Trial Outcomes & Findings for Pharmacokinetics and Hepatic Safety of EGCG (NCT NCT04177693)

NCT ID: NCT04177693

Last Updated: 2023-06-05

Results Overview

Changes in epigallocatechin gallate (EGCG) from Visit 1 to Visit 4 (end of study). EGCG levels measured at 1 hour after taking study medication were used for both visits.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

39 participants

Primary outcome timeframe

Baseline, and Visit 4 (end of study, up to 40 days)

Results posted on

2023-06-05

Participant Flow

Participant milestones

Participant milestones
Measure
EGCG Daily Alone.
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Overall Study
STARTED
16
11
12
Overall Study
COMPLETED
14
11
11
Overall Study
NOT COMPLETED
2
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetics and Hepatic Safety of EGCG

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
EGCG Daily Alone.
n=16 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Total
n=39 Participants
Total of all reporting groups
Age, Continuous
29.6 years
STANDARD_DEVIATION 6.3 • n=5 Participants
27.2 years
STANDARD_DEVIATION 6.6 • n=7 Participants
29.3 years
STANDARD_DEVIATION 6.3 • n=5 Participants
28.8 years
STANDARD_DEVIATION 6.3 • n=4 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
39 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
6 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
n=5 Participants
9 Participants
n=7 Participants
10 Participants
n=5 Participants
33 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
8 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
White
11 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
23 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in epigallocatechin gallate (EGCG) from Visit 1 to Visit 4 (end of study). EGCG levels measured at 1 hour after taking study medication were used for both visits.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=12 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=10 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=8 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Epigallocatechin Gallate (EGCG)
5.8 nM
Interval -418.2 to 263.1
256.3 nM
Interval 37.9 to 770.1
86.4 nM
Interval -130.6 to 788.1

PRIMARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in epigallocatechin (EGC) from Visit 1 to Visit 4 (end of study). EGC levels measured at 1 hour after taking study medication were used for both visits.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=5 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=5 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=5 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Epigallocatechin (EGC)
-58.9 nM
Interval -66.2 to 62.2
8.9 nM
Interval -0.3 to 17.3
35.4 nM
Interval -19.7 to 193.6

PRIMARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in epicatechin gallate(ECG) from Visit 1 to Visit 4 (end of study). ECG levels measured at 1 hour after taking study medication were used for both visits.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=10 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=5 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=9 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Epicatechin Gallate(ECG)
7.6 nM
Interval -121.7 to 63.0
64.1 nM
Interval 1.0 to 248.0
60.3 nM
Interval -20.2 to 127.7

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in total bilirubin between the 3 groups.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=15 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Total Bilirubin
0.1 mg/dL
Standard Deviation 0.2
0 mg/dL
Standard Deviation 0
0 mg/dL
Standard Deviation 0.1

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in alanine aminotransferase /SGPT between the 3 groups.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=15 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in ALT/SGPT
1.1 U/L
Standard Deviation 5.1
4.4 U/L
Standard Deviation 11.7
-1.0 U/L
Standard Deviation 7.6

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in Alkaline Phosphatase between the 3 groups.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=15 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Alkaline Phosphatase
-1.5 U/L
Standard Deviation 5.4
-5.6 U/L
Standard Deviation 10.2
-6.0 U/L
Standard Deviation 9.1

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in Estrogen (E2) between the 3 groups.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=15 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Estrogen (E2)
-50.9 pg/mL
Standard Deviation 122.4
-49.4 pg/mL
Standard Deviation 76.6
-50.2 pg/mL
Standard Deviation 127.9

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Changes in endometrial thickness between the 3 groups.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=13 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=11 Participants
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Changes in Endometrial Thickness
-1.9 mm
Standard Deviation 4.3
1.4 mm
Standard Deviation 2.0
0.6 mm
Standard Deviation 2.7

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Change in serum folate levels between MTHFR677-Wild Type (WT) group and MTHFR677-Hetero group

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=13 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=17 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Change in Serum Folate Level Between MTHFR677-Wild Type (WT) Group and MTHFR677-Hetero Group
-3.2 ng/mL
Standard Deviation 4.1
-2.0 ng/mL
Standard Deviation 3.0

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Change in serum folate levels between MTHFR1298-Wild Type (WT) group and MTHFR1298-Hetero group

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=16 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=14 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Change in Serum Folate Level Between MTHFR1298-Wild Type (WT) Group and MTHFR1298-Hetero Group
-1.5 ng/mL
Standard Deviation 3.0
-3.8 ng/mL
Standard Deviation 3.7

SECONDARY outcome

Timeframe: Baseline, and Visit 4 (end of study, up to 40 days)

Change in serum folate levels between DHFR-Wild Type (WT) group and DHFR-Hetero or homo group.

Outcome measures

Outcome measures
Measure
EGCG Daily Alone.
n=7 Participants
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=23 Participants
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Change in Serum Folate Level Between DHFR-Wild Type (WT) Group and DHFR-Hetero or Homo Group.
-3.9 ng/mL
Standard Deviation 4.3
-2.1 ng/mL
Standard Deviation 3.2

Adverse Events

EGCG Daily Alone.

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

EGCG With Clomiphene Citrate

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

EGCG With Letrozole

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
EGCG Daily Alone.
n=16 participants at risk
EGCG daily alone. 800mg Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months
EGCG With Clomiphene Citrate
n=11 participants at risk
EGCG 800 mg daily with clomiphene citrate 100mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Clomiphene Citrate: 100 mg for 5 days
EGCG With Letrozole
n=12 participants at risk
EGCG 800mg daily with letrozole 5mg for 5 days. Epigallocatechin gallate (EGCG): 800 mg (4 capsules) of EGCG (green tea extract), taken orally on a daily basis for up to 2 months Letrozole: 5 mg for 5 days
Gastrointestinal disorders
Abdominal discomfort and loose stool
0.00%
0/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
Gastrointestinal disorders
Diarrhea
6.2%
1/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
General disorders
Dizziness
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
General disorders
Facial flushing, muscle ache, and diarrhea after letrozole
0.00%
0/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
Gastrointestinal disorders
Greenish discharge
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
General disorders
Headaches
6.2%
1/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
General disorders
Insomnia
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
Renal and urinary disorders
Kidney pain
0.00%
0/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
Gastrointestinal disorders
Loose stool
0.00%
0/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
General disorders
Low mood
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
Immune system disorders
Migraine after vaccine
6.2%
1/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
0.00%
0/12 • Up to 60 days
Gastrointestinal disorders
Nausea with EGCG
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
General disorders
Pelvic cramps, dull and intermittent aching after letrozole
0.00%
0/16 • Up to 60 days
0.00%
0/11 • Up to 60 days
8.3%
1/12 • Up to 60 days
Gastrointestinal disorders
Vomiting and diarrhea after clomid
0.00%
0/16 • Up to 60 days
9.1%
1/11 • Up to 60 days
0.00%
0/12 • Up to 60 days

Additional Information

Dr. Heping Zhang

Yale University

Phone: 2037855185

Results disclosure agreements

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