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Coronary Artery DiseasePhase 3NCT00044213

Trial to Assess Chelation Therapy (TACT)

A Phase 3 study testing EDTA and High Dose Vitamin in people with Coronary Artery Disease, run by Mt. Sinai Medical Center, Miami at 86 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine the safety and effectiveness of ethylene diamine tetra-acetic (EDTA) chelation therapy in individuals with coronary artery disease. Read more about this study

Who is it for?
Ages 50 years and older
Conditions the study is for
Coronary Artery Disease
What is being tested?
EDTA and High Dose Vitamin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,708 participants
Where
86 sitesin 2 countries
Study dates
Sep 2003to Aug 2012
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Heart attack at least 6 weeks prior to study start

Who cannot join

  • Serum creatinie level greater than 2.0 mg/dL
  • Platelet count less than 100,000/µL
  • Blood pressure greater than 160/100
  • Chelation therapy within 5 years prior to study start
  • History of allergic reactions to EDTA or any of the therapy's components
  • Coronary or carotid revascularization procedures within 6 months prior to study start or a scheduled revascularization
Show all 12Show fewer
  • Cigarette smoking within 3 months prior to study start
  • Childbearing potential
  • History of liver disease
  • Active heart failure or heart failure hospitalization within 6 months.
  • Diagnoses of additional medical conditions that could otherwise limit patient survival
  • Inability to tolerate 500-mL infusions weekly.

Trial locations and contacts

86 sites in 2 countries.

86 sites in 2 countries

United States73 sites
  • Athens Surgery Clinic

    Athens, Tennessee, 37303

  • Emory University School of Medicine

    Atlanta, Georgia, 30303

  • Johns Hopkins Bayview Medical Center

    Baltimore, Maryland, 21224

  • St. Charles Health System

    Bend, Oregon, 97701

  • Celebration of Health Center

    Bluffton, Ohio, 45817

  • The Blend Institute

    Bradenton, Florida, 34221

  • Wellness Works

    Brandon, Florida, 33510

  • Deborah Heart and Lung Center

    Browns Mills, New Jersey, 08015

  • Marino Center for Progressive Health

    Cambridge, Massachusetts, 02140

  • Magaziner Center for Wellness

    Cherry Hill, New Jersey, 08003

  • Innovative Research of West Florida

    Clearwater, Florida, 33756

  • University Hospitals of Cleveland

    Cleveland, Ohio, 44106

  • University of Missouri Hospital and Clinics

    Columbia, Missouri, 65201

  • The Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Mt Holistic Health Center

    Danville, California, 94526

  • Aurora Denver Cardiology Associates

    Denver, Colorado, 80218

  • Henry Ford Health System Preventative Cardiology Clay Ford Center for Athletic Medicine

    Detroit, Michigan, 48202

  • Heart Care Center

    East Syracuse, New York, 13057

  • The Cardiovascular Group

    Fairfax, Virginia, 22031

  • The Preventive Medicine Center

    Flint, Michigan, 48503

  • Full Circle Medical Center

    Fort Oglethorpe, Georgia, 30742

  • Hyperbaric Medicine Inc.

    Fort Walton Beach, Florida, 32547

  • White-Wilson Medical Center

    Fort Walton Beach, Florida, 32547

  • Patrick A. Golden

    Fresno, California, 93720

  • Crossroads Healing Arts LLC

    Goshen, Indiana, 46528

  • Born Preventive Health Care Clinic

    Grand Rapids, Michigan, 49512

  • Wholistic Health Center

    Greensburg, Pennsylvania, 15601

  • Brian Dieterle, MD, PhD

    Hollister, Missouri, 65673

  • The Castle Clinic, PLLC

    Johnson City, Tennessee, 37601

  • Parchment Family Practice

    Kalamazoo, Michigan, 49004

  • Kansas University Medical Center

    Kansas City, Kansas, 66160

  • Scripps Center for Integrative Medicine

    La Jolla, California, 92037

  • Biogenesis Medical Center

    Landrum, South Carolina, 29356

  • Central Arkansas Veterans Healthcare System

    Little Rock, Arkansas, 72205

  • University of Arkansas for Medical Sciences

    Little Rock, Arkansas, 72205

  • Complementary Medical Services

    Mandeville, Louisiana, 70471

  • The Gables Natural Medicines Center & Day Spa Family Health Services

    Mayville, New York, 14757

  • Tru Med

    Melbourne, Florida, 32901

  • Baptist Cardiac & Vascular Institute

    Miami, Florida, 33176

  • Mount Sinai Medical Center

    Miami Beach, Florida, 33140

  • Berman Center for Outcomes and Clinical Research

    Minneapolis, Minnesota, 55404

  • Tri-Health Alternative Medical Center

    Mt. Dora, Florida, 32757

  • Phoenix Wellness Group

    Napa, California, 94558

  • NYU School of Medicine

    New York, New York, 10016

  • COR Research

    Oklahoma City, Oklahoma, 73103

  • Maine Integrative Wellness

    Portland, Maine, 04103

  • Center for Environmental Medicine

    Portland, Oregon, 97220

  • Freedom Center for Advanced Medicine

    Provo, Utah, 84604

  • Woodlands Healing Research Center

    Quakertown, Pennsylvania, 18951

  • Rhinebeck Health Center

    Rhinebeck, New York, 12572

  • Mayo Clinic and Foundation Cardiovascular Health Clinic

    Rochester, Minnesota, 55905

  • Park Professional Building

    Roselle Park, New Jersey, 07204

  • Heart and Vascular Center for Research, Inc.

