Vitamin D + Omega-3 for Osteoporosis and Body Composition

(VITAL Trial)

Stay on Your Current MedsYou can continue your current medications while participating
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?

The trial aims to determine if vitamin D and fish oil supplements can improve bone health and body composition. Researchers seek to discover whether these supplements can reduce the risk of osteoporosis, a condition that weakens bones and increases fracture risk. The trial compares various combinations of vitamin D (also known as Vitamin D3 or Cholecalciferol) and omega-3 fatty acids (fish oil) against placebos (inactive substances) to identify the most effective option. It seeks participants who are not currently or recently taking medications for bone health. Individuals concerned about osteoporosis and not using these medications may find this trial suitable. As an unphased trial, it offers a unique opportunity to contribute to understanding the potential benefits of supplements on bone health.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but if you are using bisphosphonates or other bone-active medications, you are not eligible to participate.

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

In a previous study, researchers examined how vitamin D3 and omega-3 fatty acids affect bone health and other outcomes. They compared these supplements to a placebo (a pill with no active ingredients). The results showed that participants tolerated vitamin D3 and omega-3 fatty acids well, with no significant differences in side effects between the supplement and placebo groups.

Another study focused on older adults and found that combining vitamin D3 and omega-3s might have positive health effects without major side effects. Participants did not report serious negative effects from the supplements, suggesting they are safe to use.

Overall, evidence indicates that both vitamin D3 and omega-3 fatty acids are generally safe and well-tolerated, usually not causing harmful side effects in those who take them.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about using vitamin D and omega-3 fish oil for osteoporosis and body composition because these supplements offer a natural approach with potential benefits beyond traditional medications. Unlike typical osteoporosis treatments like bisphosphonates or hormone-related therapies, vitamin D is crucial for calcium absorption, which is vital for bone health, while omega-3s are known for their anti-inflammatory properties. This combination could not only help strengthen bones but also improve overall body composition, potentially offering a dual benefit in a simple daily regimen.

What evidence suggests that this trial's treatments could be effective for osteoporosis and body composition?

This trial will evaluate the effects of Vitamin D3 and omega-3 fatty acids, found in fish oil, on bone health and body composition. Research has shown mixed results for these supplements in improving bone health. Participants will be assigned to different treatment arms: one group will receive both Vitamin D3 and fish oil, another will receive Vitamin D3 with a fish oil placebo, a third group will receive fish oil with a Vitamin D3 placebo, and a final group will receive placebos for both. Studies suggest that omega-3s may help protect against bone density loss, especially in people with high blood pressure. However, one study found that Vitamin D3 alone, without added calcium, did not significantly improve bone health over two years. While omega-3s have shown some promise in helping bone formation and reducing bone loss, the evidence for Vitamin D3 is less clear, with some studies showing no significant impact on bone density. Overall, the combination of Vitamin D3 and omega-3s might offer potential benefits, but more research is needed to confirm their effectiveness in improving bone health.678910

Who Is on the Research Team?

MS

Meryl S LeBoff, M.D.

Principal Investigator

Brigham and Women's Hospital

Are You a Good Fit for This Trial?

The VITAL trial is for U.S. men and women who are part of the larger VITAL study, have no history of cancer, heart disease, or stroke, and aren't on bone-active medications currently or within the past year (or bisphosphonates within 2 years).

Exclusion Criteria

I haven't used bisphosphonates or other bone medications in the required time frame.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Baseline measurements of bone density, bone turnover, and body composition are performed

1 visit
1 visit (in-person)

Treatment

Participants receive daily dietary supplements of vitamin D3 or fish oil, or placebos, for 2 years

104 weeks

Follow-up

Participants are monitored for changes in bone density, bone turnover, and body composition after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Fish oil placebo
  • omega-3 fatty acids (fish oil)
  • Vitamin D3
  • Vitamin D3 placebo
Trial Overview This trial tests if daily supplements of vitamin D3 (2000 IU) or omega-3 fatty acids (1 gram fish oil) can reduce the risk of serious diseases like cancer and heart disease in healthy individuals.
How Is the Trial Designed?
4Treatment groups
Active Control
Placebo Group
Group I: Vitamin D + fish oilActive Control2 Interventions
Group II: Vitamin D placebo + fish oilActive Control2 Interventions
Group III: Vitamin D + fish oil placeboActive Control2 Interventions
Group IV: Vitamin D placebo + fish oil placeboPlacebo Group2 Interventions

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?

Brigham and Women's Hospital

Lead Sponsor

Trials
1,694
Recruited
14,790,000+

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Collaborator

Trials
508
Recruited
1,090,000+

Citations

A systematic review of omega-3 fatty acids and osteoporosisThe aim of this systematic review was to determine if randomized controlled trials (RCTs) support a positive effect of n-3 FAs on osteoporosis.
The association between dietary omega-3 intake and ...As an anti-inflammatory nutrient, Omega-3 fatty acids might protect against bone density loss in patients with hypertension and hyperlipidemia.
Effects of long-term supplementation with omega-3 fatty ...Trabecular bone volume in caudal vertebrae was improved by EPA or DHA at 8 months (+26.6% and +17.2%, respectively, compared to +3.8% in controls, P=.01), but ...
Bone Benefits of Fish Oil Supplementation Depend on its EPA ...We have shown that ω-3 PUFA rich FO prevents bone loss in animal models of post-menopause, arthritis, and aging [11,13,15,22]. FO and low ω-6/ω-3 fatty acids ...
Unraveling the Omega-3 Puzzle: Navigating Challenges ...Studies have shown that ω-3 PUFAs positively impact bone health by promoting bone formation, enhancing peak bone mass, and attenuating bone density loss across ...
Effects of Supplemental Vitamin D on Bone Health ...The primary analysis compared the effects of vitamin D3 versus placebo on changes in bone health measures, adjusted for the omega‐3 fatty acids intervention, ...
NCT01169259 | Vitamin D and Omega-3 Trial (VITAL)Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid [EPA] and 375 mg of docosahexaenoic acid [DHA]).
Individual and additive effects of vitamin D, omega-3 and ...Combined vitamin D, omega-3 fatty acids, and a simple home exercise program may reduce cancer risk among active adults aged 70 and older: a ...
Supplemental Vitamin D and Incident Fractures in Midlife ...Data are presented as supplemental vitamin D3 as compared with placebo because there was no interaction between vitamin D and n−3 fatty acids in ...
Effect of Vitamin D Supplementation, Omega-3 Fatty Acid ...Effect of vitamin D supplementation, omega-3 fatty acid supplementation, or a strength-training exercise program on clinical outcomes in older adults.
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