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Vitamin D for the Treatment of Women With Polycystic Ovary Syndrome (PCOS)

Vitamin D Supplementation in Polycystic Ovary Syndrome: a Randomized Controlled Trial.

Status
Completed
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00907153
Enrollment
36
Registered
2009-05-22
Start date
2009-05-31
Completion date
2014-09-30
Last updated
2017-12-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Polycystic Ovary Syndrome

Keywords

Polycystic Ovary Syndrome, Vitamin D, Insulin resistance, Inflammation

Brief summary

The purpose of this study is to determine if vitamin D will improve insulin resistance, inflammation, and overall well-being in women with PCOS.

Detailed description

As many cells throughout the body possess the vitamin D receptor, adequate vitamin D levels may be essential for multiple physiologic functions. In recent years, vitamin D insufficiency has been linked to insulin resistance, inflammation, poor psychological health, obesity, type 2 diabetes, and cardiovascular disease - these are also commonly found in women with Polycystic Ovary syndrome (PCOS). We believe that vitamin D insufficiency contributes to insulin resistance, inflammation, and psychological distress in women with PCOS. These adverse effects may ultimately increase the risk for serious long-term complications in PCOS, including type 2 diabetes and cardiovascular disease. The key objectives of this research study are to determine the effects of vitamin D supplementation on insulin resistance, inflammation, mood and overall well-being in women with PCOS. The protocol has been modified by adding the following specific aim: To compare vascular function in healthy age and BMI similar matched women to PCOS women pre-treatment. Our hypothesis is that PCOS women will have greater attenuations in retinal vascular reactivity compared to healthy control women, demonstrating poorer endothelial function. We are currently recruiting healthy women who are age and BMI similar to the PCOS women and measure their retinal vascular reactivity for comparisons to the PCOS women's pre-treatment vascular reactivity. These healthy women will only have a baseline visit in which retinal vascular reactivity will be measured. They will not be enrolled in the placebo or Vitamin D randomization process as described above.

Interventions

DIETARY_SUPPLEMENTVitamin D

Vitamin D 300 mcg by mouth once daily for 12 weeks

DRUGPlacebo

Placebo by mouth once daily for 12 weeks

Sponsors

Milton S. Hershey Medical Center
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of PCOS based on: * Eight or fewer menstrual periods per year or spontaneous intermenstrual periods of greater than or equal to 45 days, and * Elevated testosterone levels

Exclusion criteria

* Current Pregnancy or Nursing * Elevated calcium * Kidney Stones or kidney disease * Current use of vitamin D (other than a multivitamin) * Use of metformin or other insulin sensitizing drugs in the last 3 months * Elevated prolactin or untreated thyroid disease * Diabetes, Liver disease, Heart disease, or other serious medical condition

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Mean Quantitative Insulin Sensitivity Check Index (QUICKI)Baseline and 12 weeksQuantitative insulin sensitivity check index (QUICKI) is a validated measure of insulin sensitivity based on fasting insulin and glucose. Quantitative insulin sensitivity check index (QUICKI) = 1/\[log(I(0)) + log(G(0))\]).

