Correlative Analysis of the Genomics of Vitamin D and Omega-3 Fatty Acid Intake in Prostate Cancer

NCT ID: NCT03290417

Last Updated: 2020-02-18

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

NA

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-07

Study Completion Date

2019-12-20

Brief Summary

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The purpose of this study is to see if eating vitamin D, omega 3 and turmeric (curcumin) slows the growth of prostate cancer in men on active surveillance.

Detailed Description

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The primary objective is to investigate the influence of vitamin D, omega-3 fatty acids, and turmeric curcumin intake on the genomic landscape of NCCN very low and low risk patients managed with Active Surveillance. This will be measured by using genomic signatures in Decipher GRID and using the mixed effect linear model that tests for the interaction of treatment arm and time (base-line, 6 month and 12 month time points) with gene expression as the response variable.

The secondary objective is to evaluate prostate cancer aggressiveness pre and post intervention by looking at genes and gene signatures associated with vitamin D and omega-3 fatty acids pathways. Prognostic performance of GRID gene signatures will be evaluated using Active Surveillance 'Failure' (deferred treatment) as an additional endpoint.

The exploratory objective is to be able to use predictive genes and/or genomic signatures to assess benefit from vitamin D, omega-3 fatty acid and turmeric curcumin intake. This will only be possible once sufficient patient follow up is available.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel groups, one with a control diet, the other with a modified diet
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Unmodified Diet

Patients are under active surveillance with no modification to their diet, as is standard of care for low risk prostate cancer

Group Type NO_INTERVENTION

No interventions assigned to this group

Diet modification

Patients receive Vitamin D, Omega-3 and turmeric curcumin as dietary supplements

Group Type EXPERIMENTAL

Vitamin D

Intervention Type DIETARY_SUPPLEMENT

5000 IU/cap; One cap by mouth daily

Omega-3

Intervention Type DIETARY_SUPPLEMENT

720 mg/cap; one capsule by mouth 3 times per day

Turmeric

Intervention Type DIETARY_SUPPLEMENT

250mg/cap; two capsules by mouth 4 times per day

Interventions

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Vitamin D

5000 IU/cap; One cap by mouth daily

Intervention Type DIETARY_SUPPLEMENT

Omega-3

720 mg/cap; one capsule by mouth 3 times per day

Intervention Type DIETARY_SUPPLEMENT

Turmeric

250mg/cap; two capsules by mouth 4 times per day

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Vitamin D3 Omegagenics Turmeric curcumin

Eligibility Criteria

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Inclusion Criteria

* Subjects must have the diagnosis of prostate cancer and be on active surveillance. For the purpose of this study, Active surveillance implies prostate-specific antigen (PSA)\<10 ng/mL, biopsy Gleason sum \</=6 with no pattern 4 or 5, cancer involvement of \<33% of biopsy cores, and clinical stage T1/T2a tumor.
* Subjects must be followed at the Cleveland Clinic for active surveillance.
* Subjects must be willing to adhere to the dietary modification outlined in the protocol.
* Subjects must be willing to have prostate biopsies at the baseline, and six months after enrollment into the protocol
* Subjects must have the ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria

* Subjects receiving any treatment other than AS for prostate cancer.
* Subjects not followed by the Cleveland Clinic.
* Subjects unable to adhere to the dietary modification outlined in the protocol.
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Case Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David Levy, MD

Role: PRINCIPAL_INVESTIGATOR

Cleveland Clinic, Case Comprehensive Cancer Center

Locations

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Cleveland Clinic, Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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CASE3816

Identifier Type: -

Identifier Source: org_study_id

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