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Vitamin D and Omega-3 Trial (VITAL) (VITAL)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01169259
Recruitment Status : Active, not recruiting
First Posted : July 26, 2010
Results First Posted : January 6, 2020
Last Update Posted : March 7, 2024
Sponsor:
Collaborators:
National Cancer Institute (NCI)
National Heart, Lung, and Blood Institute (NHLBI)
Office of Dietary Supplements (ODS)
National Institute of Neurological Disorders and Stroke (NINDS)
National Center for Complementary and Integrative Health (NCCIH)
Pharmavite LLC
Pronova BioPharma
BASF
Information provided by (Responsible Party):
JoAnn E. Manson, MD, Brigham and Women's Hospital

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Factorial Assignment;   Masking: Triple (Participant, Investigator, Outcomes Assessor);   Primary Purpose: Prevention
Conditions Cancer
Cardiovascular Disease
Interventions Dietary Supplement: vitamin D3
Drug: omega-3 fatty acids (fish oil)
Dietary Supplement: Vitamin D3 placebo
Dietary Supplement: Fish oil placebo
Enrollment 25871
Recruitment Details 401605 initially screened; 39430 eligible to enter run-in; 25871 eligible for randomization; 2x2 factorial design: 12927 assigned to active vit D (of these, 6463 were assigned to active omega-3 FAs and 6464 to placebo omega-3 FAs) & 12944 assigned to placebo vit D (of these, 6470 were assigned to active omega-3 FAs and 6474 to placebo omega-3 FAs)
Pre-assignment Details The trial included a 3-month placebo run-in period to select participants likely to have excellent compliance. Only individuals who reported taking at least 2/3 of their study pills during the run-in and met other eligibility criteria were randomized into the trial.
Arm/Group Title ACTIVE Vitamin D + ACTIVE Omega-3 Fatty Acids ACTIVE Vitamin D + PLACEBO Omega-3 Fatty Acids PLACEBO Vitamin D + ACTIVE Omega-3 Fatty Acids PLACEBO Vitamin D + PLACEBO Omega-3 Fatty Acids
Hide Arm/Group Description ACTIVE Vitamin D = Vitamin D3, one 2000 IU capsule/day; ACTIVE Omega-3 Fatty Acids = Omacor, one 1-gram capsule/day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid [EPA] and 375 mg of docosahexaenoic acid [DHA]). ACTIVE Vitamin D = Vitamin D3, one 2000 IU capsule/day; PLACEBO Omega-3 Fatty Acids, one capsule/day PLACEBO Vitamin D, one capsule/day; ACTIVE Omega-3 Fatty Acids = Omacor, one 1-gram capsule/day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid [EPA] and 375 mg of docosahexaenoic acid [DHA]). PLACEBO Vitamin D, one capsule/day; PLACEBO Omega-3 Fatty Acids, one capsule/day
Period Title: Overall Study
Started 6463 6464 6470 6474
Completed 6463 6464 6470 6474
Not Completed 0 0 0 0
Arm/Group Title ACTIVE Vitamin D + ACTIVE Omega-3 Fatty Acids ACTIVE Vitamin D + PLACEBO Omega-3 Fatty Acids PLACEBO Vitamin D + ACTIVE Omega-3 Fatty Acids PLACEBO Vitamin D + PLACEBO Omega-3 Fatty Acids Total
Hide Arm/Group Description ACTIVE Vitamin D = Vitamin D3, one 2000 IU capsule/day; ACTIVE Omega-3 Fatty Acids = Omacor, one 1-gram capsule/day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid [EPA] and 375 mg of docosahexaenoic acid [DHA]). ACTIVE Vitamin D = Vitamin D3, one 2000 IU capsule/day; PLACEBO Omega-3 Fatty Acids, one capsule/day PLACEBO Vitamin D, one capsule/day; ACTIVE Omega-3 Fatty Acids = Omacor, one 1-gram capsule/day. Each capsule of Omacor contains 840 milligrams of marine omega-3 fatty acids (465 mg of eicosapentaenoic acid [EPA] and 375 mg of docosahexaenoic acid [DHA]). PLACEBO Vitamin D, one capsule/day; PLACEBO Omega-3 Fatty Acids, one capsule/day Total of all reporting groups
Overall Number of Baseline Participants 6463 6464 6470 6474 25871
Hide Baseline Analysis Population Description
[Not Specified]
Age, Categorical  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 6463 participants 6464 participants 6470 participants 6474 participants 25871 participants
<=18 years
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
0
   0.0%
Between 18 and 65 years
2458
  38.0%
2462
  38.1%
2461
  38.0%
2467
  38.1%
