A Randomized, Placebo-controlled, Double Blind Trial to Investigate Whether Vitamin K2 Can Influence Arterial Calcification in Patients With Type 2 Diabetes

NCT ID: NCT02839044

Last Updated: 2019-10-02

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

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2018-12-31

Brief Summary

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Arterial calcification is an independent predictor of coronary events associated with a 3-4 fold increased risk of cardiovascular events. Currently, no effective intervention exists to reduce arterial calcification. However, recent studies showed that vitamin K may reduce ongoing calcium deposition in the arteries, and thereby inhibit arterial calcification.

The primary objective is to determine if MK-7 supplementation leads to stabilization or attenuation of ongoing calcium deposition in the femoral artery as quantified by 18F-NaF PET/CT imaging in patients with type 2 diabetes and arterial disease.

Detailed Description

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Conditions

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Arterial Calcification Diabetes Mellitus Type 2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Vitamin K

One group receives tablets of 360 microgram menaquinone-7 daily

Group Type EXPERIMENTAL

Menaquinone-7

Intervention Type DIETARY_SUPPLEMENT

Placebo

One group receives placebo tablets daily

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Menaquinone-7

Intervention Type DIETARY_SUPPLEMENT

Placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Middle aged men and women, ≥ 40 years.
* Diagnosed with type 2 diabetes.
* Presence of arterial diseases, based on an Ankle Brachial Index (ABI) \<0.9 and/or diagnosed with arterial diseases by physician.
* ABI\<0.9
* Written informed consent.

Exclusion Criteria

* Subjects participate in another intervention research or study using imaging.
* Contra-indication for undergoing18F-NaF PET/CT scan (claustrophobia, pregnancy, breastfeeding).
* Subject underwent amputation of the lower extremities (above the knee).
* Using vitamin K antagonists.
* Known coagulation problems (history of Venous Thrombo Embolism).
* Using vitamin supplements that contain vitamin K, or unwilling to stop two weeks before randomisation.
* A mean vitamin K2 intake ≥120 microgram/day measured with a questionnaire.
* Natto or goose liver consumers.
* Low kidney function (eGFR\<30).
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UMC Utrecht

OTHER

Sponsor Role lead

Responsible Party

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Yvonne T. van der Schouw

Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UMC Utrecht

Utrecht, , Netherlands

Site Status

Countries

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Netherlands

References

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Zwakenberg SR, de Jong PA, Bartstra JW, van Asperen R, Westerink J, de Valk H, Slart RHJA, Luurtsema G, Wolterink JM, de Borst GJ, van Herwaarden JA, van de Ree MA, Schurgers LJ, van der Schouw YT, Beulens JWJ. The effect of menaquinone-7 supplementation on vascular calcification in patients with diabetes: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2019 Oct 1;110(4):883-890. doi: 10.1093/ajcn/nqz147.

Reference Type BACKGROUND
PMID: 31387121 (View on PubMed)

Bartstra JW, Draaisma F, Zwakenberg SR, Lessmann N, Wolterink JM, van der Schouw YT, de Jong PA, Beulens JWJ. Six months vitamin K treatment does not affect systemic arterial calcification or bone mineral density in diabetes mellitus 2. Eur J Nutr. 2021 Apr;60(3):1691-1699. doi: 10.1007/s00394-020-02412-z. Epub 2020 Oct 17.

Reference Type DERIVED
PMID: 33068157 (View on PubMed)

Other Identifiers

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15/571

Identifier Type: -

Identifier Source: org_study_id

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