Vitamin K and Glucose Metabolism in Children at Risk for Diabetes (Vita-K 'n' Kids Study)

NCT ID: NCT01972113

Last Updated: 2019-11-19

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2020-12-30

Brief Summary

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The undercarboxylated fractions of the two vitamin K-dependent proteins osteocalcin and matrix Gla protein have been shown to play key roles in type 2 diabetes and cardiovascular disease (at least in mouse models). Clinical trials are needed to isolate the effects of vitamin K manipulation on carboxylation of these two proteins (osteocalcin and matrix GLA protein) and their subsequent effects on markers of diabetes and cardiovascular disease risk. The purpose of this pilot randomized, double-blind, placebo-controlled trial in children is to estimate the effective dose of vitamin K2 (menaquinone-7) supplementation (to improve carboxylation of both osteocalcin and matrix Gla protein), and whether it can have an effect on markers associated with diabetes and cardiovascular disease risk.

Detailed Description

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Conditions

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Obesity Insulin Resistance Insulin Sensitivity Prediabetes Dyslipidemia Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo-Control

The placebo-control group will take one placebo softgel capsules every day for 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo-Control

Intervention Type DIETARY_SUPPLEMENT

one placebo softgel capsules per day (for 8 weeks) containing no vitamin K2 (menaquinone-7)

Low-Dose Vitamin K2 (45 mcg/d)

The low-dose vitamin K2 group will take one 45-mcg vitamin K2 softgel capsule and one placebo softgel capsule every day for 8 weeks.

Group Type ACTIVE_COMPARATOR

Low-Dose Vitamin K2 (menaquinone-7; 45 mcg/d)

Intervention Type DIETARY_SUPPLEMENT

one 45-mcg vitamin K2 (menaquinone-7) softgel capsule per day and one placebo softgel per day (containing no menaquinone-7) for 8 weeks

High-Dose Vitamin K2 (90 mcg/d)

The high-dose vitamin K2 group will take one 90-mcg vitamin K2 softgel capsules every day for 8 weeks.

Group Type ACTIVE_COMPARATOR

High-Dose Vitamin K2 (menaquinone-7; 90 mcg/d)

Intervention Type DIETARY_SUPPLEMENT

one 90-mcg vitamin K2 (menaquinone-7) softgel capsules per day for 8 weeks

Interventions

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Placebo-Control

one placebo softgel capsules per day (for 8 weeks) containing no vitamin K2 (menaquinone-7)

Intervention Type DIETARY_SUPPLEMENT

Low-Dose Vitamin K2 (menaquinone-7; 45 mcg/d)

one 45-mcg vitamin K2 (menaquinone-7) softgel capsule per day and one placebo softgel per day (containing no menaquinone-7) for 8 weeks

Intervention Type DIETARY_SUPPLEMENT

High-Dose Vitamin K2 (menaquinone-7; 90 mcg/d)

one 90-mcg vitamin K2 (menaquinone-7) softgel capsules per day for 8 weeks

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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menaquinone-7 menaquinone-7

Eligibility Criteria

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Inclusion Criteria

* Age 8 to 17 years
* BMI less than 85th percentile for age and gender
* Subject and parent/guardian understands the study protocol and agrees to comply with it
* Informed Consent Form signed by the parent/guardian and assent signed by the subject

Exclusion Criteria

* Subjects using vitamin supplements containing vitamin k
* Subjects with (a history of) metabolic or gastrointestinal diseases including hepatic disorders
* Subjects presenting chronic degenerative and/or inflammatory diseases
* Subjects receiving systemic treatment or topical treatment likely to interfere with evaluation of the study parameters (salicylates, antibiotics)
* Subjects receiving corticosteroid treatment
* Subjects using oral anticoagulants
* Subjects with a history of soy allergy
* Subjects who have participated in a clinical study more recently than one month before the current study
Minimum Eligible Age

8 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Alabama at Birmingham

OTHER

Sponsor Role collaborator

Yale University

OTHER

Sponsor Role collaborator

Tufts University

OTHER

Sponsor Role collaborator

Augusta University

OTHER

Sponsor Role lead

Responsible Party

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Norman Pollock

Associate Professor, Department of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Norman K Pollock, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Medicine, Medical College of Georgia, Augusta University

Locations

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Medical College of Georgia; Augusta University

Augusta, Georgia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Norman K Pollock, Ph.D.

Role: CONTACT

706-721-5424

Celestine F Williams, M.S.

Role: CONTACT

706-721-8553

References

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Pollock NK, Bernard PJ, Gower BA, Gundberg CM, Wenger K, Misra S, Bassali RW, Davis CL. Lower uncarboxylated osteocalcin concentrations in children with prediabetes is associated with beta-cell function. J Clin Endocrinol Metab. 2011 Jul;96(7):E1092-9. doi: 10.1210/jc.2010-2731. Epub 2011 Apr 20.

Reference Type BACKGROUND
PMID: 21508147 (View on PubMed)

Gower BA, Pollock NK, Casazza K, Clemens TL, Goree LL, Granger WM. Associations of total and undercarboxylated osteocalcin with peripheral and hepatic insulin sensitivity and beta-cell function in overweight adults. J Clin Endocrinol Metab. 2013 Jul;98(7):E1173-80. doi: 10.1210/jc.2013-1203. Epub 2013 Apr 24.

Reference Type BACKGROUND
PMID: 23616149 (View on PubMed)

Booth SL, Centi A, Smith SR, Gundberg C. The role of osteocalcin in human glucose metabolism: marker or mediator? Nat Rev Endocrinol. 2013 Jan;9(1):43-55. doi: 10.1038/nrendo.2012.201. Epub 2012 Nov 13.

Reference Type BACKGROUND
PMID: 23147574 (View on PubMed)

Pollock NK. Childhood obesity, bone development, and cardiometabolic risk factors. Mol Cell Endocrinol. 2015 Jul 15;410:52-63. doi: 10.1016/j.mce.2015.03.016. Epub 2015 Mar 27.

Reference Type BACKGROUND
PMID: 25817542 (View on PubMed)

Douthit MK, Fain ME, Nguyen JT, Williams CF, Jasti AH, Gutin B, Pollock NK. Phylloquinone Intake Is Associated with Cardiac Structure and Function in Adolescents. J Nutr. 2017 Oct 1;147(10):1960-1967. doi: 10.3945/jn.117.253666.

Reference Type BACKGROUND
PMID: 28794209 (View on PubMed)

Fain ME, Kapuku GK, Paulson WD, Williams CF, Raed A, Dong Y, Knapen MHJ, Vermeer C, Pollock NK. Inactive Matrix Gla Protein, Arterial Stiffness, and Endothelial Function in African American Hemodialysis Patients. Am J Hypertens. 2018 May 7;31(6):735-741. doi: 10.1093/ajh/hpy049.

Reference Type BACKGROUND
PMID: 29635270 (View on PubMed)

Other Identifiers

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16GRNT31090037

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

611523 (Pro00000912)

Identifier Type: -

Identifier Source: org_study_id

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