    Sarasota, Florida, 34239

  • Integrative Medical Center at Schneck Medical Center

    Seymour, Indiana, 47274

  • Preventive Medicine

    St Louis, Missouri, 63146

  • Staten Island Heart

    Staten Island, New York, 10305

  • Stockton Family Practice

    Stockton, New Jersey, 08559

  • Schachter Center for Complementary Medicine

    Suffern, New York, 10901

  • Florida Cardiovascular Institute

    Tampa, Florida, 33609

  • Chelation Centers of Texas

    Texas City, Texas, 77591

  • Bronx-Lebanon Hospital Center

    The Bronx, New York, 10457

  • Life Family Practice Center for Complementary and Alternative Medicine

    The Villages, Florida, 32159

  • Comprehensive Heart Care, Inc.

    Toledo, Ohio, 43606

  • Upper Valley Family Care

    Troy, Ohio, 45373

  • Integrative Medical Associates, PLLC

    Tryon, North Carolina, 28782

  • Northwest Indiana Cardiovascular Physicians Inc.

    Valparaiso, Indiana, 46383

  • Hope Medical Holistic Clinic

    Vancouver, Washington, 98663

  • Virginia Beach General Hospital

    Virginia Beach, Virginia, 23454

  • Care Foundation Inc.

    Wausau, Wisconsin, 54401

  • The Center for the Improvement of Functioning International

    Wichita, Kansas, 67219

  • Waters Preventive Medical Center, LTD

    Wisconsin Dells, Wisconsin, 53965

  • Main Line Health Heart Center

    Wynnewood, Pennsylvania, 19096

  • Florida Medical Clinic, P.A. Clinical Research Division

    Zephyrhills, Florida, 33542

Other trials in United States

Canada13 sites
  • Chelation Center of Barrie, Inc.

    Barrie, Ontario, L4N9T6

  • Anti-Aging & Family Wellness Clinic

    Madoc, Ontario, K0K 2K0

  • Markham Integrative Medicine

    Markham, Ontario, L3P 1Y8

  • Cline Medical Centre

    Nanaimo, British Columbia, V9R 2M9

  • North Bay Complementary

    North Bay, Ontario, P1B 4B8

  • Seekers Centre for Integrative Medicine

    Ottawa, Ontario, K2E 1B3

  • The Wellness Centre

    Port Hawkesbury, Nova Scotia, V4P 1B5

  • Saskatoon Chelation Centre

    Saskatoon, Saskatchewan, S7M 5W1

  • Dr. C. Minielly

    Smith Falls, Ontario, K7A 1C3

  • Chelation Center of Don Valley Inc.

    Toronto, Ontario, M3C3F2

  • Jaconello Health Centre

    Toronto, Ontario, M4K 3T1

  • Chelation and Natural Therapy

    Toronto, Ontario, M4W 3T1

  • Chelox

    Toronto, Ontario, M6H 3M2

Other trials in Canada

About this study

The purpose of this study is to determine the safety and effectiveness of ethylene diamine tetra-acetic (EDTA) chelation therapy in individuals with coronary artery disease.

Read the detailed description

EDTA chelation therapy involves repeated administrations of a synthetic amino acid to reduce atherosclerotic plaque and other mineral deposits throughout the cardiovascular system.

Participants will be randomly assigned to receive 40 infusions of either the standard chelation solution or placebo. The primary endpoint of this trial will be a composite of all cause mortality, myocardial infarction, stroke, coronary revascularization, and hospitalization for angina.

The results of TACT will provide either a significant positive result or an informative null result upon which rational clinical decision-making and health policy can be based.

Being tested
EDTA, EDTA Placebo, High Dose Vitamin, High Dose Vitamin Placebo
Medical subject headings
Coronary Artery Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EDTADrug

    Participants will receive 40 infusions of standard chelation solution.

  • EDTA PlaceboDrug

    Participants will receive 40 infusions of EDTA placebo.

