Vitamin D deficiency (defined as 25(OH)-vitamin D serum level \<50 nmol/l) is cured with oral supplementation. National guidelines recommend the administration of 800 IU cholecalciferol daily for an effective treatment, especially during the winter (poor sun exposition). Cumulative intermittent administration monthly (24'000 IU) or weekly (5'600 IU) is possible. Commercially available intermittent pharmaceutical forms in Switzerland are liquid (oily or alcoholic solution). The study aims to compare the rise of vitamin D3 levels after treatment between newly developed soft capsules and monthly solution (primary outcome), and to evaluate the effect of a loading dose (without infringing the cumulative maximal dose of 4'000 IU per day) on the achievement of optimal values \>75 nmol/l (secondary outcome). The investigators will use newly developed soft capsules and alcoholic solution, which are commercially available in Switzerland.
Group Control, Alcoholic Drinking Solution: 5 ml of an alcoholic drinking solution with 24'000 IU vitamin D p.o. once a month for 3 months (3 doses). Group IMP, Capsules: one capsule with 24'000 IU vitamin D p.o. once a month for 3 months (3 doses). Group IMP + loading dose, Loading Dose: one capsule with 24'000 IU vitamin D p.o. once a week during an individually calculated number of weeks. All 3 groups: Measurement of vitamin D in serum before therapy and one week after the last dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
58
Patient will be treated with 3 doses of alcoholic solution for 3 months.
Patient will be treated with 3 capsules for 3 months.
Patient will be treated with weekly capsules for an individually calculated number of weeks.
Pharmaceutical Care Research Group
Basel, Switzerland
Serum level of vitamin D
Level of serum vitamin D after 3 month treatment compared to baseline value
Time frame: 3 months of treatment
Serum level of vitamin D after loading dose
Level of serum vitamin D \> 75 nmol/l after an individual number of treatment weeks, calculated with a loading dose formula.
Time frame: up to 4 months of treatment
Adverse Drug Reactions
Number and severity of adverse drug reactions during treatment
Time frame: 3 months of treatment
Adherence to medication
Taking adherence: (number of doses taken) divided by (number of doses prescribed) x 100.
Time frame: 3 months of treatment
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