At a glance
ClinicalIndex Comparison Record- ✓Age ≥18 years
- ✓Anticipated ICU stay of at least 48 hours
- ✓ICU admission within 72 hours before screening
- ✓Severe vitamin D deficiency (≤12 ng/ml or undetectable)
- ✕Severe gastrointestinal dysfunction with >400 ml residual volume or unable to take study medication
- ✕Do not resuscitate order or imminent death
- ✕Hypercalcemia
- ✕Recent nephrolithiasis, active tuberculosis, or sarcoidosis
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
The VITDALIZE Study: Effect of High-dose Vitamin D3 on 28-day Mortality in Adult Critically Ill Patients With Severe Vitamin D Deficiency: a Multicenter, Placebo-controlled Double-blind Phase III Randomized Controlled Trial (RCT)
In Brief
A Phase 3 clinical trial evaluating Cholecalciferol and Placebo for Critical Illness and 2 related conditions. Currently recruiting, targeting 2,400 participants across 18 sites in 4 countries.
Detailed Summary
In the VITdAL-ICU trial using a large oral dose of vitamin D3 in 480 adult critically ill patients, there was no benefit regarding the primary endpoint hospital length of stay. However, the predefined subgroup with severe vitamin D deficiency (25(OH)D ≤ 12ng/ml) had significantly lower 28-day mortality (36.3% placebo vs. 20.4% vitamin D group, hazard ratio (HR) 0.52 (0.30-0.89), number needed to treat = 6). Therefore, high-dose vitamin D3 in a population of severely vitamin D deficient critically ill patients is a promising and inexpensive intervention that requires confirmatory multicenter studies. To date, only 7 interventions (e.g. noninvasive ventilation or prone positioning) have ever demonstrated mortality benefit for Intensive Care Unit (ICU) patients in multicenter trials. In case of benefit, vitamin D treatment in critically ill patients could be immediately implemented worldwide.
Study Details
Timeline
Interventions
oral/enteral loading dose of 37.5 ml MCT including 540,000 IU vitamin D3 followed by 10 drops daily (4000 IU) for 90 days
oral/enteral loading dose of 37.5 ml MCT followed by 10 drops daily for 90 days