Selenium and Vitamin E in Preventing Cancer Progression and Recurrence in Patients With Early-Stage Bladder Cancer
Recruitment status was Recruiting
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Purpose
RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming. The use of selenium and vitamin E may stop cancer from growing or coming back.
PURPOSE: This randomized phase III trial is studying giving selenium together with vitamin E to see how well it works compared with a placebo in preventing cancer progression and recurrence in patients with early-stage bladder cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Bladder Cancer |
Drug: selenium Drug: vitamin E Procedure: chemoprevention |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Masking: Double-Blind Primary Purpose: Prevention |
| Official Title: | Bladder Cancer Prognosis Programme (Incorporating SELENIB Trial) [TREATMENT] |
- Recurrence-free interval
- Overall survival time
- Incidence of transitional cell carcinoma outside the bladder
- Incidence of all other malignancies clinically diagnosed
- Incidence of cardiovascular events
- Quality of life as assessed at each follow-up visit by the quality of life instruments EORTC QLQ-C30, QLQ-BLS24 and QLQ-BLM30
- Progression-free interval [ Designated as safety issue: No ]
| Estimated Enrollment: | 515 |
| Study Start Date: | December 2005 |
OBJECTIVES:
- To investigate whether selenium and/or vitamin E (α-tocopherol) supplementation reduces the risk of recurrence and progression.
OUTLINE: This is a multicenter study. Patients are stratified by recurrence risk group (high vs intermediate) and treatment center and randomized to 1 of 4 treatment arms.
- Arm I: Patients receive oral selenium tablet and oral vitamin E capsule once daily.
- Arm II: Patients receive oral selenium tablet and oral placebo capsule once daily.
- Arm III: Patients receive oral placebo tablet and oral vitamin E capsule once daily.
- Arm IV: Patients receive oral placebo tablet and oral placebo capsule once daily.
In all arms, treatment continues for up to 5 years in the absence of disease progression or unacceptable toxicity.
Quality of life is assessed every 6 months for 5 years.
Peer Reviewed and Funded or Endorsed by Cancer Research UK.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histopathologically confirmed non-muscle-invasive transitional cell carcinoma (< pT2)
- Newly diagnosed disease
- Able to be randomized within twelve months of diagnostic transurethral resection bladder tumor/biopsy
Must meet 1 of the following recurrence risk criteria:
Intermediate risk
- Multiple G1 pTa (> 1)
- Solitary G1 pTa (≥ 3 cm)
- G2 pTa
- G1 pT1
- G2 pT1 (1 or 2 tumors)
High risk
- G3 pTa
- G3 pT1
- Cis
- Multiple G2 pT1 (3 or more foci)
Low risk
- Solitary G1 pTa < 3 cm
PATIENT CHARACTERISTICS:
- Not pregnant or breast feeding
- No HIV infection
- No condition that, in the opinion of the local investigator, might interfere with the safety of the patient or evaluation of the trial objectives
PRIOR CONCURRENT THERAPY:
- No concurrent immunosuppressive therapy after organ transplantation
- No concurrent cyclosporine
- Those who currently use or have used selenium and/or vitamin E supplements will not be excluded, however, they must agree not to take supplements containing selenium and vitamin E above a pre-specified dosage
Contacts and Locations| United Kingdom | |
| University of Birmingham | Recruiting |
| Birmingham, England, United Kingdom, B15 2TT | |
| Contact: Maurice Zeegers 44 -121- 414- 6721 | |
| Study Chair: | Maurice Zeegers | University of Birmingham |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00553345 History of Changes |
| Other Study ID Numbers: | CDR0000574080, CRUK-BCPP-2005-01-TREATMENT, ISRCTN13889738, EU-20768 |
| Study First Received: | November 2, 2007 |
| Last Updated: | February 12, 2010 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
transitional cell carcinoma of the bladder stage 0 bladder cancer stage I bladder cancer |
Additional relevant MeSH terms:
|
Urinary Bladder Neoplasms Urologic Neoplasms Urogenital Neoplasms Neoplasms by Site Neoplasms Urinary Bladder Diseases Urologic Diseases Selenium 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 May 16, 2013