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S0000D: Effect of Vitamin E and/or Selenium on Colorectal Polyps in Men Enrolled on SELECT Trial SWOG-S0000 (ACP)

Primary Purpose

Colorectal Cancer, Precancerous Condition

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
Vitamin E
Selenium
Vitamin E placebo
selenium placebo
Sponsored by
SWOG Cancer Research Network
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Colorectal Cancer focused on measuring colon cancer, rectal cancer, adenomatous polyp

Eligibility Criteria

50 Years - 120 Years (Adult, Older Adult)MaleAccepts Healthy Volunteers

DISEASE CHARACTERISTICS:

  • Enrolled on the Selenium and Vitamin E Cancer Prevention Trial (SELECT) SWOG-S0000
  • Screened by lower endoscopy (i.e., sigmoidoscopy and/or colonoscopy) after randomization on SELECT trial

PATIENT CHARACTERISTICS:

  • Willing to sign an applicable medical records release form
  • Willing to allow the release of tissue for central pathology review of resected polyps and endoscopic biopsies

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics

Sites / Locations

  • Arizona Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Vitamin E + selenium placebo

Selenium + vitamin E placebo

Vitamin E + selenium

Vitamin E placebo + selenium placebo

Arm Description

Vitamin E and selenium placebo daily for 7 - 12 years

Selenium and vitamin E placebo daily for 7 - 12 years

Vitamin E and selenium daily for 7 - 12 years

Vitamin E placebo and selenium placebo daily for 7 - 12 years

Outcomes

Primary Outcome Measures

Effect of Selenium on Colorectal Adenoma (CRA) Occurrence, Analyzed by Active Selenium vs. Selenium Placebo
Effect of Selenium on Advanced Neoplasia, Analyzed by Active Selenium vs. Selenium Placebo
Adenomas with diameter >=1cm or any adenoma with villous features or high-grade dysplasia
Effect of Selenium and/or Vitamin E on Colorectal Cancer (CRC) Incidence
Effect of Selenium on Occurrences of Multiple (>2) Adenomas

Secondary Outcome Measures

Effect of Vitamin E on CRA Occurrence, Analyzed by Active Vitamin E vs. Vitamin E Placebo

Full Information

First Posted
June 26, 2008
Last Updated
December 6, 2019
Sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00706121
Brief Title
S0000D: Effect of Vitamin E and/or Selenium on Colorectal Polyps in Men Enrolled on SELECT Trial SWOG-S0000
Acronym
ACP
Official Title
S0000D: A Study of the Effect of Vitamin E and/or Selenium on Adenomatous Colorectal Polyps (ACP) in Participants Enrolled in SELECT
Study Type
Interventional

2. Study Status

Record Verification Date
December 2019
Overall Recruitment Status
Completed
Study Start Date
June 2008 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
January 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Studying tissue samples in the laboratory from participants receiving treatment on the Selenium and Vitamin E Cancer Prevention Trial (SELECT) SWOG-S0000 may help doctors predict a participant's response to treatment and help plan the best treatment. PURPOSE: This phase III trial is studying the effect of vitamin E and/or selenium on colorectal polyps in men enrolled on SELECT Trial SWOG-S0000.
Detailed Description
OBJECTIVES: Primary To assess the effect of selenium on colorectal adenoma (CRA) occurrence. To assess the effect of selenium on number, location, size, histologic type, and degree of dysplasia of CRA. To assess the effect of selenium on colorectal cancer (CRC) incidence. Secondary To assess the effect of vitamin E on CRA occurrence. To assess the effect of vitamin E on CRC incidence. Tertiary To explore the effect modification of selenium and vitamin E by aspirin on CRA occurrence. To explore the effect modification of selenium and vitamin E by body mass index. OUTLINE: This is a multicenter study. Endoscopically obtained tissue samples are reviewed by study pathologists to confirm the presence (or absence) of a colorectal adenoma (CRA). If a CRA is present, the number, location, size, histology, and degree of dysplasia are documented. The CRA is also reviewed to exclude a diagnosis of colorectal cancer. Additional data, including aspirin use, height and weight, date of birth, and other demographic and baseline characteristics, is also obtained. Participants' medical records are reviewed periodically. Participants are followed annually.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Colorectal Cancer, Precancerous Condition
Keywords
colon cancer, rectal cancer, adenomatous polyp

