BETHESDA, Md. — Researchers have begun the first definitive, large-scale clinical trial to investigate if a vitamin D supplement helps prevent or delay Type 2 diabetes in adults who have prediabetes and are at high risk for developing Type 2. Funded by the National Institutes of Health, the study is taking place at about 20 study sites across the United States, the agency announced Monday.
The multiyear Vitamin D and Type 2 Diabetes study will include about 2,500 people. Its goal is to learn if vitamin D — specifically D3 (cholecalciferol) — will prevent or delay Type 2 diabetes in adults ages 30 years or older with prediabetes. People with prediabetes have blood-glucose levels that are higher than normal but not high enough to be called diabetes.
“This study aims to definitively answer the question: Can vitamin D reduce the risk of developing Type 2 diabetes?” stated Myrlene Staten, D2d project officer at the National Institute of Diabetes and Digestive and Kidney Diseases, part of NIH. “Vitamin D use has risen sharply in the United States in the last 15 years, since it has been suggested as a remedy for a variety of conditions, including prevention of Type 2 diabetes. But we need rigorous testing to determine if vitamin D will help prevent diabetes. That’s what D2d will do.”
“Past observational studies have suggested that higher levels of vitamin D may be beneficial in preventing Type 2 diabetes, but until this large, randomized and controlled clinical trial is complete, we won’t know if taking vitamin D supplements lowers the risk of diabetes,” said Anastassios Pittas, the study’s principal investigator at Tufts Medical Center, Boston.
D2d is the first study to directly examine if a daily dose of 4,000 International Units of vitamin D — greater than a typical adult intake of 600 IUs to 800 IUs a day, but within limits deemed appropriate for clinical research by the Institute of Medicine — helps keep people with prediabetes from getting Type 2 diabetes. Based on observations from earlier studies, researchers speculate that vitamin D could reduce the diabetes risk by 25%. The study also will examine if sex, age or race affect the potential of vitamin D to reduce diabetes risk.
Researchers are recruiting volunteers to take part in D2d. Half of the participants will receive vitamin D. The other half will receive a placebo. Participants will have check-ups for the study twice a year, and will receive regular health care through their own healthcare providers.
The study will be double-blinded, so neither participants nor the study’s clinical staff will know who is receiving vitamin D and who is receiving the placebo. The study will continue until enough people have developed Type 2 diabetes to be able to make a scientifically valid comparison between diabetes development in the two groups, likely about four years.
D2d builds on previous NIH-funded studies of methods to delay or prevent Type 2 diabetes, including the Diabetes Prevention Program, which showed that, separately, lifestyle changes to lose a modest amount of weight and the drug metformin are both effective in slowing development of Type 2 diabetes in people with prediabetes.