ISRCTN ISRCTN90413758
DOI https://doi.org/10.1186/ISRCTN90413758
Secondary identifying numbers 6247
Submission date
29/04/2010
Registration date
29/04/2010
Last edited
08/08/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Lesley Rees
Scientific

30 Guilford Street
London
WC1N 1EH
United Kingdom

Study information

Study designNon-randomised interventional treatment trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleVitamin D in children with chronic kidney disease (CKD) on dialysis: a non-randomised interventional treatment pilot study
Study objectivesThe aim of chronic kidney disease mineral and bone disorder (CKD-MBD) management is to maintain normal bone turnover and minimise vascular calcification. Recommendations to achieve this hinge on manipulation of parathyroid hormone (PTH) levels into a specified range using diet, preparations that prevent the absorption of phosphate and the activated form of vitamin D (1-alpha hydroxycholecalciferol or alfacalcidol). However, there is no evidence base for this practise. More recently, the role of vitamin D in cardiovascular disease (CVD) prevention has been demonstrated by ourselves and others. CVD can be studied in children using established surrogate markers such as carotid-intima thickness (cIMT).
Ethics approval(s)Institute of Child Health/Great Ormond Street Hospital Research Ethics Committee, 2008, ref: 08/H0713/38
Health condition(s) or problem(s) studiedTopic: Medicines for Children Research Network; Subtopic: All Diagnoses; Disease: All Diseases
InterventionBaseline 1,25(OH)2D levels will be measured. The alfacalcidol dose will be adjusted so as to keep the serum 1,25(OH)2D level in the normal range (40 – 150 pmol/L). Levels will be checked every 4 weeks so as to ensure that the 1,25(OH)2D level remains normal.

All children who are on dialysis will undergo the following scans annually or prior to transplantation (whichever is sooner):
1. cIMT, using high-resolution ultrasound of both common carotid arteries
2. PWV, using applanation tonometry to measure aortic and brachio-radial pulse wave velocity
3. Coronary artery calcification (CAC) score, using multi-slice CT scan for ECG-gated imaging of the heart
Intervention typeSupplement
Primary outcome measureBlood samples taken at 4 weeks
Secondary outcome measuresScans annually or prior to transplant
Overall study start date01/01/2009
Completion date30/09/2010

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit5 Years
Upper age limit18 Years
SexBoth
Target number of participantsPlanned Sample Size: 30; UK Sample Size: 30
Key inclusion criteria1. 30 children aged 5 to 18 years, either sex
2. CKD stage 5 (estimated glomerular filtration rate [GFR] less than 15 ml/min/1.73 m^2 or on dialysis)
Key exclusion criteria1. Smokers
2. Diabetics
3. Uncontrolled hypertension
4. Inflammatory disorders
5. Receiving anti-epileptic medications
6. Liver disease
Date of first enrolment01/01/2009
Date of final enrolment30/09/2010

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Great Ormond Street Hospital for Children
London
WC1N 1EH
United Kingdom

Sponsor information

Great Ormond Street Hospital for Children (UK)
Hospital/treatment centre

30 Guilford Street
London
WC1N 1EH
England
United Kingdom

Website http://www.ich.ucl.ac.uk/
ROR logo "ROR" https://ror.org/03zydm450

Funders

Funder type

Charity

Kidney Research UK (UK)
Private sector organisation / Other non-profit organizations
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Editorial Notes

09/08/2016: No publications found, verifying study status with principal investigator.