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Calcium (ca),Phosphorus( P) and 25-hydroxyvitamin D(25OHD)] in Infants Born ≤ 32 PMA Gestational Weeks (GA)

Sponsor:
Collaborators:
Information provided by (Responsible Party):
Maria Wilinska,Centre of Postgraduate Medical Education
June 18, 2016
October 2, 2018
October 2, 2018
January 2016
December 2019   (Final data collection date for primary outcome measure)
Serum 25OHD levels in cord blood in Polish preterm infants[ Time Frame: day of labour ]
assessment of 25OH D levels in children deficiency: <10ng/ml, insufficient level: 10-30ng/ml, sufficient level: 30-50ng/ml

Same as current
  • Impact of supplementation of Vit. D during pregnancy on 25OHD serum level in Polish mothers[ Time Frame: day of labour ]
    assessment of 25OH D levels in mothers deficiency: <10ng/ml, insufficient level: 10-30ng/ml, sufficient level: 30-50ng/ml
  • Impact of dosage of Vit D3 (400/800/1200 UNT per day) on serum 25OH D levels in preterm children[ Time Frame: 4,8,12 weeks of life,1 and 2 years of age ]
    assessment of serum 25OH D levels in children deficiency: <10ng/ml, insufficient level: 10-30ng/ml, sufficient level: 30-50ng/ml; high level > 60ng/ml, toxic level > 100ng/ml
  • Impact of dosage of Vit D3 (400/800/1200 UNT /per day) on Ca serum levels[ Time Frame: 4,8,12 weeks of life,1 and 2 years of age ]
    assessment of Ca serum levels in children
  • Impact of dosage of Vit D3 (400/800/1200 UNT /per day) on P serum levels[ Time Frame: 4,8,12 weeks of life,1 and 2 years of age ]
    assessment of P serum levels in children
  • Impact of dosage of Vit D3 (400/800/1200 UNT /per day) on urinary Ca excretion[ Time Frame: 4,8,12 weeks of life,1 and 2 years of age ]
    assessment of urinary calcium/creatinine index
  • Impact of dosage of Vit D3 (400/800/1200 UNT /per day) on urinary P excretion[ Time Frame: 4,8,12 weeks of life,1 and 2 years of age ]
    assessment of urinary P/creatinine index (mg/mg)
  • impact of total annual Vit D3 dose and bone calcification in children[ Time Frame: average of 1 and 2 years of age ]
    assessment of bone status :Densitometry (DEXA)
  • correlation of cord blood 25OHD level and GA[ Time Frame: 1st day of life ]
    birth <24 GA, 24-28GA, 28-32GA
  • impact of cord blood 25OHD level on birth weight[ Time Frame: 1st day of life of age ]
    assessment of percentile of birth weight (Fenton 2013) hypotrophy <3p, eutrophy 3-97p, hypertrophy >97p
 

Calcium (ca),Phosphorus( P) and 25-hydroxyvitamin D(25OHD)] in Infants Born ≤ 32 PMA Gestational Weeks (GA)

The Impact of the Dose of Vitamin D (vitD) on the Metabolism of ca, p and Concentrations of 25OHD, Bone Status and Development of Premature Infants up to 2 Years of Age. Prospective, Randomized, Clinical Study

It has not yet been established the optimal dose of vit. D for preterm infants in Poland. It is not known what dose of vit. D will provide the correct concentration of vit. D and the optimal development of the skeleton of the premature. The study will try to determine the optimal supplementation of vitamin D and the supply of Ca and P for normal growth and development of a child born prematurely. In addition, the investigators will evaluate any risk factors for deficiency and excess of vitamin D and the consequences of its deficiency and overdose. Simultaneously the study would make possible the determination of an optimal schedule for controlling the Ca-P levels in the group of the youngest infants born prematurely. In addition, the study will assess the relationship between maternal and newborn vitamin D resources right after birth, and the incidence of vitamin D deficiency in infants born prematurely. Preterm infants will be randomized in 3 groups assigned to different doses of vit. D. The study will investigate the metabolism of calcium, phosphorus, the health of bones and development of the premature babies till the age of 2.

The participants of the study will be prematures, born ≤32 GA, hospitalized in the Department of Neonatology, in the neonatal intensive care unit. Hospitalized patients who meet the inclusion criteria will be randomized in 3 groups assigned to different doses of vit. D (400, 800 or 1200 units(UNT) of vitamin D). At defined age points of postnatal life, parameters of calcium and phosphorus metabolism and vitamin D level will be tested, along with the health of bones, health status and development.
Interventional
Phase 3
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description:
Masking: Interventional
Masking Description:
Primary Purpose: Screening
  • Dietary Supplement: Cholecalciferol 400
    dose 400 UNT/day for 12 months
  • Dietary Supplement: Cholecalciferol 800
    dose 800 UNT/day for 12 months
  • Drug: Cholecalciferol 1200
    dose 1200 UNT/day for 12 months
  • Experimental: Lower dose
    cholecalciferol 400UNT, oral solution
  • Active Comparator: Middle dose
    cholecalciferol 800UNT, oral solution
  • Experimental: Higher dose
    cholecalciferol 1200UNT, oral solution,
 
Recruiting
200
Same as current
December 2019
December 2019   (Final data collection date for primary outcome measure)
Inclusion Criteria: - gestational age ≤32 weeks at birth - hospitalization in the department no later than at the age of 7 days (for infants born outside the center) - No birth defects or diseases permanently affecting the ability to accept enteral feeding - Anticipated possibility of continuous monitoring of the course of treatment in hospital until discharge - Consent of Parents / legal guardians for the participation in the study. Exclusion criteria - gestational age> 32 weeks at birth - the beginning of hospitalization in the department later than the age of 7 days (for infants born outside the center) - presence of congenital defects or diseases permanently affecting the ability to accept enteral feeding (e.g.oesophageal atresia, anal atresia, congenital umbilical hernia, gastroschisis, syndromes genetically determined) - significant interruption (> 1 week) of the hospitalization in the center - lack of consent of the Parents / legal guardians to participation in the study
Sexes Eligible for Study: All
24 Weeks and older   (Adult, Older Adult)
No
Poland
 
 
No
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Plan to Share IPD: No
Maria Wilinska,Centre of Postgraduate Medical Education
Centre of Postgraduate Medical Education
Principal Investigator: Magdalena Zarlenga, MD Mc postgraduate SPSK im prof.W.Orłowskiego Warszawa
Study Chair: Maria Wilińska, DSc Mc postgraduate SPSK im prof.W.Orłowskiego Warszawa
Principal Investigator: Ewa Głuszczak-Idziakowska, PhD Mc postgraduate SPSK im prof.W.Orłowskiego Warszawa
Centre of Postgraduate Medical Education
September 2018

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP
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