9848
  38.1%
>=65 years
4005
  62.0%
4002
  61.9%
4009
  62.0%
4007
  61.9%
16023
  61.9%
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 6463 participants 6464 participants 6470 participants 6474 participants 25871 participants
67.1  (7.1) 67.1  (7.0) 67.2  (7.1) 67.1  (7.1) 67.1  (7.1)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 6463 participants 6464 participants 6470 participants 6474 participants 25871 participants
Female
3276
  50.7%
3271
  50.6%
3271
  50.6%
3267
  50.5%
13085
  50.6%
Male
3187
  49.3%
3193
  49.4%
3199
  49.4%
3207
  49.5%
12786
  49.4%
Race/Ethnicity, Customized   [1] 
Measure Type: Count of Participants
Unit of measure:  Participants
Non-Hispanic white Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
4515
  71.3%
4498
  71.2%
4529
  71.6%
4504
  71.1%
18046
  71.3%
African American Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
1278
  20.2%
1275
  20.2%
1271
  20.1%
1282
  20.2%
5106
  20.2%
Hispanic (not African American) Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
246
   3.9%
270
   4.3%
245
   3.9%
252
   4.0%
1013
   4.0%
Asian/Pacific Islander Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
102
   1.6%
86
   1.4%
98
   1.5%
102
   1.6%
388
   1.5%
Native American/Alaskan Native Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
62
   1.0%
56
   0.9%
58
   0.9%
52
   0.8%
228
   0.9%
Other/unknown Number Analyzed 6329 participants 6318 participants 6324 participants 6333 participants 25304 participants
126
   2.0%
133
   2.1%
123
   1.9%
141
   2.2%
523
   2.1%
[1]
Measure Analysis Population Description: Not all participants reported race/ethnicity
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
United States Number Analyzed 6463 participants 6464 participants 6470 participants 6474 participants 25871 participants
6463
 100.0%
6464
 100.0%
6470
 100.0%
6474
 100.0%
25871
 100.0%
1.Primary Outcome
Title Number of Participants With Invasive Cancer of Any Type
Hide Description Invasive cancer of any type
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
793
   6.1%
824
   6.4%
820
   6.3%
797
   6.2%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.88 to 1.06
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.03
Confidence Interval (2-Sided) 95%
0.93 to 1.13
Estimation Comments [Not Specified]
2.Primary Outcome
Title Number of Participants With a Major Cardiovascular Event
Hide Description Major cardiovascular event = a composite endpoint of myocardial infarction, stroke, and death from cardiovascular causes
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
396
   3.1%
409
   3.2%
386
   3.0%
419
   3.2%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.97
Confidence Interval (2-Sided) 95%
0.85 to 1.12
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.92
Confidence Interval (2-Sided) 95%
0.80 to 1.06
Estimation Comments [Not Specified]
3.Secondary Outcome
Title Number of Participants Who Died From Invasive Cancer of Any Type
Hide Description Death from invasive cancer of any type
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
154
   1.2%
187
   1.4%
168
   1.3%
173
   1.3%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.83
Confidence Interval (2-Sided) 95%
0.67 to 1.02
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.97
Confidence Interval (2-Sided) 95%
0.79 to 1.20
Estimation Comments [Not Specified]
4.Secondary Outcome
Title Number of Female Participants With Breast Cancer
Hide Description Breast cancer (in women)
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 6547 6538 6547 6538
Measure Type: Count of Participants
Unit of Measure: Participants
124
   1.9%
122
   1.9%
117
   1.8%
129
   2.0%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.79 to 1.31
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.90
Confidence Interval (2-Sided) 95%
0.70 to 1.16
Estimation Comments [Not Specified]
5.Secondary Outcome
Title Number of Male Participants With Prostate Cancer
Hide Description Prostate cancer (in men)
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day.
