The Vitamin K2 and D3 Intervention Trial in Children and Adolescents With the Low-energy Fractures

NCT ID: NCT03871322

Last Updated: 2021-03-10

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2023-01-20

Brief Summary

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a prospective, three- month, randomized, double-blind, placebo-controlled, intervention trial (RDBPC), investigating the effect of vitamin K2 (menaquinone-7) and vitamin D3 on the healing process of low-energy bone fractures in children and adolescents

Detailed Description

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At the admission of patients to the orthopedic outpatient clinic, presence of low- energy fractures will be established based on the anamnesis, physical examination and radiological evaluation. Tests to obtain the baseline blood levels of vitamin D3 will be performed, and only children with vitamin D3 levels lower than 30ng/ml in the blood will be included in the study. The selected population will then be randomly assigned by an independent investigator to the three study groups, receiving daily for three months identical- looking soft gel capsules (1 capsule/patient/day) containing supplements of vitamin D3 2,000 IU, 90 mcg of vitamin K2 as menaquinone-7 combined with 2,000 IU D3, and olive oil-containing placebo capsules respectively. During the 3-month follow-up visits to the outpatient orthopedic clinic, the pediatric orthopedist will examine the patient, evaluate the X-ray, and determine the progress in bone union and the range of joint motion. The patients will visit the clinic on weeks 1,2,4,6,8, and 12. The compliance taking the supplements will be assessed by registering a pill count returned by a patient during the scheduled visit. The blood samples will be collected upon admission to the study, day 0, and after the 3-month regimen. The blood samples will be collected for evaluation of bone turnover markers and the status of vitamin K and vitamin D3. The primary evaluation endpoints will include: the dynamics of fracture healing, changes in levels of osteocalcin, and vitamin K and vitamin D3 levels against the placebo group. The bone fracture healing milestones will be based on bone union defined as the absence of pain and the presence of bridging callus in three of the four cortices seen on the front rear projection and lateral radiographic views of the bone. Delayed union is defined as incomplete consolidation at 90 Days

Conditions

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Fracture Healing Vitamin D3 Deficiency of Vitamin K2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

a prospective, three- month, randomized, double-blind, placebo-controlled, intervention trial (RDBPC),
Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
double-blind, placebo, same looking capsules

Study Groups

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Vitamin D group

vitamin D supplementation - time to fracture healing

Group Type ACTIVE_COMPARATOR

Vitamin D supplementation

Intervention Type DIETARY_SUPPLEMENT

if supplementation of vitamin D alone changes the time to fracture healing

Vitamin D and K2 group

Vitamin D and K 2 supplementation - time of fracture healing

Group Type ACTIVE_COMPARATOR

Vitamin D and K2 supplementation

Intervention Type DIETARY_SUPPLEMENT

if supplementation of vitamin D and K2 changes the time to fracture healing

Placebo group

Placebo - time to fracture healing

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Placebo control group

Interventions

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Vitamin D and K2 supplementation

if supplementation of vitamin D and K2 changes the time to fracture healing

Intervention Type DIETARY_SUPPLEMENT

Vitamin D supplementation

if supplementation of vitamin D alone changes the time to fracture healing

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo control group

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Age \< 18 years
* Presence of low-energy fracture
* Vitamin D serum level \<30ng/ml

Exclusion Criteria

* Age \> 18 years
* Lack of low-energy bone fracture
* Oral anticoagulants treatments, which interfere with vitamin K cycle
* Current supplementation with vitamin vitamins K2 or vitamin D3
* Osteogenesis imperfecta and other bone diseases
* Vitamin D concentration \> 30ng/ml
Minimum Eligible Age

3 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Lomza State University of Applied Sciences

UNKNOWN

Sponsor Role collaborator

International Science & Health Foundation

UNKNOWN

Sponsor Role collaborator

American Medical Holdings Inc

UNKNOWN

Sponsor Role collaborator

Medical University of Bialystok

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Janusz Popko, MD, PhD

Role: STUDY_CHAIR

Faculty of Health Sciences

Michał Karpinski, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatric Orthopedics and Traumatology

Tomasz Guszczyn, MD, PhD

Role: STUDY_CHAIR

Department of Pediatric Orthopedics and Traumatology

Sylwia Chojnowska, PhD

Role: STUDY_CHAIR

Faculty of Health Sciences Lomza

Katarzyna Maresz, PhD

Role: STUDY_CHAIR

International Science &amp;Health Foundation

Vladimir Badmaev

Role: STUDY_DIRECTOR

American Medical Holdings Inc

Locations

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Department of Pediatric Orthopedics and Traumatology Medical University of Bialystok

Bialystok, , Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Michał Karpiński, MD

Role: CONTACT

692224714 ext. 48

Facility Contacts

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Michal Karpinski, MD

Role: primary

692224714 ext. +48

Janusz Popko, MD, PhD

Role: backup

857450895 ext. +48

Other Identifiers

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MUBialystok1

Identifier Type: -

Identifier Source: org_study_id

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