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NCT00078897

Selenium for Prevention of Adenomatous Colorectal Polyps

Terminated Phase 3 Results posted Last updated 24 September 2019
What this trial tests

Phase 3 trial testing Selenium in Colorectal Cancer in 1,621 participants. Terminated before completion.

Timeline
20 January 2005
Primary endpoint
7 January 2014
17 May 2018

Quick facts

Lead sponsorUniversity of Arizona
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment1,621
Start date20 January 2005
Primary completion7 January 2014
Estimated completion17 May 2018
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Arizona

Who can join

Adults 40 to 80, any sex, with Colorectal Cancer or Adenomatous Colorectal Polyps. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Recurrent Adenomas at Surveillance Colonoscopy Primary · 3 to 5 years after baseline colonoscopy

Detection of metachronous colorectal adenomas during follow-up, by treatment, in the original cohort. Surveillance colonoscopy is recommended 3 to 5 years after removal of colorectal adenoma(s). Participants will remain on the study intervention until their surveillance colonoscopy. Surveillance colonoscopy is determined by participants' GI physician.

GroupValue95% CI
Selenium302
Placebo295
Median Selenium Blood Levels at One Year. Primary · One year

Adequate adherence to long-term selenium treatment as measured by blood selenium levels (ng/mL) at one year.

GroupValue95% CI
Selenium205.4100.7 – 367.6
Placebo140.084.9 – 270.2

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Selenium
Serious: 228/685 (33%)
Deaths: 11/685
Placebo
Serious: 226/689 (33%)
Deaths: 10/689

Serious adverse events (41 terms)

ReactionSystemSeleniumPlacebo
CancerNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Misc. cardiac disordersCardiac disorders
Arthritis/Degenerative joint diseaseMusculoskeletal and connective tissue disorders
Misc. renal and urinary disordersRenal and urinary disorders
Atrial fibrillation/arrhythmiaCardiac disorders
Misc. GI disordersGastrointestinal disorders
AnginaCardiac disorders
Chest painCardiac disorders
FractureMusculoskeletal and connective tissue disorders
Misc. vascular disordersVascular disorders
Stroke/Transient ischemic attackNervous system disorders
ArthritisMusculoskeletal and connective tissue disorders
InfectionInfections and infestations
Bowel obstructionGastrointestinal disorders
Misc. nervous system disordersNervous system disorders
Misc. musculoskeletal disordersMusculoskeletal and connective tissue disorders
GI BleedGastrointestinal disorders
Misc. respiratory disordersRespiratory, thoracic and mediastinal disorders
Myocardial InfarctionCardiac disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Myocardial infarctionCardiac disorders
Misc. reproductive and breast disordersReproductive system and breast disorders
Misc. neoplasmsNeoplasms benign, malignant and unspecified (incl cysts and polyps)
COPDRespiratory, thoracic and mediastinal disorders
CellulitisInfections and infestations

Most-reported serious reactions: Cancer, Misc. cardiac disorders, Arthritis/Degenerative joint disease, Misc. renal and urinary disorders, Atrial fibrillation/arrhythmia, Misc. GI disorders, Angina, Chest pain.

Data from ClinicalTrials.gov NCT00078897 adverse events section.

Sponsor's own description

RATIONALE: Chemoprevention therapy is the use of certain drugs to try to prevent the development or recurrence of cancer. Selenium may be effective in preventing the recurrence of adenomatous colorectal polyps. PURPOSE: This randomized phase III trial is studying selenium to see how well it works in preventing the recurrence of polyps in patients with adenomatous colorectal polyps.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cardiovascular risk of celecoxib in 6 randomized placebo-controlled trials: the cross trial safety analysis.
    Solomon SD, Wittes J, Finn PV, Fowler R, et al · · 2008 · cited 248× · PMID 18378608 · DOI 10.1161/circulationaha.108.764530
  2. Targeting Akt3 signaling in malignant melanoma using isoselenocyanates.
    Sharma A, Sharma AK, Madhunapantula SV, Desai D, et al · · 2009 · cited 72× · PMID 19208796 · DOI 10.1158/1078-0432.ccr-08-2214
  3. Selenium Supplementation for Prevention of Colorectal Adenomas and Risk of Associated Type 2 Diabetes.
    Thompson PA, Ashbeck EL, Roe DJ, Fales L, et al · · 2016 · cited 69× · PMID 27530657 · DOI 10.1093/jnci/djw152
  4. Celecoxib for the Prevention of Colorectal Adenomas: Results of a Suspended Randomized Controlled Trial.
    Thompson PA, Ashbeck EL, Roe DJ, Fales L, et al · · 2016 · cited 42× · PMID 27530656 · DOI 10.1093/jnci/djw151
  5. Selenium supplementation and insulin resistance in a randomized, clinical trial.
    Jacobs ET, Lance P, Mandarino LJ, Ellis NA, et al · · 2019 · cited 28× · PMID 30899530 · DOI 10.1136/bmjdrc-2018-000613
  6. Design and baseline characteristics of participants in a phase III randomized trial of celecoxib and selenium for colorectal adenoma prevention.
    Thompson P, Roe DJ, Fales L, Buckmeier J, et al · · 2012 · cited 15× · PMID 23060037 · DOI 10.1158/1940-6207.capr-12-0204
  7. A Protective Role for Arachidonic Acid Metabolites against Advanced Colorectal Adenoma in a Phase III Trial of Selenium.
    Martinez JA, Skiba MB, Chow HS, Chew WM, et al · · 2021 · cited 14× · PMID 34836131 · DOI 10.3390/nu13113877
  8. Celecoxib use and circulating oxylipins in a colon polyp prevention trial.
    Martinez JA, Yang J, Wertheim BC, Roe DJ, et al · · 2018 · cited 7× · PMID 29698447 · DOI 10.1371/journal.pone.0196398

Verify or expand the search:

Other trials of Selenium

Trials testing the same drug.

Other recruiting trials for Colorectal Cancer

Currently open trials in the same condition.

Other University of Arizona trials

Trials by the same sponsor.

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