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MAternal VItamin D OSteoporosis Study
ISRCTN ISRCTN82927713
ClinicalTrials.gov identifier
Public title MAternal VItamin D OSteoporosis Study
Scientific title A randomised double-blind placebo-controlled trial of vitamin D supplements for pregnant women with low levels of vitamin D in early pregnancy
Acronym MAVIDOS
Serial number at source 1.5; 001-0002
Study hypothesis To test the hypothesis that vitamin D supplementation during pregnancy of women who have low levels of vitamin D will result in improved neonatal bone mineral content.

This trial is carried out by the MRC Epidemiology Resource Centre (http://www.mrc.soton.ac.uk).
Ethics approval Southampton and Southwest Hampshire Research Ethics Committee. Date of approval: 03/12/07 (ref: 07/H0502/113)
Study design Multi-centre randomised double-blind placebo controlled trial in two phases (pilot and main studies)
Countries of recruitment United Kingdom
Disease/condition/study domain Osteoporosis
Participants - inclusion criteria 1. Less than 19 weeks gestation at first assessment (based on last menstrual period [LMP] and dating scan)
2. Serum 25(OH)-vitamin D concentration is 25-100 nmol/l at nuchal fold/ dating scan (10 to 19 weeks gestation)
3. Aged over 18 years
4. Singleton pregnancy
5. Aiming to give birth at local hospital
Participants - exclusion criteria 1. Known metabolic bone disease
2. Current medication likely to interfere with intrauterine growth (corticosteroids, anticonvulsants, parathyroid hormone [PTH], bisphosphonates)
3. Foetal physical anomalies on the 12 week scan
4. Inability to provide informed consent or comply with trial protocol
5. History of renal stones, hyperparathyroidism, hypercalcuria
6. Measured hypercalacemia (>2.75mmol/l)
7. A diagnosis of cancer in the last 10 years
8. Cod liver oil of vitamin supplements containing vitamin D >200 iu per day
9. In-vitro fertilisation treatment
Anticipated start date 01/05/2008
Anticipated end date 01/05/2011
Status of trial Ongoing
Patient information material Not available in web format, please use the contact details below to request a patient information sheet
Target number of participants 1,074
Interventions This trial comprises pilot and main studies:

Pilot study for the first 18 months, three groups of 60 participants each (total number of participants = 180):
Group 1: 400 iu vitamin D3 (oral) per day, from 14 weeks gestation to delivery
Group 2: 1,000 iu vitamin D3 (oral) per day, from 14 weeks gestation to delivery
Group 3: Placebo, from 14 weeks gestation to delivery

Main study will be vitamin D3 (dose chosen from pilot), from 14 weeks gestation to delivery vs placebo. 954 participants will be included in the main trial, 477 participants in each of the two arms (total number of participants = 954). The participants in the main trial vitamin D3 arm will include those who have participated in the pilot phase of the trial at the dose to be used in the main study i.e. 60 participants in the pilot study (either the 400 iu vitamin D3 or 1,000 iu vitamin D3 arm) will be included in the main study, and 894 new participants (954 - 60) will be recruited specifically for the main trial.
Primary outcome measure(s) Neonatal whole body bone area, bone mineral content and bone mineral density assessed by dual energy x-ray absorptiometry (DXA) within 10 days of birth.
Secondary outcome measure(s) 1. Neonatal and childhood anthropometry and body composition (weight, length and skinfold thickness measurements), assessed within 48 hours of birth
2. Women's attitude to pregnancy vitamin D supplementation (qualitative study; assessed in main study only). Methodology and timepoints of assessment not yet defined as of 03/03/2008
3. Childhood bone mass at 4 years
Sources of funding Arthritis Research Campaign (ref: 17702) (UK)
Trial website
Publications
Contact name Prof  Cyrus  Cooper
  Address Medical Research Council Epidemiology Resource Centre
Southampton General Hospital
  City/town Southampton
  Zip/Postcode SO16 6YD
  Country United Kingdom
  Tel +44 (0)23 8077 7624
  Fax +44 (0)23 8070 4021
  Email cc@mrc.soton.ac.uk
Sponsor Southampton University Hospitals NHS Trust (UK)
  Address c/o Christine McGrath
Southampton General Hospital
Research and Development Office
Southampton General Hospital
  City/town Southampton
  Zip/Postcode SO16 6YD
  Country United Kingdom
  Tel +44 (0)23 8079 4752
  Fax +44 (0)23 8079 8678
  Email christine.mcgrath@suht.swest.nhs.uk
  Sponsor website: http://www.suht.nhs.uk
Date applied 25/02/2008
Last edited 19/11/2008
Date ISRCTN assigned 11/04/2008
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