Skip to main content
. 2023 Nov 13;21(11):e08353. doi: 10.2903/j.efsa.2023.8353
Reference Study Country Duration Funding Design Subject characteristics at baseline a Intervention a Endpoint assessed Results

Qin et al. (2017)

CSPPT

China

4.5 yrs

2008–2013

Mixed

RCT, multi‐community

Inclusion criteria: cancer free 45–75 yrs with hypertension

Exclusion: overt CVD, pregnant/breast feeding etc long‐term use of folic acid, cobalamin, B6

Eligible participants were stratified by MTHFR C677T genotype (CC, CT, TT) (CC = 27%, CT = 49%, TT = 23%)

Number participants randomised/completed/analysed

G1: 10348/10276/10348

G2: 10354/10354/10354

Sex (% women)

G1: 59% G2: 58.9%

Age

G1: 60 ± 7.5

G2: 60 ± 7.6

Nutrient status marker: S‐folate; median (interquartile range) baseline S‐folate was 8.1 (5.6–10.4) ng/mL (~18; 12–23 nmol/L). Extracted from Huo et al. (2015)

Folic acid

Doses:

G1: 800 μg folic acid+10 mg Enalapril

G2: 10 mg Enalapril

Background nutrient intake: NR

Compliance: Assessed every third months

Around 70% took at least 70% of the study medication throughout the trial

CRC (physician or oncologist diagnosed)

Number of CRC cases (%)

G1: 13 (0.13%)

G2: 6 (0.06%)

HR 2.17 (95% CI 0.82–5.70) p = 0.117

Abbreviations: CI, confidence Interval; CRC, colorectal cancer; CSPPT, China Stroke Primary Prevention Trial; CVD, cardiovascular disease; HR, hazard Ratio; G, group; MTHFR, methylenetetrahydrofolate reductase; NR, not reported; RCT, randomised controlled trial; S, serum; SD, standard deviation; yrs, years.

a

Values reported as mean ± standard deviation or median (inter quartile range) unless otherwise indicated.