Green Tea and Reduction of Breast Cancer Risk

NCT ID: NCT00917735

Last Updated: 2016-02-22

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

1075 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2014-06-30

Brief Summary

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RATIONALE: Green tea extract contains ingredients (catechins) that may lower the risk of breast cancer.

PURPOSE: This phase II trial is studying how well green tea extract works in preventing breast cancer compared to a placebo in postmenopausal women with high breast density.

The investigators have hypothesized that green tea consumption reduces breast cancer risk, and this effect is seen primarily in women who have the low-activity COMT genotype. The investigators will test this by evaluating the effects of green tea extract on breast cancer biomarkers including mammographic density, plasma insulin-like growth factor 1 (IGF-1), IGF binding protein 3 (IGFBP-3), estrone, estradiol, androstenedione, sex hormone binding globulin (SHBG), urinary estrogen metabolites and plasma F2-isoprostanes.

Detailed Description

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OBJECTIVES:

1. Primary:

1.1 To determine the effects of green tea extract consumption (containing 800 mg EGCG per day) for 12 months on the following recognized biomarkers of breast cancer risk:
1. Mammographic density
2. Circulating concentrations of insulin-like growth factor 1 (IGF-1) and IGF binding protein 3 (IGFBP-3)
3. Circulating concentrations of reproductive hormones (estrone, estradiol, androstenedione) and sex hormone binding globulin (SHBG)

1.2 To determine the effects of COMT genotype on the green tea extract effects described above.
2. Secondary:

2.1 To determine the effects of green tea extract consumption (containing 800 mg EGCG per day) for 12 months on the following hypothesized biomarkers of breast cancer risk:

1. Urinary estrogen metabolites (estrone, estradiol, and their 2-hydroxy, 4-hydroxy, 2-methoxy, and 4-methoxy metabolites, estriol, and 16- hydroxyestrone)
2. Circulating concentrations of F-2 isoprostanes, a recognized biomarker of systemic oxidative stress

2.2 To determine the effects of COMT genotype on the green tea extract effects described above.

2.3 To determine the effects of COMT genotype on catechin metabolism and excretion, as measured by circulating and urinary concentrations.

Conditions

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Breast Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Green tea extract

Green tea extract capsules containing 80.7 % total catechins (51.7 % EGCG)

Group Type EXPERIMENTAL

Green tea extract supplement

Intervention Type DRUG

Two green tea extract capsules twice daily after breakfast and dinner for one year

Sugar pill

Placebo capsules containing 50% maltodextrin, 49.5 % cellulose, and 0.5 % magnesium stearate

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Two placebo capsules twice daily after breakfast and dinner for one year

Interventions

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Green tea extract supplement

Two green tea extract capsules twice daily after breakfast and dinner for one year

Intervention Type DRUG

Placebo

Two placebo capsules twice daily after breakfast and dinner for one year

Intervention Type OTHER

Other Intervention Names

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Green tea extract: Corban green tea blend (GTB-3D) Sugar Pill

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent
* Healthy postmenopausal women aged 50-70 years
* "Heterogeneously dense" (51-75% glandular) or "extremely dense" (\>75%glandular) breasts
* Willing to avoid consumption of green tea for 1 year

Exclusion Criteria

* Positive serological markers of hepatitis B or hepatitis C infections
* Elevated levels of liver enzymes
* Recent (within 6 mo) or current hormone or hormone modification therapy, including systemic hormone replacement therapy, SERMS and aromatase inhibitors
* Current smoker of cigarettes or other tobacco products
* BMI \<19 or \>40 kg/m2
* Weight change \> 10 lbs during the previous year
* History of breast cancer or proliferative breast disease
* Regular consumption of \> 7 alcoholic drinks/wk
* Regular consumption of green tea (\>1 cup/wk)
* Recent (within 6 mo) or current use of chemopreventive agents such as tamoxifen, raloxifene or aromatase inhibitors
* Participation in any weight loss or weight gain studies
* Currently taking Methotrexate or Enbrel
* History of ovarian cancer
* Any form of cancer in the last 5 years
* Presence of implants
Minimum Eligible Age

