Relative Bioavailability of Folic Acid and L-5-Methlytetrahydrofolate

NCT ID: NCT01584050

Last Updated: 2012-08-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2012-07-31

Brief Summary

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Folic acid, a form of the vitamin folate, is added to grain products in Canada to help reduce birth defects. Folic acid is the synthetic form of folate and is very stable (doesn't break down) when added to foods. There are emerging health concerns about chronic folic acid consumption. Recently another more natural form of folate, L-5-methyltetrahydrofolate (L-MTHF) has become available. The investigators plan to conduct a randomized trial in women to determine if supplements containing L-MTHF consumed over three months raises blood folate levels as much as supplements containing folic acid. The investigators hypothesize that L-MTHF will increase red cell folate over 12 weeks to same extent as equimolar folic acid.

Detailed Description

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The proposed study is a twelve week, cross-sectional, double blind, randomized controlled trial. The sample population will consist of one-hundred fifty healthy adult volunteers. All participants will be Malaysian women between eighteen and forty-two years of age. Study participants will be recruited by word of mouth and through advertisements placed in hospitals and universities starting in January 2011. Study participants will be randomly assigned to 1 of 3 treatment groups: 1) 1000ug L-MTHF 2) 1000ug folic acid 3) placebo (methyl cellulose). All treatments will be given in capsule form. Blood samples will be collected at baseline, 6 and 12 weeks.

The primary outcome measure is red cell folate. A sample size of 45 subjects per group will allow us to detect a minimum difference of 100 nmol/L red cell folate assuming an alpha 0.05, a beta of 0.8 a SD of 183 nmol/L. Accounting for a 10% attrition rate we will enroll 50 women per group. The study will be analyzed as intent to treat. Baseline characteristics and compliance between treatment groups will be compared using a one-way ANOVA for continuous variables and chi-square analyses for categorical variables. The difference in measurements between the treatment groups at week 12 will be determined by regression analysis, controlling for baseline values.

Conditions

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Vitamin B12 Deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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L-MTHF

Group Type ACTIVE_COMPARATOR

L-5-methyltetrahydrofolate (Metafolin ®)

Intervention Type DIETARY_SUPPLEMENT

dosage: 1000 μg, frequency: once daily, duration: 12 weeks

folic acid

Group Type ACTIVE_COMPARATOR

folic acid

Intervention Type DIETARY_SUPPLEMENT

dosage: 1000 μg, frequency: once daily, duration: 12 weeks

placebo (methyl cellulose)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

frequency: once daily, duration: 12 weeks

Interventions

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L-5-methyltetrahydrofolate (Metafolin ®)

dosage: 1000 μg, frequency: once daily, duration: 12 weeks

Intervention Type DIETARY_SUPPLEMENT

folic acid

dosage: 1000 μg, frequency: once daily, duration: 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Placebo

frequency: once daily, duration: 12 weeks

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Malaysian nationality

Exclusion Criteria

* Pregnancy
* Vitamin supplement users
* Chronic disease
* prior neural tube defect affected pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Tim Green, PhD

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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University of British Columbia

Vancouver, British Columbia, Canada

Site Status

Universiti Putra Malaysia

Serdang, Selangor, Malaysia

Site Status

Countries

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Canada Malaysia

References

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Henderson AM, Aleliunas RE, Loh SP, Khor GL, Harvey-Leeson S, Glier MB, Kitts DD, Green TJ, Devlin AM. l-5-Methyltetrahydrofolate Supplementation Increases Blood Folate Concentrations to a Greater Extent than Folic Acid Supplementation in Malaysian Women. J Nutr. 2018 Jun 1;148(6):885-890. doi: 10.1093/jn/nxy057.

Reference Type DERIVED
PMID: 29878267 (View on PubMed)

Other Identifiers

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H10-03426

Identifier Type: -

Identifier Source: org_study_id