Phase II Clinical Trial of Purified Isoflavones in Prostate Cancer: Comparing Safety, Effectiveness
Primary Purpose
Prostate Cancer
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Purified isoflavones
Methyl cellulose blend
Sponsored by

About this trial
This is an interventional treatment trial for Prostate Cancer
Eligibility Criteria
Inclusion Criteria:
- Diagnosis of localized prostate cancer (PCa), based on pathological assessment from biopsy specimens
- No prior or current therapy for PCa or history of cancer except non-melanoma skin cancer
- Scheduled for prostatectomy between 3- 6 weeks (+/-3 days) after start of study agent
- No known history of hepatic or renal disease (LFTs (SGOT/SGPT) > 5.0 x upper limit of normal as evidenced by impairment of baseline laboratory values, Actual creatinine clearance of >60 utilizing the Cockcroft-Gault formula (1976), which employs creatinine measurements and a patient's weight to predict the clearance. The constant is 1.23 for men.
- Omnivorous diet
- No evidence of prostatitis or urinary tract infection
- Able and willing to give written informed consent
- Currently not using or willing to discontinue any nutritional supplements that contain soy or soy isoflavones
- Not allergic to study supplements
- Not on antibiotics
- Men who do not consume more than 3 - 4 oz. of soy or soy products per week
- Not taking steroid hormones or medications which have known impact on prostatic specific antigen (PSA)
- Health status cleared by primary MD or urologist
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Exclusion Criteria:
- Prior history of prostate cancer; Current or prior history of other malignancies (exceptions include nonmelanoma skin cancer or other cancer with no evidence of tumor recurrence five years after definitive treatment)
- History of renal or hepatic disease, including history of hepatitis B, C or delta as evidenced by impairment of baseline laboratory values
- Participation in any other investigational study or use of any other investigational agents within 30 days of study entry
- History of allergic reactions attributed to soy isoflavones or other compounds of similar chemical or biologic composition to Novasoy 400® or the inactive components present in the purified isoflavone and placebo capsules
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or any psychological, familial, sociological or other concomitant condition that would not allow adequate compliance with the study protocol
- Only African American (a person having origins in any of the black racial groups of Africa) and Caucasian (a person having origins in any of the original people of Europe, Middle East, or North Africa) men, as defined by the NIH, will be included in this study. Since this is an investigation targeting men with PCa, women are not eligible for the study.
Sites / Locations
- University of Florida & Shands Medical Center - Jacksonville
- H. Lee Moffitt Cancer Center and Research Institute
- James A. Haley VA Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Placebo Comparator
Arm Label
Purified Isoflavones
Methyl cellulose blend
Arm Description
Soy-based isoflavone concentrate with methyl cellulose blend filler. 40 mg daily.
Placebo.
Outcomes
Primary Outcome Measures
Median Change in Percent Ki-67 From Baseline
Efficacy: Change in percent Ki-67 evaluated in prostate cancer (PCa) tissue specimens after 3-6 weeks of intervention with purified isoflavones (40 mg daily) vs. Placebo.
Number of Toxicity Events by Final Attribution and Treatment Arm
Safety: Incidence of Adverse Events (AEs) occurring during intervention with either 20 mg purified isoflavones bid or placebo. Serious Adverse Event (SAEs) and other Adverse Event (AE) details are also reported in the Adverse Event sections.
Secondary Outcome Measures
Biomarkers of Disease Progression - Serum PSA
Median change from baseline to post intervention: Prostatic specific antigen (PSA). All Participants (ALL); Caucasian Men only (CM only); African American Men only (AAM only).
Change in Plasma Concentrations of Isoflavone
Plasma concentrations of isoflavone: Genistein from baseline to post intervention by study arm.
Biomarkers of Disease Progression - Estradiol
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Biomarkers of Disease Progression - Free Testosterone
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Biomarkers of Disease Progression - Insulin Like Growth Factor (IGF) Binding Protein -3
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Biomarkers of Disease Progression - IGF-1
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Biomarkers of Disease Progression - Sex Hormone-binding Globulin (SHBG)
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Biomarkers of Disease Progression - Total Testosterone
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Full Information
NCT ID
NCT01036321
First Posted
December 17, 2009
Last Updated
August 5, 2019
Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD)
1. Study Identification
Unique Protocol Identification Number
NCT01036321
Brief Title
Phase II Clinical Trial of Purified Isoflavones in Prostate Cancer: Comparing Safety, Effectiveness
Official Title
Phase II Clinical Trial of Purified Isoflavones in Prostate Cancer: Comparing Safety, Effectiveness and Mechanism of Action Between African American and Caucasian Men
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
December 11, 2009 (Actual)
Primary Completion Date
June 26, 2014 (Actual)
Study Completion Date
April 16, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
H. Lee Moffitt Cancer Center and Research Institute
Collaborators
National Institute on Minority Health and Health Disparities (NIMHD)
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of our study is to recruit and treat 96 men diagnosed with prostate cancer and scheduled for a prostatectomy with a capsule form of either purified isoflavones or placebo for a 3-6 week period to see if we can slow down the rate of prostate cancer growth. A placebo is a pill or something that looks like the medicine that is being studied but has no active medicine in it. We also want to see if taking purified isoflavones is safe and if it reduces lower urinary tract symptoms. In addition, we want to study if purified isoflavones are able to slow the progression of prostate cancer, and the mechanism of action of purified isoflavones. If the safety and the effects of purified isoflavones on slowing down the progression of prostate cancer is shown in our study, this will also be a safe way of treating men who are at high risk of prostate cancer, so that we can prevent prostate cancer in the future.
