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Not yet recruitingNCT05861648Updated May 17, 2023

Folic Acid Supplementation in Calcific Aortic Valve Disease

A Phase 2 interventional study of Folic Acid Oral Tablet and Placebo in Calcification of Aortic Valve and Aortic Valve Stenosis, sponsored by Wuhan Union Hospital, China. Not yet recruiting. Open to participants aged 35 Years and older. Per ClinicalTrials.gov, last updated 2023-05-17.

Sponsored by Wuhan Union Hospital, China · Phase 2, Interventional, and Prevention

From the registry’s dates

  • Primary completion was expected by Jul 2025, 1 year 4 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
35 Years and older
Sex
All
01

Study summary

This is a prospective, randomized, comparative, clinical trial conducted by Wuhan Union Hospital that aims to evaluate the efficacy and safety of folic acid compared to placebo in patients with calcific aortic valve disease with mild aortic valve stenosis.

Read the detailed description

Folic acid is involved in important physiological activities in the body such as DNA synthesis, cell division and growth and development. Recent studies have shown that folic acid may also have a positive effect on cardiovascular system health. Aortic valve calcification is a cardiovascular disease whose incidence increases progressively with age. Early studies suggest that folic acid may slow the progression of aortic valve calcification by inhibiting cell calcification and promoting calcium deposition. Participants were randomized into two groups: one group was given oral folic acid treatment and the other group was given placebo control. Patients in both groups were observed for aortic valve calcification during the follow-up period, and changes in aortic valve thickness, degree of calcification, and flow were recorded by cardiac ultrasonography, while the incidence of cardiovascular events and adverse effects were assessed.

02

Conditions studied

  • Calcification of Aortic Valve
  • Aortic Valve Stenosis

Keywords

  • Folic Acid
  • Calcification of Aortic Valve
  • Aortic Valve Stenosis
03

In context

Aortic Valve, Calcification of

44 studies on the registry are indexed under Aortic Valve, Calcification of; 15 are open to participants now.

This study's planned enrollment of 100 is close to the median of 100 across 23 interventional studies indexed under Aortic Valve, Calcification of.

Browse Aortic Valve, Calcification of studies →

Lead sponsor

Wuhan Union Hospital, China is the lead sponsor of 229 studies on the registry; 103 are open to participants now.

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

04

Who can participate

Ages eligible
35 Years and older
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

  • Male or female adult ≥ 35 years of age at the time of recruiting.
  • Subject has calcific aortic valve disease with mild to moderate aortic valve stenosis as defined by Doppler echocardiography results: Aortic Valve mean pressure gradient between 10-30 mmHg and Aortic Valve Area ≥ 1.2 and ≤ 2.0 cm2 on transthoracic echocardiography within 2 weeks prior to randomization and Cardiac Compute Tomography (CT) test results: aortic valve calcium score (Agatston score) ≥ 200 AU at baseline cardiac CT within 1 month prior to randomization
  • Subject provides written prior to initiation of any study procedures.
  • Subject understands and agrees to comply with planned study procedures.

Exclusion criteria

Exclusion Criteria:

  • Subject has concomitant moderate or severe mitral or tricuspid valve disease.
  • Subject has \< 50%.
  • Subject previous history of aortic valve surgery, pancreatitis, malignant tumor, drug or alcohol abuse.
  • Subjects whose (ALT) and aspartate aminotransferase (AST) > 2.5 times the .
  • Subjects who cannot undergo Cardiac CT.
  • Pregnant or lactating women.
  • Consideration by the investigator, for safety reasons, that the subject is an unsuitable candidate to receive study treatment.
Terms in these criteria, in plain language(4)

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Drug group 1

    Dietary Supplement: Folic acid 2.5 mg/day

    Drug: Folic Acid Oral Tablet

  • Placebo comparator
    Control group 2

    Dietary Supplement: Placebo

    Dietary Supplement: Placebo

Interventions

  • Dietary Supplement: Folic acid 2.5mg/day

  • Dietary supplementPlacebo

    Dietary Supplement: Placebo

06

What researchers measure

Primary outcomes

  1. Aortic valve calcification

    Aortic valve calcification as measured by change from baseline in Agatston arbitrary unit (AU) using cardiac computed tomography (CT) at 104 weeks

