The National Cancer Institute has announced
its decision to suspend a study on the benefits of vitamin E and selenium
supplements treatments on prostate cancer prevention. The study, called SELECT
(Selenium and vitamin E Cancer Prevention Trial), involved more than 35,000 men
and was conducted at 400 sites around the United States.
Researchers found a higher risk for aggressive
prostate cancer in participants taking only vitamin E and a small increased
risk of developing diabetes in subjects taking only selenium. The researchers
cautioned that those effects may have been due to chance and they were not
statistically significant.
Contrary to other studies that have shown
that selenium and vitamin E supplements, both antioxidants, might decrease the
risk of prostate cancer by 60% and 30%, respectively, the findings of this
study were a major disappointment to those that had hoped that these supplements
might prove to be some powerful anti-cancer agents.
The participants were randomly assigned to
take either vitamin E (400 milligrams) and selenium (200 micrograms), vitamin E
and placebo, selenium and placebo, or placebos alone. They didn’t know which
nutrients they’d been assigned to take.
The 114 million-dollars study was conducted
by U.S. National Cancer Institute.
“I am afraid it will be the end of the
story for large trials of vitamin E and selenium to prevent prostate cancer,”
said the study investigator Edward M. Messing, professor and chairman of
urology and deputy director of the Cancer
Center at the University of Rochester.
The researchers will continue to monitor
the health of the participants for three more years. They were supposed to take
the supplements for seven years. “As we continue to monitor the health of these
35,000 men, this information may help us understand why two nutrients that
showed strong initial evidence to be able to prevent prostate cancer did not do
so,” Dr. Eric Klein of the Cleveland Clinic in Ohio, co-author of the study, said in a
statement. He also said he believes it “highly unlikely” that the supplements
will ultimately prove to have harmful effects.
An earlier study (of a much smaller group)
conducted on the effect of selenium supplementation on the recurrence of skin
cancers did not demonstrate a reduced rate of recurrence of skin cancers, but
did show a reduced occurrence of total cancers.
In other studies, researchers are exploring
whether some plant based substances, or drugs including the anabolic steroid
toremifene, the enlarged-prostate treatment dutasteride, and finasteride might
cut the risk of prostate cancer for men. Other studies found that beta-carotene
supplementation failed to prevent lung cancer.
Prostate cancer is the ninth most common
cancer worldwide, but the most common type of cancer in U.S. males. Prostate
cancer screening for men aged 75 or older should be stopped, since the risks
involved pose more immediate danger that the cancer itself. It seems that this
type of cancer affected 18% of United
States men and led to death of 3% in 2005
only. Prostate cancer is the fifth most deadly tumour after lung, breast, colon
and pancreatic cancer.