Trial Outcomes & Findings for Collaborative Italian-American Clinical Trial of Nutritional Supplements and Age-related Cataract (CTNS) (NCT NCT00309387)

NCT ID: NCT00309387

Last Updated: 2013-05-06

Results Overview

number of participants in whom any of the following occur in at least one eligible eye during follow-up: cataract surgery; nuclear opacity: a 1.5 U increase in opalescence from baseline; cortical opacity: a 10% increase in area within a standard 5 mm circle area of the lens from baseline; posterior subcapsular opacity: a 5% increase in area within a standard 5 mm circle area of the lens from baseline.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

1020 participants

Primary outcome timeframe

at yearly intervals from baseline for approximately ten years

Results posted on

2013-05-06

Participant Flow

1020 participants were enrolled from January 8, 1996 through April 10, 1998 at the Institute of Ophthalmology of the University of Parma, Parma, Italy

Potential participants had to complete a 1-month placebo run-in period (use of \> 75% of the run-in tablets) before randomization

Participant milestones

Participant milestones
Measure
Treatment
Placebo
Overall Study
STARTED
510
510
Overall Study
COMPLETED
368
351
Overall Study
NOT COMPLETED
142
159

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment
Placebo
Overall Study
Death
72
73
Overall Study
Lost to Follow-up
70
86

Baseline Characteristics

Collaborative Italian-American Clinical Trial of Nutritional Supplements and Age-related Cataract (CTNS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment
n=510 Participants
Placebo
n=510 Participants
Total
n=1020 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
>=65 years
371 Participants
n=5 Participants
370 Participants
n=7 Participants
741 Participants
n=5 Participants
Age Continuous
67.7 years
STANDARD_DEVIATION 4.82 • n=5 Participants
67.7 years
STANDARD_DEVIATION 4.97 • n=7 Participants
67.7 years
STANDARD_DEVIATION 4.89 • n=5 Participants
Sex: Female, Male
Female
233 Participants
n=5 Participants
226 Participants
n=7 Participants
459 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
139 Participants
n=5 Participants
140 Participants
n=7 Participants
279 Participants
n=5 Participants
Sex: Female, Male
Male
277 Participants
n=5 Participants
284 Participants
n=7 Participants
561 Participants
n=5 Participants
Region of Enrollment
Italy
510 participants
n=5 Participants
510 participants
n=7 Participants
1020 participants
n=5 Participants

PRIMARY outcome

Timeframe: at yearly intervals from baseline for approximately ten years

Population: Intention to treat analysis

number of participants in whom any of the following occur in at least one eligible eye during follow-up: cataract surgery; nuclear opacity: a 1.5 U increase in opalescence from baseline; cortical opacity: a 10% increase in area within a standard 5 mm circle area of the lens from baseline; posterior subcapsular opacity: a 5% increase in area within a standard 5 mm circle area of the lens from baseline.

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants Showing Development or Progression of Age-related Cataract or Undergoing Cataract Surgery During Follow-up
227 participants
255 participants

SECONDARY outcome

Timeframe: at yearly intervals from baseline for approximately ten years

Population: intention to treat

number of participants with a 1.5 U increase in nuclear opalescence from baseline in at least one eligible eye during follow-up

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants Showing Development or Progression of Nuclear Lens Opacities
84 participants
118 participants

SECONDARY outcome

Timeframe: at yearly intervals from baseline for approximately ten years

Population: intention to treat

Number of participants with a 10% increase in area of cortical opacity within a standard central 5 mm circle of the lens from baseline in at least one eligible eye during follow-up

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants Showing Development or Progression of Cortical Lens Opacities
96 participants
118 participants

SECONDARY outcome

Timeframe: at yearly intervals from baseline for approximately ten years

Population: intention to treat

Number of participants with a 5% increase in area of posterior subcapsular opacity within a standard central 5 mm circle of the lens from baseline in at least one eligible eye during follow-up

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants Showing Development or Progression of Posterior Subcapsular Opacities
74 participants
37 participants

SECONDARY outcome

Timeframe: at 6 month intervals from baseline for approximately 10 yrs

Population: intention to treat

number of participants undergoing cataract surgery in at least one eligible eye during follow-up

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants Undergoing Cataract Surgery
88 participants
90 participants

SECONDARY outcome

Timeframe: at 6 month intervals from baseline for approximately 10 yrs

Population: intention to treat

Number of participants with a decrease in best corrected visual acuity score from baseline of \> 15 letters in at least one eligible eye during follow-up

Outcome measures

Outcome measures
Measure
Treatment
n=510 Participants
Centrum
Placebo
n=510 Participants
Placebo
Number of Participants With a Decrease in Visual Acuity
144 participants
139 participants

Adverse Events

Treatment

Serious events: 363 serious events
Other events: 39 other events
Deaths: 0 deaths

Placebo

Serious events: 397 serious events
Other events: 38 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment
n=510 participants at risk
Placebo
n=510 participants at risk
General disorders
death
15.1%
77/510 • 6 months
15.9%
81/510 • 6 months
General disorders
hospitalization
56.1%
286/510 • Number of events 573 • 6 months
62.0%
316/510 • Number of events 604 • 6 months

Other adverse events

Other adverse events
Measure
Treatment
n=510 participants at risk
Placebo
n=510 participants at risk
Gastrointestinal disorders
upset stomach
3.3%
17/510 • Number of events 17 • 6 months
3.7%
19/510 • Number of events 19 • 6 months
General disorders
increased weight
0.59%
3/510 • Number of events 3 • 6 months
0.59%
3/510 • Number of events 3 • 6 months
Skin and subcutaneous tissue disorders
skin rash
0.98%
5/510 • Number of events 5 • 6 months
0.78%
4/510 • Number of events 4 • 6 months
General disorders
other
2.7%
14/510 • Number of events 14 • 6 months
2.4%
12/510 • Number of events 12 • 6 months

Additional Information

Giovanni Maraini, MD

University of Parma

Phone: +39 0521 238527

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place