ViDES Trial (Vitamin D Extra Supplementation)
Purpose
The objective of the study is to compare supplementation with vitamin D at 800 IU/day to usual care for the first 28 days after birth with respect to 25 (OH) vitamin D levels and indicators of likely or plausible effects of vitamin D supplementation on the function or structure of the lung, bones, immune system, and brain in extremely premature (EP) infants who are <28 weeks gestational age (GA) or <1000 grams of birth weight (BW). The study results will be analyzed as intention to treat Bayesian analyses (Frequentist analyses will also be performed).
Condition
- Vitamin D Deficiency
Eligibility
- Eligible Ages
- Between 24 Hours and 96 Hours
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Infants born at < 28 weeks gestational age (GA) or <1000 grams birth weight (BW) - Inborn - Informed written consent in an Institutional Review Board (IRB)-approved manner
Exclusion Criteria
- GA >32 weeks regardless of birth weight (BW) - Any major congenital anomaly - A known congenital nonbacterial infection - Prenatal diagnosis of disorders that affect vitamin D absorption (e.g, cystic fibrosis) - Such severe illness or immaturity that the attending neonatologist judges intensive care to be unjustified.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Other
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Active Comparator Usual care plus placebo |
Infants will receive placebo (normal saline) in the first 28 days after birth. Care will be unaffected and provided based on the judgment of the attending neonatal faculty and NICU policies and routine practices. When the infant receives about 120 to 160 mL/kg/day of fortified milk at 24 kcal/ounce, the infant will receive supplementation with 400 IU/day of vitamin D as usual care. |
|
Experimental Usual care plus vitamin D supplementation |
Infants will receive cholecalciferol 800 IU/day in the first 28 days after birth, given enterally four times per day (0.5mL per dose = 200 IU) until the infant is provided 400 IU/day (when feedings reach about 120 -160 mL/kg/day). At that point the study cholecalciferol will be reduced to 400 IU/day for a total supplementation of 800 IU/day. |
|
Recruiting Locations
The University of Texas Health Science Center at Houston
Houston, Texas 77006
Houston, Texas 77006
More Details
- Status
- Recruiting
- Sponsor
- The University of Texas Health Science Center, Houston