Depression Clinical Trial
Official title:
Phase 4 Study of Vitamin D3 Supplementation for Outcomes in Patients With Unipolar Depression
The purpose of this study is to investigate whether patients with depression should be offered vitamin D supplements, or it has no significance in relation to treatment outcomes.
Vitamin D3 is produced in the skin after exposure to ultraviolet B light from the sun.
Vitamin D3 is metabolised sequential in the liver into 25-hydroxy-vitamin D [25(OH)D], which
is the storage form of vitamin D in the body, and then in the kidney into the steroid
hormone, 1a,25-dihydroxyvitamin 1a,25-dihydroxyvitamin D [1,25(OH)2D].
At higher latitudes ultraviolet B light is stopped by the atmosphere during winter season.
Half of Danes have low levels of [25(OH)D] in the blood and especially in the early spring
months the levels of [25(OH)D] are low. In addition, Vitamin D3 is absorbed through the gut
from vitamin D-rich food sources. But several studies show that it is not possible through a
recommended diet, which consists of 300 g of fish per week to consume adequate amounts of
vitamin D3.
New research suggests link between vitamin D3 and brain function.In the Central Nervous
System (CNS) there are specific nuclear receptors for 1,25(OH)2D (VDR) and the enzymes
necessary for the hydroxylation of 25(OH)D to 1,25(OH)2D are also present in CNS.
In clinical studies, low serum levels of 25(OH)D, have been associated with reduced
cognitive function, anxiety and depression.
The objective of this randomized clinical trial is to investigate whether patients with
depression should be offered vitamin D3 supplements, or it has no significance in relation
to treatment outcomes.
The study is carried out in Mental Health Services in the Region of Southern Denmark for 24
weeks and offered to patients being treated for depression (treatment as usual) plus 70μg
vitamin D3 or placebo.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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