Trial Outcomes & Findings for Green Tea Extract in Treating Patients With Monoclonal Gammopathy of Undetermined Significance and/or Smoldering Multiple Myeloma (NCT NCT00942422)

NCT ID: NCT00942422

Last Updated: 2015-03-27

Results Overview

This is a monthly blood test, done at the beginning of each cycle of therapy. The M-protein is a surrogate marker routinely used to estimate the degree of plasma cell cyto-reduction brought about by therapy. In active multiple myeloma, a 25% reduction in the M-protein level would correspond to a "minor response," an improvement recognized as having some clinical benefit.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

Day one of each 28-day cycle for a total of up to 6 cycles

Results posted on

2015-03-27

Participant Flow

Participant milestones

Participant milestones
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Overall Study
STARTED
8
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Overall Study
Withdrawal by Subject
1
Overall Study
Death
1
Overall Study
Progressive diease
1

Baseline Characteristics

Green Tea Extract in Treating Patients With Monoclonal Gammopathy of Undetermined Significance and/or Smoldering Multiple Myeloma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
n=8 Participants
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal). Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Region of Enrollment
United States
8 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day one of each 28-day cycle for a total of up to 6 cycles

This is a monthly blood test, done at the beginning of each cycle of therapy. The M-protein is a surrogate marker routinely used to estimate the degree of plasma cell cyto-reduction brought about by therapy. In active multiple myeloma, a 25% reduction in the M-protein level would correspond to a "minor response," an improvement recognized as having some clinical benefit.

Outcome measures

Outcome measures
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
n=8 Participants
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. defined green tea catechin extract: Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. gene expression analysis: Blood and bone marrow samples will be obtained prior to the start of treatment and at the conclusion of the study for correlative studies. An additional peripheral blood sample will be obtained on day 8 of the
Sustained M-protein Reduction of ≥ 25% From Baseline
0 percentage of patients

Adverse Events

Defined Green Tea Catechin Extract / Correlative Analysis

Serious events: 1 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
n=8 participants at risk
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. gene expression analysis: Blood and bone marrow samples will be obtained prior to the start of treatment and at the conclusion of the study for correlative studies. An additional peripheral blood sample will be obtained on day 8 of the
Metabolism and nutrition disorders
Hyperglycemia
12.5%
1/8

Other adverse events

Other adverse events
Measure
Defined Green Tea Catechin Extract / Correlative Analysis
n=8 participants at risk
Polyphenon E, an oral capsule form of EGCG extracted from green tea, 800 mg administered daily on an empty stomach (at least 1 hour before or 2 hrs after a meal)Patients receive oral green tea catechin extract (Polyphenon E) daily on days 1-28. Treatment repeats every 28 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. gene expression analysis: Blood and bone marrow samples will be obtained prior to the start of treatment and at the conclusion of the study for correlative studies. An additional peripheral blood sample will be obtained on day 8 of the
Blood and lymphatic system disorders
Neutropenia
37.5%
3/8 • Number of events 3
Blood and lymphatic system disorders
Leukopenia
37.5%
3/8 • Number of events 3
Blood and lymphatic system disorders
Lymphopenia
50.0%
4/8 • Number of events 4
Blood and lymphatic system disorders
Thrombocytopenia
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Nausea
50.0%
4/8 • Number of events 4
Gastrointestinal disorders
Reflux
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Loose Stools
37.5%
3/8 • Number of events 3
Gastrointestinal disorders
Difficulty Swallowing Pills
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Dyspepsia
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Bloating
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Increased ALT
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
Increased AST
37.5%
3/8 • Number of events 3
Metabolism and nutrition disorders
Hypoalbuminemia
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
100.0%
8/8 • Number of events 8
Metabolism and nutrition disorders
Hyperuricemia
50.0%
4/8 • Number of events 4
Metabolism and nutrition disorders
Increased Creatinine
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
hypomagnesemia
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
hypophosphatemia
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Palpable left axillary and mandibular lymph nodes
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Brusing left arm
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Shingles
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Jock Itch
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Upper Respiratory Infection
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Viral Respiratory Infection
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Sinus Congestion
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Post Nasal Drip
12.5%
1/8 • Number of events 1
Cardiac disorders
Heart Palpitation
12.5%
1/8 • Number of events 1
Cardiac disorders
Borderline bradycardia
12.5%
1/8 • Number of events 1
General disorders
Fatigue
25.0%
2/8 • Number of events 2
General disorders
Insomnia
12.5%
1/8 • Number of events 1
General disorders
Night sweats
12.5%
1/8 • Number of events 1
General disorders
Weight Gain
12.5%
1/8 • Number of events 1
General disorders
Belching
12.5%
1/8 • Number of events 1
General disorders
Skin Redness
12.5%
1/8 • Number of events 1
Nervous system disorders
Mood Changes
12.5%
1/8 • Number of events 1
General disorders
Ankle Tenderness/Pain
25.0%
2/8 • Number of events 2
Nervous system disorders
Headache
25.0%
2/8 • Number of events 2
General disorders
Back Pain
25.0%
2/8 • Number of events 2
General disorders
Chest Pain
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Cramping in neck
12.5%
1/8 • Number of events 1

Additional Information

Jeffrey Zonder, M.D.

Barbara Ann Karmanos Cancer Institute

Phone: 313-576-8732

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place