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
8094 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vitamin E + selenium placebo
Arm Type
Experimental
Arm Description
Vitamin E and selenium placebo daily for 7 - 12 years
Arm Title
Selenium + vitamin E placebo
Arm Type
Experimental
Arm Description
Selenium and vitamin E placebo daily for 7 - 12 years
Arm Title
Vitamin E + selenium
Arm Type
Experimental
Arm Description
Vitamin E and selenium daily for 7 - 12 years
Arm Title
Vitamin E placebo + selenium placebo
Arm Type
Placebo Comparator
Arm Description
Vitamin E placebo and selenium placebo daily for 7 - 12 years
Intervention Type
Drug
Intervention Name(s)
Vitamin E
Other Intervention Name(s)
alpha tocopherol
Intervention Description
400 IU daily by mouth for 7 - 12 years
Intervention Type
Drug
Intervention Name(s)
Selenium
Other Intervention Name(s)
L-selenomethionine
Intervention Description
200 mcg daily for 7 - 12 years
Intervention Type
Drug
Intervention Name(s)
Vitamin E placebo
Other Intervention Name(s)
placebo
Intervention Description
1 pill by mouth daily for 7 - 12 years
Intervention Type
Drug
Intervention Name(s)
selenium placebo
Other Intervention Name(s)
placebo
Intervention Description
1 pill by mouth daily for 7 - 12 years
Primary Outcome Measure Information:
Title
Effect of Selenium on Colorectal Adenoma (CRA) Occurrence, Analyzed by Active Selenium vs. Selenium Placebo
Time Frame
From 1 year post randomization through study completion
Title
Effect of Selenium on Advanced Neoplasia, Analyzed by Active Selenium vs. Selenium Placebo
Description
Adenomas with diameter >=1cm or any adenoma with villous features or high-grade dysplasia
Time Frame
From 1 year post randomization through study completion
Title
Effect of Selenium and/or Vitamin E on Colorectal Cancer (CRC) Incidence
Time Frame
From 1 year post randomization through study completion
Title
Effect of Selenium on Occurrences of Multiple (>2) Adenomas
Time Frame
From 1 year post randomization through study completion
Secondary Outcome Measure Information:
Title
Effect of Vitamin E on CRA Occurrence, Analyzed by Active Vitamin E vs. Vitamin E Placebo
Time Frame
From 1 year post randomization through study completion
Other Pre-specified Outcome Measures:
Title
Effect Modification of Selenium by Body Mass Index on CRA Occurrence, Analyzed by Active Selenium vs. Selenium Placebo
Time Frame
From 1 year post randomization through study completion
Title
Effect Modification of Selenium by Aspirin on CRA Occurrence, Analyzed by Active Selenium vs. Selenium Placebo
Time Frame
From 1 year post randomization through study completion
Title
Effect Modification of Vitamin E by Body Mass Index on CRA Occurence, Analyzed by Active Vitamin e vs. Vitamin e Placebo
Time Frame
From 1 year post randomization through study completion
Title
Effect Modification of Vitamin E by Aspirin on CRA Occurrence, Analyzed by Active Vitamin e vs. Vitamin e Placebo
Time Frame
From 1 year post randomization through study completion

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
120 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
DISEASE CHARACTERISTICS: Enrolled on the Selenium and Vitamin E Cancer Prevention Trial (SELECT) SWOG-S0000 Screened by lower endoscopy (i.e., sigmoidoscopy and/or colonoscopy) after randomization on SELECT trial PATIENT CHARACTERISTICS: Willing to sign an applicable medical records release form Willing to allow the release of tissue for central pathology review of resected polyps and endoscopic biopsies PRIOR CONCURRENT THERAPY: See Disease Characteristics
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
M. Peter Lance, MD
Organizational Affiliation
University of Arizona
Official's Role
Principal Investigator
Facility Information:
Facility Name
Arizona Cancer Center
City
Tucson
State/Province
Arizona
ZIP/Postal Code
86724
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
http://swog.org/Visitors/Download/Policies/Policy43.pdf
Citations:
PubMed Identifier
27519183
Citation
Goodman PJ, Tangen CM, Darke AK, Arnold KB, Hartline J, Yee M, Anderson K, Caban-Holt A, Christen WG, Cassano PA, Lance P, Klein EA, Crowley JJ, Minasian LM, Meyskens FL. Opportunities and challenges in incorporating ancillary studies into a cancer prevention randomized clinical trial. Trials. 2016 Aug 12;17:400. doi: 10.1186/s13063-016-1524-9.
Results Reference
derived

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S0000D: Effect of Vitamin E and/or Selenium on Colorectal Polyps in Men Enrolled on SELECT Trial SWOG-S0000

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