Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| NRC 138859/320 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| The Research Council of Norway | OTHER |
| The Council on Health and Rehabilitation, Norway | UNKNOWN |
| The Norwegian Council on Cardiovascular Disease | UNKNOWN |
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to examine whether the lowering of blood homocysteine levels by treatment with B vitamins can prevent cardiovascular disease
Observational studies have demonstrated that elevated levels of plasma total homocysteine is a risk factor for cardiovascular disease. The purpose of this trial is to evaluate the efficacy of homocysteine lowering treatment with B vitamins for secondary prevention in patients who have experienced an acute myocardial infarction.
This controlled, double-blind, multi-centre trial will include 3750 men and women aged 30-85 who have experienced an acute myocardial infarction within 7 days prior to randomization. Participants will be randomized, in a two-by-two factorial design, to receive one of the following four treatments: A, folic acid 0.8 mg plus vitamin B12 0.4 mg and vitamin B6 40 mg per day; B, folic acid 0.8 mg plus vitamin B12 0.4 mg per day; C, vitamin B6 40 mg per day; D, placebo.
The primary end point during 3.5 years of follow-up is a composite of recurrent myocardial infarction and stroke and sudden death attributed to coronary artery disease.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Folic acid | Drug | |||
| Vitamin B12 | Drug | |||
| Vitamin B6 | Drug |
| Measure | Description | Time Frame |
|---|---|---|
| The primary end point was a composite of | ||
| nonfatal myocardial infarction, | ||
| fatal myocardial infarction, | ||
| nonfatal stroke, | ||
| fatal stroke, and | ||
| sudden death attributed to coronary heart disease. |
| Measure | Description | Time Frame |
|---|---|---|
| Individual components of the primary end point, i.e. | ||
| Nonfatal myocardial infarction | ||
| Fatal myocardial infarction |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Kaare H Bonaa, M.D., Ph.D | Institute of Community Medicine, University of Tromsø, Norway | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Community Medicine, University of Tromsø | Tromsø | N-9037 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16531614 | Result | Bonaa KH, Njolstad I, Ueland PM, Schirmer H, Tverdal A, Steigen T, Wang H, Nordrehaug JE, Arnesen E, Rasmussen K; NORVIT Trial Investigators. Homocysteine lowering and cardiovascular events after acute myocardial infarction. N Engl J Med. 2006 Apr 13;354(15):1578-88. doi: 10.1056/NEJMoa055227. Epub 2006 Mar 12. | |
| 31005968 | Derived |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D005492 | Folic Acid |
| D014805 | Vitamin B 12 |
| D025101 | Vitamin B 6 |
| ID | Term |
|---|---|
| D011622 | Pterins |
| D011621 | Pteridines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
Not provided
Not provided
| The Royal Norwegian Ministry of Health |
| OTHER |
| The International Federation of Red Cross and Red Crescent Societies | OTHER |
| Foundation to Promote Research into Functional Vitamin B12 Deficiency, Bergen, Norway | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
| Nonfatal stroke |
| Fatal stroke |
| In addition the following secondary outcomes: |
| Unstable angina pectoris requiring hospitalization |
| Percutaneous coronary revascularization |
| Coronary-artery bypass grafting |
| Death from any cause |
| Cancer |
| Pulmonary embolus |
| Transitoric ischemic attack |
| Surgery for abdominal aortic aneurysm |
| Plasma homocysteine levels |
| Plasma levels of B vitamins |
| Dhar I, Lysne V, Svingen GFT, Ueland PM, Gregory JF, Bonaa KH, Nygard OK. Elevated plasma cystathionine is associated with increased risk of mortality among patients with suspected or established coronary heart disease. Am J Clin Nutr. 2019 Jun 1;109(6):1546-1554. doi: 10.1093/ajcn/nqy391. |
| D006571 | Heterocyclic Compounds |
| D045728 | Corrinoids |
| D045725 | Tetrapyrroles |
| D011758 | Pyrroles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D010847 | Picolines |
| D011725 | Pyridines |