Page last updated: 2024-10-20

pyridoxine and Apoplexy

pyridoxine has been researched along with Apoplexy in 10 studies

4,5-bis(hydroxymethyl)-2-methylpyridin-3-ol: structure in first source
vitamin B6 : Any member of the group of pyridines that exhibit biological activity against vitamin B6 deficiency. Vitamin B6 deficiency is associated with microcytic anemia, electroencephalographic abnormalities, dermatitis with cheilosis (scaling on the lips and cracks at the corners of the mouth) and glossitis (swollen tongue), depression and confusion, and weakened immune function. Vitamin B6 consists of the vitamers pyridoxine, pyridoxal, and pyridoxamine and their respective 5'-phosphate esters (and includes their corresponding ionized and salt forms).

Research Excerpts

ExcerptRelevanceReference
"Two groups of 150 patients treated with either the high-dose or low-dose formulation of pyridoxine, cobalamin, and folic acid in a randomized, double-blind fashion were selected among the participants in the VISP study without recurrent stroke during follow-up and in the highest 10% of the distribution for baseline tHcy levels."9.14Plasma Abeta, homocysteine, and cognition: the Vitamin Intervention for Stroke Prevention (VISP) trial. ( Campbell, S; Greenberg, SM; Hyman, BT; Irizarry, MC; Raj, S; Stampfer, M; Viswanathan, A, 2009)
"Epidemiological and laboratory studies suggest that increasing concentrations of plasma homocysteine (total homocysteine [tHcy]) accelerate cardiovascular disease by promoting vascular inflammation, endothelial dysfunction, and hypercoagulability."9.11Homocysteine-lowering treatment with folic acid, cobalamin, and pyridoxine does not reduce blood markers of inflammation, endothelial dysfunction, or hypercoagulability in patients with previous transient ischemic attack or stroke: a randomized substudy o ( Baker, R; Dusitanond, P; Eikelboom, JW; Gilmore, G; Hankey, GJ; Jamrozik, K; Klijn, CJ; Langton, P; Loh, K; Thom, J; van Bockxmeer, FM; Yi, Q, 2005)
" The objective of this study was to determine whether there has been a change in folate status between 1998 and 2002 in stroke patients randomized into the VITAmins TO Prevent Stroke (VITATOPS) Study at a single center in Perth, Australia, and what impact this may have had on the magnitude of the homocysteine-lowering effect achieved over time with folic acid-based multivitamin therapy."9.11Sustained homocysteine-lowering effect over time of folic acid-based multivitamin therapy in stroke patients despite increasing folate status in the population. ( Eikelboom, JW; Hankey, GJ; Loh, K; Pizzi, J; Tang, M; Thom, J; Yi, Q, 2005)
"Two groups of 150 patients treated with either the high-dose or low-dose formulation of pyridoxine, cobalamin, and folic acid in a randomized, double-blind fashion were selected among the participants in the VISP study without recurrent stroke during follow-up and in the highest 10% of the distribution for baseline tHcy levels."5.14Plasma Abeta, homocysteine, and cognition: the Vitamin Intervention for Stroke Prevention (VISP) trial. ( Campbell, S; Greenberg, SM; Hyman, BT; Irizarry, MC; Raj, S; Stampfer, M; Viswanathan, A, 2009)
