SLOW-Slower Progress of caLcificatiOn With Vitamin K2
Inhibition of Aortic Valve Calcification Through the Carboxylation Mechanism of Matrix Gla Protein (MGP), Following Administration of Vitamin K2 (Menaquinone-7). Correlation With Mitral Annulus and Ascending Aorta Calcification.
1 other identifier
interventional
200
1 country
2
Brief Summary
A randomized 12-month trial will include two groups of 100 individuals aged over 50 years, with asymptomatic mild to moderate Aortic valve stenosis (AVA \> 1 cm2, Vmax \< 4 m/s). The first group of 100 individuals will serve as the intervention group that will receive 300 mcg of K2 vitamin on a daily basis, while the second group of 100 individuals will be the control group that will receive placebo on a daily basis as well. Both groups will be monitored identically in order to investigate therapeutic effects on calcification and valve stenosis progression. Correlation with Mitral annulus and ascending Aorta.Exclusion criteria: Chronic Kidney disease, Vitamin K antagonists, statins, age \< 50 y.o,prosthetic valves,Aortic Valve area (AVA) \< 1cm2 ,Vmax \> 4 m/s
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2019
Longer than P75 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 23, 2019
CompletedFirst Submitted
Initial submission to the registry
May 31, 2020
CompletedFirst Posted
Study publicly available on registry
June 11, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 23, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 23, 2023
CompletedSeptember 1, 2021
August 1, 2021
3.1 years
May 31, 2020
August 31, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Evaluation of calcification change of Aortic valve.Correlation With Mitral annulus and ascending Aorta calcification.A randomized 12-month trial.
The calcification change will be evaluated via a 64 MSCT scanner measuring the calcium via Agatston score, before and after administration of VK2/placebo.The following measurements will take place and after 12 months will be compared.
Each patient will be evaluated twice a year.Once before the administartion of VK2/Placebo and after a period of a 12 month administration of VK2/PLACEBO
Study Arms (2)
Vitamin K2
EXPERIMENTALParticipants receive Vitamin K2 (Menaquinone) 100mcg tablet orally 3 times daily for 12 months.
Placebo
PLACEBO COMPARATORParticipants receive Vitamin K2 (Menaquinone) placebo tablet matching Vitamin K2 (Menaquinone) orally 3 times daily for 12 months.
Interventions
Eligibility Criteria
You may qualify if:
- ASYMPTOMATIC AV STENOSIS WITH AVA\>1 cm2 \& Vmax\<4m/s
You may not qualify if:
- AVK,STATINS,MSCT THE LAST 6 MONTHS,PROSTHETIC VALVES, AVA\<1 cm2,Vmax\>4m/s
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
First Department of Cardiology, University of Athens
Athens, Attica, 11527, Greece
Hippokration Hospital 1st Department of Cardiology,National and Kapodistrian University of Athens,Medical School
Athens, Attica, 11527, Greece
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Konstantinos P Toutouzas, Professor
CONTACT
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Cardiology
Study Record Dates
First Submitted
May 31, 2020
First Posted
June 11, 2020
Study Start
September 23, 2019
Primary Completion
October 23, 2022
Study Completion
December 23, 2023
Last Updated
September 1, 2021
Record last verified: 2021-08