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A randomised, double blind placebo controlled trial to (A) assess the optimal vitamin K dosage for supplementation, and (B) to access wether complications of anticoagulation treatment will diminish by suppletion of vitamin K.

Phase 4
Completed
Conditions
Bleeding
Thrombosis
10064477
Complicaties van behandeling
Registration Number
NL-OMON30852
Lead Sponsor
eids Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
2600
Inclusion Criteria

1. Start treatment with vitamin K antagonists less then 4 weeks before inclusion.
2. Treatment with vitamin K antagonists for a minimal period of 6 months, with the therapeutic range of INR between 2.5 and 3.5.
3. Age between 18 and 85 years.
4. Measurement of the INR by the Thrombosis Service Leiden.
5. Informed consent.

Exclusion Criteria

1. Treatment for liver failure.
2. Dialysys, both peritoneal as hemodialysys.
3. Pregnancy or wish to get pregnant, lactational period.
4. Known to have a chronic condition with a life expectancy of less than 6 months.
5. An expected interruption of treatment with oral anticoagulants for one week or longer.
6. Participation of the self management protocol.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>VIKS-2A:<br /><br>The clinical endpoint of the studies is the stability of<br /><br>anticoagulationtherapy (expressed as the time in therapeutic zone) linked to<br /><br>the dosage of vitamin K.<br /><br>VIKS-2B:<br /><br>The clinical endpoint of the studies is the number of complications of<br /><br>anticoagulationtherapy per 100 patientyears, linked to the dosage of vitamin K.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>VIKS-2A and VIKS-2B:<br /><br>The effect of polymorphisms in CYP2C9 and VKORC1 on the sensitivity for VKA and<br /><br>supplementation of vitamin K.</p><br>
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