Evidence map›Paper›PMID 24988118›Full record

Trial reportThe Pediatric infectious disease journal2015

High-dose vitamin D3 supplementation in children and young adults with HIV: a randomized, placebo-controlled trial.

Virginia A Stallings, Joan I Schall, Mary L Hediger, Babette S Zemel, Florin Tuluc, Kelly A Dougherty, Julia L Samuel, Richard M Rutstein

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02965898 (The Effect of Vitamin D Substitution on Pancreatic Parenchyma and Development of Fibrosis After First Acute Alcoholic Pancreatitis), which is not on this map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 8% 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.

NCT02965898 nacompletednot on this mapstarted 2016, after this paper: background citation

The Effect of Vitamin D Substitution on Pancreatic Parenchyma and Development of Fibrosis After First Acute Alcoholic Pancreatitis: A Randomized Prospective Trial

TypeinterventionalSponsorTampere University HospitalRan2016 to 2024Enrolled260ConditionsChronic PancreatitisArmsVitamin D 100ug, Vitamin D 10ug
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Micronutrient supplementation in adults with HIV infection.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Effect of high-dose cholecalciferol (vitamin DOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Trial
  10. Trial
  11. Efficacy of vitamin D supplementation among persons living with HIV/AIDS in São Paulo city, Brazil.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Trial
  12. Article
  13. Article
  14. Review
  15. Effect of high dose vitamin DJournal of virus eradication · 2023
    Article
  16. Review
  17. Vitamin D can reduce severity in COVID-19 through regulation of PD-L1.Naunyn-Schmiedeberg's archives of pharmacology · 2022
    Review
  18. Review
  19. Vitamin D and Rheumatic Diseases: A Review of Clinical Evidence.International journal of molecular sciences · 2021
    Review
  20. Review
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

8 authors at 2 institutions in 1 country.

Virginia A StallingsFrom the *Division of Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia; †Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania; ‡Allergy and Immunology; and §General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.
Joan I Schall
Mary L Hediger
Babette S Zemel
Florin Tuluc
Kelly A Dougherty
Julia L Samuel
Richard M Rutstein
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Safe and Effective Vitamin D Supplementation in HIVR01AT005531 · NCCIH · CHILDREN'S HOSP OF PHILADELPHIA · PI STALLINGS, VIRGINIA A. · 2009 to 2012
$2.2M
NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1TR000003NCCIH NIH HHS R01 AT005531NCCIH NIH HHS R01AT005531NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1RR024134NIAID NIH HHS P30 AI045008NIAID NIH HHS P30AI045008
6 · The paper itself

Abstract

backgroundSuboptimal vitamin D status is prevalent in HIV-infected patients and associated with increased risk of disease severity and morbidity. We aimed to determine 12-month safety and efficacy of daily 7000 IU vitamin D3 (vitD3) versus placebo to sustain increased serum 25-hydroxyvitamin D (25(OH)D) and improve immune status in HIV-infected subjects.

methodsThis was a double-blind trial of perinatally acquired HIV (PHIV)-infected subjects or behaviorally acquired HIV (BHIV)-infected subjects (5.0-24.9 years). Safety, 25(OH)D-related parameters and immune status were assessed at baseline, 3, 6 and 12 months.

resultsFifty-eight subjects enrolled (67% male, 85% African American and 64% BHIV) and 50 completed with no safety concerns. In unadjusted analyses, there were no differences between randomization groups at baseline; at 3, 6 and 12 months, 25(OH)D was higher with supplementation than baseline and higher than with placebo (P < 0.05). In adjusted mixed models, in the supplementation group, the fixed effect of 25(OH)D was higher (P < 0.001). Percentage of naive T-helper cells (Th naive%) were significantly (P < 0.01) and T-helper cells (CD4%) marginally (P < 0.10) increased with supplementation in those taking highly active antiretroviral therapy (HAART), and RNA viral load was reduced (P ≤ 0.05). In exploratory linear models, change in 25(OH)D predicted RNA viral load at 3 and 12 months and CD4% at 3 months (P < 0.05).

conclusionsDaily 7000 IU vitD3 for 12 months was safe in HIV-infected subjects and effective in increasing 25(OH)D. Supplementation improved some clinically important HIV immune markers in subjects on HAART. Adjunct therapy with high-dose, daily vitD3 for HIV-infected subjects and for those on/off HAART requires further investigation.

Indexed as

AdolescentAdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveChildChild, PreschoolCholecalciferolDouble-Blind MethodFemaleHIV InfectionsHumansMalePlacebosTreatment OutcomeYoung AdultAnti-Retroviral AgentsCholecalciferolPlacebos

Identifiers

PMID24988118
PMCPMC4281504
OpenAlexW2325678986

What OpenQuestion holds

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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.