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 6380 6406 6386 6400
Measure Type: Count of Participants
Unit of Measure: Participants
192
   3.0%
219
   3.4%
219
   3.4%
192
   3.0%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.88
Confidence Interval (2-Sided) 95%
0.72 to 1.07
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.15
Confidence Interval (2-Sided) 95%
0.94 to 1.39
Estimation Comments [Not Specified]
6.Secondary Outcome
Title Number of Participants With Colorectal Cancer
Hide Description Colorectal cancer
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
51
   0.4%
47
   0.4%
54
   0.4%
44
   0.3%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.09
Confidence Interval (2-Sided) 95%
0.73 to 1.62
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.23
Confidence Interval (2-Sided) 95%
0.83 to 1.83
Estimation Comments [Not Specified]
7.Secondary Outcome
Title Number of Participants With Cardiovascular Event in Expanded Composite Cardiovascular Endpoint
Hide Description Expanded composite cardiovascular endpoint = a composite endpoint of myocardial infarction, stroke, death from cardiovascular causes, and coronary revascularization (coronary artery bypass grafting or percutaneous coronary intervention)
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
536
   4.1%
558
   4.3%
527
   4.1%
567
   4.4%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.86 to 1.08
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.82 to 1.04
Estimation Comments [Not Specified]
8.Secondary Outcome
Title Number of Participants With Myocardial Infarction
Hide Description Myocardial infarction
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
169
   1.3%
176
   1.4%
145
   1.1%
200
   1.5%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.78 to 1.19
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.72
Confidence Interval (2-Sided) 95%
0.59 to 0.90
Estimation Comments [Not Specified]
9.Secondary Outcome
Title Number of Participants With Stroke
Hide Description Stroke
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
141
   1.1%
149
   1.2%
148
   1.1%
142
   1.1%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.95
Confidence Interval (2-Sided) 95%
0.76 to 1.20
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.04
Confidence Interval (2-Sided) 95%
0.83 to 1.31
Estimation Comments [Not Specified]
10.Secondary Outcome
Title Number of Participants Who Died From Cardiovascular Causes
Hide Description Death from cardiovascular causes
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
152
   1.2%
138
   1.1%
142
   1.1%
148
   1.1%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.11
Confidence Interval (2-Sided) 95%
0.88 to 1.40
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.76 to 1.21
Estimation Comments [Not Specified]
11.Secondary Outcome
Title Number of Participants Who Died From Any Cause
Hide Description Death from any cause
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
485
   3.8%
493
   3.8%
493
   3.8%
485
   3.7%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.99
Confidence Interval (2-Sided) 95%
0.87 to 1.12
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.90 to 1.15
Estimation Comments [Not Specified]
12.Secondary Outcome
Title Number of Participants With Invasive Cancer of Any Type, Excluding First 2 Years of Follow-up
Hide Description Invasive cancer of any type, excluding first 2 years of follow-up
Time Frame 5 years, excluding first 2 years of follow-up
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
490
   3.8%
522
   4.0%
536
   4.1%
476
   3.7%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.94
Confidence Interval (2-Sided) 95%
0.83 to 1.06
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.13
Confidence Interval (2-Sided) 95%
1.00 to 1.28
Estimation Comments [Not Specified]
13.Secondary Outcome
Title Number of Participants With a Major Cardiovascular Event, Excluding First 2 Years of Follow-up
Hide Description Major cardiovascular event = a composite endpoint of myocardial infarction, stroke, and death from cardiovascular causes; excluding first 2 years of follow-up
Time Frame 5 years, excluding first 2 years of follow-up
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
274
   2.1%
296
   2.3%
269
   2.1%
301
   2.3%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.79 to 1.09
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.89
Confidence Interval (2-Sided) 95%
0.76 to 1.05
Estimation Comments [Not Specified]
14.Other Pre-specified Outcome
Title Number of Participants Who Died From Invasive Cancer of Any Type, Excluding First 2 Years of Follow-up
Hide Description Death from invasive cancer of any type, excluding first 2 years of follow-up
Time Frame 5 years, excluding first 2 years of follow-up
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12,927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
112
   0.9%
149
   1.2%
126
   1.0%
135
   1.0%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.75
Confidence Interval (2-Sided) 95%
0.59 to 0.96
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.73 to 1.19
Estimation Comments [Not Specified]
15.Other Pre-specified Outcome
Title Number of Participants Who Died From Any Cause, Excluding First 2 Years of Follow-up
Hide Description Death from any cause, excluding first 2 years of follow-up
Time Frame 5 years, excluding first 2 years of follow-up
