Selenium Supplementation of Patients With Cirrhosis
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Purpose
The purpose of this study is to determine whether patients with liver cirrhosis can improve their selenium nutritional status by taking supplemental selenium.
| Condition | Intervention |
|---|---|
|
Liver Disease |
Dietary Supplement: 200 µg selenium as selenate Dietary Supplement: 400 µg selenium as selenate Dietary Supplement: 200 µg selenium as selenomethionine Dietary Supplement: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Selenium Supplementation of Patients With Cirrhosis |
- Plasma selenoprotein P, Plasma GPX-3 activity, Total plasma selenium [ Time Frame: 8 week ] [ Designated as safety issue: No ]
| Enrollment: | 99 |
| Study Start Date: | February 2006 |
| Study Completion Date: | March 2012 |
| Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
200 µg selenium as selenate
|
Dietary Supplement: 200 µg selenium as selenate
200 µg selenium as selenate
|
|
Experimental: 2
400 µg selenium as selenate
|
Dietary Supplement: 400 µg selenium as selenate
400 µg selenium as selenate
|
|
Experimental: 3
200 µg selenium as selenomethionine
|
Dietary Supplement: 200 µg selenium as selenomethionine
200 µg selenium as selenomethionine
|
|
Placebo Comparator: 4
placebo
|
Dietary Supplement: Placebo
Placebo
|
Detailed Description:
Selenium is an essential nutrient. Selenium carries out its biological functions through selenoproteins. The liver converts dietary selenium to a form that can be used to make selenoproteins. Patients with cirrhosis have much lower selenium levels than healthy individuals. We hypothesize that patients with cirrhosis are unable to utilize dietary selenium for selenoprotein synthesis. These patients may benefit from another form of selenium: selenate.
We will compare the effects of two supplemental forms of selenium on plasma selenium levels in patients with cirrhosis. Patients will be randomized to receive either a placebo, 200 µg selenomethionine, 200 µg selenate or 400 µg selenate, daily, for 8 weeks. We will measure selenium levels in the blood at baseline, week 4 and week 8. We will determine which forms of selenium, if any, increased plasma selenium levels of the cirrhosis patients.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- liver disease
- aged 18 or above
Exclusion Criteria:
- substance abuse
- renal failure
Contacts and Locations| United States, Tennessee | |
| Vanderbilt University Medical Center | |
| Nashville, Tennessee, United States, 37232 | |
| Principal Investigator: | Raymond F Burk, M.D. | Vanderbilt University |
More Information
No publications provided
| Responsible Party: | RBurk, M.D., Vanderbilt University |
| ClinicalTrials.gov Identifier: | NCT00271245 History of Changes |
| Other Study ID Numbers: | DK58763-c, R01DK058763, DK58763 |
| Study First Received: | December 29, 2005 |
| Last Updated: | March 6, 2012 |
| Health Authority: | United States: Federal Government |
Keywords provided by Vanderbilt University:
|
cirrhosis liver disease selenium |
selenoproteins selenoprotein P biomarkers |
Additional relevant MeSH terms:
|
Liver Cirrhosis Fibrosis Liver Diseases Digestive System Diseases Pathologic Processes Selenium 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 May 19, 2013