Secondary

MeasureTime frameDescription
Change From Baseline in Mean 2-hour InsulinBaseline and 12 weeksParticipants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).
Change From Baseline in Mean TriglyceridesBaseline and 12 weeksLipid profile was assessed after 12 hours of fasting.
Change From Baseline in Mean Total TestosteroneBaseline and 12 weeksTotal and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.
Change From Baseline in Mean Free TestosteroneBaseline and 12 weeksTotal and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.
Change From Baseline in Mean High Sensitive C-reactive Protein (hsCRP)Baseline and 12 weeksHigh sensitive C-reactive protein (hsCRP) was assessed as a measure of inflammation.
Change From Baseline in Mean Systolic Blood PressureBaseline and 12 weeksBlood pressure was measured in the right arm in the sitting position after a 15-minute rest.
Change From Baseline in Mean Diastolic Blood PressureBaseline and 12 weeksBlood pressure was measured in the right arm in the sitting position after a 15-minute rest.
Change From Baseline in Mean Fasting GlucoseBaseline and 12 weeksGlucose was assessed after 12 hours of fasting.
Change From Baseline in Mean Fasting InsulinBaseline and 12 weeksInsulin was assessed after 12 hours of fasting.
Change From Baseline in Mean 2-hour GlucoseBaseline and 12 weeksParticipants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).
Change From Baseline in Mean Insulin Sensitivity Index (ISI 0,120)Baseline and 12 weeksParticipants underwent a 75-g oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 120 minutes and used to calculate the insulin sensitivity index (ISI0,120). The ISI 0,120 = the glucose uptake rate divided by the mean plasma glucose divided by the log(mean serum insulin).
Change From Baseline in Mean Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)Baseline and 12 weeksHomeostatic Model Assessment of Insulin Resistance (HOMA-IR) is a validated measure of insulin resistance based on fasting insulin and glucose. HOMA-IR is calculated as the product of fasting glucose and insulin divided by 22.5.
Change From Baseline in Mean Total CholesterolBaseline and 12 weeksLipid profile was assessed after 12 hours of fasting.
Change From Baseline in Mean HDL CholesterolBaseline and 12 weeksLipid profile was assessed after 12 hours of fasting.
Change From Baseline in Mean LDL CholesterolBaseline and 12 weeksLipid profile was assessed after 12 hours of fasting.

Other

MeasureTime frameDescription
Change From Baseline in Mean Intact Parathyroid Hormone (i-PTH)Baseline and 12 weeksIntact parathyroid hormone levels were assessed as they have been linked with obesity and insulin resistance.
Change From Baseline in Mean 25-hydroxyvitamin DBaseline and 12 weeksTotal 25-hydroxyvitamin D was assayed by the Immunodiagnostic Systems radioimmunoassay.
Change From Baseline in Mean Vitamin D Binding ProteinBaseline and 12 weeksVitamin D binding protein levels were assessed as it has been linked with insulin resistance and type 2 diabetes.

Countries

United States

Participant flow

Recruitment details

36 patients were screened for eligibility between July 2009 and November 2010 at Medicine and Obstetrics and Gynecology clinics at an academic medical center in Hershey, PA.

Pre-assignment details

28 of 36 participants were randomized. Of those not randomized, 3 did not meet inclusion criteria, 3 declined to participate, and 2 were not randomized for other reasons.

Participants by arm

ArmCount
Vitamin D
Vitamin D: Vitamin D 300 mcg by mouth once daily for 12 weeks
13
Placebo
Placebo: Placebo by mouth once daily for 12 weeks
15
Total28

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyLost to Follow-up11
Overall StudyWithdrawal by Subject13

