Trial Outcomes & Findings for Nutrition and Prostate Cancer (NCT NCT03532308)

NCT ID: NCT03532308

Last Updated: 2021-05-26

Results Overview

The PSA test measures the level of PSA in a man's blood. For this test, a blood sample is sent to a laboratory for analysis. The results are usually reported as nanograms of PSA per milliliter (ng/mL) of blood. The PSA range of scores and interpretation are as follows: Normal PSA Levels: 0 - 4 ng/mL, Slightly Elevated PSA: 4 - 10 ng/mL, Moderately Elevated PSA: 10 - 20 ng/mL, Highly Elevated PSA: 20+ ng/mL. Interpretation of these scores is also based on the age of the inidividual.

Recruitment status

TERMINATED

Study phase

PHASE3

Target enrollment

19 participants

Primary outcome timeframe

Greater than or equal to 4 weeks (up to 10 weeks)

Results posted on

2021-05-26

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Overall Study
STARTED
10
9
Overall Study
Completed Assessments
9
7
Overall Study
COMPLETED
10
8
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nutrition and Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=10 Participants
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=9 Participants
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Total
n=19 Participants
Total of all reporting groups
Age, Continuous
60.6 years
STANDARD_DEVIATION 6.9 • n=5 Participants
62.9 years
STANDARD_DEVIATION 6.4 • n=7 Participants
61.7 years
STANDARD_DEVIATION 6.6 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
9 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
9 participants
n=7 Participants
19 participants
n=5 Participants
CAPRA Score
0-5: Low/Intermediate risk
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
CAPRA Score
6-10: High risk
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Greater than or equal to 4 weeks (up to 10 weeks)

Population: Intention to treat analysis population.

The PSA test measures the level of PSA in a man's blood. For this test, a blood sample is sent to a laboratory for analysis. The results are usually reported as nanograms of PSA per milliliter (ng/mL) of blood. The PSA range of scores and interpretation are as follows: Normal PSA Levels: 0 - 4 ng/mL, Slightly Elevated PSA: 4 - 10 ng/mL, Moderately Elevated PSA: 10 - 20 ng/mL, Highly Elevated PSA: 20+ ng/mL. Interpretation of these scores is also based on the age of the inidividual.

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=9 Participants
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Prostate-specific Antigen (PSA)
Baseline
8.97 ng/mL
Standard Error 1.10
8.66 ng/mL
Standard Error 1.16
Prostate-specific Antigen (PSA)
Up to 10 Weeks
8.11 ng/mL
Standard Error 1.12
8.92 ng/mL
Standard Error 1.21

SECONDARY outcome

Timeframe: Greater than or equal to 4 weeks (up to 10 weeks)

Population: Participants that were available for assessment at the end of treatment/study.

Pathological investigation of the removed prostate gland will include the assessment of biopsy-proven, index prostate cancer lesion will lead to the analysis of any modulation of PCa grade (Gleason score) compared to preoperative biopsies. The Gleason Score is interpreted as follows: 3+4 (Prognosis = Good), 4+3 (Prognosis = Likely to Spread), 8 - 10 (Prognosis = Likely to Spread Rapidly).

Outcome measures

Outcome measures
Measure
Intervention
n=8 Participants
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=8 Participants
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Gleason Score
3+4 (Prognosis = Good)
7 Participants
5 Participants
Gleason Score
4+3 (Prognosis = Likely to Spread)
0 Participants
2 Participants
Gleason Score
8 - 10 (Prognosis = Likely to Spread Rapidly)
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Greater than or equal to 4 weeks (up to 10 weeks)

Population: These data were not collected due to early termination of the study.

Analysis of telomere length in research samples of human peripheral blood mononuclear cells reveals that telomere length decreases with increased replication of cells, reflecting the replicative history of those cells.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline to final visit (up to 10 weeks)

Population: Per protocol change in scores from baseline in those with complete data at baseline and end of study/treatment.

