Evaluation of the Clinical use of vitamin K supplementation in post-menopausal women with Osteopenia

ISRCTN ISRCTN61708241
DOI https://doi.org/10.1186/ISRCTN61708241
ClinicalTrials.gov number NCT00150969
Secondary identifying numbers MCT-50422
Submission date
11/08/2004
Registration date
09/09/2005
Last edited
21/03/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Angela Cheung
Scientific

Toronto General Hospital
657 University Ave
ML1-015
Toronto
M5G 2N2
Canada

Phone +1 (0)416 340 4301
Email angela.cheung@uhn.on.ca

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEvaluation of the clinical use of vitamin K supplementation in post-menopausal women with osteopenia: a randomised controlled trial
Study acronymECKO
Study objectivesVitamin K1 supplementation of 5 mg daily over 2 years can decrease the rate of bone loss in post-menopausal women with osteopenia.
Ethics approval(s)University Health Network Research Ethics Board, Toronto, 22/01/2002
Health condition(s) or problem(s) studiedOsteopenia/osteoporosis
InterventionCalcium and vitamin D supplemenation plus 5 mg vitamin K1 or placebo daily for 2 years.
Intervention typeSupplement
Primary outcome measureDifferences in the percent change in Bone Mineral Density at the spine (L1 - L4) and the total hip between treatment and placebo groups measured yearly
Secondary outcome measures1. Determining potential adverse effects from long-term vitamin K1 supplementation
2. Whether vitamin K1 supplementation affects levels of bone formation markers (serum osteocalcin [OC] and serum bone specific alkaline phosphatase [BAP]) and bone resorption markers (serum N-telopeptide [NTx])
3. Whether vitamin K1 supplementation affects the degree of carboxylation of OC, a major vitamin K-dependent protein in bone
4. Whether vitamin K1 supplementation affects health-related quality of life
5. Whether vitamin K1 supplementation decreases risk of having fragility fractures
6. Whether Apo E modulates the effect of vitamin K1 on bone
Overall study start date01/01/2002
Completion date31/08/2006

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants440
Key inclusion criteria1. Post-menopausal women with osteopenia
2. Lowest bone mineral density at the total hip, femoral neck and lumbar spine (L1 - L4) between -1.0 and -2.0
3. Post-menopausal defined as one year since the natural cessation of menses, or hysterectomy with either post-menopausal status confirmed by follicle stimulating hormone (FSH) laboratory values, or age 55 and above
4. Osteopenic T-score between -1 and -2 on lumbar, total hip or femoral neck bone mineral density (BMD) measurement. Based on documented BMD done within the past 6 months or BMD measurement done at screening.
Key exclusion criteria1. Women ever having had a fragility fracture after the age of 40
2. Women currently on anticoagulants, previously on anticoagulants in the past 3 months, or expected to be on anticoagulants in the near future
3. Women on hormone replacement therapy, raloxifene, bisphosphonates or calcitonin during the past 3 months
4. Women who have ever been on a bisphosphonate for more than 6 months
5. Women previously diagnosed with Paget’s disease, hyperparathyroidism, hyperthyroidism or other metabolic bone diseases
6. Women with decompensated diseased of the liver, kidney, pancreas, lung or heart; Women with a history of active cancer within the past 5 years
7. Women taking mega-doses of vitamin A (more than 10,000 IU per day) or E (more than 400 IU per day)
8. Women involved in other clinical trials
9. Poor medical or psychiatric risk for the study
Date of first enrolment01/01/2002
Date of final enrolment31/08/2006

Locations

Countries of recruitment

  • Canada

Study participating centre

Toronto General Hospital
Toronto
M5G 2N2
Canada

Sponsor information

University Health Network, Toronto (Canada)
University/education

200 Elizabeth Street
7 Eaton North - 221
Toronto, Ontario
M5G 2C4
Canada

Email carolynm@uhnresearch.ca
Website http://www.uhnresearch.ca
ROR logo "ROR" https://ror.org/026pg9j08

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (ref: MCT-50422)
Government organisation / National government
Alternative name(s)
Instituts de Recherche en Santé du Canada, Canadian Institutes of Health Research (CIHR), CIHR_IRSC, Canadian Institutes of Health Research | Ottawa ON, CIHR, IRSC
Location
Canada

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Results article results 14/10/2008 Yes No

Editorial Notes

21/03/2016: added link to results - basic reporting.