Health Condition 1: E559- Vitamin D deficiency, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: CKD Stage 3 to 5 (not on dialysis) Serum 25(OH) D levels less than 20ng/mL Clinical or biochemical evidence of CKD-MBD
Exclusion criteria
Exclusion criteria: Serum calcium more than 10.5 mg/dL Serum iPTH less than 15 pg/mL History of parathyroidectomy Presence of bone diseases unrelated to CKD (e.g., multiple myeloma, bone metastases) Use of immunosuppressive drugs Diagnosed immune-mediated disorders (e.g., systemic lupus erythematosus, sarcoidosis) Critically ill or moribund patients Malabsorption syndrome Sepsis Malignancy Pregnancy or lactation Patients unable to take oral medications Patients not providing consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rise or change in serum 25 hydroxy vitamin D and active 1,25 dihydroxy vitamin D levels at the 3 month point. The pattern of change in bone formation markers particularly, BS-ALP and Serum P1NP. How often patients experience elevated calcium or phosphate levels on either therapy. Whether intact parathyroid hormone (iPTH) levels show meaningful improvement with either treatment.Timepoint: 0,1,2,3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the change in bone turnover markers (BS-ALP and S-P1NP) over a period of 3 months 3 months. To determine the incidence of hypercalcemia and hyperphosphatemia in both treatment groups. To assess the change in serum intact parathyroid hormone (iPTH) levels from baseline to 3 months.Timepoint: 0, 1, 2, 3 months | — |
Countries
India
Contacts
PGIMER Chandigarh