Post surgical/post intervention CAPRA score will be used for comparison with baseline (screening) value. The CAPRA score can range from 0 to 10 where: a score of 0 to 2 indicates low-risk, 3 to 5 indicates intermediate-risk, and 6 to 10 indicates high-risk.

Outcome measures

Outcome measures
Measure
Intervention
n=8 Participants
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=8 Participants
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Cancer of the Prostate Risk Assessment (CAPRA-S) Score Change
-1.3 units on a scale
Standard Deviation 0.9
-1.4 units on a scale
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Greater than or equal to 4 weeks (up to 10 weeks)

Population: These data were not collected due to early termination of the study.

Assessment of prostate cancer mRNA can be determined from PCa tissue. Cell cycle progression score assessment of PCa mRNA is a novel RNA expression-based assay that directly measures tumor cell growth characteristics in order to stratify patients with localized PCa according to disease aggressiveness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Greater than or equal to 4 weeks (up to 10 weeks)

Population: Presented are data for all participants with complete data.

Quality of life assessment for men with PCa will be assessed with the Functional Assessment of Cancer Therapy - Prostate (FACT-P v4©). The FACT-P contains 39 items that use a 0-4 rating scale. The highest possible score is 156 (lowest possible score = 0). The total score is an indication of overall quality of life where the higher scores indicate better quality of life.

Outcome measures

Outcome measures
Measure
Intervention
n=10 Participants
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=9 Participants
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Functional Assessment of Cancer Therapy - Prostate (FACT-P v4©)
Baseline
121.50 units on a scale
Interval 104.47 to 138.53
128.44 units on a scale
Interval 118.07 to 138.82
Functional Assessment of Cancer Therapy - Prostate (FACT-P v4©)
End of Study (up to 10 weeks)
126.00 units on a scale
Interval 113.04 to 138.96
123.25 units on a scale
Interval 112.79 to 133.71

Adverse Events

Intervention

Serious events: 1 serious events
Other events: 3 other events
Deaths: 0 deaths

Placebo

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

Serious adverse events

Serious adverse events
Measure
Intervention
n=10 participants at risk
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=9 participants at risk
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Respiratory, thoracic and mediastinal disorders
Pneumonia
10.0%
1/10 • Number of events 1 • Up to 10 weeks
0.00%
0/9 • Up to 10 weeks
Cardiac disorders
Aortic Aneurysm
10.0%
1/10 • Number of events 1 • Up to 10 weeks
0.00%
0/9 • Up to 10 weeks

Other adverse events

Other adverse events
Measure
Intervention
n=10 participants at risk
Daily Fermented Soy (two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Fermented Soy: Two 12.5g packets/day) (\~1 ounce/day) taken between the time of enrollment and radical prostatectomy (RP). Time can be between 4 and 10 weeks.
Placebo
n=9 participants at risk
Daily (matched dose) taken between the time of enrollment and radical prostatectomy (RP). Clinical assessment of both groups will take place 1) at baseline, and 2) just prior to RP, estimated at between 4 and 10 weeks from baseline/enrollment. Length of time in the study will vary for each subject, depending on how far out their prostatectomy will occur; all prostatectomies will be scheduled to occur between 4-10 weeks post-baseline. Placebo: A placebo compliment to the active intervention with identical packaging and labeling will be used.
Skin and subcutaneous tissue disorders
Rash
10.0%
1/10 • Number of events 1 • Up to 10 weeks
0.00%
0/9 • Up to 10 weeks
Nervous system disorders
Nausea/Dizzyness
10.0%
1/10 • Number of events 1 • Up to 10 weeks
0.00%
0/9 • Up to 10 weeks
Cardiac disorders
Atrial Fibrillation
10.0%
1/10 • Number of events 1 • Up to 10 weeks
11.1%
1/9 • Number of events 1 • Up to 10 weeks

Additional Information

Michael S. Leapman, MD

Yale University School of Medicine

Phone: (203) 785-2815

Results disclosure agreements

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