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. 2021 May 24;2021(5):CD015043. doi: 10.1002/14651858.CD015043

NCT04502667.

Study name Efficacy of vitamin D treatment in pediatric Patients hospitalized by COVID‐19: open controlled clinical trial
Methods
  • Trial design: RCT

  • Sample size: 40

  • Setting: inpatient

  • Language: English (Mexico)

  • Number of centres: 1

  • Type of intervention (treatment/prevention): treatment

Participants
  • Inclusion criteria

    • Age over 1 month and under 17 years (children)

    • Confirmed diagnosis of COVID‐19 infection with the results of real‐time PCR

    • That they agreed to participate in the study

    • That the patient tolerates the enteral route

  • Exclusion criteria

    • Have received vitamin D in the four weeks prior to hospitalisation

Interventions
  • Details of intervention

    • Dose: Children under 12 months they will be given 1000 U of Vitamin D and in children over 12 months they will be given 2000 U of Vitamin D

    • Route of administration: every 24 hours orally during hospitalisation

  • Treatment details of control group (e.g dose, route of administration): no intervention

  • Concomitant therapy: none

Outcomes Primary study outcome
  • Interleukins

  • Ferritin

  • Dimder‐D


Review outcomes
  • All‐cause mortality at day 28, day 60, time‐to‐event, and at hospital discharge ‐ NP

  • Clinical status, assessed by need for respiratory support with standardised scales (e.g. WHO Clinical Progression Scale (WHO 2020e), WHO Ordinal Scale for Clinical Improvement (WHO 2020f)) at day 28, day 60, and up to longest follow‐up); including:

    • Improvement of clinical status:

      • weaning or liberation from invasive mechanical ventilation in surviving patients i.e. WHO ≤ 6, if ≥7 at baseline;

      • ventilator‐free days; ventilator‐free defined as WHO ≤ 6;

      • duration to liberation from invasive mechanical ventilation;

      • liberation from supplemental oxygen in surviving patients i.e. WHO ≤4, if ≥ 5 at baseline;

      • duration to liberation from supplemental oxygen.

    • Worsening of clinical status:

      • need for invasive mechanical ventilation i.e. WHO 7‐9, if ≤ 6 at baseline;

      • need for non‐invasive mechanical ventilation or high flow i.e. WHO = 6, if ≤ 5 at baseline;

      • need for oxygen by mask or nasal prongs i.e. WHO = 5, if ≤ 4 at baseline

    • NP

  • Need for dialysis (at up to 28 days) ‐ NP

  • Quality of life, including fatigue and neurological status, assessed with standardised scales (e.g. WHOQOL‐100) at up to seven days; up to 30 days, and longest follow‐up available ‐ NP

  • Admission to ICU ‐ NP

  • Duration of hospitalisation ‐ NP

  • Time to discharge from hospital ‐ NP

  • Viral clearance, assessed with reverse transcription polymerase chain reaction (RT‐PCR) test for SARS‐CoV‐2 at baseline, up to 3, 7, and 15 days ‐ NP

  • Vitamin D serum levels ‐ reported

  • Serious adverse events, defined as number of participants with event ‐ NP

  • Adverse events (any grade, grade 1‐2, grade 3‐4), defined as number of participants with event ‐ NP


Additional study outcomes:
  • Vitamin D serum levels

Starting date 15/07/2020
Contact information Hospital Centro Medico Nacional Siglo XXI
Carla Castuera Martinez
56276900 ext 21218
carla_martinez@imss.gob.mx
Notes
  • Recruitment status: recruiting

  • Prospective completion date: 04/2021

  • Date last update was posted: 06/08/2020

  • Sponsor/funding: Coordinación de Investigación en Salud, Mexico