Vitamin D deficiency in kidney transplant recipients MedDRA version: 9.1 Level: LLT Classification code 10047626 Term: Vitamin D deficiency MedDRA version: 9.1 Level: LLT Classification code 10023438 Term: Kidney transplant
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age >18 Deceased donor kidney transplant recipients Only kidney transplant recipients Vitamin D deficiency defined as 25OHD =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Re-transplantation for the second time if the patient is highly immunized and therefore included in the apheresis program Re-transplantation for the third time or more often Significant impaired intestinal resorption: malabsorption due to celiac sprue, systemic scleroderma; maldigestion due to chronic pancreatitis, pancreatic insufficiency, pancreas resection, mukoviscidosis, Zollinger-Ellison-syndrom History of inflammatory bowel disease: Crohn’s disease, Ulcerative Colitis Previouse gastrectomy, small bowel or large bowel resection, intestinal bypass surgery Severe liver disease: cirrhosis HIV positive (HAART enhances Vitamin D catabolism)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): The immunologic effects of vitamin D3 substitution in vitamin D deficient kidney transplant recipients will be evaluated by means of - serum creatinine levels within the first year after transplantation, - number of acute rejection episodes within the first year after transplantation, - number of infections within the first year after transplantation, - and CRP levels within the first year after transplantation. ;Main Objective: 1. Does vitamin D3 substitution in vitamin D deficient kidney transplant recipients influence the posttransplant outcome compared to placebo? Hypothesis 1a Vitamin D3 substitution improves graft function compared to placebo analysed by means of serum creatinine within the first year after transplantation. Another surrogate marker used to evaluate the immunomodulatory properties of vitamin D3 is the incidence of acute rejection episodes within the first year after kidney transplantation. Hypothesis 1b Vitamin D3 substitution reduces the frequency and severity (analysed by means of CRP) of posttransplant infections compared to placebo within the first year after kidney transplantation. ;Secondary Objective: 2. Does vitamin D3 substitution influence renal osteopathy analysed using absolute bone mineral density? Hypothesis 2 Vitamin D3 substitution prevents the usual decline in bone mineral density within the first year after transplantation | — |
Countries
Austria