ArtemiCoffee in Patients With Rising PSA
Primary Purpose
Prostate Cancer
Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
ArtemiCoffee
Sponsored by
About this trial
This is an interventional treatment trial for Prostate Cancer focused on measuring Artemisia annua, Biochemically recurrent, Prostate-specific antigen
Eligibility Criteria
Inclusion Criteria:
- Completion of localized therapy (prostatectomy or radiotherapy) for prostate adenocarcinoma (either histologically or cytologically confirmed)
- Biochemical PSA recurrence
- Age ≥18 years.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤3
- Total bilirubin ≤ 1.5 x upper normal limit (ULN), and AST (aspartate transaminase) and ALT (alanine transaminase) ≤ 3.0 x ULN
- Patients with a prior or concurrent malignancy (non-prostate) whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen as determined by the treating physician are eligible.
- Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
- Any radiological evidence of metastatic disease (determined by standard of care computed tomography (CT) scans of abdomen, pelvis, chest, whole body bone scan or Axium PET/CT scan or prostate specific membrane antigen (PSMA) PET/CT scan).
- Receipt of prior cytotoxic chemotherapy for recurrent prostate cancer
- Use of androgen deprivation therapy (for example, bicalutamide, flutamide, nilutamide, or leuprolide acetate) concurrently or within the previous 3 months.
- Uncontrolled intercurrent illness such as active infections. Other illnesses will be evaluated and eligibility status determined at the discretion of the treating physician and the investigator.
- Psychiatric illness/social situations that would limit compliance with study requirements.
- Concomitant use of nevirapine, ritonavir, and strong UGT inducers or strong UGT inhibitors such as phenobarbital, rifampin, carbamazepine, diclofenac, imatinib, axitinib, and vandetanib
- Concurrent use of strong inducers of CYP2A6, including phenobarbital and rifampin
Sites / Locations
- University of KentuckyRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Prostate cancer patients
Arm Description
Men with biochemical recurrence of prostate cancer after initial local therapy.
Outcomes
Primary Outcome Measures
Proportion of patients who achieve a 50% decline in PSA levels
Proportion of patients who achieve greater than 50% decline in PSA within 24- weeks of coffee treatment.
Secondary Outcome Measures
Change in PSA velocity and slope from pre-treatment to post-treatment
Change in PSA velocity and slope from pre-treatment to post-treatment. Slope and velocity are measured as concentration per unit of time and will have the same units.
Percentage change in serial PSA
Percentage change in serial PSA from baseline throughout the treatment period. PSA will be assessed at baseline, 3-mos, 6-mos and at a post-treatment follow-up visit.
Percentage change in serial testosterone levels
Percentage change in serial testosterone levels from baseline throughout the treatment period. Testosterone will be assessed at baseline, 3-mos, 6-mos and at a post-treatment follow-up visit.
Full Information
NCT ID
NCT05478239
First Posted
July 25, 2022
Last Updated
August 12, 2023
Sponsor
Zin W Myint
Collaborators
ArtemiLife
1. Study Identification
Unique Protocol Identification Number
NCT05478239
Brief Title
ArtemiCoffee in Patients With Rising PSA
Official Title
Phase II Trial of ArtemiCoffee for Men With Biochemical Recurrence of Prostate Cancer After Initial Local Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 11, 2023 (Actual)
Primary Completion Date
December 31, 2025 (Anticipated)
Study Completion Date
December 31, 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Zin W Myint
Collaborators
ArtemiLife
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Until now, clinicians have been challenged to improve the treatment of biochemically recurrent (BCR) prostate cancer in which prostatic specific antigen (PSA) rises without radiological or clinical progression years after localized treatment (radical prostatectomy or radiation therapy) with or without hormonal treatment. Approximately 50-90% of men with high-risk prostate cancer will experience a BCR. Artesunate has demonstrated anti-tumor activity in both in vivo and in vitro cell lines. It is hypothesized that Artemisia annua (Aa) coffee has the potential to decrease rising PSA among patients with biochemical recurrence of prostate cancer.
