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Trial registered on ANZCTR
Registration number
ACTRN12609000911291
Ethics application status
Approved
Date submitted
24/09/2009
Date registered
16/01/2006
Date last updated
3/09/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
B-Vitamins and the Risk of total Mortality and Cardiovascular Disease in End-Stage Renal Disease.
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Scientific title
Influence of water soluble vitamin supplementation on morbidity and mortality of patients with end-stage renal disease
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Secondary ID [1]
986
0
CRG010600027
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Total mortality and cardiovascular disease in patients with end-stage renal disease
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Condition category
Condition code
Cardiovascular
252084
252084
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0
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Coronary heart disease
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Renal and Urogenital
252085
252085
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
watersoluble vitamins (combined study medication of folic acid 2.5 mg, vitamin B6 10 mg, vitamin B12 25(micro)g; two oral capsule taken three times a week after hemodiaylsis for the study duration (between 2 and 6 years)
(the medication containes additionally vitamin B1 1.2mg, vitamin B2 1.5mg, Niacin 15 mg, Panothenic acid 6mg, Biotin 100(micro)g, Vitamin C 60mg)
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Intervention code [1]
241331
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Treatment: Drugs
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Comparator / control treatment
watersoluble vitamins (combined study medication of folic acid 0.1 mg, vitamin B6 0.5 mg, vitamin B12 2(micro)g; two oral capsule taken three times a week after hemodiaylsis for the study duration (between 2 and 6 years)
(the medication containes additionally vitamin B1 1.2mg, vitamin B2 1.5mg, Niacin 15 mg, Panothenic acid 6mg, Biotin 100(micro)g, Vitamin C 60mg)
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Control group
Active
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Outcomes
Primary outcome [1]
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Total mortality assessed from clinical data records during monitoring
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Assessment method [1]
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Timepoint [1]
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every 12 months for between 2 and 6 years
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Secondary outcome [1]
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Cardiovascular Events (myocardial infarction, unstable angina pectoris, coronary vascularization procedures, sudden cardiac death, stroke, peripheral artery disease, pulmonary embolism, and thromboses (shunt thromboses were not regarded as an endpoint))
Assessment:
Cardiovascular events were identified by reviewing medical records and by consultation with the responsible physicians. Myocardial infarction was diagnosed if at least two of the following criteria had been fulfilled according to standard procedures: clinical status, elevated laboratory parameters (myocardium-specific enzymes, myoglobin), and changes in the electrocardiogram (ECG). Catheterization was performed in cases of suspected myocardial infarction or unstable angina pectoris. Surgical revascularization was carried out after myocardial infarction, in unstable angina pectoris, or where clinical signs had been detected by catheterization and the patients general conditions permitted surgery. Strokes and ischemic insults were verified by computer tomography (CT). Peripheral artery disease was diagnosed according to Fontaines stages or on the basis of by angiographically or sonographically detected >50% stenoses in major arteries and of the lower limbs.
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Assessment method [1]
257381
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Timepoint [1]
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every 12 months for between 2 and 6 years
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Eligibility
Key inclusion criteria
- age 20-80 years
- end-stage renal disease
- treatment with hemodialysis
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Minimum age
20
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- addiction to drugs or alcohol
- legal incapacity
- missing consent
- acute cardiovascular events (6 weeks before enrollment)
- pregnancy and lactation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
29/07/2002
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
700
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1997
0
Germany
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State/province [1]
1997
0
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University Hospital Magdeburg
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Address [1]
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Leipziger Str. 44
D-39120 Magdeburg
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Country [1]
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Germany
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Roche Diagnostics
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Address [2]
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Roche Diagnostics GmbH, Sandhofer Str. 116, D-68305 Mannheim, Germany
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Country [2]
243780
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Germany
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Funding source category [3]
243902
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Commercial sector/Industry
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Name [3]
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Fresenius Medical Care
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Address [3]
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Fresenius Medical Care, Else-Kroener-Str. 1 D-61352 Bad Homburg, Germany
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Country [3]
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Germany
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Primary sponsor type
Individual
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Name
Prof. Dr. C. Luley
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Address
Leipziger Str. 44
D-39120 Magdeburg
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Country
Germany
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Secondary sponsor category [1]
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Individual
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Name [1]
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Prof. Dr. K.H. Neumann
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Address [1]
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Leipziger Str. 44
D-39120 Magdeburg
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Country [1]
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Germany
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
In observational studies hyperhomocysteinemia has been found to be associated with risk for total mortality and cardiovascular events in patients with end-stage renal disease. These patients have grossly elevated homocysteine levels that can be lowered by supplementation with folic acid and vitamin B12. We therefore conducted a randomized clinical trial with B-vitamins to reduce homocysteine levels and therefore also cardiovascular events and total mortality.
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Trial website
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Trial related presentations / publications
Heinz J, Domröse U, Luley C, Westphal S, Kropf S, Neumann KH, Dierkes J. Influence of a supplementation with vitamins on cardiovascular morbidity and mortality in patients with end-stage renal disease: design and baseline data of a randomized clinical trial. Clin Nephrol 2009;71:363-5. Heinz J, Dierkes J, Domroese U, Neumann KH, Luley C. Influence of a supplementation with vitamins on morbidity and mortality of ESRD patients - a multi-center randomly designed double blinded intervention trial; Prismavit - prospective intervention study from magdeburg with vitamins. XIV Lipid Meeting 2003, Leipzig (Germany), Poster session, Abstract book p.89 Heinz J, Dierkes J, Westphal S, Domrese U, Neumann KH, Luley C. Lipid lowering therapy with statins in ESRD patients in Germany - baseline data from an ongoing prospective study with vitamins. 1st German Atherosclerosis Symposium 2004, Leipzig (Germany), poster session, Abstract book p. 26 Heinz J, Dierkes J, Martens-Lobenhoffer J, Bode-Beger SM, Domrese U, Neumann KH, Luley C. Asymmetric dimethylarginine plasma concentrations in patients with end-stage renal disease and other risk factors. Vascular NO: From Bench to Bedside. An International Symposium 2004, Hannover (Germany), Poster session, Abstract book
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof. Dr. Claus Luley
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Address
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Institute of Clinical Chemistry, University Hospital Magdeburg, Leipziger Strasse 44, 39120 Magdeburg
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Country
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Germany
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Phone
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0049-391-6713900
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Fax
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Email
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[email protected]
;
[email protected]
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Contact person for scientific queries
Name
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Dr. Jutta Dierkes
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Address
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Institute of Clinical Chemistry, University Hospital Magdeburg, Leipziger Strasse 44, 39120 Magdeburg
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Country
4310
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Germany
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Phone
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0049-391-6713900
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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