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
368
   2.8%
384
   3.0%
371
   2.9%
381
   2.9%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.84 to 1.11
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.97
Confidence Interval (2-Sided) 95%
0.84 to 1.12
Estimation Comments [Not Specified]
16.Other Pre-specified Outcome
Title Number of Participants With Percutaneous Coronary Intervention
Hide Description Percutaneous coronary intervention
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
182
   1.4%
188
   1.5%
162
   1.3%
208
   1.6%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.97
Confidence Interval (2-Sided) 95%
0.79 to 1.19
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.78
Confidence Interval (2-Sided) 95%
0.63 to 0.95
Estimation Comments [Not Specified]
17.Other Pre-specified Outcome
Title Number of Participants With Coronary-artery Bypass Grafting
Hide Description Coronary-artery bypass grafting
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
73
   0.6%
98
   0.8%
85
   0.7%
86
   0.7%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.75
Confidence Interval (2-Sided) 95%
0.55 to 1.01
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.99
Confidence Interval (2-Sided) 95%
0.73 to 1.33
Estimation Comments [Not Specified]
18.Other Pre-specified Outcome
Title Number of Participants With Total Coronary Heart Disease
Hide Description Total coronary heart disease = a composite of myocardial infarction, coronary revascularization (percutaneous coronary intervention or coronary-artery bypass grafting), and death from coronary heart disease
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
332
   2.6%
346
   2.7%
308
   2.4%
370
   2.9%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.83 to 1.12
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.83
Confidence Interval (2-Sided) 95%
0.71 to 0.97
Estimation Comments [Not Specified]
19.Other Pre-specified Outcome
Title Number of Participants With Ischemic Stroke
Hide Description Ischemic stroke
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
117
   0.9%
110
   0.8%
111
   0.9%
116
   0.9%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.07
Confidence Interval (2-Sided) 95%
0.83 to 1.39
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.96
Confidence Interval (2-Sided) 95%
0.74 to 1.24
Estimation Comments [Not Specified]
20.Other Pre-specified Outcome
Title Number of Participants With Hemorrhagic Stroke
Hide Description Hemorrhagic stroke
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
19
   0.1%
25
   0.2%
25
   0.2%
19
   0.1%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.76
Confidence Interval (2-Sided) 95%
0.42 to 1.38
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.32
Confidence Interval (2-Sided) 95%
0.72 to 2.39
Estimation Comments [Not Specified]
21.Other Pre-specified Outcome
Title Number of Participants Who Died From Myocardial Infarction
Hide Description Death from myocardial infarction
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
24
   0.2%
15
   0.1%
13
   0.1%
26
   0.2%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.60
Confidence Interval (2-Sided) 95%
0.84 to 3.06
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.50
Confidence Interval (2-Sided) 95%
0.26 to 0.97
Estimation Comments [Not Specified]
22.Other Pre-specified Outcome
Title Number of Participants Who Died From Coronary Heart Disease
Hide Description Death from coronary heart disease
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
48
   0.4%
38
   0.3%
37
   0.3%
49
   0.4%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.27
Confidence Interval (2-Sided) 95%
0.83 to 1.95
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.76
Confidence Interval (2-Sided) 95%
0.49 to 1.16
Estimation Comments [Not Specified]
23.Other Pre-specified Outcome
Title Number of Participants Who Died From Stroke
Hide Description Death from stroke
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
19
   0.1%
23
   0.2%
22
   0.2%
20
   0.2%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.84
Confidence Interval (2-Sided) 95%
0.46 to 1.54
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 1.10
Confidence Interval (2-Sided) 95%
0.60 to 2.01
Estimation Comments [Not Specified]
24.Other Pre-specified Outcome
Title Number of Participants With Myocardial Infarction, Excluding First 2 Years of Follow-up
Hide Description Myocardial infarction, excluding first 2 years of follow-up
Time Frame 5 years, excluding first 2 years of follow-up
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D VItamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day
VItamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
108
   0.8%
117
   0.9%
94
   0.7%
131
   1.0%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, VItamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.93
Confidence Interval (2-Sided) 95%
0.71 to 1.20
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value [Not Specified]
Comments [Not Specified]
Method Regression, Cox
Comments [Not Specified]
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.72
Confidence Interval (2-Sided) 95%
0.55 to 0.93
Estimation Comments [Not Specified]
25.Other Pre-specified Outcome
Title Number of Participants With Conventional Colorectal Adenoma
Hide Description tubular, tubulovillous, villous adenoma; adenoma w/high-grade dysplasia
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day.
