Research Summary
Analyzed using Evidence Intelligence™

Calcitriol may reduce kidney injury in early diabetic kidney disease

Last updated September 10, 2026

Key finding

Urinary nephrin levels decreased in the calcitriol group.

This study evaluated the effects of calcitriol supplementation on kidney injury biomarkers in patients with early diabetic kidney disease, finding decreased urinary nephrin and KIM-1 levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effects of calcitriol supplementation on kidney injury biomarkers in patients with early diabetic kidney disease, finding decreased urinary nephrin and KIM-1 levels.

Clinical relevance

The findings are significant as they suggest that calcitriol could be a beneficial intervention for patients with early diabetic kidney disease, potentially slowing the progression of kidney injury. By reducing biomarkers associated with kidney damage, calcitriol may help in managing diabetes-related kidney complications, which are a leading cause of morbidity in diabetic patients.

Keep in mind

The study had a limited sample size, which may affect the generalizability of the findings. The variability in podocin levels was not clearly defined, limiting interpretation. The follow-up duration may not have been sufficient to assess long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Pringgodigdo N, Aida L, Pradana S, et al. Effects of Calcitriol Supplementation on Kidney Injury Biomarkers in Patients with Early Diabetic Kidney Disease: A Double-Blind, Randomized Controlled Trial. Annals of Medicine. 2025;57(1):2577271. doi:10.1080/07853890.2025.2577271

Main Effects

Urinary nephrin levels decreased by 326 ng/mL (p = 0.006) in the calcitriol group.

KIM-1 levels decreased by 1.6 pg/mL (p = 0.006) in the calcitriol group.

IL-6 levels showed lower increases in the calcitriol group, indicating potential anti-inflammatory effects.

The urinary albumin-to-creatinine ratio (UACR) decreased in the calcitriol group, though not statistically significant (p = 0.099).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Calcitriol and Interleukin-6 (IL-6), Podocin, Urinary Kidney Injury Molecule-1 (KIM-1), and 2 more.

Primary intervention

Calcitriol

Primary outcomes

  • Interleukin-6 (IL-6)
  • Podocin
  • Urinary Kidney Injury Molecule-1 (KIM-1)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

5
Evidence pairs
5
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 63

1

Related topics

5

Evidence pairs

89

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Inflammatory and Vascular Markers

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Interleukin-6 (IL-6)

Calcitriol → Interleukin-6 (IL-6)

Calcitriol → Interleukin-6 (IL-6)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Podocin

Calcitriol → Podocin

Calcitriol → Podocin

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Urinary albumin-to-creatinine ratio

Calcitriol → Urinary albumin-to-creatinine ratio

Calcitriol → Urinary albumin-to-creatinine ratio

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Urinary Kidney Injury Molecule-1 (KIM-1)

Calcitriol → Urinary Kidney Injury Molecule-1 (KIM-1)

Calcitriol → Urinary Kidney Injury Molecule-1 (KIM-1)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Urinary nephrin

Calcitriol → Urinary nephrin

Calcitriol → Urinary nephrin

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Calcitriol reduced urinary nephrin levels significantly (p = 0.006).
  • KIM-1 levels decreased significantly with calcitriol (p = 0.006).
  • UACR showed a non-significant decrease in the calcitriol group (p = 0.099).
who this applies

Who this applies to

  • Adults diagnosed with early diabetic kidney disease.
  • Patients experiencing early signs of kidney injury related to diabetes.
keep in mind

Keep in Mind

  • Results may not be applicable to patients with advanced kidney disease.
  • Further studies are needed to confirm long-term benefits of calcitriol.
  • The variability in some outcomes suggests caution in interpretation.
between the lines

Between the Lines

  • The study had a limited sample size, which may affect the generalizability of the findings.
  • The variability in podocin levels was not clearly defined, limiting interpretation.
  • The follow-up duration may not have been sufficient to assess long-term effects.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Calcitriol and Inflammatory Markers, Calcitriol and Podocin.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
View evidence

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Calcitriol improve interleukin-6 (IL-6)?

Emerging Evidence

Calcitriol appears to improve interleukin-6 (IL-6).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Interleukin-6 (IL-6)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calcitriol improve urinary kidney injury molecule-1 (KIM-1)?

Emerging Evidence

Calcitriol appears to improve urinary kidney injury molecule-1 (KIM-1).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Urinary Kidney Injury Molecule-1 (KIM-1)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calcitriol improve urinary nephrin?

Emerging Evidence

Calcitriol appears to improve urinary nephrin.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Urinary nephrin

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Calcitriol improve podocin?

Emerging Evidence

Current evidence does not show a clear benefit of Calcitriol for podocin.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Podocin

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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