Adult critically ill patients with severe vitamin D deficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age =18 years 2. Expected primary ICU stay = 48 hours 3. = 72 hours in primary ICU at screening blood sample 4. Severe vitamin D deficiency (=12 ng/ml or undetectable) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 1200 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 1200
Exclusion criteria
Exclusion criteria: 1. Hypercalcemia at inclusion (total Ca > 2.65 mmol/l, ionized Ca > 1.35 mmol/l) 2. Study medication intake not possible (mask, ileus, residual volume high) 3. History of kidney stones (= 1 year) 4. Granulomatous disease (active tuberculosis or sarcoidosis) 5. Pregnant/nursing 6. Other reasons* (DNR= do not resuscitate, relevant psychiatric disease, prisoner) 7. Hypersensitivity to drug or excipient
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To test if high-dose vitamin D3 is beneficial for the clinical outcome of critically ill adult patients with severe vitamin D deficiency 28-day mortality ;Secondary Objective: 90-day mortality 1-year mortality ICU and hospital mortality Hospital and ICU length of stay SOFA Score at day 5 (48 hours tolerance) and number of organ failures (> 2 SOFA points in each of the 6 categories) Katz Activities of Daily Life (ADL) at day 90 Self - reported infections requiring antibiotics until day 90 Hospital and ICU readmission until day 90 Hypercalcemia on day 5 (48 hours tolerance) Self-reported falls, fractures until day 90 New episodes of kidney stones ;Primary end point(s): 28-day mortality;Timepoint(s) of evaluation of this end point: 28 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 90-day mortality 1-year mortality ICU and hospital mortality Hospital and ICU length of stay SOFA Score at day 5 (48 hours tolerance) and number of organ failures (> 2 SOFA points in each of the 6 categories) Katz Activities of Daily Life (ADL) at day 90 Self - reported infections requiring antibiotics until day 90 Hospital and ICU readmission until day 90 Hypercalcemia on day 5 (48 hours tolerance) Self-reported falls, fractures until day 90 New episodes of kidney stones ;Timepoint(s) of evaluation of this end point: up to 1 year | — |
Countries
Austria, Belgium, Germany, United Kingdom
Contacts
Medical University of Graz