    Time frame: 104 weeks

  2. overall survival

    overall survival (OS)

    Time frame: 3 years

Secondary outcomes

  1. Time-to-major adverse cardiovascular events

    Time-to-major adverse cardiovascular events of cardiac death, non- fatal myocardial infarction, heart failure hospitalization and stroke

    Time frame: 104 weeks

  2. Aortic valve calcification

    Change in aortic valve calcification as measured by Agatston AU using cardiac computed tomography (CT) at week 52

    Time frame: at week 52

  3. Change in aortic valve stenosis severity

    Change in aortic valve stenosis severity as measured by peak transaortic velocity using echocardiography at week 104 as compared to baseline

    Time frame: at week 104

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Gao L, Chalupsky K, Stefani E, Cai H. Mechanistic insights into folic acid-dependent vascular protection: dihydrofolate reductase (DHFR)-mediated reduction in oxidant stress in endothelial cells and angiotensin II-infused mice: a novel HPLC-based fluorescent assay for DHFR activity. J Mol Cell Cardiol. 2009 Dec;47(6):752-60. doi: 10.1016/j.yjmcc.2009.07.025. Epub 2009 Aug 3. PubMed 19660467 ↗
  • Moens AL, Claeys MJ, Wuyts FL, Goovaerts I, Van Hertbruggen E, Wendelen LC, Van Hoof VO, Vrints CJ. Effect of folic acid on endothelial function following acute myocardial infarction. Am J Cardiol. 2007 Feb 15;99(4):476-81. doi: 10.1016/j.amjcard.2006.08.057. Epub 2006 Dec 28. PubMed 17293188 ↗
  • Shirodaria C, Antoniades C, Lee J, Jackson CE, Robson MD, Francis JM, Moat SJ, Ratnatunga C, Pillai R, Refsum H, Neubauer S, Channon KM. Global improvement of vascular function and redox state with low-dose folic acid: implications for folate therapy in patients with coronary artery disease. Circulation. 2007 May 1;115(17):2262-70. doi: 10.1161/CIRCULATIONAHA.106.679084. Epub 2007 Apr 9. PubMed 17420345 ↗
  • Stanger O. Physiology of folic acid in health and disease. Curr Drug Metab. 2002 Apr;3(2):211-23. doi: 10.2174/1389200024605163. PubMed 12003352 ↗
  • Gao L, Siu KL, Chalupsky K, Nguyen A, Chen P, Weintraub NL, Galis Z, Cai H. Role of uncoupled endothelial nitric oxide synthase in abdominal aortic aneurysm formation: treatment with folic acid. Hypertension. 2012 Jan;59(1):158-66. doi: 10.1161/HYPERTENSIONAHA.111.181644. Epub 2011 Nov 14. PubMed 22083158 ↗

Individual participant data

Plan to share: Yes — we would like to share individual participant data with other researchers 1 years after the trial completely finished

Supporting information: Study protocol, Informed consent form, Clinical study report

Access criteria: All data should only be used for academic research.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2023; primary completion for Jul 2025, 24 months later.

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

Registered
May 4, 2023
First posted
May 17, 2023
StartEst.
Jul 1, 2023
Primary completionEst.
Jul 1, 2025
CompletionEst.
Jul 1, 2028
Last update
May 17, 2023
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 May 17, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05861648
Responsible party
Sponsor
First posted
May 17, 2023
Start date
Jul 1, 2023 (estimated)
Primary completion
Jul 1, 2025 (estimated)
Completion
Jul 1, 2028 (estimated)
Last update
May 17, 2023

Study contacts

Fei Li, MD
Contact
lifei_union@hust.edu.cn
15972969897 ext. +86
Li Xu, MD
Contact
unionxuli@hust.edu.cn
15387030212 ext. +86

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Folic Acid

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