Evidence map›Paper›PMID 25284194›Full record

Trial reportTrials2014

Selenium Treatment and Chagasic Cardiopathy (STCC): study protocol for a double-blind randomized controlled trial.

Pedro Emmanuel Alvarenga Americano do Brasil, Andréa Pereira de Souza, Alejandro Marcel Hasslocher-Moreno, Sérgio Salles Xavier, Sonia Regina Lambert Passos, Maria de Fátima Ramos Moreira, Marília Santini de Oliveira, Gilberto Marcelo Sperandio da Silva, Roberto Magalhães Saraiva, Claudia Santos de Aguiar Cardoso and 6 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00875173 (Selenium Treatment and Chagasic Cardiopathy), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% of its field
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.

NCT00875173 phase3unknown statusnot on this map

Selenium Treatment and Chagasic Cardiopathy (STCC): A Prospective Randomized Trial in Patients With Chagas Disease

TypeinterventionalSponsorOswaldo Cruz FoundationRan2008 to 2020Enrolled130ConditionsChagas DiseaseArmsSelenium, Placebo (for Selenium)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Trace Elements, PPARs, and Metabolic Syndrome.International journal of molecular sciences · 2020
    Review
  8. Article
  9. Review
  10. Developments in the management of Chagas cardiomyopathy.Expert review of cardiovascular therapy · 2015
    Review
  11. Review
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

16 authors at 3 institutions in 2 countries.

Pedro Emmanuel Alvarenga Americano do BrasilChagas Disease Clinical Research Laboratory, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Avenida Brasil 4365, Manguinhos, Rio de Janeiro 21040-360, Brazil. pedro.brasil@ini.fiocruz.br.
Andréa Pereira de Souza
Alejandro Marcel Hasslocher-Moreno
Sérgio Salles Xavier
Sonia Regina Lambert Passos
Maria de Fátima Ramos Moreira
Marília Santini de Oliveira
Gilberto Marcelo Sperandio da Silva
Roberto Magalhães Saraiva
Claudia Santos de Aguiar Cardoso
Andréa Silvestre de Sousa
Mauro Felippe Felix Mediano
Maria da Gloria Bonecini de Almeida
Otacílio da Cruz Moreira
Constança Britto
Tania Cremonini de Araújo-Jorge
National Institutes of Health · USFundação Oswaldo Cruz · BRInstituto Evandro Chagas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart disease progression occurs in 30% of patients with chronic Trypanosoma cruzi infection. Supplementation with selenium (Se) in animal model of T. cruzi infection produced promising results. There is evidence that patients with Chagas heart disease have lower Se levels than healthy individuals and patients with T. cruzi infection without of cardiac disease. The aim of this investigation is to estimate the effect of Se treatment on prevention of heart disease progression in patients with chagasic cardiopathy.

methodsThe Selenium Treatment and Chagasic Cardiopathy trial is a superiority, double-blind, placebo-controlled, randomized clinical trial. The eligibility criteria are as follows: (1) a Chagas disease diagnosis confirmed by serology; (2) segmental, mild or moderate global left ventricular systolic dysfunction; and (3) age between 18 and 65 years. The exclusion criteria are as follows: (1) pregnancy, (2) diabetes mellitus, (3) tobacco use, (4) alcohol abuse, (5) evidence of nonchagasic heart disease, (6) depression, (7) dysphagia with evidence of food residues in the esophagus, (8) dysphagia with weight loss higher than 15% of usual weight in the last four months and/or (9) conditions that may result in low protocol adherence. The intervention will be 100 μg of sodium selenite once daily for 365 consecutive days compared to placebo. The following are the primary outcomes to be measured: (1) the trajectories of the left ventricular ejection fraction in the follow-up period; (2) reduction of heart disease progression rates, with progression defined as a 10% decrease in left ventricular ejection fraction; and (3) rate of hospital admissions attributable to dysrhythmia, heart failure or stroke due to Chagas disease. One hundred thirty patients will be randomly allocated into either the intervention or placebo group at a ratio of 1:1. The sequence allocation concealment and blinding were planned to be conducted with the strategy of numbered boxes. Both patients and health-care providers will remain blinded to the intervention groups during the 5 years of follow-up. DISCUSSION: If Se treatment reduces the progression of Chagas cardiopathy, the inclusion of this micronutrient in the daily diet can improve the therapeutic regimen for this neglected tropical disease at low cost.

trial registrationClinical Trials.gov ID: NCT00875173 (registered 20 October 20 2008).

Indexed as

Dietary SupplementsResearch DesignAdolescentAdultAgedBrazilChagas CardiomyopathyClinical ProtocolsDisease ProgressionDouble-Blind MethodFeeding BehaviorFemaleHospitalizationHumansMaleMiddle AgedSodium Selenite

Identifiers

PMID25284194
PMCPMC4197263
OpenAlexW2080508581

What OpenQuestion holds

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LicenceCC BY
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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.