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Effect of Vitamin D on Ventricular Remodeling in Patients With Acute Myocardial Infarction (VITDAMI)

Multicentric, Randomized, Double-blind, Placebo-controlled Clinical Trial to Assess the Effect of Vitamin D on Ventricular Remodeling in Patients With Acute Myocardial Infarction

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02548364
Acronym
VITDAMI
Enrollment
109
Registered
2015-09-14
Start date
2015-10-31
Completion date
2023-05-31
Last updated
2023-10-03

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

Conditions

Myocardial Infarction

Keywords

Vitamin D, Myocardial Infarction, Ventricular remodeling, Biomarkers

Brief summary

To study the effect of calcifediol on left ventricular remodeling, mineral metabolism, plasma levels of several prognostic biomarkers and on endothelial function after an anterior myocardial infarction.

Interventions

calcifediol treatment

DRUGPlacebo

placebo control group

Sponsors

Fondo de Investigacion Sanitaria
CollaboratorOTHER
Spanish Society of Cardiology
CollaboratorOTHER
Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
40 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

* Age ≥ 40 years and maximum 85 years. * Anterior myocardial infarction * Sign informed consent

Exclusion criteria

* Death during the index event * Age younger than 40 or older than 85 years * Previous Infarction * More than 7 days in hospitalization * Systemic inflammatory or autoimmune disease * Concomitant disorders limiting survival * Concomitant cardiomyopathy * Left ventricular hypertrophy \> 16mm in females and \> 17mm in males * eGFR\<45 * LVEF\<30 * Incomplete revascularization * Valvular prosthesis * Aortic stenosis with mean gradient\> 25 mmHg * Moderate or severe valvular regurgitation * Hypersensitivity or intolerance vitamin D supplement o excipient * Blood Calcium \>10.5 mg/dl * Inability to follow. * Difficulty in treatment compliance * Contraindication for MRI, including indication to place a cardiac device * Indication of therapy with vitamin D. Patient desires to take vitamin D. * Drugs or conditions that interfere with the pharmacokinetics of calcifediol

Design outcomes

Primary

MeasureTime frameDescription
Change in cardiac remodeling by MRI1 yearIt is a composite outcome measure. It will be analyzed by measuring the following parameters: myocardium at risk, size of infarcted myocardium, saved myocardium, ejection fraction, left ventricular telesystolic and telediastolic volumes

Secondary

MeasureTime frameDescription
Change in mineral metabolism parameters1 yearIt is a composite outcome measure. It will be analyzed by measuring plasma levels of calcidiol, FGF-23, klotho, phosphate, and PTH
Change in prognostic biomarkers levels1 yearIt is a composite outcome measure. It will be analyzed by measuring plasma levels of NT-proBNP, hsCRP, MCP-1 and galectin-3
Change in lipid levels1 yearIt is a composite outcome measure. It will be analyzed by measuring plasma levels of TC, LDL, HDL, TG and non-HDL Cholesterol
Change in echocardiographic parameters1yearIt is a composite outcome measure. It will be analyzed by measuring the following parameters: ventricular thickness and diameters, contractility abnormalities, ejection fraction.
Adverse event rate1.5, 3, 6, 9, 12 and 13 months
% of treatment compliance3, 6, 9 and 12 months
Change in flow mediated vasodilation1 year

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 1, 2026