Evidence mapPaperPMID 35465686Full record

Trial reportCirculation2022

Vitamin K2 and D in Patients With Aortic Valve Calcification: A Randomized Double-Blinded Clinical Trial.

Axel C P Diederichsen, Jes S Lindholt, Sören Möller, Kristian A Øvrehus, Søren Auscher, Jess Lambrechtsen, Susanne E Hosbond, Dilek H Alan, Grazina Urbonaviciene, Søren W Becker and 8 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Circulation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03243890 (The Effects of Menaquinone-7 Supplementation in Patients With Aortic Valves Calcification), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03243890 nacompletednot on this map

The Effects of Menaquinone-7 Supplementation in Patients With Aortic Valves Calcification

TypeinterventionalSponsorAxel DiederichsenRan2018 to 2021Enrolled389ConditionsAortic Valve Stenosis, Multidetector Computed Tomography, Vitamin K 2, Randomised Clinical TrialArmsMenaquinone-7 720 µg/day including the recommended daily dose of vitamin D (25 µg/day)., Placebo
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 5 institutions in 1 country.

Axel C P DiederichsenDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.ORCID 0000-0002-1285-4826
Jes S LindholtDepartment of Cardiothoracic and Vascular Surgery (J.S.L.), Odense University Hospital, Denmark.ORCID 0000-0001-9536-4488
Sören MöllerOpen Patient Data Explorative Network (S.M.), Odense University Hospital, Denmark.
Kristian A ØvrehusDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.
Søren AuscherDepartment of Cardiology, Svendborg Hospital, Denmark (S.A., J.L.).
Jess LambrechtsenDepartment of Cardiology, Svendborg Hospital, Denmark (S.A., J.L.).
Susanne E HosbondDepartment of Cardiology, Lillebaelt Hospital, Vejle, Denmark (S.E.H.' D.H.A.).
Dilek H AlanDepartment of Cardiology, Lillebaelt Hospital, Vejle, Denmark (S.E.H.' D.H.A.).
Grazina UrbonavicieneDepartment of Cardiology, Regional Hospital Central Jutland, Silkeborg, Denmark (G.U., S.W.B.).
Søren W BeckerDepartment of Cardiology, Regional Hospital Central Jutland, Silkeborg, Denmark (G.U., S.W.B.).
Maise H FredgartDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.ORCID 0000-0001-9609-2664
Selma HasificDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.ORCID 0000-0001-7654-8492
Lars FolkestadDepartment of Endocrinology (L.F.), Odense University Hospital, Denmark.
Oke GerkeDepartment of Nuclear Medicine (O.G.), Odense University Hospital, Denmark.ORCID 0000-0001-6335-3303
Lars Melholt RasmussenDepartment of Clinical Biochemistry and Pharmacology (L.M.R.), Odense University Hospital, Denmark.ORCID 0000-0001-5795-4794
Jacob E MøllerDepartment of Cardiology, Copenhagen University Hospital, Denmark (J.E.M.).
Hans MickleyDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.
Jordi S DahlDepartment of Cardiology (A.C.P.D., K.A.Ø., M.H.F., S.H.' H.M., J.S.D.), Odense University Hospital, Denmark.
Odense University Hospital · DKLillebaelt Hospital · DKRegional Hospital Central Jutland · DKSvendborg Sygehus · DKCopenhagen University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMenaquinone-7 (MK-7), also known as vitamin K2, is a cofactor for the carboxylation of proteins involved in the inhibition of arterial calcification and has been suggested to reduce the progression rate of aortic valve calcification (AVC) in patients with aortic stenosis.

methodsIn a randomized, double-blind, multicenter trial, men from the community with an AVC score >300 arbitrary units (AU) on cardiac noncontrast computer tomography were randomized to daily treatment with tablet 720 µg MK-7 plus 25 µg vitamin D or matching placebo for 24 months. The primary outcome was the change in AVC score. Selected secondary outcomes included change in aortic valve area and peak aortic jet velocity on echocardiography, heart valve surgery, change in aortic and coronary artery calcification, and change in dp-ucMGP (dephosphorylated-undercarboxylated matrix Gla-protein). Safety outcomes included all-cause death and cardiovascular events.

resultsFrom February 1, 2018, to March 21, 2019, 365 men were randomized. Mean age was 71.0 (±4.4) years. The mean (95% CI) increase in AVC score was 275 AU (95% CI, 225-326 AU) and 292 AU (95% CI, 246-338 AU) in the intervention and placebo groups, respectively. The mean difference on AVC progression was 17 AU (95% CI, -86 to 53 AU;

conclusionsIn elderly men with an AVC score >300 AU, 2 years MK-7 plus vitamin D supplementation did not influence AVC progression. REGISTRATION: URL: https://www. CLINICALTRIALS: gov; Unique identifier: NCT03243890.

Indexed as

Aortic ValveAortic Valve StenosisAgedCalcinosisFemaleHumansMaleVitamin DVitamin K 2Vitamin DVitamin K 2aortic valve calcificationaortic valve stenosiscoronary artery calcificationcoronary artery diseasematrix Gla proteinrandomized controlled trialvitamin K2

Identifiers

PMID35465686
PMCPMC9047644
OpenAlexW4224311967

What Socratic holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.