Baseline characteristics

CharacteristicVitamin DPlaceboTotal
25-hydroxyvitamin D19.95 ng/mL
STANDARD_DEVIATION 9.47
22.20 ng/mL
STANDARD_DEVIATION 6.86
21.15 ng/mL
STANDARD_DEVIATION 8.1
2-hour glucose122.08 mg/dL
STANDARD_DEVIATION 36.29
110.07 mg/dL
STANDARD_DEVIATION 23.68
115.64 mg/dL
STANDARD_DEVIATION 30.22
2-hour insulin214.69 uU/mL
STANDARD_DEVIATION 146.41
107.07 uU/mL
STANDARD_DEVIATION 55.2
157.04 uU/mL
STANDARD_DEVIATION 118.72
Age, Continuous28.2 years
STANDARD_DEVIATION 5.2
28.7 years
STANDARD_DEVIATION 5.6
28.5 years
STANDARD_DEVIATION 5.3
Body Mass Index (BMI)37.20 kg/m2
STANDARD_DEVIATION 4.53
35.09 kg/m2
STANDARD_DEVIATION 9.81
36.1 kg/m2
STANDARD_DEVIATION 7.8
Diastolic blood pressure79.08 mm hg
STANDARD_DEVIATION 8.28
74.88 mm hg
STANDARD_DEVIATION 7.72
76.83 mm hg
STANDARD_DEVIATION 7.98
Fasting glucose84.92 mg/dL
STANDARD_DEVIATION 9.46
83.73 mg/dL
STANDARD_DEVIATION 9.33
84.29 mg/dL
STANDARD_DEVIATION 9.23
Fasting insulin26.31 uU/mL
STANDARD_DEVIATION 9.6
27.13 uU/mL
STANDARD_DEVIATION 15.79
26.75 uU/mL
STANDARD_DEVIATION 13.05
Free testosterone19.08 ng/dL
STANDARD_DEVIATION 15.79
14.00 ng/dL
STANDARD_DEVIATION 10.88
16.89 ng/dL
STANDARD_DEVIATION 13.33
HDL cholesterol45.54 mg/dL
STANDARD_DEVIATION 17.6
37.00 mg/dL
STANDARD_DEVIATION 10.83
40.96 mg/dL
STANDARD_DEVIATION 14.74
High sensitive C-reactive protein (hsCRP)7.95 mg/L
STANDARD_DEVIATION 5.24
4.42 mg/L
STANDARD_DEVIATION 4.34
6.1 mg/L
STANDARD_DEVIATION 5
Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)5.47 units on a scale
STANDARD_DEVIATION 1.82
5.80 units on a scale
STANDARD_DEVIATION 3.9
5.65 units on a scale
STANDARD_DEVIATION 2.93
Insulin sensitivity index 0,12055.55 mg·l^2/mmol·mU·min
STANDARD_DEVIATION 23.26
63.56 mg·l^2/mmol·mU·min
STANDARD_DEVIATION 16.37
59.84 mg·l^2/mmol·mU·min
STANDARD_DEVIATION 19.57
Intact parathyroid hormone (i-PTH)40.81 pg/mL
STANDARD_DEVIATION 27.34
33.17 pg/mL
STANDARD_DEVIATION 17.73
36.72 pg/mL
STANDARD_DEVIATION 22.19
LDL cholesterol98.62 mg/dL
STANDARD_DEVIATION 36.96
117.33 mg/dL
STANDARD_DEVIATION 28.56
108.64 mg/dL
STANDARD_DEVIATION 33.47
Quantitative Insulin Sensitivity Check Index (QUICKI)0.302 units on a scale
STANDARD_DEVIATION 0.014
0.307 units on a scale
STANDARD_DEVIATION 0.029
0.305 units on a scale
STANDARD_DEVIATION 0.022
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
1 Participants0 Participants1 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants1 Participants2 Participants
Race (NIH/OMB)
White
10 Participants14 Participants24 Participants
Region of Enrollment
United States
13 participants15 participants28 participants
Sex: Female, Male
Female
13 Participants15 Participants28 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants
Systolic blood pressure117.46 mm Hg
STANDARD_DEVIATION 10
113.91 mm Hg
STANDARD_DEVIATION 10.21
115.56 mm Hg
STANDARD_DEVIATION 10.11
Total cholesterol172.00 mg/dL
STANDARD_DEVIATION 42.7
184.27 mg/dL
STANDARD_DEVIATION 32.52
178.57 mg/dL
STANDARD_DEVIATION 37.38
Total testosterone54.23 ng/dL
STANDARD_DEVIATION 28.16
41.27 ng/dL
STANDARD_DEVIATION 17.29
48.48 ng/dL
STANDARD_DEVIATION 23.03
Triglyecrides139.08 mg/dL
STANDARD_DEVIATION 71.61
149.47 mg/dL
STANDARD_DEVIATION 85.46
144.64 mg/dL
STANDARD_DEVIATION 78.07
Vitamin D binding protein30.46 mg/dL
STANDARD_DEVIATION 8.53
31.95 mg/dL
STANDARD_DEVIATION 7.54
31.34 mg/dL
STANDARD_DEVIATION 8.04

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
0 / 130 / 15
serious
Total, serious adverse events
0 / 130 / 15

Outcome results

Primary

Change From Baseline in Mean Quantitative Insulin Sensitivity Check Index (QUICKI)

Quantitative insulin sensitivity check index (QUICKI) is a validated measure of insulin sensitivity based on fasting insulin and glucose. Quantitative insulin sensitivity check index (QUICKI) = 1/\[log(I(0)) + log(G(0))\]).

