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Status unknownNCT03276377VIKINGUpdated Sep 13, 2017

VItamin K Inhibition and NeurocoGnition (VIKING)

An observational study in Neurocognitive Disorders, sponsored by University Hospital, Angers. Status unknown at 1 site in France. Open to participants aged 70 Years and older. Per ClinicalTrials.gov, last updated 2017-09-13.

Sponsored by University Hospital, Angers · Observational

The sponsor has not verified this record recently (last verified Aug 2017), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Case-control
Time perspective
Retrospective
Enrollment
100
Ages
70 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 43 studies in Neurocognitive Disorders with a site in France — 20 open to participants now, 23 under way, none of them phase 3. Neurocognitive Disorders · France.

Planned enrollment
13th of 19
100 · median 135
Started
2017
with 3 others
Observational
19 of 43
11 open now
Registered
4th of 43
by date
Lead sponsor
3 of 43
University Hospital, Angers

Among the 43 studies in Neurocognitive Disorders with a site in France, this one is the 13th largest by planned enrollment of the 19 observational ones that give a count, is one of 4 that started in 2017, is one of 19 observational ones, and was the 4th registered.

Neurocognitive Disorders

274 studies on the registry are indexed under Neurocognitive Disorders; 90 are open to participants now.

Browse Neurocognitive Disorders studies →

Open to participants now

20 of the 43 studies in Neurocognitive Disorders with a site in France are open now. Recruiting first, the newest first:

15 more — sign in →

All 20 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 60 Neurocognitive Disorders studies recruiting now, 37 (62%) set no upper age limit and 2 (3%) stop at 75 or younger; 4 take children under 18; 17 take healthy volunteers.

This study: 70 Years and older · all sexes · no healthy volunteers.

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02

Study summary

The primary objective of this study is to determine whether patients usually taking Vitamin K Antagonists (VKAs) exhibit a poorer global cognitive performance than control patients (matched on age, gender and indication for anticoagulation) taking direct oral anticoagulants (DOACs).

The secondary objectives are:

  • to determine whether patients usually taking VKAs are more likely to have moderate to severe cognitive disorders than matched controls taking DOACs.
  • to determine whether VKAs intake is associated with poorer executive functions.
  • to determine on CT scans whether the VKAs intake is associated with a greater volume of vascular calcifications in the brain compared to the use of DOACs.
Read the detailed description

VKAs are the most common drugs in the treatment and prophylaxis of thromboembolic events in older adults. Their action is mediated by decrease in the bioavailability of the active form of vitamin K. However, vitamin K participates in brain health and function by regulating the synthesis of sphingolipids, a constituent of the myelin sheath and the neurons membrane, and through the biological activation of vitamin K-dependent proteins (VKDPs) involved in neuron survival. Epidemiological studies have reported a positive association between higher serum vitamin K concentration and better verbal episodic memory performance in older adults, and an inverse association between dietary vitamin K intakes and cognitive complaint/cognitive disorders/behavioral disorders. VKAs, which deplete the active form of vitamin K, may thus be responsible for neurological disorders. CNS abnormalities were observed in newborns exposed in utero to VKA. Similarly, in two cross-sectional studies, the use of VKAs was directly associated with cognitive disorders in older adults, and with a lower volume of gray matter in the hippocampus.

However, the main limitation of these previous studies was that the different associations reported may actually be explained by the thromboembolic pathology justifying the use of VKA such as atrial fibrillation with potential adverse consequences on the brain.

Thus, the use of DOACs could serve as an ideal comparator, as their indications are similar to those of VKAs but which mechanism does not interfere with vitamin K.

The investigators hypothesize that 1) geriatric patients usually taking VKAs may have lower cognitive performance than those usually taking DOACs; 2) there is an association between VKA intake and cognitive performance in geriatric patients, including after adjustment on the indication for anticoagulation; and 3) that geriatric patients usually taking VKAs exhibit brain changes compared to those usually taking DOACs, including greater calcification burden.

03

Conditions studied

  • Neurocognitive Disorders
04

Who can participate

Ages eligible
70 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients are recruited in the memory clinic and geriatric day hospital of the University Hospital of Angers, France

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.

Inclusion criteria

  • Age 70 years and over
  • To be seen in consultation or day hospital in the department of geriatrics from 01/01/2015 to 31/12/2016
  • Exposed :

    • Patients who have been taking VKA for at least 3 months for atrial fibrillation or pulmonary embolism, with between 2 and 3
  • Non-exposed:

    • Patients who have been taking DOAC for at least 3 months for atrial fibrillation or pulmonary embolism
    • Matched on age (± 5 years), gender and indication for anticoagulation

Exclusion criteria

Exclusion Criteria:

  • Severe kidney failure ( \< 30 mL/min)
  • Language other than French
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Observational model
Case-control
Time perspective
Retrospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Exposed to VKA

    VKA intake Patients who have been taking VKA for at least 3 months

  • Non-exposed to VKA

    DOAC intake Patients who have been taking DOAC for at least 3 months

06

What researchers measure

Primary outcomes

  1. Comparison of the global cognitive performance between geriatric patients exposed and non-exposed to VKA

    Global cognitive performance is assessed by the Mini-Mental State Examination (MMSE) score

    Time frame: Baseline

Secondary outcomes

  1. Comparison of moderate-to-severe dementia diagnosis between geriatric patients exposed and non-exposed to VKA

    Moderate-to-severe dementia defined as a MMSE score \< 20 / 30

    Time frame: Baseline

  2. Comparison of the executive functions between geriatric patients exposed and non-exposed to VKA

    Executive functioning is assessed by the Frontal Assessment Battery (FAB) score

    Time frame: Baseline

  3. Evaluation of the volume of vascular calcifications in the brain according to the use of VKAs

    Semi-automated measure of the volume of vascular calcifications in the brain based on CT scan

    Time frame: Baseline

07

Study locations

1 site
  • Angers University Hospital
    Angers, 49933, France
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Sep 2017; primary completion for Sep 2018, 12 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 4, 2017
First posted
Sep 8, 2017
StartEst.
Sep 2017
Primary completionEst.
Sep 2018
CompletionEst.
Sep 2018
Last update
Sep 13, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 13, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03276377
Responsible party
Sponsor
First posted
Sep 8, 2017
Start date
Sep 2017 (estimated)
Primary completion
Sep 2018 (estimated)
Completion
Sep 2018 (estimated)
Last update
Sep 13, 2017

Study contacts

Cedric ANNWEILER, MD, PhD
Contact
cedric.annweiler@chu-angers.fr
++33 2 41 35 54 86

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Aug 2017. You cannot join it, but the record below documents what was studied.

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