| - candidate number | 3353 |
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| - NTR Number | NTR1333 |
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| - ISRCTN | ISRCTN wordt niet meer aangevraagd |
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| - Date ISRCTN created | |
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| - date ISRCTN requested | |
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| - Date Registered NTR | 1-jun-2008 |
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| - Secondary IDs | BV PROOF 07/30 6130.0031 |
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| - Public Title | Vitamin B12 and Folic Acid Supplementation for Preventing Fractures in Elderly People |
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| - Scientific Title | Vitamin B12 and Folic Acid Supplementation for Preventing Fractures in Elderly People |
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| - ACRONYM | B-PROOF |
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| - hypothesis | Supplementation with 500 µg vitamin B12 and 400 µg folic acid reduces fracture incidence in elderly people. |
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| - Healt Condition(s) or Problem(s) studied | Cognitive decline, Osteoporosis, Nutrition, Physical activity, Quality of life, Fracture |
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| - Inclusion criteria | 1. 70 years and older; based on entry date into study;
2. Fasting plasma Hcy level >= 15 µmol/L and < 50 µmol/L;
3. No current or recent (<4 months) use of supplements with very high doses of B-vitamins;
4. Competent to make own decisions;
5. Persons with skin cancer are allowed to participate.
6. Compliance to tablet intake > 85% |
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| - Exclusion criteria | 1. Participation in other intervention trials;
2. Serious medical conditions, e.g. cancer diagnosis within the last 5 years or recent myocardial infarction;
3. Immobilization (bedridden, wheelchair bound)
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| - mec approval received | yes |
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| - multicenter trial | yes |
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| - randomised | yes |
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| - masking/blinding | Double |
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| - control | Placebo |
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| - group | Parallel |
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| - Type | 2 or more arms, randomized |
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| - Studytype | intervention |
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| - planned startdate | 1-jul-2008 |
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| - planned closingdate | 31-dec-2011 |
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| - Target number of participants | 3000 |
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| - Interventions | - 500 µg vitamin B12 and 0.4 mg folic acid in one capsule, once per day
- placebo capsule, once per day |
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| - Primary outcome | Fracture incidence |
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| - Secondary outcome | - falls
- quantitative ultrasound (QUS)
- bone turnover
- BMD
- incidence of cardiovascular events or diagnosis of cancer
- physical performance
- cognitive decline
- quality of life
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| - Timepoints | screening
baseline
final measurements
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| - Trial web site | N/A |
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| - status | open: patient inclusion |
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| - CONTACT FOR PUBLIC QUERIES | PhD. Lisette Groot, de |
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| - CONTACT for SCIENTIFIC QUERIES | Dr. Ir. R.A.M. Dhonukshe-Rutten |
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| - Sponsor/Initiator | Wageningen University, Division of Human Nutrition |
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- Funding
(Source(s) of Monetary or Material Support) | Erasmus Medical Center, ZON-MW, The Netherlands Organization for Health Research and Development, VU University Medical Center, Dutch Dairy Association (NZO), MCO Health, Wageningen University |
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| - Publications | N/A |
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| - Brief summary | It is hypothesized that vitamin B12 and folic acid supplementation reduces the number of incident fractures. The proposed study, a randomized placebo-controlled intervention trial, compares daily supplementation with folic acid (400 µg) and vitamin B12 (500 µg ) to a placebo for a period of two years or longer in 3000 men and women aged 70 years and older, with initial basal plasma total homocysteine (tHcy) levels ≥ 15 µmol/L. Fracture incidence and time to fracture will be assessed and used as the efficacy measure.
Metabolic studies in a sub sample of the population will be included aiming to contribute to an understanding of the biological mechanisms underlying the associations found between markers of B-vitamin status and bone quality. |
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| - Main changes (audit trail) | |
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| - RECORD | 1-jun-2008 - 25-jul-2008 |