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
About this trial
This is an interventional prevention trial for Colorectal Cancer focused on measuring colon cancer, rectal cancer, adenomatous polyp
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
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
NCT ID
NCT00706121
First Posted
June 26, 2008
Last Updated
December 6, 2019
Sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI)
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
Learn more about this trial
S0000D: Effect of Vitamin E and/or Selenium on Colorectal Polyps in Men Enrolled on SELECT Trial SWOG-S0000
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