Vitamin K to Slow Progression of Cardiovascular Disease Risk in Hemodialysis Patients

NCT ID: NCT03311321

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-13

Study Completion Date

2021-12-30

Brief Summary

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The life span of adults with end-stage renal disease is reduced, and cardiovascular disease (CVD) accounts for approximately half the deaths among those undergoing hemodialysis (HD). Vascular calcification is a key process in the development of atherosclerotic and arteriosclerotic CVD, and contributes significantly to the greater mortality rates and CVD events in HD patients. Recently, there has been growing interest in the vitamin K-dependent matrix Gla protein (MGP) and its role in inhibiting vascular calcification. Animal studies have revealed that the vitamin K-dependent protein MGP may reduce the progression of vascular calcification, possibly by means of improving vascular function. The relationship between MGP and vitamin K lies in the fact that inactive matrix Gla protein requires vitamin K to carboxylate it for its activation. Currently, data in HD patients are scant and equivocal on the effects of vitamin K supplementation on CVD risk outcomes. Therefore, the purpose of this 8-week randomized, placebo-controlled, double-blind clinical trial is to determine whether daily vitamin K supplementation can favorably alter measurements of endothelial function and arterial stiffness in HD patients.

Detailed Description

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Conditions

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Cardiovascular Diseases Chronic Kidney Disease Stage 3 Chronic Kidney Disease Stage 4 Chronic Kidney Disease Stage 5 Vitamin K Deficiency Hemodialysis

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 four placebo softgel capsules (similar in taste and appearance to the vitamin K2 supplements) every day for 8 weeks.

Group Type PLACEBO_COMPARATOR

Placebo-Control

Intervention Type DIETARY_SUPPLEMENT

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

Vitamin K2 (360-mcg/d)

The experimental group will take four 90-mcg of vitamin K2 (menaquinone-7; 360-mcg) softgel capsules every day for 8 weeks.

Group Type EXPERIMENTAL

Vitamin K2 (menaquinone-7; 360-mcg/d)

Intervention Type DIETARY_SUPPLEMENT

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

Interventions

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Vitamin K2 (menaquinone-7; 360-mcg/d)

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

Intervention Type DIETARY_SUPPLEMENT

Placebo-Control

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

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Chronic Kidney Disease Stages 3 to 5
* Receiving hemodialysis treatment for at least 3 months
* Subject understands the study protocol and agrees to comply with it
* Informed consent documents signed by subject

Exclusion Criteria

* Using vitamin supplements containing vitamin K
* History of metabolic gastrointestinal diseases
* Subjects presenting chronic degenerative and/or inflammatory diseases
* Receiving systemic treatment or topical treatment likely to interfere with evaluation of the study parameters (salicylates, antibiotics)
* Subjects receiving corticosteroid
* Use of anticoagulants
* History of soy allergy
* Have an unstable medical condition, such as having a life expectancy of less than 6 months in the judgment of the investigator
* Known sensitivity, intolerance, or other adverse response to study drugs which would prevent compliance with study medication
* 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

No

Sponsors

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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, PhD

Role: PRINCIPAL_INVESTIGATOR

Augusta University

Locations

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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, PhD

Role: CONTACT

706-721-4524

Celestine Williams, MS

Role: CONTACT

706-721-8553

References

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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)

Related Links

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Other Identifiers

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683534

Identifier Type: -

Identifier Source: org_study_id

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