"Epidemiological and laboratory studies suggest that increasing concentrations of plasma homocysteine (total homocysteine [tHcy]) accelerate cardiovascular disease by promoting vascular inflammation, endothelial dysfunction, and hypercoagulability."5.11Homocysteine-lowering treatment with folic acid, cobalamin, and pyridoxine does not reduce blood markers of inflammation, endothelial dysfunction, or hypercoagulability in patients with previous transient ischemic attack or stroke: a randomized substudy o ( Baker, R; Dusitanond, P; Eikelboom, JW; Gilmore, G; Hankey, GJ; Jamrozik, K; Klijn, CJ; Langton, P; Loh, K; Thom, J; van Bockxmeer, FM; Yi, Q, 2005)
" The objective of this study was to determine whether there has been a change in folate status between 1998 and 2002 in stroke patients randomized into the VITAmins TO Prevent Stroke (VITATOPS) Study at a single center in Perth, Australia, and what impact this may have had on the magnitude of the homocysteine-lowering effect achieved over time with folic acid-based multivitamin therapy."5.11Sustained homocysteine-lowering effect over time of folic acid-based multivitamin therapy in stroke patients despite increasing folate status in the population. ( Eikelboom, JW; Hankey, GJ; Loh, K; Pizzi, J; Tang, M; Thom, J; Yi, Q, 2005)
"The aim of this study was to investigate a possible association among the thermolabile polymorphism, nucleotide 677 cytosine to thymidine point mutation (677 C-->T) of the methylenetetrahydrofolate reductase (MTHFR) gene, hyperhomocysteinemia, serum folate, vitamins B12 and B6, and stroke in children."3.70Children with stroke: polymorphism of the MTHFR gene, mild hyperhomocysteinemia, and vitamin status. ( Artuch, R; Campistol, J; Cardo, E; Colomé, C; Monrós, E; Pineda, M; Vilaseca, MA, 2000)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (10.00)18.2507
2000's7 (70.00)29.6817
2010's2 (20.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Narayanan, D1
Luvai, A1
Barski, R1
Sharma, R1
Viswanathan, A1
Raj, S1
Greenberg, SM1
Stampfer, M1
Campbell, S1
Hyman, BT1
Irizarry, MC1
França, CF1
Vianna, LM1
Kammerer, S1
Dusitanond, P1
Eikelboom, JW2
Hankey, GJ2
Thom, J2
Gilmore, G1
Loh, K2
Yi, Q2
Klijn, CJ1
Langton, P1
van Bockxmeer, FM1
Baker, R1
Jamrozik, K1
Tang, M1
Pizzi, J1
Li, W1
Zheng, T1
Wang, J1
Altura, BT1
Altura, BM1
Vermeulen, EG1
Rauwerda, JA1
Erix, P1
de Jong, SC1
Twisk, JW1
Jakobs, C1
Witjes, RJ1
Stehouwer, CD1
Cardo, E1
Monrós, E1
Colomé, C1
Artuch, R1
Campistol, J1
Pineda, M1
Vilaseca, MA1
Bleich, S1
Degner, D1
Kropp, S1
Rüther, E1
Kornhuber, J1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Single-Center, Open-Label Study to Assess the Effects of the Addition of Modulators of Homocysteine to Adalimumab Therapy in the Treatment of Moderate to Severe Plaque Psoriasis Evaluated With the PASI, PGA and DLQI[NCT01704599]Phase 1/Phase 28 participants (Actual)Interventional2009-01-31Terminated (stopped due to side effect and poor clinical outcome)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

