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

NCT ID: NCT02366481

Last Updated: 2019-11-20

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

2015-02-28

Study Completion Date

2020-06-30

Brief Summary

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Given that glutamate carboxylation or decarboxylation is key to the metabolic role of osteocalcin (at least in mouse models) and that carboxylation is vitamin K dependent, it is critical to isolate the effect of vitamin K manipulation on carboxylation of osteocalcin and its subsequent effect on glucose metabolism in clinical trials. The purpose of this randomized, double-blind, placebo-controlled clinical trial in adults is to determine whether eight weeks of daily supplementation with vitamin K2 (menaquinone-7) can improve markers in blood associated with diabetes risk.

Detailed Description

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Conditions

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Obesity Insulin Resistance Insulin Sensitivity Beta-Cell Dysfunction Prediabetes

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 two placebo softgel capsules every day for 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Two placebo softgel capsules (containing no vitamin K2) every day for 8 weeks.

Low-Dose Vitamin K2 (90-mcg/d)

The low-dose vitamin K group will take one 90-mcg vitamin K2 (menaquinone-7) softgel capsule and one placebo softgel capsule every day for 8 weeks.

Group Type ACTIVE_COMPARATOR

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

Intervention Type DIETARY_SUPPLEMENT

One 90-mcg vitamin K2 softgel capsules (containing no vitamin K2) and one placebo softgel capsule everyday for 8 weeks.

High-Dose Vitamin K2 (180-mcg/d)

The high-dose vitamin K group will take two 90-mcg vitamin K2 (menaquinone-7) softgel capsules every day for 8 weeks.

Group Type ACTIVE_COMPARATOR

High-Dose Vitamin K2 Supplement (menaquinone-7; 180-mcg/d)

Intervention Type DIETARY_SUPPLEMENT

Two 90-mcg vitamin K2 softgel capsules every day for 8 weeks.

Interventions

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Placebo

Two placebo softgel capsules (containing no vitamin K2) every day for 8 weeks.

Intervention Type DIETARY_SUPPLEMENT

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

One 90-mcg vitamin K2 softgel capsules (containing no vitamin K2) and one placebo softgel capsule everyday for 8 weeks.

Intervention Type DIETARY_SUPPLEMENT

High-Dose Vitamin K2 Supplement (menaquinone-7; 180-mcg/d)

Two 90-mcg vitamin K2 softgel capsules every day for 8 weeks.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

1. Healthy adults between 18 and 65 years old
2. Subject understands the study protocol and agrees to comply with it
3. Informed Consent Form signed by the subject

Exclusion Criteria

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

18 Years

Maximum Eligible Age

65 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 Pediatrics, Medical College of Georgia, Augusta University

Locations

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Medical College of Georgia; Augusta University

Augusta, Georgia, United States

Site Status

Countries

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United States

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)

Other Identifiers

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16GRNT31090037

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

620511

Identifier Type: -

Identifier Source: org_study_id

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