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Contact Information:

Dr Thomas Hiemstra


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Be Part of Research - Trial Details - Natural vitamin D (cholecalciferol) versus standard care in patients receiving dialysis

Natural vitamin D (cholecalciferol) versus standard care in patients receiving dialysis

Medical Conditions

End stage renal disease


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


Vitamin D is essential for good health, because it helps our bodies to absorb calcium from the diet. There is a lot of evidence that having enough vitamin D can help prevent against many diseases, such as heart and blood vessel (cardiovascular) disease, bone diseases and cancer. Although vitamins generally come from the diet, in the case of vitamin D, the majority of people actually get most of it from sunlight. When the sun shines on our skin, a reaction in the body is triggered, causing the body to produce an active form of vitamin D called vitamin D3. Vitamin D deficiency is common patients with end stage renal disease (kidney failure), and is a strong predictor of death from cardiovascular disease, infection and cancer. Almost all kidney failure patients who are treated with dialysis are given pre-activated vitamin D to take, however this approach increases blood calcium concentrations which may be harmful, and even make vitamin D deficiency worse. International treatment guidelines therefore now recommend that kidney patients receive inactive vitamin D (cholecalciferol), since we now know that every organ activates its own vitamin D as required, even in patients with kidney failure. However, this is not currently used in the NHS as it has not yet been tested in a trial. The aim of this study is to test whether taking cholecalciferol supplements increases survival in UK dialysis patients.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

14 Dec 2016 31 Jul 2025

Publications

2015 Abstract results in http://doi.org/10.1186/1745-6215-16-S2-O15 (added 10/05/2021)

Participants are randomly allocated to one of two groups. Participants in the first group take Cholecalciferol (60,000IU) capsules by mouth once every fortnight for around five and a half years. Participants in the second group continue to receive normal care and are instructed not to take cholecalciferol containing supplements (no more than 1,000IU) for the 5.5 years study period. At the start of the study and then every six months until the end of the study, participants in both groups are contacted to complete questionnaires in order to find out about their quality of life. Seven years after the start of the study, the participants are looked up on the National Deaths Register so that the survival rate of participants in each group can be calculated.


Adults living in the UK with dialysis-requiring end stage renal disease.

You can take part if:



You may not be able to take part if:


Current exclusion criteria as of 23/11/2017:1. Current treatment with high dose (>1,000IU/day) cholecalciferol or ergocalciferol in the last 30 days2. Persistent hypercalcaemia (>2.62 mmol/l on three separate and sequential occasions without precipitating cause)3. Life expectancy of less than 6 months4. Women who are pregnant / planning to become pregnant5. Hypersensitivity to colecalciferol or any of the excipients6. Not contributing, or willing to contribute, data to the UK Renal Registry (UKRR)

Previous exclusion criteria:1. Current treatment with high dose (>1,000IU/day) cholecalciferol2. Persistent hypercalcaemia (>2.62 mmol/l on three separate and sequential occasions without precipitating cause)3. Life expectancy of less than 6 months4. Women who are pregnant / planning to become pregnant5. Inability to provide informed consent6. Not contributing, or willing to contribute, data to the UK Renal Registry (UKRR)


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • Royal Free Hospital
    Pond Street
    London
    NW3 2QG
  • Royal Sussex County Hospital
    Eastern Road
    Brighton
    BN2 5BE
  • Norfolk and Norwich University Hospital
    Colney Lane
    Norwich
    NR4 7UY
  • Royal Stoke University Hospital
    Newcastle Road
    Stoke-on-Trent
    ST4 6QG
  • Derriford Hospital
    Derriford Road Crownhill
    Plymouth
    PL6 8DH
  • Churchill Hospital
    Old Road Headington
    Oxford
    OX3 7LE
  • Lister Hospital
    Chelsea Bridge Road
    London
    SG1 4AB
  • Nottingham City Hospital
    Hucknall Road
    Nottingham
    NG5 1PB
  • Northern General Hospital
    Herries Road
    Sheffield
    S5 7AU
  • Broomfield Hospital
    Court Road Broomfield
    Chelmsford
    CM1 7ET
  • Kings College Hospital
    Denmark Hill
    London
    SE5 9RS
  • Leicester Royal Infirmary
    Infirmary Square
    Leicester
    LE1 5WW
  • Freeman Hospital
    Freeman Road
    Newcastle upon Tyne
    NE7 7DN
  • Addenbrooke's Hospital
    Hills Road
    Cambridge
    CB2 0QQ
  • Sunderland Royal Hospital
    Kayll Road
    Sunderland
    SR4 7TP
  • Royal Shrewsbury Hospital
    Mytton Oak Road
    Shrewsbury
    SY3 8XQ
  • The Royal London Hospital
    Whitechapel Road Whitechapel
    London
    E1 1BB
  • Gloucester Royal Hospital
    Great Western Road
    Gloucester
    GL1 3NN
  • Royal Liverpool Hospital
    Prescot Street
    Liverpool
    L7 8XP
  • Salford Royal Hospital
    Stott Lane
    Salford
    M6 8HD
  • Ipswich Hospital
    Heath Road
    Ipswich
    IP4 5PD
  • Manchester Royal Infirmary
    Oxford Road
    Manchester
    M13 9WL
  • University Hospital Wales
    Heath Park
    Cardiff
    CF14 4XW
  • Southmead Hospital
    Dorian Way Westbury-on-Trym
    Bristol
    BS10 5NB
  • St James’ University Hospital
    Beckett Street
    Leeds
    LS9 7TF
  • St George’s Hospital
    Blackshaw Road Tooting
    London
    SW17 0QT
  • University Hospital Aintree
    Longmoor Lane
    Liverpool
    L9 7AL
  • Southend Hospital
    Prittlewell Chase
    Westcliff-on-Sea
    SS0 0RY
  • Bradford Hospital
    Duckworth Lane
    Bradford
    BD9 6RJ
  • Doncaster Hospital
    Thorne Road
    Doncaster
    DN2 5LT
  • Glasgow Royal Infirmary
    84 Castle Street
    Glasgow
    G4 0ET
  • Guys and St Thomas' Hospital
    Westminster Bridge Road
    London
    SE1 9RT
  • Northwick Park Hospital (Imperial- London)
    Watford Road Harrow
    London
    HA1 3UJ
  • Kent & Canterbury Hospital (East Kent)
    Ethelbert Road
    Canterbury
    CT1 3NG
  • Basildon and Thurrock University
    Nethermayne
    Basildon
    SS16 5NL
  • Royal Preston Hospital (Lancashire)
    Sharoe Green Lane North Fulwood
    Preston
    PR2 9HT
  • Royal Devon & Exeter (Wonford)
    Barrack Road
    Exeter
    EX2 5DW

This information has not yet been provided by the study team. You'll have an opportunity to discuss any risks and benefits that may be associated with this study prior to consenting to taking part.

Dr Thomas Hiemstra



The study is sponsored by Cambridge University Hospitals NHS Foundation Trust and funded by National Institute for Health Research.





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Read full details for Trial ID: ISRCTN15087616
Last updated 09 June 2025

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