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Observational epidemiological surveys (WG 3) page 44<br />

_________________________________________________________________________________________<br />

Table 26: Intervention studies<br />

Authors<br />

Country<br />

LINXIAN 1<br />

China<br />

Blot et al., 1993<br />

LINXIAN 2<br />

China<br />

Li et al., 1993<br />

LINXIAN 3<br />

China<br />

Mark et al., 1994<br />

ATBC<br />

Finland<br />

The ATBC cancer<br />

prevention study group,<br />

1994<br />

CARET<br />

USA<br />

Omenn et al., 1996-b<br />

PHYSICIANS' HEALTH<br />

STUDY<br />

USA<br />

Hennekens et al., 1996<br />

THE WOMEN’S<br />

HEALTH STUDY<br />

Lee et al., 1999<br />

THE POLYP<br />

PREVENTION STUDY<br />

USA<br />

Greenberg et al.<br />

1994,<br />

THE AUSTRALIAN<br />

POLYP PREVENTION<br />

STUDY<br />

Australie<br />

Mac Lennan et al.<br />

1995,<br />

SKIN CANCER<br />

PREVENTION STUDY<br />

(SCPS)<br />

Greenberg et al., 1990<br />

Subjects Treatment Follow-up Endpoints<br />

29584 general<br />

population in<br />

Linxian<br />

compliance 93%<br />

C: vit C+ molybdenum<br />

120mg+30µg<br />

D: β-carot+vit E+Se<br />

15mg+30mg+50mg<br />

5 years<br />

and 3<br />

months<br />

Mortality all<br />

causes, all cancers<br />

3318 subjects from<br />

Plasma level 1.5 µmol/L (14.5x)<br />

14 vitamins + 12 minerals at 2-3 6 years oesophagus/gastric<br />

the above cohort x RDA among them β-carotene,<br />

cardia cancer<br />

with œsophagus (15mg/day), vit A, E, 60 IU, C,<br />

mortality and<br />

dysplasia 180mg, B1,B2,B6, B12, folic ac,<br />

biotin, Ca, Se, Mb, Zn, Mn, I,<br />

Cu, Fe.<br />

incidence<br />

same study as above<br />

id 6 years oesophagus<br />

dysplasia reversion<br />

29000 intense<br />

smokers<br />

compliance 93%<br />

drop out 31%<br />

18314 smokers, exsmokers,<br />

asbestos<br />

exposed<br />

compliance 93%<br />

drop out 35%<br />

22071 physicians<br />

compliance 78%<br />

drop out 20%<br />

39876 women aged<br />

≥45<br />

864 subjects with<br />

sporadic adénomas<br />

removed in the<br />

previous 3 months<br />

compliance 82%<br />

drop out 13%<br />

390 subjects with<br />

>1 polyp removed<br />

at day 0<br />

drop out 28%<br />

1720 subjects with<br />

skin cancer recently<br />

removed<br />

compliance 80%<br />

1-β-carot. 20mg/day<br />

plasma level: 5.3 µmol/L (17.6x)<br />

2-vit. E 50mg/day<br />

plasma level: 42.5 µmol/L (1.5x)<br />

3-1+2<br />

β-carot. 30mg/day + 25000 UI<br />

vit. A<br />

plasma level: 3.6 µmol/L (12.4x)<br />

β-carot. 50mg/day<br />

plasma level: 1.7 µmol/L (4x)<br />

50mg on alternate days for 2.1<br />

years<br />

plasma level:0.70 mg/dL vs 0.20<br />

compliance 87%<br />

1-β-carotene 25mg/day<br />

plasma level 1.1 µmol/L (2.7x)<br />

2-vitamin C 1g/day + vit. E<br />

400mg/day<br />

plasma level 30.6 µmol/L (1.4x)<br />

3-=1+2<br />

β-carotene 20mg<br />

no information on plasma levels<br />

β-carot. 50mg/day<br />

plasma level 3.3 µmol/L (10x)<br />

5 to 8 years lung and other<br />

cancers incidence<br />

Mean:4<br />

years<br />

Mean: 12<br />

years<br />

and other cancers<br />

incidence<br />

lung cancer (and<br />

CVD) incidence<br />

4.1 year cancer (and CVD)<br />

incidence<br />

4 years new adenomas<br />

24 et 48<br />

months<br />

reocurrence of<br />

small and large<br />

adenomas<br />

Mean: 4.3 secondary nonmelanoma<br />

skin<br />

cancer

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