High-Dose Vitamin D for Preventing Dementia

ML
HZ
Overseen ByHongzheng Zhang
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial
Approved in 6 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a high dose of vitamin D (also known as Vitamin D3 or Cholecalciferol) can prevent or slow dementia in older adults. Participants will receive either a high dose or a standard dose of vitamin D to assess its impact on memory and brain health over time. Elderly individuals with low vitamin D levels and some cognitive impairment, such as mild memory issues or early Alzheimer’s, might be suitable for this trial. The goal is to determine if boosting vitamin D can improve brain health, potentially providing a simple method to combat dementia. As a Phase 2 trial, this research focuses on evaluating the treatment's effectiveness in an initial, smaller group, allowing participants to contribute to significant findings in dementia prevention.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it does mention that stable doses of certain medications like SSRIs or SNRIs are allowed. If you are taking vitamin D supplements, you should continue with the same dose throughout the study.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that high doses of vitamin D3, like the 4,000 IU tested in this trial, are generally safe for people. Studies have found that even higher doses, up to 50,000 to 100,000 IU per week, have been safe for up to a year, with no evidence of serious side effects.

Additionally, one study found that medium to high doses of vitamin D3 did not change the risk of dementia in older adults who already had sufficient vitamin D levels. This suggests the high doses were safe, even if they didn't affect dementia rates.

Overall, the data suggest that high-dose vitamin D3 is safe for adults, including older adults. However, monitoring for any side effects and consulting a healthcare provider before starting high-dose vitamin D supplements is always important.12345

Why do researchers think this study treatment might be promising?

Most treatments for preventing dementia focus on managing symptoms or slowing progression through medications like cholinesterase inhibitors or memantine. However, this study explores high-dose Vitamin D3, which is unique because it may directly impact brain health by addressing potential vitamin D deficiencies that are linked to cognitive decline. Researchers are excited about high-dose Vitamin D3 because it offers a simple, daily supplement approach that could potentially prevent or delay the onset of dementia. Unlike other treatments, it targets a nutritional angle that could be both preventative and supportive of overall brain health.

What evidence suggests that high-dose vitamin D3 might be an effective treatment for preventing dementia?

This trial will compare the effects of high-dose Vitamin D3 with standard-dose Vitamin D3 in preventing dementia. Research suggests that high doses of Vitamin D3 might lower the risk of dementia. One study found that people who took Vitamin D lived longer without dementia and were less likely to develop it compared to those who didn't take it. Another study showed that a high dose of Vitamin D improved memory in some older adults after 18 weeks. However, not all research agrees, and some studies haven't found a clear benefit for people with Alzheimer's. Overall, high-dose Vitamin D appears promising, but more research is needed to confirm its effects on brain health.23678

Who Is on the Research Team?

JO

John Olichney, MD

Principal Investigator

UC Davis Alzheimer's Disease Center

Are You a Good Fit for This Trial?

This trial is for older adults aged 65-90 with low vitamin D levels and varying degrees of cognitive function, from no impairment to mild Alzheimer's disease. Participants must have a certain score on a cognitive test (MOCA), be fluent in English or Spanish, and willing to take high-dose or standard vitamin D. Exclusions include severe vision/hearing issues, MRI incompatibility, chronic psychiatric illness, substance abuse history, pregnancy plans during the trial, and certain medical conditions.

Inclusion Criteria

For No Cognitive Impairment (NC) subgroup: No significant cognitive impairment on baseline neuropsychological tests, minimum MOCA score of 23 or above for education >12 y, or MOCA >20 for education <12 y
My diagnosis ranges from no cognitive impairment to mild Alzheimer's disease.
Education adjusted scores between 12-30 on the Montreal Cognitive Assessment (MOCA) at baseline
See 5 more

Exclusion Criteria

Unable to undergo MRI scanning
I have had kidney stones multiple times.
My vitamin D levels are low and I have a history of osteoporosis.
See 15 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

Up to 6 weeks
1 visit (in-person)

Baseline

Participants are enrolled and randomized to high-dose or standard-dose Vitamin D treatment

1 day
1 visit (in-person)

Treatment

Participants receive either high-dose or standard-dose Vitamin D supplementation

3.5 years
Visits at months 6, 12, 18, 24, 30, 36, and 42

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Vitamin D3
Trial Overview The study tests if high-dose Vitamin D3 (4,000 IU daily) can correct insufficiency better than the standard dose (~800 IU daily) in elderly people at risk for dementia. It also examines whether higher doses affect cognitive decline over 3½ years using brain scans and genetic markers related to Vitamin D reception.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: High Dose Vitamin D3Experimental Treatment1 Intervention
Group II: Standard Dose Vitamin D3Active Control1 Intervention

Vitamin D3 is already approved in European Union, United States, Canada, Japan, China, Switzerland for the following indications:

🇪🇺
Approved in European Union as Cholecalciferol for:
🇺🇸
Approved in United States as Vitamin D3 for:
🇨🇦
Approved in Canada as Cholecalciferol for:
🇯🇵
Approved in Japan as Cholecalciferol for:
🇨🇳
Approved in China as Cholecalciferol for:
🇨🇭
Approved in Switzerland as Cholecalciferol for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Davis

Lead Sponsor

Trials
958
Recruited
4,816,000+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

National Institutes of Health (NIH)

Collaborator

Trials
2,896
Recruited
8,053,000+

Citations

Vitamin D supplementation and incident dementiaVitamin D exposure was associated with significantly longer dementia‐free survival and lower dementia incidence rate than no exposure.
Does high dose vitamin D supplementation enhance ...Novel trial of high versus low dose vitamin D3 on multiple cognitive domains · High dose vitamin D (4000 IU/d) improved nonverbal (visual) memory after 18 weeks.
High-dose Vitamin D Supplements in Older AdultsThis Phase II randomized clinical trial aims to test if supplementation with high dose oral vitamin D will successfully correct vitamin D insufficiency.
The Efficacy of Vitamin D Supplementation in Patients With ...But there is no sufficient evidence indicating vitamin D supplementation can improve cognitive function in Alzheimer's disease. Keywords: ...
Vitamin D supplementation and incident dementia: Effects of ...Vitamin D exposure was associated with significantly longer dementia-free survival and lower dementia incidence rate than no exposure.
Three Doses of Vitamin D and Cognitive Outcomes in Older ...There is a strong body of evidence indicating an association between low levels of 25OHD and reduced cognitive performance including memory and executive ...
7.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40243375/
The Effect of Vitamin D3 Supplementation on the Incidence ...Five-year, medium-dose or high-dose vitamin D3 supplementation did not affect the dementia incidence in this largely vitamin D sufficient older population.
Has a High Dose of Vitamin D3 Impacted Health ...The researchers established the safety of 50,000 to 100,000 IU per week of vitamin D3 supplementation for up to 1 year [30,31,32]. A similar ...
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