Asthma, Bronchial Clinical Trial
Official title:
Efficacy of Calcifediol Supplementation in Asthma Control in Asthmatic Patients With Vitamin D Deficiency (ACViD)
Introduction: There are many cross-sectional studies in children and adults indicating that
low vitamin D levels in asthmatic patients are correlated with poorer asthma control, poorer
lung function, decreased response to glucocorticoids and more frequent exacerbations.
Moreover, as there is a significant group of asthmatic patients having insufficient control
of their disease, despite high doses of inhaled corticosteroids, we have investigated new
treatment alternatives, which include vitamin
Objective: To determine the efficacy of vitamin D supplementation in asthmatic patients with
vitamin D deficiency in degree of asthma control.
Materials and methods: A prospective, controlled, randomised, triple-blind study was
conducted with a follow-up of 6 months. The patients recruited were over 18 years of age
with a medical diagnosis of bronchial asthma and serum 25(OH)D3 levels < 30 ng/ml. Patients
were excluded if they had a smoking habit ≥ 10 pack-years, taking vitamin D supplements,
kidney disease (creat. > 2 mg/dl), hypercalcaemia (corrected with proteins > 10.5 mg/dl), a
repeat episodes of renal colic, any gastrointestinal disease that might interfere with
vitamin D absorption, or severe psychosocial problems, or were pregnant or breast-feeding.
The randomisation process assigned patients to one of two groups: a group that received
vitamin D (in the form of calcifediol (Hidroferol®) in 16,000-IU ampoules taken weekly by
the oral route) and another group that received placebo in a presentation with an identical
appearance and the same administration regimen. Demographic, clinical, spirometry and
laboratory endpoints were collected. The primary endpoint was degree of asthma control as
determined by the internationally validated Asthma Control Test (ACT). The secondary
endpoints were asthma exacerbations, dose of inhaled corticosteroids and quality of life as
measured using the Mini-AQLQ (Asthma Quality of Life Questionnaire).
n/a
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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