Homocysteine Study (HOST)
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Purpose
The primary objective of this study is to test the hypothesis that administration of folate, pyridoxine (vitamin B6) and cyanocobalamin (vitamin B12) in high doses to patients with advanced chronic renal failure or end stage renal disease and abnormally high plasma homocysteine levels will lower the homocysteine levels and the death rate compared to patients who receive placebo. The secondary objective is to test the hypothesis that intake of the vitamins compared to placebo decreases the incidence of myocardial infarction, disabling stroke, and amputation of a lower extremity and, in hemodialysis patients, thrombosis of the vascular access.
| Condition | Intervention | Phase |
|---|---|---|
|
End Stage Renal Disease Renal Failure |
Drug: PAL-40 Active Drug: PAL-40 Placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Masking: Double-Blind |
| Official Title: | CSP #453 - Homocysteinemia in Kidney and Endstage Renal Disease Study (HOST) |
| Estimated Enrollment: | 2003 |
| Study Start Date: | May 2001 |
| Study Completion Date: | September 2006 |
| Primary Completion Date: | August 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
PAL-40 Active
|
Drug: PAL-40 Active |
|
Placebo Comparator: 2
PAL-40 Placebo
|
Drug: PAL-40 Placebo |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 21 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Patients will be screened by their plasma homocysteine concentration. They must have a level of at least 15 mM/L to be enrolled in the study.
Patients will be excluded by any of the following criteria: age less than 21 years, expected life span less than 6 months, pregnancy, metastatic cancer, end-stage liver disease, treatment with methotrexate, other anti-folate medication or anticonvulsants, unreliable or likely noncompliant, participation in another long-term trial, or unwilling or unable to give informed consent.
Exclusion Criteria:
Contacts and Locations
Show 37 Study Locations| Study Chair: | Rex L. Jamison | VA Palo Alto Health Care System |
More Information
No publications provided by Department of Veterans Affairs
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Jamison, Rex - Study Chair, Department of Veterans Affairs |
| ClinicalTrials.gov Identifier: | NCT00032435 History of Changes |
| Other Study ID Numbers: | 453 |
| Study First Received: | March 20, 2002 |
| Last Updated: | October 14, 2010 |
| Health Authority: | United States: Federal Government United States: Food and Drug Administration |
Keywords provided by Department of Veterans Affairs:
|
folate pyridoxine vitamin B6 cyanocobalamin homoc |
Additional relevant MeSH terms:
|
Kidney Diseases Kidney Failure, Chronic Renal Insufficiency Urologic Diseases Renal Insufficiency, Chronic |
ClinicalTrials.gov processed this record on May 19, 2013