EKG Categoryy Changes Related to Homocysteine Changes

Change in EKG ( normalize, unchanged, became abnormal) when homocysteine (Hcy) increased or decreased from week 16 on adalimumab to week 28 on adalimumab plus folic acid, vitamins B6 and B12 in adault psoriasis patients ages 18-65 with moderate to severe plaque psoriasis. (NCT01704599)
Timeframe: Week 16 to Week 28

Interventionparticipants (Number)
normalize when Hcy increasedunchanged when Hcy decreasedbecame abnormal when Hcy decreased
Humira Then Humira Plus 3 B Vitamins121

Number of Participants in Categories or Increasing and Decreasing Changes Within the CBC (Complete Blood Count)

Change in CBC parameter: white blood count or hemoglobin or hematocrit ( as measured week 16 on adalimumab and at week 28 after 12 more weeks on adalimuamb , folic acid, B6 and B12) in adults ages 18-65 with moderate to severe plaque psoriasis. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
WBC increasedWBC unchangedWBC decreasedHemoglobin/Hematocrit increasedHemoglobin/Hematocrit unchangedHemoglobin/Hematocrit decreased
Humira Then Humira Plus 3 B Vitamins302302

Number of Participants in the Categories of Having and Not Having an Adverse Event

"Worsening psoriasis or development or worsening of measured condition or new pathology not seen by week 16 but developed at weeks 28 or first discoved by telephone call day 70 post study:~AE Humira only" (NCT01704599)
Timeframe: After Week 16 of study

Interventionparticipants (Number)
No Adverse Event after Week 16Adverse Event Weeks 16-28Adverse event by Day 70 call after Week 28
Humira Then Humira Plus 3 B Vitamins241

Number of Participants in the Categories of Having and of Not Having a Serious Adverse Event (SAE)

A serious adverse event is hosptalization or death or pathology leading to early termination of a participant from the study. This was to be reported at anytime during the 28 week study of adult patients ages 18-65 with moderate to severe plaque psoriasis though categorized by Week 16 (on adalimumab alone, by Week 28 (on adalimuamb plus 3 B vitaminsand by day 70 post Week 28. (NCT01704599)
Timeframe: By Week 16, by Week 28 and by Day 70 post Week 28.

Interventionparticipants (Number)
No SAESAE by Week 16SAE by Week 28SAE by Day 70 afterWeek 28
Humira Then Humira Plus 3 B Vitamins7100

Number of Participants in the Categories of Normalizing, Unchanging and Newly Abnormal Electrocardiograms (EKGs)

An electrocardiogram (EKG) is used to evaluate the electrical activity of the heart by converting this activity into line tracings on paper.. Electrodes (small, plastic patches) are placed at certain locations on the chest, arms, and legs. When the electrodes are connected to an EKG machine by lead wires, the electrical activity of the heart is measured, interpreted, and printed out for the doctor's information and further interpretation. This test was to be administered to adults age 18 or older with moderate to severe plaque psoriasis patients at week 0, 16 and week 28 of this study. (NCT01704599)
Timeframe: Week 16 and then Week 28 after another 12 weeks on Humira plus vitamins and if early termination

Interventionparticipants (Number)
NormalizingUnchangedNewly abnormal
Humira Then Humira Plus 3 B Vitamins141

Number of Participants Who Fulfilled the Category of Having Height Measured

Height is the distance from the bottom (soles of feet ) to the top (top of head) of a person when that person is standing in this study using ruler in inches.Participants measured were adults age 18 or older with moderate to severe plaque psoriasis. (NCT01704599)
Timeframe: Week 0 at Start of Adalimumab

Interventionparticipants (Number)
MeasuredNot measured
Humira Then Humira Plus 3 B Vitamins80

Number of Participants With a Categorical Change in Static Physician Global Assessment (sPGA):

Number of participants with a category change in Physician static Global Assessment (sPGA): 7 point score from 0 (clear) to 6 measuring amount of surface covered and plaque qualities: thickness & erythema plus scaling. Dynamic score compares baseline with either improvement/ worsening of the same factors measured in the sPGA using the 0-6 scoring range but focused on change. sPGA at weeks 16 AND 28. dynamic PGA to be categoically measured at.weeks16 and 28. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
ImprovedUnchangedWorsened
Humira Then Humira Plus 3 B Vitamins313

Number of Participants With a Categorical DLQI (Dermatology Life Quality Index) Change

DLQI is 10 questions examining impact of skin disease on quality of life: (1) symptoms & feelings (2) daily activities (3) leisure (4) work & school (5) personal relationship (6) treatment. To be administered to adults over 18 years with moderate to severe plaque psoriasis at week 0 (no systemic psoriasis medication);. weeks 16 ( after 16 weeks of adalimumab) and week 28 (after 16 weeks adalimumab then 12 weeks of adalimumab plus daily 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg B12). (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
ImprovedUnchangedWorsened
Humira Then Humira Plus 3 B Vitamins331

Number of Participants With Category Change in Serum Folic Acid Level.