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
308
   2.4%
287
   2.2%
294
   2.3%
301
   2.3%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.08
Confidence Interval (2-Sided) 95%
0.92 to 1.27
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 0.98
Confidence Interval (2-Sided) 95%
0.83 to 1.15
Estimation Comments [Not Specified]
26.Other Pre-specified Outcome
Title Number of Participants With Serrated Colorectal Polyps
Hide Description hyperplastic polyp, traditional serrated adenoma, sessile serrated polyp
Time Frame 5 years
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo
Hide Arm/Group Description:
Vitamin D3, one 2000 IU capsule/day.
Vitamin D placebo, one capsule/day
Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA).
Omega-3 fatty acids placebo, one capsule/day
Overall Number of Participants Analyzed 12927 12944 12933 12938
Measure Type: Count of Participants
Unit of Measure: Participants
172
   1.3%
169
   1.3%
174
   1.3%
167
   1.3%
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Active Vitamin D, Vitamin D Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.02
Confidence Interval (2-Sided) 95%
0.82 to 1.26
Estimation Comments [Not Specified]
Hide Statistical Analysis 2
Statistical Analysis Overview Comparison Group Selection Active Omega-3 Fatty Acids, Omega-3 Fatty Acids Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Method of Estimation Estimation Parameter Odds Ratio (OR)
Estimated Value 1.05
Confidence Interval (2-Sided) 95%
0.84 to 1.29
Estimation Comments [Not Specified]
Time Frame 5 years
Adverse Event Reporting Description

Vit D Monitored safety cond'ns: hypercalcemia, kidney stones, parathyroid disease, kidney failure or dialysis; Other symptoms, side effects: GI bleeding, easy bruising; stomach upset or pain; nausea; constipation, diarrhea, skin rash

Omega-3 FA Monitored safety cond'ns: GI bleeding; blood in urine; easy bruising; freq nosebleeds; kidney failure or dialysis; Other symptoms, side effects: stomach upset or pain; nausea; constipation; diarrhea; skin rash; bad taste in mouth; increased burping

 
Arm/Group Title Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo Active Vitamin D/Active Omega-3 Fatty Acids Active Vitamin D/Placebo Omega-3 Fatty Acids Placebo Vitamin D/Active Omega-3 Fatty Acids Placebo Vitamin D/Placebo Omega-3 Fatty Acids
Hide Arm/Group Description Vitamin D3, one 2000 IU capsule/day Vitamin D placebo, one capsule/day Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA). Omega-3 fatty acids placebo, one capsule/day Vitamin D3 (one 2000 IU capsule/day) + Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA). Vitamin D3, one 2000 IU capsule/day + Omega-3 fatty acids placebo, one capsule/day Vitamin D placebo, one capsule/day + Omacor, one 1-g capsule/day. Each capsule of Omacor contains 840 mg of marine omega-3 fatty acids (465 mg of EPA + 375 mg of DHA). Vitamin D placebo, one capsule/day + Omega-3 fatty acids placebo, one capsule/day
All-Cause Mortality
Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo Active Vitamin D/Active Omega-3 Fatty Acids Active Vitamin D/Placebo Omega-3 Fatty Acids Placebo Vitamin D/Active Omega-3 Fatty Acids Placebo Vitamin D/Placebo Omega-3 Fatty Acids
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   485/12927 (3.75%)   493/12944 (3.81%)   493/12933 (3.81%)   485/12938 (3.75%)   241/6463 (3.73%)   244/6464 (3.77%)   252/6470 (3.89%)   241/6474 (3.72%) 
