A Phase 2/3 interventional study of High Dose Multivitamin and Low Dose Multivitamin in Chronic Kidney Disease, Cardiovascular Disease and Death, sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Completed at 30 sites in 3 countries. Open to participants aged 35 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-10-18.
Sponsored by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · Phase 2/3, Interventional, and Treatment
The purpose of this randomized clinical trial is to determine if lowering homocysteine levels in renal transplant recipients with a multivitamin will reduce the occurrence of cardiovascular disease outcomes.
The hypothesis of the trial is as follows: Treatment with a high dose combination of folic acid, vitamin B6, and vitamin B12 will reduce the rate of pooled arteriosclerotic cardiovascular disease outcomes (i.e., pooled occurrence of non-fatal and fatal arteriosclerotic outcomes, including coronary heart, cerebrovascular, and peripheral vascular disease events) relative to treatment with an identical multivitamin containing no folic acid, and Estimated Average Requirement amounts of vitamin B6, vitamin B12, among chronic, stable renal transplant recipients
3,224 studies on the registry are indexed under Renal Insufficiency, Chronic; 706 are open to participants now.
This study's enrollment of 4,110 is above the median of 74 across 2,229 interventional studies indexed under Renal Insufficiency, Chronic.
Browse Renal Insufficiency, Chronic studies →National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is the lead sponsor of 537 studies on the registry; 54 are open to participants now.
Of its 80 completed or terminated interventional studies of FDA-regulated products, 51 (64%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
If any of the following will limit life expectancy to less than 2 yrs:
Multivitamin with increased folic acid, vitamin B6 and vitamin B12
Drug: High Dose Multivitamin
Multivitamin devoid of folic acid and with estimated average requirement amounts of vitamin B6 and vitamin B12
Device: Low Dose Multivitamin
Vitamin B6 (Pyridoxine HCl): 50 mg Folic acid: 5.0 mg Vitamin B12: 1.0 mg Vitamin B1 (Thiamine HNO3): 1.5 mg Vitamin B2 (Riboflavin): 1.5 mg Vitamin C (Ascorbic Acid): 60 mg d-Biotin: 300 mcg Niacinamide: 20 mg Pantothenic Acid Calcium Pantothenate): 10 mg
Also known as: multivitamin
Vitamin B6 (Pyridoxine HCl): 1.4 mg Folic acid: 0.0 mg Vitamin B12: 2.0 mcg Vitamin B1 (Thiamine HNO3): 1.5 mg Vitamin B2 (Riboflavin): 1.5 mg Vitamin C (Ascorbic Acid): 60 mg d-Biotin: 300 mcg Niacinamide: 20 mg Pantothenic Acid Calcium Pantothenate): 10 mg
Also known as: multivitamin
Recurrent or de Novo Arteriosclerotic Cardiovascular Disease (CVD) Defined as the Occurrence of Non-fatal or Fatal Arteriosclerotic Outcomes Including Coronary Heart, Cerebrovascular, and Peripheral Vascular Disease Events
Time frame: Up to 6 years (mean 4 years)
Renal Graft Failure
Time frame: Up to 6 years (mean 4 years)
Mortality (All-cause)
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Fatal/Non-fatal Myocardial Infarction (MI)
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Fatal/Non-fatal Stroke
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Resuscitated Sudden Death (RSD)
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
CVD Death
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Coronary Artery Revascularization
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Lower Extremity Peripheral Arterial Disease (PAD)
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Carotid Endarterectomy or Angioplasty
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Abdominal Aortic Aneurysm Repair
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Renal Artery Revascularization
censored at 3 months after return to dialysis
Time frame: Up to 6 years (mean 4 years)
Trial enrolled 4110 participants from August 2002 through January 2007 at 20 clinical sites in the US, Canada, and Brazil.
| Milestone | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Started | 2056 | 2054 |
| Completed | 1382 | 1406 |
| Not completed | 674 | 648 |
| Withdrew: Death | 251 | 242 |
| Withdrew: Withdrawal by subject | 198 | 171 |
| Withdrew: Lost to follow-up | 225 | 235 |
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Recurrent or de Novo Arteriosclerotic Cardiovascular Disease (CVD) Defined as the Occurrence of Non-fatal or Fatal Arteriosclerotic Outcomes Including Coronary Heart, Cerebrovascular, and Peripheral Vascular Disease Events | 269 | 278 |
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Renal Graft Failure | 181 | 162 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Mortality (All-cause) | 217 | 214 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Fatal/Non-fatal Myocardial Infarction (MI) | 90 | 86 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Fatal/Non-fatal Stroke | 35 | 32 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Resuscitated Sudden Death (RSD) | 7 | 9 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| CVD Death | 75 | 91 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Coronary Artery Revascularization | 111 | 120 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Lower Extremity Peripheral Arterial Disease (PAD) | 59 | 53 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Carotid Endarterectomy or Angioplasty | 10 | 9 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Abdominal Aortic Aneurysm Repair | 3 | 5 |
censored at 3 months after return to dialysis
| participants | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Renal Artery Revascularization | 9 | 7 |
Collected over 4 years. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| High Dose Multivitamin | — | 0/2,056 (0%) | 121/2,056 (5.9%) |
| Low Dose Multivitamin | — | 0/2,054 (0%) | 114/2,054 (5.6%) |
| Event | High Dose Multivitamin | Low Dose Multivitamin |
|---|---|---|
| Gastrointestinal disturbancesGastrointestinal disorders | 121/2056 | 114/2054 |
7273 patients were screened, of whom 2056 and 2054 were randomized to high-dose and low-dose multivitamins, respectively; 34% did not meet eligibility cutpoints for tHey and Cer, and 9% were not enrolled for other reasons. Baseline characteristics were well balanced between treatment groups overall and within country.
| Age, Continuous(years) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Mean | 52 ± 9.4 | 52 ± 9.5 | 52 ± 9.4 |
| Sex: Female, Male(Participants) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Female | 767 | 761 | 1528 |
| Male | 1289 | 1293 | 2582 |
| Region of Enrollment(participants) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Canada | 249 | 249 | 498 |
| United States | 1500 | 1500 | 3000 |
| Brazil | 307 | 305 | 612 |
| Graft vintage(years) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Mean | 6 ± 5.1 | 5 ± 5.0 | 5 ± 5.0 |
| History of CVD(participants) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| History of CVD | 406 | 414 | 820 |
| No History of CVD | 1650 | 1640 | 3290 |
| History of diabetes mellitus(participants) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| History of diabetes mellitus | 813 | 850 | 1663 |
| No history of diabetes mellitus | 1243 | 1204 | 2447 |
| Prevalent hypertension(participants) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Prevalent hypertension | 1879 | 1899 | 3778 |
| Non-prevalent hypertension | 177 | 155 | 332 |
| Body mass index(kg/m^2) | High Dose Multivitamin | Low Dose Multivitamin | Total |
|---|---|---|---|
| Mean | 29 ± 6.2 | 29 ± 6.3 | 29 ± 6.2 |
5 further baseline measures are reported on the registry.
Plan to share: Yes — Individual patient data and samples are available at the NIDDK Central repository
Supporting information: Study protocol, Statistical analysis plan, Clinical study report
Time frame: December 2013
Data sharing details ↗ · www.niddkrepository.org
This study is completed, as verified in Oct 2015. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Geritol
Renal Insufficiency, Chronic →
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