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Journal of the National Cancer Institute Advance Access originally published online on December 30, 2008
JNCI Journal of the National Cancer Institute 2009 101(1):2-4; doi:10.1093/jnci/djn453
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Published by Oxford University Press 2008.

EDITORIALS

Vitamin Supplements and Cancer Prevention: Where Do Randomized Controlled Trials Stand?

Demetrius Albanes

Affiliation of author: Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD

Correspondence to: Demetrius Albanes, MD, Nutritional Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, 6120 Executive Blvd, Room 3044, Bethesda, MD 20892 (e-mail:daa@nih.gov).

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Cancer chemoprevention as a concept and research methodology that examines inhibition of human carcinogenesis by nutritional, phytochemical, and other pharmacological substances dates to at least the early 1980s (1,2). At that time, a flurry of chemoprevention trials was launched predicated on epidemiological observations regarding potential protective roles for a wide range of foods and nutrients, including retinoids, beta carotene, calcium, and lower dietary fat in several cancers, and on basic research that provided both corroboration of the hypotheses through tumor inhibition in experimental models and evidence relevant to the responsible biological mechanisms. However, only a few of the randomized controlled studies, or RCT’s, have demonstrated the hoped-for reductions—or even unanticipated benefits—in incidence or recurrence of neoplasia from nutrient supplementation or dietary modification. For example, the Nutritional Prevention of Cancer Study, which aimed to prevent nonmelanoma skin cancers with selenized yeast, failed to do so, but unexpected . . . [Full Text of this Article]


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