ClinicalTrials.gg
CompletedNCT06163443VITAGEN-HUpdated Mar 27, 2025

Evaluating the Impact of B Vitamin Supplementation (Soloways™) on Homocysteine and LDL-C Levels in Patients With MTHFR, MTR, and MTRR Polymorphisms.

An interventional study of Vitamin B and Placebo in Hyperhomocysteinemia and Hyperlipoproteinemias, sponsored by S.LAB (SOLOWAYS). Completed at 1 site in Russian Federation. Open to participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-03-27.

Sponsored by S.LAB (SOLOWAYS) · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Mar 2022, registered Nov 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
40 Years to 75 Years
Sex
All
01

Study summary

This randomized, double-blind, placebo-controlled trial will evaluate the impact of methylfolate, pyridoxal-5'-phosphate (P5P), and methylcobalamin supplementation on homocysteine and LDL-C levels in individuals with low to medium cardiac risk and MTHFR, MTR, and MTRR gene polymorphisms. The study aims to explore the efficacy of these vitamins in reducing homocysteine levels, a critical risk factor for cardiovascular disease (CVD), while also monitoring LDL-C levels. The findings will offer valuable insights into personalized CVD prevention and management, emphasizing the significance of genetic factors in nutritional therapy.

Read the detailed description

Design: Participants with specific genetic polymorphisms and homocysteine levels above 15 µmol/L, without a history of severe CVD or other exclusion criteria, will be enrolled and randomized into two groups: one receiving methylfolate, P5P, and methylcobalamin, and the other a placebo. The study, adhering to ethical standards and informed consent, will involve 54 patients divided equally between the treatment and placebo groups. The primary endpoint will be the percent change in homocysteine levels over six months, with secondary endpoints including changes in LDL-C and other lipid profile components.

Intervention: Participants will receive either the active treatment (L-methylfolate, P5P, and Methylcobalamin) or a placebo, with both groups taking two capsules daily for 180 days. Fasting measurements of lipid profiles and homocysteine levels will be conducted at the start, midpoint, and end of the study.

02

Conditions studied

  • Hyperhomocysteinemia
  • Hyperlipoproteinemias

Keywords

  • Methylfolate
  • Homocysteine
  • Genetic Polymorphisms (MTHFR, MTR, MTRR)
  • Cardiovascular Risk
  • Methylcobalamin
  • LDL-C
  • Cholesterol
  • Low-Density Lipoprotein
03

In context

Hyperhomocysteinemia

34 studies on the registry are indexed under Hyperhomocysteinemia; 4 are open to participants now.

This study's enrollment of 54 is below the median of 84 across 21 interventional studies indexed under Hyperhomocysteinemia.

Browse Hyperhomocysteinemia studies →

Lead sponsor

S.LAB (SOLOWAYS) is the lead sponsor of 29 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
40 Years to 75 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

  • Age between 40 and 75.
  • Homocysteine levels greater than 15 µmol/L and LDL-C level between 70 and 190 mg/dL, confirmed in at least two sequential checks conducted within the last six months prior to signing the consent form.
  • Presence of at least one minor allele in any of the following genetic polymorphisms: rs1801133 (MTHFR C677T), rs1801131 (MTHFR A1298C), rs1805087 (MTR A2756G), and rs1801394 (MTRR A66G).

Exclusion criteria

Exclusion Criteria:

  • Personal history of cardiovascular disease or high risk (≥ 20%).
  • Triglycerides (TG) ≥ 400 mg/dL.
  • Obesity ( > 32 kg/m\^2).
  • Assumption of lipid-lowering drugs or supplements affecting lipid metabolism within the last three months.
  • Use of medications or supplements known to affect homocysteine levels, such as B-vitamins and certain antihypertensives, within the last three months.
  • Diabetes mellitus.
  • Known severe or uncontrolled thyroid, liver, renal, or muscle diseases.
Terms in these criteria, in plain language(1)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Vitamin B group

    Patients with polymorphisms in the MTHFR, MTR, and MTRR will take methylfolate, P5P, and methylcobalamin genes 2 capsules/day.

    Dietary Supplement: Vitamin B

  • Placebo comparator
    Placebo group

    Patients with polymorphisms in the MTHFR, MTR, and MTRR will take placebo capsules will be identical in appearance, matched for color coating, shape, and size - 2 capsules/day..

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementVitamin B

    MTHFR, MTR, and MTRR polymorphysm based L-methylfolate (1 mg), P5P (pyridoxal-5-phosphate, 50 mg), and Methylcobalamin (500 mcg) prescription

  • Dietary supplementPlacebo

    MTHFR, MTR, and MTRR polymorphysm based placebo prescription

06

What researchers measure

Primary outcomes

  1. Homocysteine levels

    The primary endpoint is the percent change in homocysteine levels from baseline to 6 months of observation, comparing a combined treatment regimen of methylfolate, P5P, and methylcobalamin in MTHFR, MTR, and MTRR polymorphysm.

    Time frame: 180 days

Secondary outcomes

  1. Change in LDL-C Levels

    Percent change in Low-Density Lipoprotein Cholesterol (LDL-C) levels.

    Time frame: 180 days

  2. Change in HDL-C Levels

    Percent change in High-Density Lipoprotein Cholesterol (HDL-C) levels.

    Time frame: 180 days

  3. Change in Total Cholesterol

    Percent change in total cholesterol levels in the study participants.

    Time frame: 180 days

  4. Change in Serum Triglycerides

    Percent change in serum triglycerides.

    Time frame: 180 days

  5. Change in hsCRP Levels

    Percent change in high-sensitivity C-Reactive Protein (hsCRP) levels.

    Time frame: 180 days

07

Study locations

1 site
  • Center of New Medical Technologies
    Novosibirsk, Novosibirsk Region 630090, Russian Federation
08

References and documents

Publications

  • Pokushalov E, Ponomarenko A, Bayramova S, Garcia C, Pak I, Shrainer E, Ermolaeva M, Kudlay D, Johnson M, Miller R. Effect of Methylfolate, Pyridoxal-5'-Phosphate, and Methylcobalamin (SolowaysTM) Supplementation on Homocysteine and Low-Density Lipoprotein Cholesterol Levels in Patients with Methylenetetrahydrofolate Reductase, Methionine Synthase, and Methionine Synthase Reductase Polymorphisms: A Randomized Controlled Trial. Nutrients. 2024 May 21;16(11):1550. doi: 10.3390/nu16111550. PubMed 38892484 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06163443
Lead sponsor
S.LAB (SOLOWAYS)
Collaborators
Triangel Scientific, Center of New Medical Technologies
Responsible party
Sponsor
First posted
Dec 8, 2023
Start date
Mar 2, 2022
Primary completion
Feb 13, 2023
Completion
May 1, 2023
Last update
Mar 27, 2025

Oversight

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

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