Hide Serious Adverse Events
Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo Active Vitamin D/Active Omega-3 Fatty Acids Active Vitamin D/Placebo Omega-3 Fatty Acids Placebo Vitamin D/Active Omega-3 Fatty Acids Placebo Vitamin D/Placebo Omega-3 Fatty Acids
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   1673/12927 (12.94%)   1659/12944 (12.82%)   1613/12933 (12.47%)   1619/12938 (12.51%)   791/6463 (12.24%)   782/6464 (12.10%)   822/6470 (12.70%)   837/6474 (12.93%) 
Blood and lymphatic system disorders                 
Gastrointestinal bleeding   341/12927 (2.64%)  403/12944 (3.11%)  370/12933 (2.86%)  374/12938 (2.89%)  170/6463 (2.63%)  171/6464 (2.65%)  200/6470 (3.09%)  203/6474 (3.14%) 
Endocrine disorders                 
Hypercalcemia   147/12927 (1.14%)  143/12944 (1.10%)  151/12933 (1.17%)  139/12938 (1.07%)  77/6463 (1.19%)  70/6464 (1.08%)  74/6470 (1.14%)  69/6474 (1.07%) 
Neoplasms benign, malignant and unspecified (incl cysts and polyps)                 
Invasive cancer of any type  [1]  793/12927 (6.13%)  824/12944 (6.37%)  820/12933 (6.34%)  797/12938 (6.16%)  408/6463 (6.31%)  385/6464 (5.96%)  412/6470 (6.37%)  412/6474 (6.36%) 
Death from cancer   154/12927 (1.19%)  187/12944 (1.44%)  168/12933 (1.30%)  173/12938 (1.34%)  75/6463 (1.16%)  79/6464 (1.22%)  93/6470 (1.44%)  94/6474 (1.45%) 
Breast cancer (in women)   124/6547 (1.89%)  122/6538 (1.87%)  117/6547 (1.79%)  129/6538 (1.97%)  60/3276 (1.83%)  64/3271 (1.96%)  57/3271 (1.74%)  65/3267 (1.99%) 
Prostate cancer (in men)   192/6380 (3.01%)  219/6406 (3.42%)  219/6386 (3.43%)  192/6400 (3.00%)  100/3187 (3.14%)  83/3193 (2.60%)  110/3199 (3.44%)  109/3207 (3.40%) 
Colorectal cancer   51/12927 (0.39%)  47/12944 (0.36%)  54/12933 (0.42%)  44/12938 (0.34%)  28/6463 (0.43%)  23/6464 (0.36%)  26/6470 (0.40%)  21/6474 (0.32%) 
Vascular disorders                 
Major cardiovascular event  [2]  396/12927 (3.06%)  409/12944 (3.16%)  386/12933 (2.98%)  419/12938 (3.24%)  186/6463 (2.88%)  210/6464 (3.25%)  200/6470 (3.09%)  209/6474 (3.23%) 
Myocardial infarction   169/12927 (1.31%)  176/12944 (1.36%)  145/12933 (1.12%)  200/12938 (1.55%)  72/6463 (1.11%)  97/6464 (1.50%)  73/6470 (1.13%)  103/6474 (1.59%) 
Stroke   141/12927 (1.09%)  149/12944 (1.15%)  148/12933 (1.14%)  142/12938 (1.10%)  66/6463 (1.02%)  75/6464 (1.16%)  82/6470 (1.27%)  67/6474 (1.03%) 
Death from cardiovascular causes   152/12927 (1.18%)  138/12944 (1.07%)  142/12933 (1.10%)  148/12938 (1.14%)  74/6463 (1.14%)  78/6464 (1.21%)  68/6470 (1.05%)  70/6474 (1.08%) 
Indicates events were collected by systematic assessment
[1]
Total cancer=invasive cancer of any type
[2]
Major cardiovascular event = a composite endpoint of myocardial infarction, stroke, and death from cardiovascular causes
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Active Vitamin D Vitamin D Placebo Active Omega-3 Fatty Acids Omega-3 Fatty Acids Placebo Active Vitamin D/Active Omega-3 Fatty Acids Active Vitamin D/Placebo Omega-3 Fatty Acids Placebo Vitamin D/Active Omega-3 Fatty Acids Placebo Vitamin D/Placebo Omega-3 Fatty Acids
Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%) Affected / at Risk (%)
Total   10086/12927 (78.02%)   10098/12944 (78.01%)   10094/12933 (78.05%)   10090/12938 (77.99%)   5101/6463 (78.93%)   5027/6464 (77.77%)   5037/6470 (77.85%)   5101/6474 (78.79%) 
