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Phase 3 N=4,110 Randomized Quadruple-blind Treatment

Folic Acid for Vascular Outcome Reduction In Transplantation (FAVORIT)

Chronic Kidney Disease · Cardiovascular Disease · Death

Enrolled (actual)
4,110
Serious AEs
0.0%
Results posted
Nov 2015
Primary outcome: Primary: Recurrent or de Novo Arteriosclerotic Cardiovascular Disease (CVD) Defined as the Occurrence of Non-fatal or Fatal Arteriosclerotic Outcomes Including Coronary Heart, Cerebrovascular, and Peripheral Vascular Disease Events — 269; 278 participants — p=0.93

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
High Dose Multivitamin (Drug); Low Dose Multivitamin (Device)
Age
Adult, Older Adult · 35+ yrs
Sex
All
Sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Primary completion
Oct 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Recurrent or de Novo Arteriosclerotic Cardiovascular Disease (CVD) Defined as the Occurrence of Non-fatal or Fatal Arteriosclerotic Outcomes Including Coronary Heart, Cerebrovascular, and Peripheral Vascular Disease Events
269; 278 0.93
SECONDARY
Renal Graft Failure
181; 162 0.19
SECONDARY
Mortality (All-cause)
217; 214 0.67
SECONDARY
Fatal/Non-fatal Myocardial Infarction (MI)
90; 86 0.61
SECONDARY
Fatal/Non-fatal Stroke
35; 32 0.64
SECONDARY
Resuscitated Sudden Death (RSD)
7; 9 0.66
SECONDARY
CVD Death
75; 91 0.28
SECONDARY
Coronary Artery Revascularization
111; 120 0.70
SECONDARY
Lower Extremity Peripheral Arterial Disease (PAD)
59; 53 0.49
SECONDARY
Carotid Endarterectomy or Angioplasty
10; 9 0.78
SECONDARY
Abdominal Aortic Aneurysm Repair
3; 5 0.50
SECONDARY
Renal Artery Revascularization
9; 7 0.60

Summary

The purpose of this randomized clinical trial is to determine if lowering homocysteine levels in renal transplant recipients with a multivitamin will reduce the occurrence of cardiovascular disease outcomes.

Eligibility Criteria

Inclusion Criteria

  • 35 - 75 years old
  • Had kidney transplant at least 6 months
  • Calculated Creatinine Clearance must be 25 mL/min or greater
  • Must be willing to stop supplements (B6, B12, folic acid) for 4-6 weeks prior to visit

Exclusion Criteria

  • If pregnant or lactating
  • If of child bearing potential and not on birth control
  • If any of the following will limit life expectancy to less than 2 yrs:
  • Cancer
  • Congestive heart failure (CHF) (end stage)
  • Liver disease (end stage)
  • Severe pulmonary disease
  • Progressive HIV
  • Any other chronic wasting illness
  • If patient had myocardial infarction (MI), stroke, lower extremity amputation above ankle or percutaneous revascularization procedure (coronary, cerebrovascular, lower extremity) in past 2months
  • If patient had coronary artery bypass graft (CABG) or abdominal aortic aneurysm (AAA) in past 5 months
  • If patient has conditions that prevent reliable study participation e.g., depression, alcohol or drug abuse, other cardiovascular disease (CVD) studies
  • If patient has had multi-organ transplant, except kidney/pancreas
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00064753). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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