Evidence map›Paper›PMID 41369768›Full record

Trial reportOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2026

Kinetics and concentrations of circulating 25-hydroxyvitamin D using different vitamin D repletion regimens.

Varta Babalyan, Nicholas Hutchings, Sisak Baghdasaryan, Musheqh Qefoyan, Sona Kara-Poghosyan, Fabrizio Nannipieri, Santina Battaglia, Linda Solfanelli, Armen Varzhapetyan, Garegin Dallakyan and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Varta BabalyanOsteoporosis Center of Armenia, Yerevan, Armenia.
Nicholas HutchingsOsteoporosis Center of Armenia, Yerevan, Armenia. nicholas.hutchings@columbia.edu.ORCID http://orcid.org/0000-0001-9964-142X
Sisak BaghdasaryanOsteoporosis Center of Armenia, Yerevan, Armenia.
Musheqh QefoyanOsteoporosis Center of Armenia, Yerevan, Armenia.
Sona Kara-PoghosyanOsteoporosis Center of Armenia, Yerevan, Armenia.
Fabrizio Nannipieri, Abiogen, Pisa, Italy.
Santina Battaglia, Abiogen, Pisa, Italy.
Linda Solfanelli, Abiogen, Pisa, Italy.
Armen VarzhapetyanYerevan State Medical University, Yerevan, Armenia.
Garegin DallakyanNational Institute of Health, Ministry of Health, Yerevan, Armenia.
John P BilezikianColumbia University Vagelos College of Physicians & Surgeons, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitamin D repletion guidelines in Armenia were untested. Adults deficient in vitamin D received supplementation via low dose-high frequency, medium dose-medium frequency, or high dose-low frequency regimens. All achieved vitamin D sufficiency within 12 weeks. Providers may determine the replacement strategy based on patient variables.

objectivesVitamin D deficiency is common throughout the world. While guidelines for vitamin D replacement exist, they have not been tested in Armenia. This study aimed to investigate the efficacy of three administration regimens to replete vitamin D: low dose-high frequency, medium dose-medium frequency, high dose-low frequency. MATERIAL AND

methodsWe recruited community-dwelling adults in Yerevan, Armenia, who were found to be deficient in vitamin D. Participants were subsequently randomized to receive vitamin D via oral drops according to one of three arms: (A) 7000 IU daily for 12 weeks followed by 3500 IU daily for 24 weeks; (B) 50,000 IU weekly for 12 weeks followed by 25,000 IU weekly for 24 weeks; and (C) 100,000 IU every other week for 12 weeks, followed by 50,000 IU every other week for 24 weeks. After 36 weeks, all subjects received the same amount of vitamin D. Circulating levels of 25(OH)D were measured at baseline, and at weeks 4, 8, 12, 24, and 36.

resultsThe mean baseline 25(OH)D level of the 60 adults who participated in the study (average age 44.8, 80% female) was 19.4 ng/mL. All three arms showed statistically significant increases in 25(OH)D levels from baseline to 4 weeks, and again from 4 to 8 weeks, following which levels plateaued at the mid-40s ng/mL. At baseline, group A had a slightly higher mean 25(OH)D level than group B (21.0 vs 16.9 ng/mL, p-value 0.03) as well as at week 36 (47.7 vs 40.2 ng/mL, p-value 0.007); otherwise, there were no significant differences between the groups at any other time points.

conclusionThis study supports a recommendation that different dosing regimens of vitamin D replacement will reach similar desirable levels when steady state is reached at weeks 12 and 36, thus enabling healthcare providers an option to determine the most appropriate replacement strategy based on individual patient preference and other variables.

Indexed as

Vitamin DVitamin D DeficiencyAdultAgedDietary SupplementsDose-Response Relationship, DrugDrug Administration ScheduleFemaleHumansMaleMiddle Aged25-hydroxyvitamin DVitamin DArmeniaRepletionSupplementationVitamin D

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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.