High Dose Vitamin D and Calcium for Bone Health in Individuals Initiating HAART

Not Recruiting

Trial ID: NCT01403051


This study was done with people who were infected with HIV and needed to start treatment for their HIV disease. The purpose of this study is to see if taking vitamin D and calcium will help prevent the bone loss that sometimes happens when people start HIV treatment. For this study, the following HIV treatment (or HAART) were provided in the form of a single tablet that contains three different drugs: efavirenz/emtricitabine/tenofovir (EFV/FTC/TDF). These drugs are approved by the FDA to treat HIV infection. The HIV treatment provided is common for people who are taking HIV drugs for the first time. The risks seen with this HIV treatment are the same that you would encounter when taking these drugs outside of the study. The lists of risks of this HIV treatment are included in this document because the drugs are provided by the study, not because the drugs are being tested. The purpose of the study is only to look at the impact of high doses of vitamin D and calcium in preventing bone loss. There are no study objectives related to HIV treatment (EFV/FTC/TDF).

Official Title

A Prospective, Randomized, Double-Blind Phase II Trial of High-Dose Vitamin D and Calcium for Bone Health in HIV-Infected Individuals Initiating Highly Active Antiretroviral Therapy (HAART)

Stanford Investigator(s)

Philip Grant
Philip Grant

Assistant Professor of Medicine (Infectious Diseases)


Inclusion Criteria:

   - HIV-1 infection

   - No evidence of any exclusionary resistance mutations based on results from any
   genotype assay from any laboratory that has a CLIA (Clinical Laboratory Improvement
   Amendments) certification or its equivalent. Results must be available from testing
   any time in the past or must be obtained prior to entry and reviewed by the site

   - ARV drug-naïve (<=10 days of ART at any time prior to entry) and no ARV drugs taken
   within the past 30 days.

   - CD4+ cell count of any value obtained within 90 days prior to study entry at any
   laboratory that has a CLIA certification or its equivalent.

   - HIV-1 RNA >1000 copies/mL obtained within 90 days prior to study entry at any
   laboratory that has a CLIA certification or its equivalent.

   - Certain laboratory values obtained within 30 days prior to entry (as indicated in
   section 4.1.6 of the protocol.

   - Serum calcium < 10.5 mg/dL within 30 days prior to entry.

   - For women of reproductive potential, negative serum or urine pregnancy test within 48
   hours prior to initiating study medications.

   - Subjects must refrain from participating in a conception process (i.e., active attempt
   to become pregnant or to impregnate, sperm donation, in vitro fertilization) and if
   participating in sexual activity that could lead to pregnancy, the subject/partner
   must use at least two of the reliable forms of contraceptive listed in section 4.1.9
   of the protocol.

   - 25-OH vitamin D >=10 ng/mL and <75 ng/mL.

   - Ability and willingness of subject or legally authorized representative to provide
   informed consent.

Exclusion Criteria:

   - Current or prior use of bisphosphonate therapy.

   - Use of vitamin D supplements greater than 800 IU/day within 30 days prior to entry.

   - Use of calcium supplements greater than 500 mg/day within 30 days prior to entry.

   - Known allergy/sensitivity or any hypersensitivity to components of study drugs or
   their formulations.

   - Any oral, intravenous, or inhaled steroids within the 30 days prior to
   enrollment(intranasal steroid use is allowed).

   - Use of androgenic hormones or growth hormones.

   - Receipt of systemic cytotoxic chemotherapy within 30 days prior to entry.

   - Pregnancy or currently breastfeeding.

   - Documentation of acute opportunistic infections within 30 days prior to entry.

   - Serious illness requiring systemic treatment and/or hospitalization until subject
   either completes therapy or is clinically stable on therapy, in the opinion of the
   site investigator, for at least 7 days prior to entry.

   - Weight >300 lbs (exceeds weight limit of DXA scanners).

   - History of nephrolithiasis (kidney stones).

   - History of osteoporosis (as documented by DXA scan) or fragility fracture.

   - Clinically active thyroid disease (use of thyroid hormone replacement therapy
   permitted but TSH must be in normal range).

   - Current imprisonment or involuntary incarceration in a medical facility for
   psychiatric illness.

   - Active drug or alcohol use or dependence that, in the opinion of the site
   investigator, would interfere with adherence to study requirements.

   - Any condition that, in the opinion of the site investigator, would compromise the
   subject's ability to participate in the study.


drug: Calcium Carbonate

drug: Vitamin D3

drug: Placebo for calcium carbonate

drug: Placebo for vitamin D3


Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Debbie Slamowitz