Evaluating Response to Vitamin D3 and K2 Supplementation in Healthcare Personnel

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-69
SponsorMadigan Army Medical Center

About this trial

The main purpose of this research study is to learn about the effects of supplemental vitamin D3 and vitamin K2 on blood levels and the gut microbial community, called the gut microbiome. There are many influences on blood levels of vitamin D and K to include your dietary intake, lifestyle behaviors (physical activity, sleep), genetic alterations in metabolism of these vitamins, and the gut microbial abundance and diversity. You will be asked to take one capsule containing vitamin D3 (125 mcg), vitamin K2 (180 mcg), a combination of vitamins D3 and K2 (same doses as previous), or a placebo powder for 90 days. You will also be asked to complete questionnaires, undergo body composition and blood pressure measurements, provide blood samples and a stool swab, all on 2 occasions about 3 - 4 months apart. By conducting this study, we aim to identify the frequency of common genetic alterations in vitamins D and K metabolism and establish the impact on the gut microbiome for the first time. Your participation in this study will last about 4 - 6 months and include up to 3 visits.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

able to read and understand English

25 OHD serum level equal to or less than 30 ng/mL

willing to discontinue vitamin D3 and/or K2 supplements for 4.5 months

military beneficiary (Active Duty, Retired, Dependent)

Disqualifiers

Diagnosed medical condition that prevents nutrient absorption from food (e.g. Inflammatory Bowel Disease, Celiac Disease, post-Roux-en-Y/Gastric sleeve surgery)

Pregnant or breastfeeding

Current antibiotic use or within past 3 months

Current anticoagulant use or within past 3 months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Vitamin Arm 1

    Dietary supplement

    Subject receives dietary supplement for 90 days

  • Vitamin Arm 2

    Dietary supplement

    Subject receives dietary supplement for 90 days

  • Vitamin Arm 3

    Dietary supplement

    Subject receives dietary supplement for 90 days

  • Placebo

    Other intervention

    Subject receives placebo for 90 days

Treatment groups

96 Participants
are divided into 4 treatment groups
Group A: Vitamin Arm 1Active comparator 1 intervention
Group B: Vitamin Arm 2Active comparator 1 intervention
Group C: Vitamin Arm 3Active comparator 1 intervention
Group D: Placebo ArmPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Gut microbiome composition

Evaluate effect of vitamin D3 and K2 dietary intake, and assigned vitamin supplementation group versus placebo group, on the gut microbiome composition

Time frame
90 days
2

Gut microbiome richness

Will use Operational Taxonomic Units, Simpson Index and /or Chao1 index to evaluate gut microbiome richness before and after vitamin supplementation vs placebo

Time frame
90 days
3

Gut microbiome diversity

Will use Operational Taxonomic Units, Simpson Index and /or Chao1 index to evaluate gut microbiome diversity before and after vitamin supplementation vs placebo

Time frame
90 days

Secondary outcomes

1

Serum 25OHD

Response to vitamin supplementation with serum 25(OH)D level pre and post supplement

Time frame
90 days
2

Serum Osteocalcin level

Response to vitamin supplementation with serum osteocalcin level pre and post supplement

Time frame
90 days
3

Vitamin D3 and K2 metabolic pathway variants on supplementation efficacy

Examine vitamin D3 and K2 metabolism pathway single nucleotide polymorphisms for effect on serum 25(OH)D and osteocalcin levels

Time frame
90 days
4

Genetic and non-genetic factor contributions to gut microbiome composition

Explore relationships between diet, lifestyle behaviors (steps and sleep), body composition, metabolic and inflammatory serum biomarkers, and single nucleotide polymorphisms, and the gut microbiome

Time frame
90 days

Other outcomes

Sponsors and contacts

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