Phase 3
N=4,110
Folic Acid for Vascular Outcome Reduction In Transplantation (FAVORIT)
Chronic Kidney Disease · Cardiovascular Disease · Death
Bottom Line
View on ClinicalTrials.gov: NCT00064753 ↗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
| Outcome | Result | p-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
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.