In the SELENIB trial, selenium and vitamin E were compared with placebo as chemoprevention for non-muscle-invasive bladder cancer (NMIBC). No difference versus placebo was observed in recurrence-free interval (RFI) with selenium, but vitamin E was associated with worse RFI. Selenium and vitamin E cannot be recommended in chemoprevention for NMIBC. Furthermore, patients with NMIBC taking supplemental vitamin E should be made aware of its potential association with worse RFI.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Jubber, I. et al. Epidemiology of bladder cancer in 2023: a systematic review of risk factors. Eur. Urol. 84, 176–190 (2023).
Venkatramani, V. et al. Predictors of recurrence, and progression-free and overall survival following open versus robotic radical cystectomy: analysis from the RAZOR trial with a 3-year followup. J. Urol. 203, 522–529 (2020).
Bryan, R. T. et al. Selenium and vitamin E for prevention of non-muscle-invasive bladder cancer recurrence and progression: a randomized clinical trial. JAMA Netw. Open 6, e2337494 (2023).
Goossens, M. E. et al. Phase III randomised chemoprevention study with selenium on the recurrence of non-invasive urothelial carcinoma. The SELEnium and BLAdder cancer trial. Eur. J. Cancer 69, 9–18 (2016).
Klein, E. A. et al. Vitamin E and the risk of prostate cancer: the Selenium and Vitamin E Cancer Prevention Trial (SELECT). JAMA 306, 1549–1556 (2011).
Duffield-Lillico, A. J. et al. Selenium supplementation, baseline plasma selenium status and incidence of prostate cancer: an analysis of the complete treatment period of the Nutritional Prevention of Cancer Trial. BJU Int 91, 608–612 (2003).
Lotan, Y. et al. Evaluation of vitamin E and selenium supplementation for the prevention of bladder cancer in SWOG coordinated SELECT. J. Urol. 187, 2005–2010 (2012).
Yang, C. S., Suh, N. & Kong, A.-N. T. Does vitamin E prevent or promote cancer? Cancer Prev. Res. 5, 701–705 (2012).
Chen, F. et al. Association of vitamin C, vitamin D, vitamin E and risk of bladder cancer: a dose-response meta-analysis. Sci. Rep. 5, 9599 (2015).
Virtamo, J. et al. Effects of α-tocopherol and β-carotene supplementation on cancer incidence and mortality: 18-year post-intervention follow-up of the Alpha-Tocopherol, Beta-Carotene Cancer Prevention (ATBC) study. Int. J. Cancer 135, 178–185 (2014).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Trecarten, S.J., Svatek, R.S. Supplementary selenium and vitamin E in non-muscle-invasive bladder cancer. Nat Rev Urol (2024). https://doi.org/10.1038/s41585-024-00859-x
Published:
DOI: https://doi.org/10.1038/s41585-024-00859-x