Tuberculosis
Conditions
Brief summary
Previous studies of vitamin D supplementation have suggested there may be differences in response between individuals. This study is an open label study of vitamin D supplementation in patients with active or latent tuberculosis in which active disease patients take 100000units of vitamin D every 8 weeks during their tuberculosis treatment. Genotyping for relevant vitamin D pathway polymorphisms will be carried out and related to clinical and ex vivo markers of vitamin D response. Latent patients will only be studied for vitamin D response ex vivo. Our hypothesis is that response to vitamin D in both monocytes and T cells will be related to polymorphisms in the DBP gene, and that this may relate to clinical response in terms of post supplementation vitamin D level.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 16 or above * Microbiologically or histologically confirmed active tuberculosis * Clinically confirmed latent tuberculosis
Exclusion criteria
1. Patients being managed with regimes outside standard NICE guidance 2. Drug resistant MTb 3. HIV positive 4. Known intolerance of vitamin D 5. Sarcoidosis 6. Hyperparathyroidism or nephrolithiasis 7. Taking vitamin D supplementation in the two months preceding enrolment 8. Baseline serum corrected calcium \>2.65 mmol/L 9. Current haemodialysis 10. Children, pregnant or breastfeeding individuals 11. Concomitant benzothiadiazine derivative, cardiac glycoside, carbamazepine, phenobarbital, phenytoin, primidone or long-term immunosuppressant therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in post supplementation vitamin D level | 8,16 and 24 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Ex vivo responses of monocytes to vitamin D | 0 and 8 weeks |
| Ex vivo responses of T cells to vitamin D | 0 and 8 weeks |
Other
| Measure | Time frame |
|---|---|
| Serum levels of calcium | 0,8, 16 and 24 weeks |
| Serum levels of inflammatory markers | 0, 8 , 16 and 24 weeks |
| TB score | 0,8.16 and 24 weeks |
Countries
United Kingdom