Effectiveness of Supplementation with Vitamin D in Patients with Depressive Disorder or Bipolar Disorder: a Randomized Controlled Clinical Trial

2025-520778-20-00 Protocol VIT_D_2018 Phase III and Phase IV (Integrated) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites · Protocol VIT_D_2018

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruitment pending
Participants planned 150
Countries 1
Sites 1

Depressive disorder

Evaluation of the effect of cholecalciferol treatment in subjects with depressive disorder or bipolar disorder after 12 weeks.

Key facts

Sponsor
Azienda Ospedaliera Universitaria Senese
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Psychiatry and Psychology [F] - Mental Disorders [F03]
Decision date (initial)
2025-02-10
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2025-520778-20-00
EudraCT number
2018-003313-17

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

Evaluation of the effect of cholecalciferol treatment in subjects with depressive disorder or bipolar disorder after 12 weeks.

Conditions and MedDRA coding

Depressive disorder

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Age 18-75 years
  2. Subjects referred to the Psychiatry Unit of the Entity at the Azienda Ospedaliera Universitario Senese with a diagnosis of major depressive disorder or disorder bipolar
  3. MADRS score >15
  4. Serum level of 25(OH) Vitamin D< 20 ng/ml
  5. Stable antipsycothic therapy (at least two weeks)
  6. Patients able to take Vitamin D supplementation (oral formulation)
  7. Willingness to provide free and informed consent.

Exclusion criteria 16

  1. Osteoporosis or previous fragility fractures
  2. Osteomalacia or Paget's disease
  3. Diseases known to have interference with vitamin D metabolism (sarcoidosis, hypercalcemia, renal failure)
  4. Pregnancy or lactation
  5. Secondary osteoporosis (primary or secondary hyperparathyroidism, hyperprolactinemia, etc.)
  6. Therapy with estrogens, drugs for osteoporosis, or drugs known to have interference with bone metabolism (antiepileptics, cortisone, antiretrovirals, heparin etc.)
  7. Diabetes mellitus types 1 and 2
  8. Lipid metabolism disorders
  9. Body Mass Index of less than 18 or more than 34.9 kg/sqm
  10. Drug abuse
  11. Therapy with calcifediol, calcitriol, cholecalciferol or calcium supplementation in progress or in the previous two months
  12. Neoplastic disease or severe liver, kidney or gastrointestinal disease
  13. Severe cognitive impairment
  14. Acute psychosis
  15. Inability to answer questions
  16. Refusal to sign informed consent

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Change in Montgomery-Asberg Depression Rating Scale - MADRS at 12 weeks of treatment
  2. Time to remission of depressive disorder (Montgomery-Asberg Depression Rating Scale -MADRS≤ 10)

Secondary endpoints 2

  1. Changes in Montgomery-Asberg Depression Rating Scale (MADRS) score at 24 weeks
  2. Changes in 25OH vitamin D levels at 12 and 24 weeks

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

DIBASE 50.000 U.I./2,5 ml soluzione orale in contenitore monodose

PRD1575455 · Product

Active substance
Colecalciferol
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL
Max daily dose
7143 U unit(s)
Max total dose
1200000 U unit(s)
Max treatment duration
24 Week(s)
Authorisation status
Authorised
ATC code
A11CC05 — COLECALCIFEROL
Marketing authorisation
036635062
MA holder
ABIOGEN PHARMA S.P.A.
MA country
Italy
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Olive oil, refined vehicle 2,5 ml (quality standard Ph. Eur. current edition monograph 1456)

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Azienda Ospedaliera Universitaria Senese

Sponsor organisation
Azienda Ospedaliera Universitaria Senese
Address
Strada Delle Scotte 14
City
Siena
Postcode
53100
Country
Italy

Scientific contact point

Organisation
Azienda Ospedaliera Universitaria Senese
Contact name
Clinical Trial Office

Public contact point

Organisation
Azienda Ospedaliera Universitaria Senese
Contact name
Clinical Trial Office

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Authorised, recruitment pending 150 1
Rest of world 0

Investigational sites

Italy

1 site · Authorised, recruitment pending
Azienda Ospedaliera Universitaria Senese
U.O.C. Psichiatria, Strada Delle Scotte 14, 53100, Siena

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocol 5.0
Recruitment arrangements (for publication) Not applicable 1
Subject information and informed consent form (for publication) ICF Vit D v 1 2 14 02 2024 1
Summary of Product Characteristics (SmPC) (for publication) RCP Colecalciferolo 1
Synopsis of the protocol (for publication) Synopsis 1.2

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-28 Italy Acceptable
2025-01-30
2025-02-10