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Quantitative Insulin Sensitivity Check Index (QUICKI)-0.008 units on a scale
PlaceboChange From Baseline in Mean Quantitative Insulin Sensitivity Check Index (QUICKI)0.009 units on a scale
p-value: 0.0595% CI: [-0.034, 0]Regression, Linear
Secondary

Change From Baseline in Mean 2-hour Glucose

Participants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean 2-hour Glucose-11.66 mg/dL
PlaceboChange From Baseline in Mean 2-hour Glucose1.14 mg/dL
p-value: 0.3995% CI: [-42.94, 17.34]Regression, Linear
Secondary

Change From Baseline in Mean 2-hour Insulin

Participants underwent a 75-gram oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 2 hours and used to calculate the insulin sensitivity index (ISI 0,120).

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean 2-hour Insulin-62.02 uU/mL
PlaceboChange From Baseline in Mean 2-hour Insulin13.06 uU/mL
p-value: 0.0995% CI: [-161.9, 11.78]Regression, Linear
Secondary

Change From Baseline in Mean Diastolic Blood Pressure

Blood pressure was measured in the right arm in the sitting position after a 15-minute rest.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Diastolic Blood Pressure-0.91 mm Hg
PlaceboChange From Baseline in Mean Diastolic Blood Pressure5.60 mm Hg
p-value: 0.0295% CI: [-12.07, -0.96]Regression, Linear
Secondary

Change From Baseline in Mean Fasting Glucose

Glucose was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Fasting Glucose-0.70 mg/dL
PlaceboChange From Baseline in Mean Fasting Glucose-6.98 mg/dL
p-value: 0.2295% CI: [-3.97, 16.54]Regression, Linear
Secondary

Change From Baseline in Mean Fasting Insulin

Insulin was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Fasting Insulin13.04 uU/mL
PlaceboChange From Baseline in Mean Fasting Insulin-0.80 uU/mL
p-value: 0.3395% CI: [-210.29, 37.98]Regression, Linear
Secondary

Change From Baseline in Mean Free Testosterone

Total and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Free Testosterone2.67 ng/dL
PlaceboChange From Baseline in Mean Free Testosterone5.82 ng/dL
p-value: 0.2595% CI: [-8.7, 2.41]Regression, Linear
Secondary

Change From Baseline in Mean HDL Cholesterol

Lipid profile was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean HDL Cholesterol-0.70 mg/dL
PlaceboChange From Baseline in Mean HDL Cholesterol1.23 mg/dL
p-value: 0.6295% CI: [-10.12, 6.26]Regression, Linear
Secondary

Change From Baseline in Mean High Sensitive C-reactive Protein (hsCRP)

High sensitive C-reactive protein (hsCRP) was assessed as a measure of inflammation.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean High Sensitive C-reactive Protein (hsCRP)0.90 mg/L
PlaceboChange From Baseline in Mean High Sensitive C-reactive Protein (hsCRP)2.04 mg/L
p-value: 0.6295% CI: [-5.89, 3.62]Regression, Linear
Secondary

Change From Baseline in Mean Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) is a validated measure of insulin resistance based on fasting insulin and glucose. HOMA-IR is calculated as the product of fasting glucose and insulin divided by 22.5.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)2.57 units on a scale
PlaceboChange From Baseline in Mean Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)-0.51 units on a scale
p-value: 0.2195% CI: [-1.84, 7.99]Regression, Linear
Secondary

Change From Baseline in Mean Insulin Sensitivity Index (ISI 0,120)

Participants underwent a 75-g oral glucose tolerance test, in which blood samples for glucose and insulin were obtained at 0 and 120 minutes and used to calculate the insulin sensitivity index (ISI0,120). The ISI 0,120 = the glucose uptake rate divided by the mean plasma glucose divided by the log(mean serum insulin).

