The effect of beta-carotene on the regression and progression of cervical dysplasia: a clinical experiment.
In order to gain insight into the causality of the relation between beta-carotene and cancer, we performed a randomized placebo-controlled trial in which the effect of beta-carotene on the regression and progression rates of cervical dysplasia were examined. The experimental group (n = 137) received a supplemental dose of 10 mg of beta-carotene daily for 3 months. The control group (n = 141) received placebo capsules. As the outcome parameter, two definitions of regression and progression were used, which were based on the degree of dysplasia before and after the medication period. The number of patients who showed progression was too small to allow conclusions. No effect of beta-carotene on the regression percentages was observed: OR = 0.68 (95% CI: 0.28-1.60) using the broad definition; and OR = 1.22 (95% CI: 0.43-3.41) with the strict definition. A secondary analysis, in which the effect of the total intake of beta-carotene (diet + medication) on the regression percentages of cervical dysplasia was studied, did not show a positive effect either. The paper discusses to what extent issues in the study design may have masked a potential effect and how our results affect the evidence for a causal relation between beta-carotene and cancer.
de Vet
H C
HC
Department of Epidemiology, University of Limburg, Maastricht, The Netherlands.
Knipschild
P G
PG
Willebrand
D
D
Schouten
H J
HJ
Sturmans
F
F
D000328:Adult; D000368:Aged; D002338:Carotenoids / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D011379:Prognosis; D012107:Research Design; D011795:Surveys and Questionnaires; D002578:Uterine Cervical Dysplasia / Q000188:drug therapy*; D019207:beta Carotene
D019207:beta Carotene; D002338:Carotenoids