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Physicians' Health Study II

Ainult registreeritud kasutajad saavad artikleid tõlkida
Logi sisse
Link salvestatakse lõikelauale
StaatusValmis
Sponsorid
Brigham and Women's Hospital
Kaastöötajad
National Cancer Institute (NCI)

Märksõnad

Abstraktne

The use of vitamin E, vitamin C, beta carotene, and/or multivitamins may keep cancer, cardiovascular disease, eye diseases, or cognitive decline from occurring. This randomized clinical trial studied vitamin E, vitamin C, beta carotene, and/or multivitamins to see how well they work compared with placebos in preventing cancer, cardiovascular disease, eye disease, and cognitive decline in male doctors aged 50 years and older.

Kirjeldus

OBJECTIVES:

Primary

- To determine whether vitamin E every other day reduces the risk of developing prostate cancer in older healthy male physicians.

- To determine whether daily vitamin C and/or a multivitamin reduces the risk of total cancer in these participants.

- To determine whether vitamin E every other day, vitamin C daily, or a multivitamin daily reduces the risk of major cardiovascular events in these participants.

Secondary

- To determine whether vitamin E and/or multivitamins reduce the risk of developing total cancer, colon cancer, and colon polyps in these participants.

- To determine whether vitamin E, vitamin C, or multivitamins reduce the risk of myocardial infarction and stroke in these participants.

- To determine whether vitamin E, vitamin C, or multivitamins reduce the risk of age-related macular degeneration or cataract in these participants.

- To determine whether vitamin E, vitamin C, or multivitamins reduce the risk of early cognitive decline in participants aged 65 and over.

The Physicians' Health Study II was a randomized, double-blind, placebo-controlled, factorial trial that began in 1997 and ended in 2011. It was designed to test four supplements -- (1) alternate-day vitamin E (400 international units of synthetic alpha-tocopherol) or its placebo; (2) daily vitamin C (500 mg synthetic ascorbic acid) or its placebo; (3) a daily multivitamin (Centrum Silver) or its placebo; and (4) alternate-day beta carotene (50 mg Lurotin) or its placebo -- in the prevention of cancer, cardiovascular disease, eye disease, and early cognitive decline among 14,641 male physicians aged 50 years or older. Participants were randomly assigned in a 2x2x2x2 factorial trial to receive combinations of the four active supplements or their placebos. Pills and/or packaging were provided by BASF Corporation, Pfizer (formerly Wyeth, American Home Products, and Lederle), and DSM Nutritional Products (formerly Roche Vitamins).

The beta-carotene component was discontinued on March 8, 2003; the vitamin E and vitamin C components ended as scheduled on August 31, 2007; and the multivitamin component ended on June 1, 2011.

Kuupäevad

Viimati kinnitatud: 01/31/2018
Esmalt esitatud: 12/26/2005
Hinnanguline registreerumine on esitatud: 12/26/2005
Esmalt postitatud: 12/27/2005
Viimane värskendus on esitatud: 02/25/2018
Viimati värskendus postitatud: 02/27/2018
Õppe tegelik alguskuupäev: 06/30/1997
Eeldatav esmane lõpetamise kuupäev: 05/31/2011
Eeldatav uuringu lõpetamise kuupäev: 05/31/2011

Seisund või haigus

Cancer
Prostate Cancer
Colorectal Cancer
Cardiovascular Disease
Eye Disease
Cognitive Decline

Sekkumine / ravi

Dietary Supplement: Vitamin E

Dietary Supplement: Vitamin C

Dietary Supplement: Multivitamin

Dietary Supplement: Beta-carotene

Faas

-

Käerühmad

ArmSekkumine / ravi
Experimental: Vitamin E
Active or placebo vitamin E
Dietary Supplement: Vitamin E
400 IU synthetic alpha-tocopherol or its placebo on alternate days (provided by BASF)
Experimental: Vitamin C
Active or placebo vitamin C
Dietary Supplement: Vitamin C
500 mg synthetic ascorbic acid or its placebo daily (provided by BASF)
Experimental: Multivitamin
Active or placebo multivitamin
Dietary Supplement: Multivitamin
Centrum Silver or its placebo daily (provided by Pfizer (formerly Wyeth, American Home Products, and Lederle))
Experimental: Beta-carotene
Active or placebo beta-carotene
Dietary Supplement: Beta-carotene
50 mg Lurotin or placebo on alternate days (provided by BASF)

Abikõlblikkuse kriteeriumid

Õppimiseks sobivad vanused 50 Years To 50 Years
Uuringuks kõlblikud soodMale
Võtab vastu tervislikke vabatahtlikkeJah
Kriteeriumid

INCLUSION CRITERIA

1. DISEASE CHARACTERISTICS:

- Healthy male physicians practicing in the United States

- Prior participation in the Physicians' Health Study I allowed

2. PATIENT CHARACTERISTICS:

- Aged 50 years and over

- No history of serious illness that would preclude study participation

- No history of significant adverse events (e.g., rash or allergic reaction) attributed to study agents

3. PRIOR CONCURRENT THERAPY:

- No other concurrent vitamin and/or multivitamin supplementation

- No concurrent vitamin K-depleting anticoagulants (e.g., warfarin)

Tulemus

Esmased tulemusnäitajad

1. Prostate cancer [Ongoing]

2. Total cancer [Ongoing]

3. Major cardiovascular events [Ongoing]

Sekundaarsed tulemusmõõdud

1. Cataract [Ongoing]

2. Age-related macular degeneration [Ongoing]

3. Early cognitive decline [Ongoing]

4. Myocardial infarction [Ongoing]

5. Stroke [Ongoing]

6. Colorectal cancer [Ongoing]

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