50 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mindy S Kurzer, Ph.D

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota

Locations

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Fairview Southdale Breast Center

Edina, Minnesota, United States

Site Status

Fairview Maple Grove Breast Center

Maple Grove, Minnesota, United States

Site Status

University of Minnesota Medical Center (UMMC) Breast Clinic

Minneapolis, Minnesota, United States

Site Status

Park Nicollet Institute

Saint Louis Park, Minnesota, United States

Site Status

Food Science and Nutrition, University of Minnesota

Saint Paul, Minnesota, United States

Site Status

Countries

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United States

References

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Bathgate JR, Radler DR, Kurzer M, Samavat H. Green tea extract supplementation does not modify plasma concentration of F2-isoprostanes in women who are postmenopause: Findings from a randomized controlled trial. Nutr Res. 2023 May;113:29-38. doi: 10.1016/j.nutres.2023.03.001. Epub 2023 Mar 9.

Reference Type DERIVED
PMID: 37011435 (View on PubMed)

Samavat H, Wu AH, Ursin G, Torkelson CJ, Wang R, Yu MC, Yee D, Kurzer MS, Yuan JM. Green Tea Catechin Extract Supplementation Does Not Influence Circulating Sex Hormones and Insulin-Like Growth Factor Axis Proteins in a Randomized Controlled Trial of Postmenopausal Women at High Risk of Breast Cancer. J Nutr. 2019 Apr 1;149(4):619-627. doi: 10.1093/jn/nxy316.

Reference Type DERIVED
PMID: 30926986 (View on PubMed)

Arikawa AY, Samavat H, Gross M, Kurzer MS. Plasma F2-isoprostanes Are Positively Associated with Glycemic Load, but Inversely Associated with Dietary Polyunsaturated Fatty Acids and Insoluble Fiber in Postmenopausal Women. J Nutr. 2017 Sep;147(9):1693-1699. doi: 10.3945/jn.117.254631. Epub 2017 Jul 26.

Reference Type DERIVED
PMID: 28747487 (View on PubMed)

Samavat H, Newman AR, Wang R, Yuan JM, Wu AH, Kurzer MS. Effects of green tea catechin extract on serum lipids in postmenopausal women: a randomized, placebo-controlled clinical trial. Am J Clin Nutr. 2016 Dec;104(6):1671-1682. doi: 10.3945/ajcn.116.137075. Epub 2016 Nov 2.

Reference Type DERIVED
PMID: 27806972 (View on PubMed)

Dostal AM, Arikawa A, Espejo L, Kurzer MS. Long-Term Supplementation of Green Tea Extract Does Not Modify Adiposity or Bone Mineral Density in a Randomized Trial of Overweight and Obese Postmenopausal Women. J Nutr. 2016 Feb;146(2):256-64. doi: 10.3945/jn.115.219238. Epub 2015 Dec 23.

Reference Type DERIVED
PMID: 26701796 (View on PubMed)

Dostal AM, Samavat H, Espejo L, Arikawa AY, Stendell-Hollis NR, Kurzer MS. Green Tea Extract and Catechol-O-Methyltransferase Genotype Modify Fasting Serum Insulin and Plasma Adiponectin Concentrations in a Randomized Controlled Trial of Overweight and Obese Postmenopausal Women. J Nutr. 2016 Jan;146(1):38-45. doi: 10.3945/jn.115.222414. Epub 2015 Nov 18.

Reference Type DERIVED
PMID: 26581683 (View on PubMed)

Related Links

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http://www.ncbi.nlm.nih.gov/pubmed/26206423

The Minnesota Green Tea Trial (MGTT), a randomized controlled trial of the efficacy of green tea extract on biomarkers of breast cancer risk: study rationale, design, methods, and participant characteristics

http://www.ncbi.nlm.nih.gov/pubmed/26051348

The safety of green tea extract supplementation in postmenopausal women at risk for breast cancer: results of the Minnesota Green Tea Trial

Other Identifiers

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R01CA127236

Identifier Type: NIH

Identifier Source: secondary_id

View Link

0806M36121

Identifier Type: -

Identifier Source: org_study_id

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