Vitamin D in Dialysis Patients - Diagnostic and Therapeutic Management
Medical University of Gdansk
160 participants
Nov 1, 2022
OBSERVATIONAL
Conditions
Summary
The goal of this observational study is to learn about the effects of cholecalciferol administration, according to guidelines for the general population, on laboratory parameters of Chronic Kidney Disease-Mineral and Bone Disorder in dialysis patients, depending of the attained levels of vitamin D (25OH)D). The main question it aims to answer is: How does cholecalciferol affect calcium and phosphate metabolism parameters depending on the achieved levels of 25(OH)D? Participants taking cholecalciferol as part of their regular medical care for CKD-MBD will have the laboratory result parameters observed for up to 4 years.
Eligibility
Inclusion Criteria1
- CKD stage 5,dialysed patients with vitamin D deficiency or insufficiency (level of 25(OH)D \< 30 ng/mL)
Exclusion Criteria8
- dialysis time of less than 3 months
- inadequately controled secondary hyperparathyroidism (iPTH\>800pg/mL)
- treatment with calcimimetics
- treatment with active forms of vitamin D3,
- parathyroidectomy
- bilateral nephrectomy
- treatment with corticosteroids
- lack of consent to take part in the study.
Interventions
The patients with vitamin D (25(OH)D) levels \< 30 ng/mL, and 30-50 ng/ml will recieve a dose of cholecalciferol at 70,000 IU per week (20,000 IU + 20,000 IU + 30,000 IU per week). In the patients with 25(OH)D levels 50-80 ng/mL the dose of cholecalciferol will be adjusted to avoid exceeding the upper limit of the laboratory norm.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06571344