Vitamin D Replacement in Bronchiectasis

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorQueen Mary Hospital, Hong Kong

About this trial

This study seeks to address the limitations in previous related studies on vitamin D replacement and bronchiectasis exacerbation occurrence through a self-controlled pilot study. The investigators aim to investigate whether vitamin D replacement in bronchiectasis patients with vitamin D deficiency can reduce hospitalized bronchiectasis exacerbation occurrence. Patients who participated in the prior study entitled "Prospective clinical study on serum 25-hydroxyvitamin D (25-OH D) level and risk of bronchiectasis exacerbation" (UW 22-317) will be invited for participation during regular clinic follow-up and management in Queen Mary Hospital. If participants are willing to join the further research, participants will be recruited in this self-controlled study. There are some differences from usual management to non-CF bronchiectasis subjects. The study subjects would be checked for their blood 25-hydroxyvitamin-D level during the study period. The non-CF bronchiectasis subjects with Vitamin D deficiency would be given 1000 IU and 2000 IU (if needed). The investigators aim to correct their Vitamin D deficiency completely, aiming at blood 25-hydroxyvitamin-D level \>=50, i.e. treat to target. The dose depends on the level of Vitamin D after replacement. If blood 25-hydroxyvitamin-D level is 50 or above, then 1000 IU is suffice. If blood 25-hydroxyvitamin-D level is still below 50, the investigators will increase to 2000 IU.

Eligibility criteria

Qualifiers

ages 18 years or above, male or female.

confirmed diagnosis of non-CF bronchiectasis based on high-resolution computed tomography (HRCT) scan.

participation in the prior study entitled "Prospective clinical study on serum 25-hydroxyvitamin D (25-OH D) level and risk of bronchiectasis exacerbation" (UW 22-317)

Disqualifiers

underlying asthma, COPD and other co-existing respiratory diseases

underlying osteoporosis

supplementary Vitamin D in their regimen

advanced chronic kidney disease with estimated glomerular filtration rate (eGFR) < 30mL/min

Trial design

Treatments tested in this trial

  • Vitamin D3

Treatment groups

104 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Queen Mary Hospital, Hong Kong

Lead sponsor

The University of Hong Kong

Sponsor institution