Table 1.
Antioxidants and diseases: clinical trials.
| Disease | Antioxidant | Outcome | References |
|---|---|---|---|
| BPD | Lutein | Possible positive association between lutein and respiratory health | Melo van Lent, Leermakers; 2016 |
| iNO + vitamin A | Reduced the incidence of BPD and BPD + death and improved neurocognitive outcomes at 1 year in the 500–749 g birth weight group | Gadhia, Cutter; 2014 | |
| Recombinant human SOD | Reduced early pulmonary injury, resulting in improved clinical status at 1 year corrected age Multiple intratracheal doses of rhSOD increase the concentration and activity of the enzyme in serum, tracheal aspirate, and urine |
Davis, Parad; 2003 Davis, Rosenfeld; 1997 |
|
| Melatonin | Newborns who developed BPD had levels of IL-6, IL-8, TNF-alpha, and nitrite/nitrate values much higher than those in children who did not develop BPD | Gitto et al.; Pineal Res; 2004 | |
| Vitamin A | Vitamin A supplementation does not reduce the incidence of BPD | Gawronski CA, Gawronski KM, Ann Pharmacother; 2016 | |
|
| |||
| NEC | L-Arginine | Enteral L-arginine supplementation appears to reduce the incidence of stage III NEC in VLBW infant | Polycarpou et al., 2013 |
| Pentoxifylline | Pentoxifylline did not change the risk of development of NEC in neonates with sepsis | Pammi et al., 2015 | |
| Melatonin | Melatonin administration as an adjuvant therapy in neonatal NEC treatment is associated with improvement of clinical and laboratory outcome | [130] | |
|
| |||
| ROP | Vitamin A | A trend towards reduced incidence of retinopathy of prematurity in vitamin A-supplemented infants | Darlow et al., Cochrane Database Syst Rev; 2002 |
| Vitamin E | There was a 52% reduction in the incidence of stage 3+ ROP in VLBW infants In VLBW infants, vitamin E supplementation significantly increased the risk of sepsis and reduced the risk of severe retinopathy and blindness |
[94]; Brion et al., Cochrane Database Syst Rev; 2003 | |
| D-Penicillamine | Six of the 70 surviving control infants and none of the 71 surviving treated infants had ROP stage II or greater Prophylactic enterally administered DPA does not prevent any stage ROP | Lakatos et al., Acta Paediatr; 1986 Tandon et al., Acta Paediatr; 2010 |
|
| Recombinant human SOD | rhSOD reduces the risk of developing ROP in extremely low gestational age newborn | Parad et al., Neonatology; 2012 | |
| Lutein | There were no differences in the incidence of ROP at any stage between groups No significant effect was seen on threshold ROP |
Romagnoli et al., J Matern Fetal Neonatal Med.; 2011 Manzoni et al., Am J Perinatol; 2013 |
|
| Allopurinol | Failure of allopurinol prophylaxis to prevent ROP | Russel et al., Arch Dis Child Fetal Neonatal Ed; 1995 | |