Evidence map›Paper›PMID 25785441›Full record

Trial reportPloS one2015

The hypolipidemic and pleiotropic effects of rosuvastatin are not enhanced by its association with zinc and selenium supplementation in coronary artery disease patients: a double blind randomized controlled study.

Karine Cavalcanti Maurício Sena-Evangelista, Lucia Fatima Campos Pedrosa, Maria Sanali Moura Oliveira Paiva, Paula Cristina Silveira Dias, Diana Quitéria Cabral Ferreira, Sílvia Maria Franciscato Cozzolino, Tanize Espírito Santo Faulin, Dulcinéia Saes Parra Abdalla

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

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01547377 (Effect of Zinc and Selenium Supplementation in Patients With Atherosclerosis Treated With Statins), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.6field-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.

NCT01547377 nacompletednot on this map

Effect of Zinc and Selenium Supplementation in Patients With Atherosclerosis Treated With Statins

TypeinterventionalSponsorUniversidade Federal do Rio Grande do NorteRan2008 to 2009Enrolled76ConditionsDietary Selenium Deficiency, Dietary Zinc DeficiencyArmszinc and selenium supplementation, rosuvastatin + placebo
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. 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

8 authors at 3 institutions in 1 country.

Karine Cavalcanti Maurício Sena-EvangelistaDepartment of Nutrition, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Lucia Fatima Campos PedrosaDepartment of Nutrition, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Maria Sanali Moura Oliveira PaivaOnofre Lopes University Hospital, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Paula Cristina Silveira DiasPost-Graduate Program in Pharmaceutical Sciences, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Diana Quitéria Cabral FerreiraPost-Graduate Program in Pharmaceutical Sciences, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Sílvia Maria Franciscato CozzolinoDepartment of Food and Experimental Nutrition, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Tanize Espírito Santo FaulinDepartment of Clinical and Toxicological Analyses, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Dulcinéia Saes Parra AbdallaDepartment of Clinical and Toxicological Analyses, Faculty of Pharmaceutical Sciences, University of São Paulo, São Paulo, SP, Brazil.
Universidade Federal do Rio Grande do Norte · BRUniversidade de São Paulo · BRHospital Universitário Onofre Lopes · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStatins treatment may modify the levels of zinc and selenium, minerals that can improve vascular function and reduce oxidative damage and inflammation in atherosclerotic patients. This study aimed to evaluate the effects of rosuvastatin, alone or associated with zinc and selenium supplementation, on lipid profile, antioxidant enzymes and mineral status in coronary artery disease patients. MATERIAL AND

methodsA double-blind randomized clinical trial was performed in which patients (n = 76) were treated with 10 mg rosuvastatin over 4 months associated or not with zinc (30 mg/d) and selenium (150 μg/d) supplementation. The following parameters were analyzed before and after the intervention: anthropometric measurements, lipid profile, high sensitivity C-reactive protein (hs-CRP), electronegative low density lipoprotein (LDL(-)) concentrations, activities of glutathione peroxidase (GPx), superoxide dismutase (SOD), zinc and selenium concentrations in blood plasma and erythocytes. Significance was determined using an α of 5% (two-tailed).

resultsWe found that rosuvastatin therapy was efficient in reducing total cholesterol, LDL-cholesterol, non-HDL cholesterol, triglycerides, and hs-CRP independently of mineral supplementation. Neither treatment was associated with significant changes in LDL(-). Similarly, the antioxidant enzymes GPx and SOD activity were unchanged by treatments. Neither treatment was associated with significant differences in concentrations of zinc or selenium in blood plasma and erythocytes of studied groups.

conclusionRosuvastatin treatment did not affect zinc and selenium levels in coronary artery disease patients. The zinc and selenium supplementation at doses used in this study did not change lipid profile or SOD and GPx activity in patients receiving rosuvastatin. Further studies should be focused on testing alternative doses and supplements in different populations to contribute for a consensus on the ideal choice of antioxidants to be used as possible complementary therapies in atherosclerotic patients.

trial registrationClinicalTrials.gov NCT01547377.

Indexed as

Coronary Artery DiseaseC-Reactive ProteinDietary SupplementsFemaleGlutathione PeroxidaseHumansHypolipidemic AgentsLipidsLipoproteins, LDLMaleRosuvastatin CalciumSeleniumStatistics, NonparametricSuperoxide DismutaseTreatment OutcomeZincC-Reactive ProteinGlutathione PeroxidaseHypolipidemic AgentsLipidsLipoproteins, LDLRosuvastatin CalciumSeleniumSuperoxide DismutaseZinc

Identifiers

PMID25785441
PMCPMC4365008
OpenAlexW2035805509

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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.