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Efficacy of Calcitriol in Recent Onset Type 1 Diabetes

Phase 2
Completed
Conditions
Diabetes Mellitus, Type 1
Interventions
Registration Number
NCT01120119
Lead Sponsor
Campus Bio-Medico University
Brief Summary

Reduction in vitamin D levels has been reported in subjects with recent onset type 1 diabetes. Several studies suggest that vitamin D supplementation in early childhood decreases the risk of developing type 1 diabetes, therefore vitamin D deficiency might play a role in the disease pathogenesis. We investigated whether the supplementation of the active form of vitamin D (calcitriol) in subjects with recent-onset type 1 diabetes can protect residual beta cell function evaluated by C peptide and improve glycaemic control as evaluated by HbA1c and insulin requirement.

Thirty-four subjects (age range 11-35 years, median 18 years) with recent-onset type 1 diabetes (\<12 weeks duration) and high basal C-peptide \>0.25 nmol/l were randomized in a double-blind trial to calcitriol (the active form of vitamin D, 1.25-dihydroxyvitamin D3 \[1,25-(OH)2D3\] ) at the dose of 0.25 ug/day or placebo, and followed up for 2 years.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  1. diagnosis of type 1 diabetes according to the American Diabetes Association (ADA) guidelines;
  2. age at presentation between 11 and 35 years;
  3. duration of clinical disease (since the beginning of insulin therapy) <12 weeks;
  4. baseline C-peptide >0.25 nmol/l;
  5. no medical contra-indications or any other major chronic disease;
  6. willingness and capability to participate in a regular follow-up.
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Exclusion Criteria
  1. cardiovascular disease;
  2. renal disease;
  3. liver disease;
  4. neurological disorders;
  5. allergic diathesis;
  6. hyperparathyroidism;
  7. neoplasia.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
CalcitriolCalcitriol-
placeboCalcitriol-
Primary Outcome Measures
NameTimeMethod
C peptide

evaluation of baseline and stimulated C peptide

Secondary Outcome Measures
NameTimeMethod
Glycometabolic control

To measure insulin requirement and HbA1c

Trial Locations

Locations (5)

Bambino Gesù Children's Hospital

🇮🇹

Rome, Italy

Sandro Pertini Hospital

🇮🇹

Rome, Italy

University Sapienza

🇮🇹

Rome, Italy

Catholic University,

🇮🇹

Rome, Italy

University Campus Bio Medico

🇮🇹

Rome, Italy

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