  • High Dose VitaminDietary supplement

  • High Dose Vitamin PlaceboDietary supplement

Study groups in NCT00044213
Study groupRoleWhat they receive
EDTA + high dose vitaminActive comparatorParticipants will receive 40 infusions of active EDTA chelation and active high-dose oral vitamins.
Receives: Drug: EDTA; Dietary Supplement: High Dose Vitamin
EDTA + high dose vitamin placeboPlacebo comparatorParticipants will receive 40 infusions of EDTA chelation and placebo high-dose oral vitamins.
Receives: Drug: EDTA; Dietary Supplement: High Dose Vitamin Placebo
EDTA placebo + high dose vitaminPlacebo comparatorParticipants will receive 40 infusions of placebo EDTA chelation and active high-dose oral vitamins.
Receives: Drug: EDTA Placebo; Dietary Supplement: High Dose Vitamin
EDTA placebo + high dose vitamin placeboPlacebo comparatorParticipants will receive 40 infusions of placebo EDTA chelation and placebo high-dose oral vitamins.
Receives: Drug: EDTA Placebo; Dietary Supplement: High Dose Vitamin Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. A Composite of Total Mortality, Recurrent Myocardial Infarction, Stroke, Coronary Revascularization, and Hospitalization for Angina.

    Number of patients with events (composite of death from any cause, MI, stroke, coronary revascularization or hospitalization for angina) Events were centrally adjudicated where available; otherwise site reported events were used.

    Measured: Measured over a maximum 5-year follow-up period- 55 month median

Secondary outcomes (1)
  1. A Composite of Cardiovascular Death, Non-fatal Myocardial Infarction and Non-fatal Stroke.

    Number of patients with events (composite of cardiovascular death, non-fatal MI, non-fatal stroke) Events were centrally adjudicated where available; otherwise site reported events were used.

    Measured: Measured over a maximum 5-year follow-up period- 55 month median

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2002 (estimated)
  2. Study startSep 2003
  3. Primary completionOct 2011
  4. Study completionAug 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
1,708 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00044213
Sponsor's protocol ID
654
Other IDs
U01HL092607, U01AT001156
Status last verified
Aug 2013
First submitted
22 Aug 2002
Last updated
5 Nov 2013
Data monitoring committee
Yes

Publications

  • Escolar E, Ujueta F, Kim H, Mark DB, Boineau R, Nahin RL, Goertz C, Lee KL, Anstrom KJ, Lamas GA. Possible differential benefits of edetate disodium in post-myocardial infarction patients with diabetes treated with different hypoglycemic strategies in the Trial to Assess Chelation Therapy (TACT). J Diabetes Complications. 2020 Aug;34(8):107616. doi: 10.1016/j.jdiacomp.2020.107616. Epub 2020 May 7.

    PubMed 32446881
  • Mark DB, Anstrom KJ, Clapp-Channing NE, Knight JD, Boineau R, Goertz C, Rozema TC, Liu DM, Nahin RL, Rosenberg Y, Drisko J, Lee KL, Lamas GA; TACT Investigators. Quality-of-life outcomes with a disodium EDTA chelation regimen for coronary disease: results from the trial to assess chelation therapy randomized trial. Circ Cardiovasc Qual Outcomes. 2014 Jul;7(4):508-16. doi: 10.1161/CIRCOUTCOMES.114.000977.

    PubMed 24987051
  • Lamas GA, Boineau R, Goertz C, Mark DB, Rosenberg Y, Stylianou M, Rozema T, Nahin RL, Lindblad L, Lewis EF, Drisko J, Lee KL; TACT (Trial to Assess Chelation Therapy) Investigators. Oral high-dose multivitamins and minerals after myocardial infarction: a randomized trial. Ann Intern Med. 2013 Dec 17;159(12):797-805. doi: 10.7326/0003-4819-159-12-201312170-00004.

    PubMed 24490264
  • Escolar E, Lamas GA, Mark DB, Boineau R, Goertz C, Rosenberg Y, Nahin RL, Ouyang P, Rozema T, Magaziner A, Nahas R, Lewis EF, Lindblad L, Lee KL. The effect of an EDTA-based chelation regimen on patients with diabetes mellitus and prior myocardial infarction in the Trial to Assess Chelation Therapy (TACT). Circ Cardiovasc Qual Outcomes. 2014 Jan;7(1):15-24. doi: 10.1161/CIRCOUTCOMES.113.000663. Epub 2013 Nov 19.

    PubMed 24254885
  • Lamas GA, Goertz C, Boineau R, Mark DB, Rozema T, Nahin RL, Lindblad L, Lewis EF, Drisko J, Lee KL; TACT Investigators. Effect of disodium EDTA chelation regimen on cardiovascular events in patients with previous myocardial infarction: the TACT randomized trial. JAMA. 2013 Mar 27;309(12):1241-50. doi: 10.1001/jama.2013.2107.

    PubMed 23532240
  • Lamas GA, Goertz C, Boineau R, Mark DB, Rozema T, Nahin RL, Drisko JA, Lee KL. Design of the Trial to Assess Chelation Therapy (TACT). Am Heart J. 2012 Jan;163(1):7-12. doi: 10.1016/j.ahj.2011.10.002.

    PubMed 22172430

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing EDTA and High Dose Vitamin in people with Coronary Artery Disease, run by Mt. Sinai Medical Center, Miami at 86 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 86 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 5 Nov 2013). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

A Composite of Total Mortality, Recurrent Myocardial Infarction, Stroke, Coronary Revascularization, and Hospitalization for Angina. (time frame: Measured over a maximum 5-year follow-up period- 55 month median). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00044213, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2013.

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