Selenium Supplementation of Patients With Cirrhosis

NCT ID: NCT00271245

Last Updated: 2012-03-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

99 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2012-03-31

Brief Summary

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The purpose of this study is to determine whether patients with liver cirrhosis can improve their selenium nutritional status by taking supplemental selenium.

Detailed Description

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Selenium is an essential nutrient. Selenium carries out its biological functions through selenoproteins. The liver converts dietary selenium to a form that can be used to make selenoproteins. Patients with cirrhosis have much lower selenium levels than healthy individuals. We hypothesize that patients with cirrhosis are unable to utilize dietary selenium for selenoprotein synthesis. These patients may benefit from another form of selenium: selenate.

We will compare the effects of two supplemental forms of selenium on plasma selenium levels in patients with cirrhosis. Patients will be randomized to receive either a placebo, 200 µg selenomethionine, 200 µg selenate or 400 µg selenate, daily, for 8 weeks. We will measure selenium levels in the blood at baseline, week 4 and week 8. We will determine which forms of selenium, if any, increased plasma selenium levels of the cirrhosis patients.

Conditions

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Liver Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1

200 µg selenium as selenate

Group Type EXPERIMENTAL

200 µg selenium as selenate

Intervention Type DIETARY_SUPPLEMENT

200 µg selenium as selenate

2

400 µg selenium as selenate

Group Type EXPERIMENTAL

400 µg selenium as selenate

Intervention Type DIETARY_SUPPLEMENT

400 µg selenium as selenate

3

200 µg selenium as selenomethionine

Group Type EXPERIMENTAL

200 µg selenium as selenomethionine

Intervention Type DIETARY_SUPPLEMENT

200 µg selenium as selenomethionine

4

placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Placebo

Interventions

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200 µg selenium as selenate

200 µg selenium as selenate

Intervention Type DIETARY_SUPPLEMENT

400 µg selenium as selenate

400 µg selenium as selenate

Intervention Type DIETARY_SUPPLEMENT

200 µg selenium as selenomethionine

200 µg selenium as selenomethionine

Intervention Type DIETARY_SUPPLEMENT

Placebo

Placebo

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* liver disease
* aged 18 or above

Exclusion Criteria

* substance abuse
* renal failure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

NIH

Sponsor Role collaborator

Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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RBurk

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Raymond F Burk, M.D.

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University

Locations

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Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Burk RF, Hill KE, Motley AK, Byrne DW, Norsworthy BK. Selenium deficiency occurs in some patients with moderate-to-severe cirrhosis and can be corrected by administration of selenate but not selenomethionine: a randomized controlled trial. Am J Clin Nutr. 2015 Nov;102(5):1126-33. doi: 10.3945/ajcn.115.110932. Epub 2015 Oct 14.

Reference Type DERIVED
PMID: 26468123 (View on PubMed)

Other Identifiers

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R01DK058763

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DK58763

Identifier Type: -

Identifier Source: secondary_id

DK58763-c

Identifier Type: -

Identifier Source: org_study_id

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