Serum folic acid level in adults ages 18 and older with mild to moderate plaque psoriasis measured at week 16 after 16 weeks adalimumab and at week 28 after 16 weeks adalimumab plus 12 weeks of adalimumab and daily 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg B12. (NCT01704599)
Timeframe: Weeks 16 and 28

Interventionparticipants (Number)
IncreasedUnchangedDecreasedNot evaluable (if >20 ng/ml only stated as such)
Humira Then Humira Plus 3 B Vitamins3002

Number of Participants With Category Change in Serum VEGF (Vascular Endothelial Growth Factorl)

Adult particpants ages 18 or older with moderate to severe plaque psoriasis were to have serum VEGF measured at week 0 on no systemic psoriasis medication then at both weeks 16 on adalimumab and at week 28 on adalimumab plus folic acid, B6 and Vitamin B12. Subjects raniked by BMI week 0 low to high (NCT01704599)
Timeframe: At Screening visit, Week 16 on Humira, after another 12 weeks on Humira plus vitamins and if early termination

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Then Humira Plus 3 B Vitamins401

Number of Participants With Category Change in Vitamin B12 Blood Level

Adult participants 18 years or older with moderate to severe plaque psoriasis were to have serum B12 levels measures Weeks 0 (on no systemic psoriasis medication), 16 (on adalimumab) and week 28 (on adalimumab plus daily 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg B12. (NCT01704599)
Timeframe: At Week 16 and Week 28

Interventionparticipants (Number)
IncreasedUnchangedWorsened
Humira Then Humira Plus 3 B Vitamins500

Number of Participants Within Categories of Body Temperature Change

Using a thermometer for body temperature on degrees Fahrenheit. Participants to be measured were adults 18 years or older with moderate to severe plaque psoriasis with temperature to be measured at week 16 16 weeks of adalimumab and week 28 after 16 weeks of adalimumab then 12 weeks of adalimumab plus 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg of B12. (NCT01704599)
Timeframe: Weeks 16 and 28

Interventionparticipants (Number)
increasedunchangeddecreased
Humira Then Humira Plus 3 B Vitamins221

Number of Participants Within the Categories of Elevated and Normal Helicobacter Pylori Antibody

Adult participants age 18 years or older with moderate to severe plaque psoriasis with serum IgG antibodies against Helicobacter pylori bacteria using commercial ELISA assay during the 28 week study. (NCT01704599)
Timeframe: Week 28 after 16 weeks of Adalimumab then 12 of Adalimumab-Vitamins

Interventionparticipants (Number)
ElevatedNormal
Humira Then Humira Plus 3 B Vitamins26

Number of Participants Within the Categories of Increasign and Decreasing Body Weight

Weight is how heavy a participant is. Weight in pounds of each study adult participant age 18-65 years with moderate to severe plaque psoriasis measured at weeks 16 and compared to week 28 of study. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Then Humira Plus 3 B Vitamins205

Number of Participants Within the Categories of Increasing and Decreasing Blood Pressure and Pulse Measures:

Blood pressure is the force the heart exerts against the walls of arteries as it pumps the blood out to the body. The unit of measurement is millimeters of mercury (mm Hg). Pulse is the number of times your heart beats per minute. The unit of measurement is beats per minute (BPM). These test measurements compared in adults with moderate to severe plaque psoriasis week 16 after 16 weeks adalimumab and week 28 after 16 weeks adalimumab plus 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg vitamin B12. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
Systolic BP increasedSystolic BP unchangedSystolic BP decreasedDiastolic BP increasedDiastolic BP unchangedDiastolic BP decreasedPulse increasedPulse unchangedPulse decreased
Humira Then Humira Plus 3 B Vitamins403502502

Number of Participants Within the Categories of Increasing and Decreasing Serum Homocysteine

Serum homocysteine measured at week 16 after 16 weeks of adalimumab and week 28 after 16 weeks of adalimumaband then 12 weeks of adalimumab plus 5 mg folic acid, 100mg B6 and 1000 mcg of B12 in adults ages 18-65 with moderate to sever plaque psoriasis.. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Plus 3 B Vitamins103

Number of Participants Within the Categories of Increasing and Decreasing Serum Magnesium

