ClinicalTrials.gg
Status unknownNCT03311321Updated Nov 20, 2019

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

An interventional study of Vitamin K2 (menaquinone-7; 360-mcg/d) and Placebo-Control in Cardiovascular Diseases, Chronic Kidney Disease Stage 3 and Chronic Kidney Disease Stage 4, sponsored by Augusta University. Status unknown at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-11-20.

Sponsored by Augusta University · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Nov 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

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.

02

Conditions studied

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

Keywords

  • Arterial Stiffness
  • Endothelial Function
  • Vitamin K
03

In context

Cardiovascular Diseases

5,370 studies on the registry are indexed under Cardiovascular Diseases; 939 are open to participants now.

This study's planned enrollment of 60 is below the median of 100 across 3,084 interventional studies indexed under Cardiovascular Diseases.

Browse Cardiovascular Diseases studies →

Lead sponsor

Augusta University is the lead sponsor of 180 studies on the registry; 24 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • 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
  • documents signed by subject

Exclusion criteria

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
  • Use of anticoagulants
  • History of soy allergy
  • Have an unstable medical condition, such as having a 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
Terms in these criteria, in plain language(3)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Placebo comparator
    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.

    Dietary Supplement: Placebo-Control

  • Experimental
    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.

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

Interventions

  • Dietary supplementVitamin K2 (menaquinone-7; 360-mcg/d)

    Drug page: Vitamin K 2

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

  • Dietary supplementPlacebo-Control

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

06

What researchers measure

Primary outcomes

  1. Flow-Mediated Dilation (FMD)

    The FMD test is non-invasive assessment of vascular endothelial function.

    Time frame: Change from baseline to 8 weeks

  2. Pulse Wave Velocity (PWV)

    The PWV test is a non-invasive test of arterial stiffness.

    Time frame: Change from baseline to 8 weeks

Secondary outcomes

  1. Prothrombin Time

    The prothrombin time test is a measurement of clotting time.

    Time frame: Change from baseline to 8 weeks

07

Study locations

1 of 1 sites recruiting
  • Augusta University
    Augusta, Georgia 30901, United States
    Recruiting
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References and documents

Publications

  • 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. PubMed 29635270 ↗

Individual participant data

Plan to share: Yes — Approximate date of when the data will be shared? 2019-06-01 Where will the data be made available? The de-identified data will be made available for research purposes only by contacting the principal investigator. Please explain any limits to data sharing that might be required. Even though the final research data will be stripped of identifiers prior to release for sharing, the investigators believe that there remains the possibility of deductive disclosure of subjects with unusual characteristics. Thus, the principal investigator will make the data available to users only under a data-sharing agreement that provides for: (1) a commitment to using the data only for research purposes and not to identify any individual participant; (2) a commitment to securing the data using appropriate computer technology; and (3) a commitment to destroying or returning the data after analyses are completed.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: The data will become available on June 1, 2019 for approximately 12 months.

Access criteria: The principal investigator will make the data available to users only under a data-sharing agreement that provides for: (1) a commitment to using the data only for research purposes and not to identify any individual participant; (2) a commitment to securing the data using appropriate computer technology; and (3) a commitment to destroying or returning the data after analyses are completed.

Data sharing details ↗ · www.augusta.edu

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2017 (actual). Primary completion is estimated for Dec 2021, 50 months after the start.

Of 1,077 non-industry interventional studies with no phase under Cardiovascular Diseases, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 48. This study's planned 50 months is above that.

Counting every sponsor, half of 1,216 studies reached it within 26 months; a quarter within 12 and three quarters within 49.

Cardiovascular Diseases covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.

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

Registered
Oct 9, 2017
First posted
Oct 17, 2017
StartActual
Sep 13, 2017
Primary completionEst.
Dec 1, 2021
CompletionEst.
Dec 30, 2021
Last update
Nov 20, 2019
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 Nov 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03311321
Lead sponsor
Augusta University
Responsible party
Norman Pollock (Associate Professor, Department of Medicine, Augusta University) — Principal investigator
First posted
Oct 17, 2017
Start date
Sep 13, 2017
Primary completion
Dec 1, 2021 (estimated)
Completion
Dec 30, 2021 (estimated)
Last update
Nov 20, 2019

Study contacts

Norman K Pollock, PhD
Contact
npollock@augusta.edu
706-721-4524
Celestine Williams, MS
Contact
cewilliams@augusta.edu
706-721-8553
Norman K Pollock, PhD
principal investigator · Augusta University

Oversight

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 Nov 2019. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Vitamin K 2

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