S0000B: Vitamin E and/or Selenium in Preventing Cataract and Age-Related Macular Degeneration in Men on SELECT SWOG-S0000 (SEE)
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Purpose
RATIONALE: Aging may affect a person's vision. Vitamin E and/or selenium may help prevent cataracts or age-related macular degeneration in men receiving these drugs as part of a clinical trial for the prevention of prostate cancer.
PURPOSE: This clinical trial is studying vitamin E and/or selenium to see how well they work in preventing cataract and age-related macular degeneration in men enrolled on SELECT (SWOG-S0000).
| Condition | Intervention | Phase |
|---|---|---|
|
Cataract Macular Degeneration |
Drug: selenium Drug: vitamin E Drug: vitamin E placebo Drug: selenium placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Factorial Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | S0000B: Prevention of Cataract and Age-Related Macular Degeneration With Vitamin E and Selenium - SELECT Eye Endpoints (SEE) |
- Visually significant age-related macular degeneration (AMD) [ Time Frame: Every 6 months ] [ Designated as safety issue: No ]
- Cataract with best corrected visual-acuity of 20/30 [ Time Frame: Every 6 months ] [ Designated as safety issue: No ]
- Advanced AMD [ Time Frame: Every 6 months ] [ Designated as safety issue: No ]
- Cataract extraction [ Time Frame: Every 6 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 2970 |
| Study Start Date: | July 2004 |
| Estimated Study Completion Date: | June 2014 |
| Estimated Primary Completion Date: | July 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Vitamin E + selenium placebo
vitamin E and selenium placebo daily for 7-12 years
|
Drug: vitamin E
400 IU daily by mouth for 7-12 years
Other Name: alpha tocopherol
Drug: selenium placebo
daily for 7-12 years
Other Name: placebo
|
|
Experimental: Selenium + vitamin E placebo
selenium and vitamin E placebo daily for 7-12 years
|
Drug: selenium
200 mcg daily for 7-12 years
Other Name: L-selenomethionine
Drug: vitamin E placebo
daily for 7-12 years
Other Name: placebo
Drug: selenium placebo
daily for 7-12 years
Other Name: placebo
|
|
Experimental: Vitamin E + selenium
vitamin E and selenium placebo daily for 7-12 years
|
Drug: selenium
200 mcg daily for 7-12 years
Other Name: L-selenomethionine
Drug: vitamin E
400 IU daily by mouth for 7-12 years
Other Name: alpha tocopherol
|
|
Placebo Comparator: Vitamin E placebo + selenium placebo
vitamin E placebo and selenium placebo daily for 7-12 years
|
Drug: vitamin E placebo
daily for 7-12 years
Other Name: placebo
Drug: selenium placebo
daily for 7-12 years
Other Name: placebo
|
Detailed Description:
OBJECTIVES:
Primary
- To test whether vitamin E and/or selenium reduces the risk of visually significant age-related macular degeneration (AMD) in men enrolled on SELECT (SWOG-S0000).
- To test whether vitamin E and/or selenium reduces the risk of cataract in these participants.
Secondary
- To test whether vitamin E and/or selenium reduces the risk of advanced AMD in these participants.
- To test whether vitamin E and/or selenium reduces the risk of cataract surgery and subtypes in these participants.
OUTLINE: This is a multicenter study.
Data from medical records obtained from the participant's ophthalmologist or optometrist are reviewed. Information from these records is then used to confirm baseline reports of age-related macular degeneration (AMD) as well as 6-month and annual reports of new diagnoses of AMD and cataract (or cataract surgery) made since the start of this study. Detailed questionnaires are also obtained from the participant's ophthalmologist or optometrist to provide information about the reported AMD or cataract diagnosis (e.g., date of initial diagnosis; best-corrected visual acuity at the time of diagnosis; date when visual acuity was first noted to be 20/30 or worse [if different from the date of initial diagnosis]; pathological findings observed when AMD was first diagnosed [e.g., drusen, retinal pigment epithelial hypo/hyperpigmentation, geographic atrophy, retinal pigment epithelial detachment, subretinal neovascular membrane, or disciform scar]; pathological findings observed when visual acuity was first noted to be 20/30 or worse; date when exudative [wet] AMD was first noted; presence of other ocular abnormalities that could explain or contribute to visual loss; whether AMD or cataract, by itself, are significant enough to cause vision to be reduced to 20/30 or worse; whether laser treatment or photodynamic therapy was performed for AMD; date of cataract extraction; etiology of cataract [e.g., age-related, traumatic, congenital, inflammatory, or surgery- or steroid-induced]; and cataract type [e.g., nuclear, cortical, posterior subcapsular, or other]).
Eligibility| Ages Eligible for Study: | 50 Years and older |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
DISEASE CHARACTERISTICS:
- Enrolled on the Selenium and Vitamin E Prostate Cancer Prevention Trial (SELECT) SWOG-S0000
Diagnosis of 1 of the following:
- Age-related macular degeneration (AMD) at baseline or at follow-up
Cataract or a cataract extraction at follow-up (Closed for accrual as of 10/01/29)
- Participants with a prior diagnosis of cataract at baseline followed by another cataract event (cataract diagnosis or a cataract extraction) at follow-up are not eligible
- Participants with a prior diagnosis of cataract at baseline followed by a diagnosis of AMD at follow-up are eligible
PATIENT CHARACTERISTICS:
- See Disease Characteristics
PRIOR CONCURRENT THERAPY:
- Not applicable
Contacts and Locations| Contact: Dana Sparks, MAT | 210-614-8808 ext 1004 |
| United States, Massachusetts | |
| Harvard Medical School | Recruiting |
| Boston, Massachusetts, United States, 02215 | |
| Contact: William Christen wchristen@rics.bwh.harvard.edu | |
| Principal Investigator: William Christen, ScD | |
| Study Chair: | William Christen, ScD | Dana-Farber/Brigham and Women's Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | Southwest Oncology Group |
| ClinicalTrials.gov Identifier: | NCT00784225 History of Changes |
| Other Study ID Numbers: | CDR0000617778, S0000B, U10CA037429, R01EY014418 |
| Study First Received: | October 31, 2008 |
| Last Updated: | June 12, 2013 |
| Health Authority: | United States: Federal Government United States: Food and Drug Administration |
Keywords provided by Southwest Oncology Group:
|
cataract advanced macular degeneration |
Additional relevant MeSH terms:
|
Selenium Macular Degeneration Cataract Retinal Degeneration Retinal Diseases Eye Diseases Lens Diseases Vitamin E Alpha-Tocopherol Tocopherols |
Tocotrienols Vitamins Trace Elements Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions Antioxidants Molecular Mechanisms of Pharmacological Action Protective Agents |
ClinicalTrials.gov processed this record on June 18, 2013