Detailed Description
This is an open-labeled phase II study of Artemisia annua (Aa) decaf coffee in patients with biochemical recurrence of prostate cancer.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Artemisia annua, Biochemically recurrent, Prostate-specific antigen
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
30 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Prostate cancer patients
Arm Type
Experimental
Arm Description
Men with biochemical recurrence of prostate cancer after initial local therapy.
Intervention Type
Drug
Intervention Name(s)
ArtemiCoffee
Other Intervention Name(s)
Artemisia annua (Aa) coffee
Intervention Description
3 cups of Artemisia annua (Aa) coffee per day (1350mg) for 24 weeks.
Primary Outcome Measure Information:
Title
Proportion of patients who achieve a 50% decline in PSA levels
Description
Proportion of patients who achieve greater than 50% decline in PSA within 24- weeks of coffee treatment.
Time Frame
24 weeks
Secondary Outcome Measure Information:
Title
Change in PSA velocity and slope from pre-treatment to post-treatment
Description
Change in PSA velocity and slope from pre-treatment to post-treatment. Slope and velocity are measured as concentration per unit of time and will have the same units.
Time Frame
24 weeks (Baseline and 24 weeks)
Title
Percentage change in serial PSA
Description
Percentage change in serial PSA from baseline throughout the treatment period. PSA will be assessed at baseline, 3-mos, 6-mos and at a post-treatment follow-up visit.
Time Frame
24 weeks (Baseline, 3-mos, 6-mos and post-treatment)
Title
Percentage change in serial testosterone levels
Description
Percentage change in serial testosterone levels from baseline throughout the treatment period. Testosterone will be assessed at baseline, 3-mos, 6-mos and at a post-treatment follow-up visit.
Time Frame
24 weeks (Baseline, 3-mos, 6-mos and post-treatment)
Other Pre-specified Outcome Measures:
Title
Change in plasma concentration of artemisinin and dihydroartemisinin
Description
Changes in plasma concentrations of artemisinin and dihydroartemisinin will be compared pre- and post-treatment with Aa decaf coffee using non-parametric paired test.
Time Frame
24 weeks (Baseline and 24 weeks)
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Completion of localized therapy (prostatectomy or radiotherapy) for prostate adenocarcinoma (either histologically or cytologically confirmed)
Biochemical PSA recurrence
Age ≥18 years.
Eastern Cooperative Oncology Group (ECOG) performance status ≤3
Total bilirubin ≤ 1.5 x upper normal limit (ULN), and AST (aspartate transaminase) and ALT (alanine transaminase) ≤ 3.0 x ULN
Patients with a prior or concurrent malignancy (non-prostate) whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen as determined by the treating physician are eligible.
Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
Any radiological evidence of metastatic disease (determined by standard of care computed tomography (CT) scans of abdomen, pelvis, chest, whole body bone scan or Axium PET/CT scan or prostate specific membrane antigen (PSMA) PET/CT scan).
Receipt of prior cytotoxic chemotherapy for recurrent prostate cancer
Use of androgen deprivation therapy (for example, bicalutamide, flutamide, nilutamide, or leuprolide acetate) concurrently or within the previous 3 months.
Uncontrolled intercurrent illness such as active infections. Other illnesses will be evaluated and eligibility status determined at the discretion of the treating physician and the investigator.
Psychiatric illness/social situations that would limit compliance with study requirements.
Concomitant use of nevirapine, ritonavir, and strong UGT inducers or strong UGT inhibitors such as phenobarbital, rifampin, carbamazepine, diclofenac, imatinib, axitinib, and vandetanib
Concurrent use of strong inducers of CYP2A6, including phenobarbital and rifampin
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zin W Myint, MD
Phone
8593233964
Email
zin.myint@uky.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Zin Myint, MD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zin W Myint, MD
Phone
859-323-3964
Email
zin.myint@uky.edu
12. IPD Sharing Statement
Plan to Share IPD
No
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ArtemiCoffee in Patients With Rising PSA
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