention group will receive vitamin D (cholecalciferol) in increasing supplemental doses (Group 1 – 1000 units/day; Group 2 – 2000 units/day; Group 3 - 4000 units per day) while control group will receive 600 units of vitamin D per day. Although dose of supplementation has been calculated from daily dose basis, but it will be given, orally, once a month dose.Dose of supplementation - Control group will receive 18,000 IU orally once a month while group 1 will receive 30,000 IU per month, group 2 will receive 60,000 IU per month while group 3 will receive 120,000 IU per month. All doses of vitamin D will be given as supervised dose in the hospital (supervised by study staff). Doses of vitamin D will be given till delivery.
In addition, all study subjects (intervention as well as control group) will also receive 1000 mg of elemental calcium (in two divided doses), similar nutritional and lifestyle advice as part of standard management of pregnancy. After 6-7 months of supplementation, all groups will be compared for primary and secondary outcomes of the study at the time of delivery.
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