Blood and lymphatic system disorders                 
Easy bruising   3434/12927 (26.56%)  3408/12944 (26.33%)  3443/12933 (26.62%)  3399/12938 (26.27%)  1737/6463 (26.88%)  1697/6464 (26.25%)  1706/6470 (26.37%)  1702/6474 (26.29%) 
Frequent nosebleeds   466/12927 (3.60%)  490/12944 (3.79%)  465/12933 (3.60%)  491/12938 (3.80%)  224/6463 (3.47%)  242/6464 (3.74%)  241/6470 (3.72%)  249/6474 (3.85%) 
Blood in urine   911/12927 (7.05%)  882/12944 (6.81%)  919/12933 (7.11%)  874/12938 (6.76%)  469/6463 (7.26%)  442/6464 (6.84%)  450/6470 (6.96%)  432/6474 (6.67%) 
Endocrine disorders                 
Parathyroid condition  [1]  50/12927 (0.39%)  62/12944 (0.48%)  52/12933 (0.40%)  60/12938 (0.46%)  24/6463 (0.37%)  26/6464 (0.40%)  28/6470 (0.43%)  34/6474 (0.53%) 
Gastrointestinal disorders                 
Stomach upset or pain   4860/12927 (37.60%)  4870/12944 (37.62%)  4887/12933 (37.79%)  4843/12938 (37.43%)  2439/6463 (37.74%)  2421/6464 (37.45%)  2448/6470 (37.84%)  2422/6474 (37.41%) 
Nausea   3519/12927 (27.22%)  3589/12944 (27.73%)  3558/12933 (27.51%)  3550/12938 (27.44%)  1748/6463 (27.05%)  1771/6464 (27.40%)  1810/6470 (27.98%)  1779/6474 (27.48%) 
Constipation   5133/12927 (39.71%)  5162/12944 (39.88%)  5184/12933 (40.08%)  5111/12938 (39.50%)  2567/6463 (39.72%)  2566/6464 (39.70%)  2617/6470 (40.45%)  2545/6474 (39.31%) 
Diarrhea   5511/12927 (42.63%)  5668/12944 (43.79%)  5599/12933 (43.29%)  5580/12938 (43.13%)  2781/6463 (43.03%)  2730/6464 (42.23%)  2818/6470 (43.55%)  2850/6474 (44.02%) 
Increased burping   2168/12927 (16.77%)  2207/12944 (17.05%)  2217/12933 (17.14%)  2158/12938 (16.68%)  1107/6463 (17.13%)  1061/6464 (16.41%)  1110/6470 (17.16%)  1097/6474 (16.94%) 
General disorders                 
Bad taste in mouth   2195/12927 (16.98%)  2290/12944 (17.69%)  2240/12933 (17.32%)  2245/12938 (17.35%)  1109/6463 (17.16%)  1086/6464 (16.80%)  1131/6470 (17.48%)  1159/6474 (17.90%) 
Renal and urinary disorders                 
Kidney stones   477/12927 (3.69%)  426/12944 (3.29%)  430/12933 (3.32%)  473/12938 (3.66%)  233/6463 (3.61%)  244/6464 (3.77%)  197/6470 (3.04%)  229/6474 (3.54%) 
Kidney failure or dialysis   85/12927 (0.66%)  88/12944 (0.68%)  85/12933 (0.66%)  88/12938 (0.68%)  42/6463 (0.65%)  43/6464 (0.67%)  43/6470 (0.66%)  45/6474 (0.70%) 
Skin and subcutaneous tissue disorders                 
Skin rash   3268/12927 (25.28%)  3430/12944 (26.50%)  3331/12933 (25.76%)  3367/12938 (26.02%)  1629/6463 (25.21%)  1639/6464 (25.36%)  1702/6470 (26.31%)  1728/6474 (26.69%) 
Indicates events were collected by systematic assessment
[1]
Parathyroid condition = hyperparathyroidism or hypoparathyroidism
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: VITAL Study Director
Organization: Brigham and Women's Hospital; 900 Commonwealth Ave, 3rd fl.; Boston, MA 02215
Phone: 1-800-388-3963
EMail: vitalstudy@partners.org
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Layout table for additonal information
Responsible Party: JoAnn E. Manson, MD, Brigham and Women's Hospital
ClinicalTrials.gov Identifier: NCT01169259    
Other Study ID Numbers: 2009P-001217
U01CA138962 ( U.S. NIH Grant/Contract )
R01CA138962 ( U.S. NIH Grant/Contract )
First Submitted: January 13, 2010
First Posted: July 26, 2010
Results First Submitted: November 12, 2019
Results First Posted: January 6, 2020
Last Update Posted: March 7, 2024