Detailed Description
Patients will need to take two (2) capsules daily, one with their breakfast and one with their dinner. On the day prior or the day that patients are coming in for their pre-operative surgery blood work, we ask that they take the second dose with lunch, if their appointment is in the afternoon.
At the start of the study and at the end of the study (3-6 weeks), patients will undergo interviews, complete questionnaires, and have lab tests to determine if this drug is effective to reduce progression of prostate cancer and is safe to use.
Patients will also receive a multivitamin/mineral supplement for the 3-6 weeks that they are on this study and will be required to take one (1) every day. It is required that patients not take any other vitamin/mineral or herbal preparation containing isoflavones and avoid eating or drinking soy products.
We anticipate that most patients will be scheduled for a prostatectomy 3-6 weeks (+/- 3 days) from start of study agent. In addition to their first visit, patients will be required to come in the day of the surgery for prostatectomy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
71 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Purified Isoflavones
Arm Type
Active Comparator
Arm Description
Soy-based isoflavone concentrate with methyl cellulose blend filler. 40 mg daily.
Arm Title
Methyl cellulose blend
Arm Type
Placebo Comparator
Arm Description
Placebo.
Intervention Type
Drug
Intervention Name(s)
Purified isoflavones
Other Intervention Name(s)
Novasoy 400, Avicel PH105
Intervention Description
Soy-based isoflavone concentrate with methyl cellulose blend filler - Take 2 capsules daily
Intervention Type
Drug
Intervention Name(s)
Methyl cellulose blend
Other Intervention Name(s)
Avicel PH105
Intervention Description
Placebo - Take 2 capsules daily
Primary Outcome Measure Information:
Title
Median Change in Percent Ki-67 From Baseline
Description
Efficacy: Change in percent Ki-67 evaluated in prostate cancer (PCa) tissue specimens after 3-6 weeks of intervention with purified isoflavones (40 mg daily) vs. Placebo.
Time Frame
Baseline to post intervention - up to 6 weeks
Title
Number of Toxicity Events by Final Attribution and Treatment Arm
Description
Safety: Incidence of Adverse Events (AEs) occurring during intervention with either 20 mg purified isoflavones bid or placebo. Serious Adverse Event (SAEs) and other Adverse Event (AE) details are also reported in the Adverse Event sections.
Time Frame
Up to 6 weeks
Secondary Outcome Measure Information:
Title
Biomarkers of Disease Progression - Serum PSA
Description
Median change from baseline to post intervention: Prostatic specific antigen (PSA). All Participants (ALL); Caucasian Men only (CM only); African American Men only (AAM only).
Time Frame
Up to 6 weeks
Title
Change in Plasma Concentrations of Isoflavone
Description
Plasma concentrations of isoflavone: Genistein from baseline to post intervention by study arm.
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - Estradiol
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - Free Testosterone
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - Insulin Like Growth Factor (IGF) Binding Protein -3
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - IGF-1
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - Sex Hormone-binding Globulin (SHBG)
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
Title
Biomarkers of Disease Progression - Total Testosterone
Description
Median change from baseline to post intervention. Steroid hormones: pre-treatment (Pre:) versus post treatment (Post:).
Time Frame
Up to 6 weeks
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
30 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Diagnosis of localized prostate cancer (PCa), based on pathological assessment from biopsy specimens
No prior or current therapy for PCa or history of cancer except non-melanoma skin cancer
Scheduled for prostatectomy between 3- 6 weeks (+/-3 days) after start of study agent
No known history of hepatic or renal disease (LFTs (SGOT/SGPT) > 5.0 x upper limit of normal as evidenced by impairment of baseline laboratory values, Actual creatinine clearance of >60 utilizing the Cockcroft-Gault formula (1976), which employs creatinine measurements and a patient's weight to predict the clearance. The constant is 1.23 for men.
Omnivorous diet
No evidence of prostatitis or urinary tract infection
Able and willing to give written informed consent
Currently not using or willing to discontinue any nutritional supplements that contain soy or soy isoflavones
Not allergic to study supplements
Not on antibiotics
Men who do not consume more than 3 - 4 oz. of soy or soy products per week
Not taking steroid hormones or medications which have known impact on prostatic specific antigen (PSA)
Health status cleared by primary MD or urologist
Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Exclusion Criteria:
Prior history of prostate cancer; Current or prior history of other malignancies (exceptions include nonmelanoma skin cancer or other cancer with no evidence of tumor recurrence five years after definitive treatment)
History of renal or hepatic disease, including history of hepatitis B, C or delta as evidenced by impairment of baseline laboratory values
Participation in any other investigational study or use of any other investigational agents within 30 days of study entry
History of allergic reactions attributed to soy isoflavones or other compounds of similar chemical or biologic composition to Novasoy 400® or the inactive components present in the purified isoflavone and placebo capsules
Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or any psychological, familial, sociological or other concomitant condition that would not allow adequate compliance with the study protocol
Only African American (a person having origins in any of the black racial groups of Africa) and Caucasian (a person having origins in any of the original people of Europe, Middle East, or North Africa) men, as defined by the NIH, will be included in this study. Since this is an investigation targeting men with PCa, women are not eligible for the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nagi Kumar, Ph.D.
Organizational Affiliation
H. Lee Moffitt Cancer Center and Research Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Florida & Shands Medical Center - Jacksonville
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32209
Country
United States
Facility Name
H. Lee Moffitt Cancer Center and Research Institute
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
James A. Haley VA Hospital
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
12. IPD Sharing Statement
Learn more about this trial
Phase II Clinical Trial of Purified Isoflavones in Prostate Cancer: Comparing Safety, Effectiveness
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