Evidence map›Paper›PMID 23981773›Full record

Trial reportTrials2013

Dose-related effects of vitamin D on immune responses in patients with clinically isolated syndrome and healthy control participants: study protocol for an exploratory randomized double- blind placebo-controlled trial.

Karen O'Connell, Siobhan Kelly, Katie Kinsella, Sinead Jordan, Orla Kenny, David Murphy, Eric Heffernan, Risteard O'Laoide, Donal O'Shea, Carmel McKenna and 7 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01728922 (Dose-related Effects of Vitamin D3 on Immune Responses in Patients With Clinically Isolated Syndrome and Healthy Control Participants. An Exploratory Double Blind Placebo Randomised Controlled Study.), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01728922 phase1 / phase2completednot on this map

Dose-related Effects of Vitamin D3 on Immune Responses in Patients With Clinically Isolated Syndrome and Healthy Control Participants. An Exploratory Double Blind Placebo Randomised Controlled Study.

TypeinterventionalSponsorUniversity College DublinRan2012 to 2016Enrolled64ConditionsClinically Isolated Syndrome, Multiple SclerosisArms5000IU vitamin D, 10000IU vitamin D, Placebo
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Vitamin D for the management of multiple sclerosis.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Vitamin D deficiency in patients with Behcet's disease.Journal of diabetes and metabolic disorders · 2014
    Article
  8. Effects of vitamin DMultiple sclerosis journal - experimental, translational and clinical
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Karen O'ConnellDepartment of Neurology, St Vincent's University Hospital, Elm Park, Dublin 4, Ireland. k.oconnell@st-vincents.ie.
Siobhan Kelly
Katie Kinsella
Sinead Jordan
Orla Kenny
David Murphy
Eric Heffernan
Risteard O'Laoide
Donal O'Shea
Carmel McKenna
Lorraine Cassidy
Jean Fletcher
Cathal Walsh
Jennifer Brady
Christopher McGuigan
Niall Tubridy
Michael Hutchinson
St. Vincent's University Hospital · IETrinity College Dublin · IEMater Misericordiae University Hospital · IERoyal Victoria Eye and Ear Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing evidence linking vitamin D deficiency to both susceptibility to, and severity of, multiple sclerosis (MS). Patients with the clinically isolated syndrome represent the initial presentation of a demyelinating disorder, and those with asymptomatic lesions on magnetic resonance imaging (MRI) are at risk of progression to clinically definite MS. The aims of this study are to examine the immunologic effects of vitamin D in both healthy individuals and in patients with clinically isolated syndrome, and in the latter group the effects on disease progression assessed by MRI and clinical measures. METHODS/

designThis is a single-center double-blind randomized placebo-controlled clinical trial. The primary endpoint is the immunologic effects of two doses of vitamin D compared with placebo over 24 weeks in both healthy control participants and patients presenting with the clinically isolated syndrome. Healthy control participants (n = 39) and patients with clinically isolated syndrome (n = 45) will be randomized to one of three arms, namely 1) vitamin D 5,000 IU daily, 2) vitamin D 10,000 IU daily, or 3) placebo, and followed up for 24 weeks. In both patients and healthy control participants, the primary outcome will be immunologic measures of the frequency of CD4 T-cell subsets and cytokine responses in peripheral blood mononuclear cells, assessed at baseline, and after 16 and 24 weeks of treatment. Secondary endpoints, in the patients with clinically isolated syndrome, will be relapse activity, and the number of new T2 lesions and gadolinium-enhancing lesions assessed by MRI in the two vitamin D-treated groups compared with the placebo-treated group over the 24 weeks of the study.

trial registrationEU Clinical Trials Register: EudraCT: 2012-000635-68. ClinicalTrials.gov identifier: NCT01728922.

Indexed as

Research DesignBiomarkersBrainCD4 Lymphocyte CountCholecalciferolClinical ProtocolsCytokinesDemyelinating DiseasesDisease ProgressionDose-Response Relationship, DrugDouble-Blind MethodHealthy VolunteersHumansIrelandLeukocytes, MononuclearMagnetic Resonance ImagingBiomarkersCholecalciferolCytokinesVitamin D

Identifiers

PMID23981773
PMCPMC3844318
OpenAlexW2171596744

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.