Vitamin D Supplementation and Survival of Patients with Non-small Cell Lung Cancer: A Randomized, Double-Blind, Placebo-Controlled Trial

Clinical Cancer Research : an Official Journal of the American Association for Cancer Research
Tadashi AkibaMitsuyoshi Urashima

Abstract

Purpose: Higher serum 25-hydroxyvitamin D (25(OH)D) levels are reportedly associated with better survival in early-stage non-small cell lung cancer (NSCLC). Therefore, whether vitamin D supplementation can improve the prognosis of patients with NSCLC was examined (UMIN000001869).Patients and Methods: A randomized, double-blind trial comparing vitamin D supplements (1,200 IU/day) with placebo for 1 year after operation was conducted. The primary and secondary outcomes were relapse-free survival (RFS) and overall survival (OS), respectively. Prespecified subgroup analyses were performed with stratification by stage (early vs. advanced), pathology (adenocarcinoma vs. others), and 25(OH)D levels (low, <20 ng/mL vs. high, ≥20 ng/mL). Polymorphisms of vitamin D receptor (VDR) and vitamin D-binding protein (DBP) and survival were also examined.Results: Patients with NSCLC (n = 155) were randomly assigned to receive vitamin D (n = 77) or placebo (n = 78) and followed for a median of 3.3 years. Relapse and death occurred in 40 (28%) and 24 (17%) patients, respectively. In the total study population, no significant difference in either RFS or OS was seen with vitamin D compared with the placebo group. However, by restricting the analysis...Continue Reading

References

Oct 1, 1986·The Journal of Clinical Endocrinology and Metabolism·D D BikleJ G Haddad
Jan 23, 1999·The Journal of Clinical Investigation·F F SafadiN E Cooke
Jul 14, 2001·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·H AraiE Takeda
May 12, 2005·Lancet·Kenneth F Schulz, David A Grimes
Oct 11, 2005·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Wei ZhouDavid C Christiani
Feb 10, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Wei ZhouDavid C Christiani
Jul 20, 2007·The New England Journal of Medicine·Michael F Holick
Oct 16, 2008·The Journal of Clinical Endocrinology and Metabolism·Daniel Bikle
Oct 22, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Rebecca Suk HeistDavid C Christiani
Jan 1, 2009·The American Journal of Clinical Nutrition·Marc SinotteJacques Brisson
Dec 21, 2010·Clinical Cancer Research : an Official Journal of the American Association for Cancer Research·Guoan ChenNithya Ramnath
Jan 4, 2012·Movement Disorders : Official Journal of the Movement Disorder Society·Masahiko SuzukiMitsuyoshi Urashima
May 9, 2012·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·So Hee KimNithya Ramnath
Mar 15, 2013·The American Journal of Clinical Nutrition·Masahiko SuzukiMitsuyoshi Urashima
Oct 8, 2013·The Journal of Steroid Biochemistry and Molecular Biology·Rene F ChunMartin Hewison
Nov 22, 2013·The New England Journal of Medicine·Camille E PoweRavi Thadhani
Dec 3, 2014·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Gabriella M AnicDemetrius Albanes
Sep 29, 2015·The New England Journal of Medicine·Hossein BorghaeiJulie R Brahmer
Oct 11, 2016·The New England Journal of Medicine·Martin ReckUNKNOWN KEYNOTE-024 Investigators
Jun 22, 2017·The New England Journal of Medicine·David P CarboneUNKNOWN CheckMate 026 Investigators
Sep 9, 2017·The New England Journal of Medicine·Scott J AntoniaUNKNOWN PACIFIC Investigators

❮ Previous
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Citations

Mar 22, 2019·The Cancer Journal·Stefania OrecchioniFrancesco Bertolini
Aug 29, 2020·BMJ Supportive & Palliative Care·Daniel C McFarlandChristian Nelson
Apr 10, 2019·JAMA : the Journal of the American Medical Association·Mitsuyoshi UrashimaYutaka Suzuki
Aug 28, 2020·Frontiers in Pharmacology·Min-Tao JiBing-Yan Li
Aug 14, 2019·BMJ : British Medical Journal·Yu ZhangAndrew Faramand
Jun 5, 2020·Current Oncology Reports·Taisuke AkutsuMitsuyoshi Urashima
Jul 6, 2020·Respiratory Research·Jing ZhangJingtong Zheng
Nov 24, 2020·Nutrition and Cancer·Weijie WangWei Zuo
Dec 25, 2019·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Taisuke AkutsuMitsuyoshi Urashima
Jan 5, 2021·Frontiers in Oncology·Yichao BaoJunjie Peng
Mar 21, 2020·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Yu XinJianqiang Guo
Mar 23, 2021·Frontiers in Pharmacology·Umme Tamanna Ferdous, Zetty Norhana Balia Yusof
Apr 14, 2021·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Olgun ElicinNikola Cihoric
Jul 31, 2020·Anti-cancer Agents in Medicinal Chemistry·Afsane Bahrami, Amirhossein Sahebkar
Jul 3, 2021·International Journal of Molecular Sciences·Anna GabryanczykAgnieszka Śliwińska
Aug 10, 2021·American Journal of Lifestyle Medicine·Shari S BassukUNKNOWN VITAL Research Group
Nov 2, 2021·Journal of Nutritional Science and Vitaminology·Mingxia QianLilin Qian

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