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Vitamin D Supplements for Prevention of Covid-19 or other Acute Respiratory Infections: a Phase 3 Randomized Controlled Trial (CORONAVIT) December 2020 to June 2021 https://www.medrxiv.org/content/10.1101/2022.03.22.22271707v1 https://clinicaltrials.gov/ct2/show/NCT04579640 Randomly assigned 6200 U.K. adults postal finger-prick 25-hydroxyvitamin D (25[OH]D) test provision of a 6-month supply of vitamin D to those with blood 25(OH)D concentration less than 75 nmol/L 3,200 IU/day, n = 1,356 800 IU/day, n = 1,334 No offer of testing or supplementation, n = 3,100 Outcomes Proportion of participants experiencing at least one swab test- or doctor-confirmed acute respiratory infection (ARI) of any cause Incidence of swab test-confirmed Covid-19 RESULTS 2,690 (86.8%) had 25(OH)D less than 75 nmol/L Experienced at least one ARI of any cause Higher dose group 76 (5.0%) Lower dose group 87 (5.7%) No offer group 136 (4.6%) OR higher-dose vs. no-offer, 1.09 lower-dose vs. no-offer, 1.26 Diagnosed with covid Higher dose group 45 (3.0%) Lower dose group 55 (3.6%) No offer group 78 (2.6%) CONCLUSIONS Implementation of a test-and-treat approach to correcting sub-optimal vitamin D status in the U.K. population was safe and effective in boosting 25(OH)D concentrations of adults with baseline concentrations less than 75 nmol/L. However, this was not associated with protection against all-cause ARI or Covid-19. Incidence of hospitalization for ARI was low, and we therefore lacked power to detect an effect of the intervention on severity of Covid-19 and other ARIs. Pre-infection 25-hydroxyvitamin D3 levels and association with severity of COVID-19 illness https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0263069 Objective Examines if, and to what degree, a relationship exists between pre-infection serum 25-hydroxyvitamin D (25(OH)D) level and disease severity and mortality due to SARS-CoV-2 Participants April 7th, 2020 and February 4th, 2021 Galilee Medical Center (GMC) in Nahariya, Israel Positive polymerase chain reaction (PCR) tests Historical 25(OH)D levels measured 14 to 730 days prior to the positive PCR test. Design Patients admitted with COVID-19 were categorized according to disease severity and level of 25(OH)D. deficient, insufficient, adequate, high-normal Isolated influence of the sinusoidal pattern 25(OH)D changes Results Of 1,176 patients admitted, 253 had records of a 25(OH)D level prior to COVID-19 infection In patients with the severe or critical disease 87.4% had lower vitamin D levels, less than 20 ng/mL In patients with mild or moderate disease 34.3% had lower vitamin D levels, less than 20 ng/mL p less than 0.001 Patients with Vit D less than 20ng/ml versus patients with more than 40 ng/ml Patients with lower vitamin D levels were 14 times more likely to have severe or critical disease p less than 0.001 Conclusions Among hospitalized COVID-19 patients, pre-infection deficiency of vitamin D was associated with increased disease severity and mortality.

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