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Trial registered on ANZCTR
Registration number
ACTRN12605000005651
Ethics application status
Approved
Date submitted
13/07/2005
Date registered
13/07/2005
Date last updated
10/06/2021
Date data sharing statement initially provided
10/06/2021
Date results provided
10/06/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
VITATOPS - a controlled trial of vitamins to prevent stroke
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Scientific title
VITATOPS study - A randomised, double-blind, placebo-controlled trial of vitamins to prevent stroke
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Universal Trial Number (UTN)
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Trial acronym
VITATOPS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
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Condition category
Condition code
Stroke
79
79
0
0
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Ischaemic
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Stroke
2359
2359
0
0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The VITATOPS trial is a randomised double-blind, placebo-controlled, multicentre trial. The study is testing the hypothesis that a high total plasma homocysteine concentration (tHcy) is a causal and modifiable risk factor for stroke which can be reduced by B-vitamin (folic acid, vitaminB6 and B12) supplementation. In this trial, patients are randomised to take a single tablet, once daily, containing either a placebo or a combination of folic acid 2mg, vitamin B6 25mg and vitamin B12 0.5mg.
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Intervention code [1]
17
0
Prevention
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Comparator / control treatment
Placebo
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The combined incidence of recurrent non-fatal serious vascular events (stroke and myocardial infarction) and death due to vascular causes in a wide variety of patients with recent stroke or TIA from different countries around the world.
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Assessment method [1]
111
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Timepoint [1]
111
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in real time
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Secondary outcome [1]
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To determine whether the effect of these vitamin supplements on the primary outcome measure is consistent among the following subgroups of patients: patients of different race, genotype, and pathological and aetiological subtype of stroke; and outcome events: revascularisation procedures, TIA, depression, and dementia.
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Assessment method [1]
249
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Timepoint [1]
249
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in real time
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Eligibility
Key inclusion criteria
All patients presenting within seven months of stroke (ischaemic or haemorrhagic) or TIA (eye or brain) are eligible. In addition, the patient must: agree to take study medications, be geographically accessible for follow-up and provide written informed consent.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Taking folic acid or vitamin B6 on medical advice, taking methotrexate for any reason, pregnancy or women of child-bearing potential who are at risk of pregnancy and limited life expectancy.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation is by means of a central 24-hour telephone service or via an interactive website.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Allocation of patients to study groups involved random permuted blocks stratified by hospital. The random numbers were computer generated.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
19/11/1998
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Actual
19/11/1998
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Date of last participant enrolment
Anticipated
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Actual
31/12/2008
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Date of last data collection
Anticipated
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Actual
23/06/2009
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Sample size
Target
8000
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Accrual to date
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Final
8164
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,WA,VIC
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Recruitment outside Australia
Country [1]
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Austria
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State/province [1]
106
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Country [2]
107
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Belgium
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State/province [2]
107
0
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Country [3]
108
0
Brazil
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State/province [3]
108
0
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Country [4]
109
0
Hong Kong
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State/province [4]
109
0
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Country [5]
110
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India
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State/province [5]
110
0
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Country [6]
111
0
Italy
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State/province [6]
111
0
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Country [7]
112
0
Malaysia
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State/province [7]
112
0
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Country [8]
113
0
Moldova, Republic Of
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State/province [8]
113
0
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Country [9]
114
0
New Zealand
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State/province [9]
114
0
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Country [10]
115
0
Pakistan
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State/province [10]
115
0
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Country [11]
116
0
Philippines
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State/province [11]
116
0
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Country [12]
117
0
Portugal
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State/province [12]
117
0
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Country [13]
118
0
Georgia
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State/province [13]
118
0
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Country [14]
119
0
Serbia and Montenegro
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State/province [14]
119
0
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Country [15]
120
0
Singapore
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State/province [15]
120
0
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Country [16]
121
0
Sri Lanka
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State/province [16]
121
0
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Country [17]
122
0
United Kingdom
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State/province [17]
122
0
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Country [18]
123
0
United States of America
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State/province [18]
123
0
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Funding & Sponsors
Funding source category [1]
113
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Government body
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Name [1]
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National Health & Medical Research Council
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Address [1]
113
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Level 5, 20 Allara Street
Canberra ACT 2601
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Country [1]
113
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Australia
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Funding source category [2]
114
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Charities/Societies/Foundations
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Name [2]
114
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National Heart Foundation
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Address [2]
114
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334 Rokeby Road
Subiaco WA 6008
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Country [2]
114
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Australia
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Funding source category [3]
115
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Government body
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Name [3]
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Health Department of Western Australia
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Address [3]
115
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189 Royal Street
East Perth WA 6004
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Country [3]
115
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Australia
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Primary sponsor type
Government body
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Name
NHMRC
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Address
Level 5, 20 Allara Street
Canberra ACT 2601
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Country
Australia
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Secondary sponsor category [1]
84
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Government body
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Name [1]
84
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National Heart Foundation
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Address [1]
84
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334 Rokeby Road
Subiaco WA 6008
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Country [1]
84
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308724
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Royal Perth Hospital Ethics Committee
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Ethics committee address [1]
308724
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Royal Perth Hospital Wellington Street Perth, Western Australia 6001
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Ethics committee country [1]
308724
0
Australia
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Date submitted for ethics approval [1]
308724
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Approval date [1]
308724
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14/04/1998
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Ethics approval number [1]
308724
0
EC550
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Summary
Brief summary
The VITATOPS study is an international multi-centre, randomised, double-blind, placebo-controlled, clinical trial designed primarily to examine the efficacy and safety of multi-vitamin (folate, B6, B12) therapy in the prevention of ‘stroke, myocardial infarction, or death from any vascular cause’, among patients randomised within seven months of a stroke or transient ischaemic attack (TIA) of the eye or brain. Secondary outcomes include TIA, dementia, depression unstable angina and revascularization procedures of the coronary, cerebral and peripheral circulations. It is planned that 8,000 patients will be randomised and followed up for a mean period of 2.5 years (range 1-8 years) by the end of 2009.
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Trial website
vitatops@highway1.com.au
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Graeme Hankey
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Address
35450
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Stroke Unit
Royal Perth Hospital
Wellington Street
Perth, Western Australia
6001
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Country
35450
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Australia
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Phone
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+61 089224 7004
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Fax
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Email
35450
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[email protected]
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Contact person for public queries
Name
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Ms Julia Pizzi
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Address
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Stroke Unit - Research Office
GPO Box X2213
Perth WA 6847
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Country
9206
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Australia
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Phone
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+61 8 92247004
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Fax
9206
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+61 8 92248424
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Email
9206
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[email protected]
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Contact person for scientific queries
Name
134
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Ms Julia Pizzi
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Address
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Stroke Unit - Research Office
GPO Box X2213
Perth WA 6847
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Country
134
0
Australia
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Phone
134
0
+61 8 92247004
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Fax
134
0
+61 8 92248424
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Email
134
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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