ACTIVE_NOT_RECRUITING

Effects of Vitamin K on Lower-extremity Function in Adults With Osteoarthritis:

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The overall goal of this pilot randomized trial is to obtain necessary prerequisite data to conduct a randomized controlled intervention to test the effect of vitamin K supplementation on knee osteoarthritis progression and related functional decline. To address critical parameters required to design this larger RCT, we will conduct a double-blind, 2-armed, parallel-group intervention study, with a placebo run-in, in which 50 adults with mild to moderate knee OA and low baseline vitamin K status will be randomly assigned to 1 mg phylloquinone/day or matching placebo, and treated for 6 months. Specifically, we will: (1) compare the effects of 1 mg/day phylloquinone vs. placebo on the non-functional circulating form of MGP; (2) estimate rates of recruitment and retention, follow-up rates and reasons for loss to follow-up, response rates to questionnaires, adherence/compliance rates, and potential for site differences; and (3) determine the responsiveness of the Osteoarthritis Research Society International (OARSI)-recommended performance-based tests of physical function in adults with low vitamin K status and mild to moderate knee osteoarthritis. We will also obtain preliminary data on the distribution of MGP genotype at two clinical sites for effect size generation. As of February 2025, based on attrition rate below what was initially expected, we revised our planned enrollment from 50 to 35, to achieve the original goal of 30 completers. This was approved by the study sponsor.

Official Title

Effects of Vitamin K on Lower-extremity Function in Adults With Osteoarthritis: A Randomized Controlled Pilot Trial

Quick Facts

Study Start:2023-09-20
Study Completion:2026-12-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05505552

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:50 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Age ≥ 50 years
  2. * Male or post-menopausal female (no menses in the last year)
  3. * Plasma phylloquinone \<1.0 nmol/L
  4. * Chronic knee discomfort based on affirmative response to the question "During the past 12 months, have you had pain, aching, or stiffness in or around your knee(s) on most days for at least one month?"
  5. * Kellgren-Lawrence (KL) grade 2-3 in at least one knee
  6. * Ability to understand study procedures and to comply with them for the entire length of the study
  7. * Ability to answer questions by phone
  8. * Ability to swallow capsules
  1. * KL grade 4 in at least one knee
  2. * Inability to walk
  3. * Cognitive impairment (based on a Montreal Cognitive Assessment Test score ≤ 17)
  4. * Widespread pain
  5. * Malabsorption disorders (e.g. advance liver disease, stage 4 or 5 chronic renal disease, Crohn's disease, celiac sprue)
  6. * Serious medical conditions or impairments that, in the view of the investigator, would obstruct study participation
  7. * Plan to permanently relocate from the greater Boston, MA or Chapel Hill NC areas during the trial period
  8. * Planned knee or hip arthroplasty during the study period
  9. * Undergoing cancer treatment
  10. * \< 50 years old
  11. * Circulating phylloquinone ≥ 1.0 nmol/L
  12. * Warfarin (Jantoven) use
  13. * Use of other investigational drugs
  14. * Use of herbal, botanical or vitamin K supplements
  15. * Use of assistive walking devices

Contacts and Locations

Study Locations (Sites)

Tufts University
Boston, Massachusetts, 02111
United States
UMass Memorial Medical Center
Worcester, Massachusetts, 01605
United States
University of North Carolina Chapel Hill
Chapel Hill, North Carolina, 27599
United States

Collaborators and Investigators

Sponsor: Tufts University

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2023-09-20
Study Completion Date2026-12-31

Study Record Updates

Study Start Date2023-09-20
Study Completion Date2026-12-31

Terms related to this study

Keywords Provided by Researchers

  • osteoarthritis
  • physical function
  • nutrition

Additional Relevant MeSH Terms

  • Osteo Arthritis Knee