Effect of Vitamin D Supplement on Inflammation Markers in High-Risk Cardiovascular Patients With Chronic Kidney Disease (VINCA-CKD)

Thomas Jefferson University

Status and phase

Terminated

Phase 3

Conditions

Chronic Kidney Disease

Coronary Artery Disease

Secondary Hyperparathyroidism

Hypovitaminosis D

Treatments

Drug: placebo

Drug: paricalcitol

Study type

Interventional

Funder types

Other

Industry

Identifiers

NCT01012414

09C.110

Details and patient eligibility

About

The purpose of this study is to determine if vitamin D supplementation changes the results of certain tests associated with inflammation in the body using an oral, synthetic form of vitamin D called paricalcitol.

Full description

Vitamin D deficiency is common and has been associated with an increased risk of heart disease. In patients with the combination of kidney disease and heart disease, inflammation is thought to contribute to a high rate of cardiac events. Less is known about the effects of vitamin D supplementation on certain tests associated with inflammation in the body.

Enrollment

10 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Men and non-pregnant, non-lactating women greater than 18 years of age
Able to given informed consent and complete scheduled visits
History of established coronary artery disease (CAD)as defined by coronary stenosis in one or more vessels greater than or equal to 70% by coronary angiography or CT angiogram OR abnormal stress test (at least medium-sized, moderate reversible defect) OR a presence of a CAD risk equivalent as defined by the National Cholesterol Education Panel (NCEP)III as: Framingham risk score ≥ 20%, diabetes, or peripheral arterial disease(4)
High Sensitivity C-reactive Protein (hs-CRP) ≥ 2.0 mg/L
History of stage 3 or 4 chronic Kidney disease (CKD) defined as an glomerular filtration rate (eGRF) by the Modification of Diet in Renal Disease (MDRD) formula of 15-60 mL/min/1.73 m2
Low level of serum 25-hydroxyvitamin D (<30ng/mL)
Evidence of secondary hyperparathyroidism defined as intact parathyroid hormone (iPTH) level > 70 pg/mL
Stable dose of statin and/or other lipid lowering therapy (ie: ezetimibe, fibrates, bile acid sequestrants nicotinic acid, fish oil) for 12 weeks prior to enrollment without known plans for change to current therapy during the study period

Exclusion criteria

History of myocardial infarction, stroke, or cardiac surgery within 6 months of enrollment
History of carotid artery surgery
Planned cardiovascular surgery or procedure, with the exception of permanent pacemaker placement, in the next 18 months.
Use of vitamin D or calcium supplementation within the past 12 weeks with the exception of calcium containing phosphate binders and a daily multivitamin containing ≤ 400 IU of vitamin D
Hypercalcemia (as defined by the laboratory upper limit of normal ) or hyperphosphatemia (≥ 5.5 mg/dL)
Plan to initiate renal replacement therapy (dialysis) during the study
History of left ventricular systolic dysfunction with an ejection fraction <50% or history of New York Heart Association (NYHA)functional Class II-IV congestive heart failure
Uncontrolled blood pressure, defined as systolic blood pressure greater than 160 mmHg and diastolic blood pressure greater than 100 mm Hg at the screening visit
Uncontrolled diabetes, defined as hemoglobin A1C ≥ 10.0
History of any surgery within the past 3 months or known to be planned during the study period
History of malignancy within the past 5 years with the exception of non-melanoma (ie: squamous cell or basal cell) skin cancer
History of a known systemic or pulmonary inflammatory condition (including rheumatoid arthritis, systemic lupus erythematosus, chronic obstructive pulmonary disease, pulmonary fibrosis, sarcoidosis, Wegener's granulomatosis, Goodpasture's disease)
History of renal or other organ transplant and/or immunosuppressed state (ie immunosuppressive therapy or condition such as HIV)
History of any other condition, that in the opinion of the investigators renders it unsafe for the subject to be enrolled
For woman able to become pregnant, unwillingness to use birth control
Participation in another clinical trial