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    Clinical Trial Results:
    A phase IV, randomised, cross-over study to estimate the influence of food on the 25-hydroxyvitamin D3 serum level after vitamin D3 (D-CURE®) supplementation.

    Summary
    EudraCT number
    2014-003779-48
    Trial protocol
    BE  
    Global end of trial date
    23 Mar 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    12 Feb 2016
    First version publication date
    12 Feb 2016
    Other versions
    Summary report(s)
    Synopsis

    Trial information

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    Trial identification
    Sponsor protocol code
    D-CURE-IV-14-1
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    LABORATOIRES SMB
    Sponsor organisation address
    26-28, rue de la Pastorale, 1082, Brussels, Belgium,
    Public contact
    CLINICAL DEPARTMENT, LABORATOIRES SMB S.A, 32 24120993, clinique@smb.be
    Scientific contact
    CLINICAL DEPARTMENT, LABORATOIRES SMB S.A, 32 24120993, clinique@smb.be
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    23 Jun 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    23 Mar 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    23 Mar 2015
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine whether administration of vitamin D3 (D-CURE®) with food will improve the absorption and increase serum levels of 25-hydroxyvitamin D3.
    Protection of trial subjects
    For this study, no specific measures were put in place to protect trial subjects. The study treatment D-CURE was a product marketed by the Laboratoires SMB since 1974 in Belgium and then was well known by most of the participating subjects.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    22 Oct 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 88
    Worldwide total number of subjects
    88
    EEA total number of subjects
    88
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    88
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    The study was conducted in one center in Belgium. The subject recruitment was adequate to meet the target enrolment goal of 88 subjects in less than one month (22/10/2014 - 06/11/2014). After the screening visit, the subjects were randomized in one of the two sequences of treatment. The study extended over two periods of 60+-3 days.

    Pre-assignment
    Screening details
    -Obtain signed ICF -Obtain demographic data -Perform a medical history & physical examination -Take vital signs -Review prior/concomitant medications -Perform a 25(OH)-D serum concentration assessment and laboratory evaluations : haematology, chemistry, calcium, phosphate, TSH, blood pregnancy test -Review inclusion/exclusion criteria

    Period 1
    Period 1 title
    Cross over phase (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    No

    Arm title
    D-CURE with standardized high fat breakfast
    Arm description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period with a standardized high fat breakfast and stayed at the study site during 4 hours after the drug administration.
    Arm type
    Experimental

    Investigational medicinal product name
    D-CURE 1 ml ampoule containing 25.000 IU
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Two ampoules of D-CURE (total 50.000 IU) were taken at the beginning of each of the two study periods in either fasting condition or after a standardized high fat breakfast according to the randomization list.

    Arm title
    D-CURE in fasting condition
    Arm description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period in fasting conditions and stayed at the study site during 4 hours after the drug administration.
    Arm type
    Experimental

    Investigational medicinal product name
    D-CURE 1 ml ampoule containing 25.000 IU
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Oral solution
    Routes of administration
    Oral use
    Dosage and administration details
    Two ampoules of D-CURE (total 50.000 IU) were taken at the beginning of each of the two study periods in either fasting condition or after a standardized high fat breakfast according to the randomization list.

    Number of subjects in period 1
    D-CURE with standardized high fat breakfast D-CURE in fasting condition
    Started
    88
    88
    Completed
    88
    88

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Cross over phase
    Reporting group description
    After being screened, 88 subjects were randomized in this study and completed the study. No premature withdrawal of randomized subjects was observed in the study. The safety and the ITT analysis were then performed on 88 patients.

    Reporting group values
    Cross over phase Total
    Number of subjects
    88 88
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    88 88
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    31.3 ± 8.8 -
    Gender categorical
    Units: Subjects
        Female
    51 51
        Male
    37 37

    End points

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    End points reporting groups
    Reporting group title
    D-CURE with standardized high fat breakfast
    Reporting group description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period with a standardized high fat breakfast and stayed at the study site during 4 hours after the drug administration.

    Reporting group title
    D-CURE in fasting condition
    Reporting group description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period in fasting conditions and stayed at the study site during 4 hours after the drug administration.

    Primary: Mean change in serum 25(OH)D3 levels from baseline to D14.

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    End point title
    Mean change in serum 25(OH)D3 levels from baseline to D14.
    End point description
    End point type
    Primary
    End point timeframe
    baseline and Day 14 of each period.
    End point values
    D-CURE with standardized high fat breakfast D-CURE in fasting condition
    Number of subjects analysed
    88
    88
    Units: ng/ml
        arithmetic mean (standard deviation)
    9.1 ± 4.1
    8.5 ± 3.8
    Statistical analysis title
    Mixed model
    Comparison groups
    D-CURE with standardized high fat breakfast v D-CURE in fasting condition
    Number of subjects included in analysis
    176
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.025
    Method
    t-test, 1-sided
    Parameter type
    Mean difference (final values)
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -0.2
         upper limit
    -
    Variability estimate
    Standard error of the mean

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    The AEs were recorded during the entire study period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    18
    Reporting groups
    Reporting group title
    D-CURE with standardized high fat breakfast
    Reporting group description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period with a standardized high fat breakfast and stayed at the study site during 4 hours after the drug administration.

    Reporting group title
    D-CURE in fasting condition
    Reporting group description
    The subjects received 2 ampoules of D-CURE of 25.000 IU (total = 50.000 IU) on the first day of the period in fasting conditions and stayed at the study site during 4 hours after the drug administration.

    Serious adverse events
    D-CURE with standardized high fat breakfast D-CURE in fasting condition
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 88 (0.00%)
    0 / 88 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    D-CURE with standardized high fat breakfast D-CURE in fasting condition
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    6 / 88 (6.82%)
    7 / 88 (7.95%)
    Nervous system disorders
    Headache
         subjects affected / exposed
    6 / 88 (6.82%)
    7 / 88 (7.95%)
         occurrences all number
    8
    8

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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