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Outcome of High Dose Vitamin D on Prognosis of Sepsis Requiring Mechanical Ventilation

Outcome of High Dose Vitamin D on Prognosis of Sepsis Requiring Mechanical Ventilation; A Randomized Controlled Trial

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05244018
Enrollment
80
Registered
2022-02-17
Start date
2022-03-01
Completion date
2022-10-31
Last updated
2022-11-07

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

Conditions

Sepsis

Brief summary

There is a high prevalence of vitamin D deficiency in the critically ill patient population, with approximately 60% of patients found to be vitamin D deficient, (25(OH)D concentrations \<20 ng/mL) and an additional 30% of patients being vitamin D insufficient, (25(OH)D = 20-30 ng/mL).Approximately 80% of sepsis/septic shock patients experience respiratory failure and require mechanical ventilation. Furthermore, several studies document that vitamin D deficiency could be associated with poor outcomes in critically ill patient.

Interventions

Vitamin D3 tablets 50,000 IU units

Vitamin D tablets 5000 units as daily requirements

Sponsors

Ain Shams University
Lead SponsorOTHER

Study design

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

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Diagnosed with sepsis and required mechanical ventilation (MV) within 24 hours from ICU admission. * Expected to require mechanical ventilation for at least 72 hours after study entry.

Exclusion criteria

* Age \<18 years. * inability to obtain informed consent from the patient and/or legally authorized representative. * BMI\> 40. * Pregnant or breastfeeding. * Chronic kidney diseases * Pancreatitis. * Hepatic insufficiency * Cases with coagulopathy * Moribund and not expected to survive 96 hours. * Ongoing shock * History of therapy with high dose vitamin D3 within previous 6 months. * History of disorders associated with hypercalcemia * Cancer as the cause of sepsis. * Subjects undergoing chemotherapy. * Immune compromised patients. * Pneumonia developed \< 48 hours following intubation. * Patients with history of aspiration before intubation. * known allergy to vitamin D.

Design outcomes

Primary

MeasureTime frameDescription
Change in procalcitonin level (ng/ml) and antimicrobial peptide cathelicidin (LL37) (ng/ml) level at day 7.7 daysChange in procalcitonin level (ng/ml) and antimicrobial peptide cathelicidin (LL37) (ng/ml) level at day 7.

Countries

Egypt

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026