Evidence map›Paper›PMID 25232809›Full record

Trial reportJAMA ophthalmology2015

Age-related cataract in men in the selenium and vitamin e cancer prevention trial eye endpoints study: a randomized clinical trial.

William G Christen, Robert J Glynn, J Michael Gaziano, Amy K Darke, John J Crowley, Phyllis J Goodman, Scott M Lippman, Thomas E Lad, James D Bearden, Gary E Goodman and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in JAMA ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00784225 (S0000B), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00784225 phase3completednot on this map

S0000B: Prevention of Cataract and Age-Related Macular Degeneration With Vitamin E and Selenium - SELECT Eye Endpoints (SEE)

TypeinterventionalSponsorSWOG Cancer Research NetworkRan2004 to 2018Enrolled13,475ConditionsCataract, Macular DegenerationArmsselenium, vitamin E, vitamin E placebo, selenium placebo
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Levels of Trace Elements in the Lens, Aqueous Humour, and Plasma of Cataractous Patients-A Narrative Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Review
  8. Scientific opinion on the tolerable upper intake level for vitamin E.EFSA journal. European Food Safety Authority · 2024
    Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

William G ChristenDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Robert J GlynnDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
J Michael GazianoDivision of Preventive Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts2Division of Aging, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts3Vet.
Amy K DarkeSouthwest Oncology Group Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
John J CrowleySouthwest Oncology Group Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Phyllis J GoodmanSouthwest Oncology Group Statistical Center, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Scott M LippmanOffice of the Director, Moores Cancer Center, University of California at San Diego.
Thomas E LadJesse Brown VA Medical Center, Chicago, Illinois.
James D BeardenUpstate Carolina Community Clinical Oncology Program/Spartanburg Regional Medical Center, Spartanburg, South Carolina.
Gary E GoodmanMedical Oncology, Swedish Medical Center, Seattle, Washington.
Lori M MinasianDivision of Cancer Prevention, National Cancer Institute, Bethesda, Maryland.
Ian M ThompsonDepartment of Urology, Cancer Therapy and Research Center, University of Texas Health Science Center, San Antonio.
Charles D BlankeSouthwest Oncology Group Chair's Office, Knight Cancer Institute, Oregon Health and Sciences University, Portland.
Eric A KleinDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

Funding

SWOG Foreign AccrualsU10CA037429 · NCI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI BLANKE, CHARLES D., MEYSKENS, FRANK L. · 1985 to 2014
$205.2M
SWOG NCORP Research BaseUG1CA189974 · NCI · THE HOPE FOUNDATION · PI CHARLES D. BLANKE, DAWN HERSHMAN · 2014 to 2026
$80.6M
PCPT and SELECT cohorts: Core Infrastructure Support for Cancer Research UM1CA182883 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TANGEN, CATHERINE M., THOMPSON, IAN M. · 2013 to 2017
$5.2M
Eye Disease in a Trial of Selenium and Vitamin ER01EY014418 · NEI · BRIGHAM AND WOMEN'S HOSPITAL · PI CHRISTEN, WILLIAM G · 2003 to 2007
$1.9M
NCI NIH HHS CA37429NCI NIH HHS U10 CA037429NCI NIH HHS UG1 CA189974NCI NIH HHS UM1 CA182883NEI NIH HHS EY014418NEI NIH HHS R01 EY014418
6 · The paper itself

Abstract

importanceObservational studies suggest a role for dietary nutrients such as vitamin E and selenium in cataract prevention. However, the results of randomized clinical trials of vitamin E supplements and cataract have been disappointing and are not yet available for selenium.

objectiveTo test whether long-term supplementation with selenium and vitamin E affects the incidence of cataract in a large cohort of men. DESIGN, SETTING, AND

participantsThe Selenium and Vitamin E Cancer Prevention Trial (SELECT) Eye Endpoints Study was an ancillary study of the Southwest Oncology Group-coordinated SELECT, a randomized placebo-controlled 4-arm trial of selenium and vitamin E conducted among 35,533 men, 50 years and older for African American participants and 55 years and older for all other men, at 427 participating sites in the United States, Canada, and Puerto Rico. A total of 11,267 SELECT participants from 128 SELECT sites participated in the SELECT Eye Endpoints ancillary study.

interventionsIndividual supplements of selenium (200 μg per day from L-selenomethionine) and vitamin E (400 IU per day of all rac-α-tocopheryl acetate). MAIN OUTCOMES AND MEASURES: Incident cataract was defined as a lens opacity, age related in origin, and responsible for a reduction in best-corrected visual acuity to 20/30 or worse based on self-reports confirmed by medical record review. Cataract extraction was defined as the surgical removal of an incident cataract.

resultsDuring a mean (SD) of 5.6 (1.2) years of treatment and follow-up, 389 cases of cataract were documented. There were 185 cataracts in the selenium group and 204 in the no selenium group (hazard ratio, 0.91; 95 % CI, 0.75-1.11; P = .37). For vitamin E, there were 197 cases in the treated group and 192 in the placebo group (hazard ratio, 1.02; 95 % CI, 0.84-1.25; P = .81). Similar results were observed for cataract extraction. CONCLUSIONS AND RELEVANCE: These data from a large cohort of apparently healthy men indicate that long-term daily supplementation with selenium and/or vitamin E is unlikely to have a large beneficial effect on age-related cataract.

trial registrationClinicalTrials.gov Identifier: NCT00784225.

Indexed as

AgingAgedAntioxidantsCataractCataract ExtractionDouble-Blind MethodDrug CombinationsEndpoint DeterminationHumansIncidenceMaleMiddle AgedProportional Hazards ModelsProstatic NeoplasmsRisk FactorsSelenomethionineAntioxidantsDrug CombinationsSelenomethionineVitamin E

Identifiers

PMID25232809
PMCPMC4395006

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.