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NCT06385275PHASE1, PHASE2Recruiting

The Role of Vitamin K on Knee Osteoarthritis Outcomes

Boston University

Start Date

6/3/2025

Completion Date

12/1/2026

Summary

The appropriate form and dosing of vitamin K to benefit relevant outcomes in knee osteoarthritis (OA) are not known. In intervention studies for conditions other than knee OA (e.g., prevention of cardiovascular disease), the most commonly used forms and doses include phylloquinone (vitamin K1; 1000µg or 500µg daily) or menaquinone-7 (MK-7 or vitamin K2; 300µg daily). However, whether these doses are adequate to increase vitamin K to levels that ameliorate risk of adverse OA outcomes is not known. Furthermore, although some studies suggest enhanced bioavailability of MK-7 over vitamin K1, as well as extra-hepatic effects, whether this is relevant for an older population with knee OA is not known, The overall goal of this pilot randomized clinical trial (RCT) is to test different subtypes and doses of vitamin K supplementation in older adults with knee OA and to measure changes in relevant biochemical measures.

Eligibility Criteria

Age Range: 50 years to No maximum

Inclusion Criteria: * Men ≥50 years old * Women ≥60 years old * Clinical diagnosis of knee OA by the treating rheumatologist * English fluency Exclusion Criteria: * Anticoagulation use (including warfarin, dabigatran, rivaroxaban, apixaban)

Interventions

DRUG

Vitamin K1 500 µg

DRUG

K1 1000 µg

DRUG

Vitamin K2 (MK-7) 300 µg

OTHER

Placebo

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Conditions

Osteo Arthritis Knee

Locations

Boston Medical Center, Rheumatology Clinic

Boston, Massachusetts 02118

United States