Serum magnesium (Mg) was to be measured at baseline, Week 16 (on adalimumab) and at week 28 (on adalimumab plus folic acid, vitamins B6 and B12) in adult participants age 18 or older with moderate to severe plaque psoriasis. (NCT01704599)
Timeframe: Weeks 16 and 28

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Then Humira Plus 3 B Vitamins122

Number of Participants Within the Categories of Increasing and Decreasing Serum Phosphorus

Serum phosphorus (P) levels were to be measured weeks16 and 28 in adult participants age 18 and older with moderate to severe plaque psoriasis at week 0 on no systemic psoriasis medication; week 16 after 16 weeks of adalimumab and at week 28 after 16 weeks of adalimumab plus 12 weeks of adalimumab plus 5 mg folic acid, 100 mg vitamin B6 and 1000 mcg of B12. (NCT01704599)
Timeframe: Week 16 then Week 28

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Then Humira Plus 3 B Vitamins302

Number of Participants Within the Categories of Increasing and Decreasing Serum Vitamin B6 Level

Serum vitamin B6 levels were to be measured weeks16 after 16 weeks adalimumab and at week 28 after 16 weeks adalimumab and 12 weeks on adalimuamb, folic acid 5 mg, b6 100 mg and B12 1000 mcg in adult participants with moderate to sever plque psoriasis. (NCT01704599)
Timeframe: At Week 16 and Week 28

Interventionparticipants (Number)
IncreasedUnchangedDecreased
Humira Then Humira Plus 3 B Vitamins400

Number of Participants Within the Categories of Positive Urine Pregnancy Test (Urine Hcg)

Women of childbearing years over age 18 with moderate to severe plaque psoriasis on no systemic therapy at week 0 of study. (NCT01704599)
Timeframe: At screening

Interventionparticipant (Number)
NegativePositive
Humira Then Humira Plus 3 B Vitamins10

Number of Particpants With a Categorical PASI (Psoriasis Area and Severity Index) Change

PASI: formula based on body surface areas on head/neck, trunk, both arms & legs with disease quality grading induration, scale and erythema on participants ages 18-65 with moderate to severe plaque psoriasis measured at weeks 16 and 28. (NCT01704599)
Timeframe: Weeks 16 and 28

Interventionparticipants (Number)
ImprovedUnchangedWorsened
Humira Then Humira Plus 3 B Vitamins412

PASI Change in Participants With Baseline VEGF Above 140 pg/ml and in Participants With Normal Baseline VEGF

Baseline VEGF level at week zero related to PASI change Week 16 on adalimumab compared to Week 28 after additonal 12 weeks of adalimumab plus folic acid, vitamin B6 and B12 in adult psoriasis patients ages 18-65 with moderate to severe plaque psoriasis.High levels were greater than or equal to 140 pg/ml. Normal VEGF was below this level. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
PASI improved with high VEGFPASI Worsened with high VEGFPASI Unchanged with normal VEGFPASI Improved with normal VEGFPASI Worsened with normal VEGF
Humira Then Humira Plus 3 B Vitamins12130

PASI Change Related to Baseline Body Mass Index Above, Below and Equal to 27.3

Change in PASI from Week 16 on adalimumab to Week 28 on adalimumab, folic acid, vitamin B6 and B12 in adults ages 18-65 with moderate to severe plaque psoriasis. (NCT01704599)
Timeframe: Week 16 and Week 28

Interventionparticipants (Number)
BMI >27.3 who improvedBMI >27.3 who worsenedBMI of 27.3 who were unchangedBMI<27.3 who improvedBMI<27.3 who worsened
Humira Then Humira Plus 3 B Vitamins40002

Psoriasis Change in Participants With High H. Pylori Titers and With Normal Titers.

