The VitaK-CAC study is a randomised, placebo-controlled Vitamin K-Coronary Artery Calcification (VitaK-CAC) study evaluating whether two years of daily supplementation with the vitamin K2 homologue menaquinone-7 (MK-7) could slow the progression of coronary artery calcification compared with placebo in patients with symptomatic coronary artery disease lesions. The results show that those taking a daily tablet of 360 micrograms of MK7 had significantly less progression of coronary artery calcification and lower calcium mass after two years compared with those in the placebo arm. The patients taking MK-7 also had fewer non-calcified coronary plaques become partly calcified compared with placebo.
The trial, known as the VitaK-CAC study, enrolled 180 men and women with pre-existing coronary artery disease and baseline Agatston coronary artery calcification scores between 50 and 400. Participants were randomized to 360 mcg per day of MK-7 or placebo for 24 months. The primary imaging endpoint was progression of coronary artery calcification as measured by the Agatston score, a widely used computed tomography-based metric of calcified plaque burden.
At 24 months, the MK-7 group showed approximately 29% less progression in Agatston score compared with placebo. A consistent trend was observed for calcium mass score, considered a more precise marker of the calcification process than calcium volume, where the MK-7 group demonstrated approximately 42% less progression versus placebo. Thus, as both the Agatston and the calcium mass score pointed in the same direction, we are confident that MK-7 can slow down coronary calcification.
The MK-7 group also showed improved extrahepatic vitamin K status, with lower levels of dephosphorylated uncarboxylated matrix Gla protein, a validated biomarker of vitamin K-dependent calcification inhibition, alongside increased circulating MK-7 levels.
Vossen LM, de Leeuw PW, Schurgers LJ, Heuts S, Adriaans BP, de Haan C, van Varik BJ, Kroon AA. Two Years of Menaquinone-7 Supplementation and Coronary Artery Calcification: A Randomized Clinical Trial. JAMA Cardiol. 2026 Jun 10:e261279. doi: 10.1001/jamacardio.2026.1279.