Status:

COMPLETED

Selenium Supplementation in Chronic Obstructive Pulmonary Disease (COPD) Patients

Lead Sponsor:

St. Joseph's Health Care London

Collaborating Sponsors:

Father Sean O'Sullivan Research Centre

Conditions:

Chronic Obstructive Pulmonary Disease

Cardiovascular Disease

Eligibility:

All Genders

40+ years

Phase:

PHASE4

Brief Summary

Does an oral selenium supplement increase blood levels of antioxidants in patients with established, smoking-related lung disease? Members of our study group recently discovered that elevated levels ...

Detailed Description

Patients with chronic obstructive pulmonary disease (COPD) are at high risk for atherosclerotic heart disease, in part because of their nearly universal exposure to heavy smoking, and in part to other...

Eligibility Criteria

Inclusion

  • Aged 40 years or older (no upper limit).
  • Established Respirologist-diagnosed mild or moderate COPD, according to the Canadian Thoracic Society (CTS) Lung Function Guidelines.(33) For a diagnosis of mild COPD, patients must have FEV1 60% to 79% predicted and FEV1 / FVC \< 0.7. For a diagnosis of moderate COPD, patients must have FEV1 40% to 59% predicted and FEV1 / FVC \< 0.7.
  • Current or former smokers with \> 20 pack-year smoking history.
  • Ability to provide informed consent.
  • Women subjects must be post-menopausal.

Exclusion

  • Current or recent (within 4 weeks) acute exacerbation of chronic bronchitis
  • Current daily use of mineral or vitamin + mineral supplements or other natural health products that provide a daily dose of selenium that is greater than 100 µg
  • Current daily use of \>5000 U of vitamin A, \>1000 mg of vitamin C, or \>800 U vitamin E
  • Known significant co-morbidity such as renal (creatinine \> 150 mol/L) or hepatic disease (AST or ALT \>3 times normal). Measurement of these will be a requirement of the study. Creatinine and Alanine aminotransferase (ALT) will be measured at the beginning and at the end of the study.
  • Known or suspected active cancer other than non-melanoma skin cancer.
  • Other concurrent major respiratory diagnosis other than COPD/asthma.
  • Plan to start statin drugs during the 12 weeks of study drug (may enroll if statins started \>1 month before current study enrollment or deferred until study completion).
  • Consumption of brazil nuts.
  • Individuals who have homocystinuria
  • On niacin at a daily dose of 500 mg or higher for hyperlipidemia.
  • If you have allergies to products that contain dicalcium phosphate, talc sugarloaf, steric acid, or silica.

Key Trial Info

Start Date :

September 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2007

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT00186706

Start Date

September 1 2005

End Date

November 1 2007

Last Update

May 22 2008

Active Locations (1)

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St. Joseph's Healthcare

Hamilton, Ontario, Canada, L8N 4A6