Change in PASI from Week 16 after 16 weeks of adalimumab to Week 28 after another 12 weeks of adalimumab plus folic acid, vitamins B6 and B12 and Change reported by telephone 70 days after week 28 (NCT01704599)
Timeframe: Week 16 to Week 28 and Week 28 to post study day 70

Interventionparticipants (Number)
high titer worsenedhigh titer improved then worsened day 70normal titer improvednormal titer unchanged then improved day 70normal titer worsened
Humira Then Humira Plus 3 B Vitamins11311

Trials

3 trials available for pyridoxine and Apoplexy

ArticleYear
Plasma Abeta, homocysteine, and cognition: the Vitamin Intervention for Stroke Prevention (VISP) trial.
    Neurology, 2009, Jan-20, Volume: 72, Issue:3

    Topics: Aged; Amyloid beta-Peptides; Cognition; Dose-Response Relationship, Drug; Double-Blind Method; Down-

2009
Homocysteine-lowering treatment with folic acid, cobalamin, and pyridoxine does not reduce blood markers of inflammation, endothelial dysfunction, or hypercoagulability in patients with previous transient ischemic attack or stroke: a randomized substudy o
    Stroke, 2005, Volume: 36, Issue:1

    Topics: Biomarkers; Blood Coagulation; Cardiovascular Diseases; Endothelium, Vascular; Folic Acid; Homocyste

2005
Sustained homocysteine-lowering effect over time of folic acid-based multivitamin therapy in stroke patients despite increasing folate status in the population.
    Cerebrovascular diseases (Basel, Switzerland), 2005, Volume: 19, Issue:2

    Topics: Aged; Dietary Supplements; Female; Folic Acid; Follow-Up Studies; Hematinics; Homocysteine; Humans;

2005

Other Studies

7 other studies available for pyridoxine and Apoplexy

ArticleYear
Stroke in a young man.
    BMJ (Clinical research ed.), 2013, Jul-15, Volume: 347

    Topics: Adult; Betaine; Cystathionine beta-Synthase; Diet, Protein-Restricted; Homocysteine; Homocystinuria;

2013
Effectiveness of B vitamins on the control of hypertension and stroke events of SHRSP rats.
    Journal of dietary supplements, 2010, Volume: 7, Issue:1

    Topics: Analysis of Variance; Animals; Antihypertensive Agents; Antioxidants; Ataxia; Blood Pressure; Dietar

2010
[Hyperhomocysteinemia, coagulation disorders, inflammations: new risk factors for stroke].
    MMW Fortschritte der Medizin, 2002, Nov-28, Volume: 144, Issue:48

    Topics: Adult; Blood Coagulation Disorders; C-Reactive Protein; Female; Folic Acid; Humans; Hyperhomocystein

2002
Extracellular magnesium regulates effects of vitamin B6, B12 and folate on homocysteinemia-induced depletion of intracellular free magnesium ions in canine cerebral vascular smooth muscle cells: possible relationship to [Ca2+]i, atherogenesis and stroke.
    Neuroscience letters, 1999, Oct-22, Volume: 274, Issue:2

    Topics: Animals; Arteriosclerosis; Basilar Artery; Calcium; Cells, Cultured; Cerebral Arteries; Dogs; Folic

1999
Normohomocysteinaemia and vitamin-treated hyperhomocysteinaemia are associated with similar risks of cardiovascular events in patients with premature atherothrombotic cerebrovascular disease. A prospective cohort study.
    The Netherlands journal of medicine, 2000, Volume: 56, Issue:4

    Topics: Adult; Arteriosclerosis; Female; Folic Acid; Follow-Up Studies; Hematinics; Humans; Hyperhomocystein

2000
Children with stroke: polymorphism of the MTHFR gene, mild hyperhomocysteinemia, and vitamin status.
    Journal of child neurology, 2000, Volume: 15, Issue:5

    Topics: Adolescent; Case-Control Studies; Child; Child, Preschool; Cytosine; Female; Folic Acid; Genetic Pre

2000
Red wine, spirits, beer and serum homocysteine.
    Lancet (London, England), 2000, Aug-05, Volume: 356, Issue:9228

    Topics: Alcohol Drinking; Alcoholic Beverages; Alcoholism; Beer; Cardiovascular Diseases; Homocysteine; Huma

2000