Soy Protein Supplement in Preventing Prostate Cancer in Patients With Elevated Prostate-Specific Antigen Levels

NCT ID: NCT00031746

Last Updated: 2016-07-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-02-29

Study Completion Date

2006-06-30

Brief Summary

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RATIONALE: Soy protein supplement may prevent or delay the development of prostate cancer in patients who have elevated prostate-specific antigen (PSA) levels.

PURPOSE: Randomized phase II trial to determine the effectiveness of soy protein supplement in preventing prostate cancer in patients who have elevated PSA levels.

Detailed Description

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OBJECTIVES:

* Compare the reduction in the rate of prostatic cellular proliferation in patients with an elevated PSA (5 to 10 ng/mL) and a negative biopsy for prostate cancer when treated with daily soy protein supplements vs placebo.
* Compare the effect of these regimens on additional biomarkers of prostate cancer (PSA, high-grade prostate intraepithelial neoplasia, induction of apoptosis, sex steroid receptor expression, and loss of glutathione S-transferase-pi) in these patients.
* Compare the effect of these regimens on quality of life, including urinary and sexual function, in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled, multicenter study. Patients are stratified according to race (Caucasian vs African American). After 2 weeks of daily oral placebo, patients are randomized to 1 of 2 arms.

* Arm I: Patients receive oral soy protein supplement daily for 12 months.
* Arm II: Patients receive oral placebo daily for 12 months. Quality of life is assessed at baseline and at 6 and 12 months.

PROJECTED ACCRUAL: A total of 160 patients (80 per arm) will be accrued for this study within 12 months.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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soy protein + isoflavones

Group Type ACTIVE_COMPARATOR

soy protein isolate

Intervention Type DIETARY_SUPPLEMENT

25 mg daily

casein proteins

Group Type ACTIVE_COMPARATOR

casein proteins

Intervention Type DIETARY_SUPPLEMENT

25 mg daily

Interventions

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soy protein isolate

25 mg daily

Intervention Type DIETARY_SUPPLEMENT

casein proteins

25 mg daily

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed absence of prostate cancer

* Atypical adenomatous hyperplasia or prostatic intraepithelial neoplasia (high-grade or low-grade) allowed
* Abnormal baseline transrectal ultrasound and digital rectal exam allowed
* Biopsy may be before or after study entry, but must be within the past 90 days
* PSA 5-10 ng/mL

PATIENT CHARACTERISTICS:

Age:

* 50 and over

Performance status:

* ECOG 0-2

Life expectancy:

* Not specified

Hematopoietic:

* Not specified

Hepatic:

* Not specified

Renal:

* Not specified

Other:

* No known allergy to soy protein or milk protein
* No invasive cancer within the past 5 years except non-melanoma skin cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* Not specified

Chemotherapy:

* Not specified

Endocrine therapy:

* No prior hormonal therapy
* No prior finasteride
* No concurrent hormonal therapy
* No concurrent finasteride

Radiotherapy:

* Not specified

Surgery:

* At least 6 months since prior transurethral resection of the prostate
* No prior orchiectomy
* No concurrent orchiectomy

Other:

* No other concurrent soy products
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Alliance for Clinical Trials in Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James L. Mohler, MD

Role: STUDY_CHAIR

Roswell Park Cancer Institute

Locations

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Walter Reed Army Medical Center

Washington D.C., District of Columbia, United States

Site Status

CCOP - Hematology-Oncology Associates of Central New York

Syracuse, New York, United States

Site Status

Community General Hospital of Greater Syracuse

Syracuse, New York, United States

Site Status

Wake Forest University Comprehensive Cancer Center

Winston-Salem, North Carolina, United States

Site Status

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University

Columbus, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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U10CA076001

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CALGB-79806

Identifier Type: -

Identifier Source: secondary_id

NCI-P02-0207

Identifier Type: -

Identifier Source: secondary_id

CDR0000069221

Identifier Type: REGISTRY

Identifier Source: secondary_id

CALGB-79806

Identifier Type: -

Identifier Source: org_study_id

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