Table 3.
Randomized controlled trials demonstrating a beneficial effect of antioxidant therapy.
Source | Patients | Inclusion criteria | Antioxidant agent | Dose | Route | Endpoints | Followup | Events |
---|---|---|---|---|---|---|---|---|
CHAOS [106] | 2002 | Angiographically demonstrated CAD | Vit E | 400/800 IU | PO | CV death + MI; nonfatal MI | 510 d | CV death: 27 vit E, 23 pl; nonfatal MI: 14 vit E, 41 pl |
WHS [107] | 39876 | Healthy women | Vit E | 600 IU q48 h | PO | Composite endpoint (CV death, MI, and stroke) | 10.1 y | CV events: Vit E 482, pl 517; CV death: Vit E 106, pl 140; MI: Vit E 196, pl 195 |
SPACE [108] | 196 | Hemodialysis CV disease pts | Vit E | 800 IU | PO | Composite endpoint (MI, ACS, PAD, and stroke) | 519 d | Composite endpoint: Vit E 15, pl 33; CV death: vit E 9, pl 15; nonfatal MI: vit E 8, pl 18 |
Tepel et al. [109] | 134 | Hemodialysis CV disease pts | Acetylcysteine | 1200 mg | PO | Composite endpoint (CV death, MI, PTCA/CABG, PAD, and stroke) | 14.5 m | Composite endpoint: acetylcysteine 18, pl 33 |
Milman et al. [110] | 1434 | Diabetes mellitus Hp 2-2 genotype | Vit E | 400 IU | PO | Composite endpoint (CV death, MI, and stroke) | 18 m | Composite endpoint: Vit E 16, pl 33 |
CAD: coronary artery disease; CV: cardiovascular; d: days; DM: diabetes mellitus; HR: hazard ratio; HTN: arterial hypertension; m: months; MI: myocardial infarction; MLD: minimal luminal diameter; na: not available; PAD: peripheral artery disease, pl: placebo; PO: per os; pts: patients; RF: risk factor; vit: vitamin; y: years.