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Insulin Sensitivity Index (ISI 0,120)6.67 mg·l^2/mmol·mU·min
PlaceboChange From Baseline in Mean Insulin Sensitivity Index (ISI 0,120)5.94 mg·l^2/mmol·mU·min
p-value: 0.9695% CI: [-32.59, 34.06]Regression, Linear
Secondary

Change From Baseline in Mean LDL Cholesterol

Lipid profile was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean LDL Cholesterol-0.12 mg/dL
PlaceboChange From Baseline in Mean LDL Cholesterol-0.40 mg/dL
p-value: 0.9895% CI: [-20.29, 20.85]Regression, Linear
Secondary

Change From Baseline in Mean Systolic Blood Pressure

Blood pressure was measured in the right arm in the sitting position after a 15-minute rest.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Systolic Blood Pressure0.64 mm Hg
PlaceboChange From Baseline in Mean Systolic Blood Pressure4.29 mm Hg
p-value: 0.4895% CI: [-14.32, 7.02]Regression, Linear
Secondary

Change From Baseline in Mean Total Cholesterol

Lipid profile was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Total Cholesterol-1.69 mg/dL
PlaceboChange From Baseline in Mean Total Cholesterol-1.80 mg/dL
p-value: 0.9995% CI: [-24.43, 24.64]Regression, Linear
Secondary

Change From Baseline in Mean Total Testosterone

Total and free testosterone levels were assessed from blood samples to evaluate effects on hyperandrogenemia in PCOS.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Total Testosterone3.01 ng/dL
PlaceboChange From Baseline in Mean Total Testosterone10.16 ng/dL
p-value: 0.8895% CI: [-22.81, 8.51]Regression, Linear
Secondary

Change From Baseline in Mean Triglycerides

Lipid profile was assessed after 12 hours of fasting.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Triglycerides-2.21 mg/dL
PlaceboChange From Baseline in Mean Triglycerides-12.44 mg/dL
p-value: 0.6495% CI: [-34.61, 55.08]Regression, Linear
Other Pre-specified

Change From Baseline in Mean 25-hydroxyvitamin D

Total 25-hydroxyvitamin D was assayed by the Immunodiagnostic Systems radioimmunoassay.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean 25-hydroxyvitamin D45.63 ng/mL
PlaceboChange From Baseline in Mean 25-hydroxyvitamin D1.32 ng/mL
p-value: <0.00195% CI: [27.13, 61.48]Regression, Linear
Other Pre-specified

Change From Baseline in Mean Intact Parathyroid Hormone (i-PTH)

Intact parathyroid hormone levels were assessed as they have been linked with obesity and insulin resistance.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Intact Parathyroid Hormone (i-PTH)-24.28 pg/mL
PlaceboChange From Baseline in Mean Intact Parathyroid Hormone (i-PTH)-16.45 pg/mL
p-value: 0.4695% CI: [-29.34, 13.67]Regression, Linear
Other Pre-specified

Change From Baseline in Mean Vitamin D Binding Protein

Vitamin D binding protein levels were assessed as it has been linked with insulin resistance and type 2 diabetes.

Time frame: Baseline and 12 weeks

Population: All analyses were by intention to treat. All randomized participants received and ingested the treatment that they were randomly assigned to.

ArmMeasureValue (MEAN)
Vitamin DChange From Baseline in Mean Vitamin D Binding Protein1.01 mg/dL
PlaceboChange From Baseline in Mean Vitamin D Binding Protein-0.55 mg/dL
p-value: 0.3895% CI: [-2.08, 5.2]Regression, Linear

Source: ClinicalTrials.gov · Data processed: Mar 21, 2026