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Study Summary
No. 2007-0922:.......Prostate......Curtis A. Pettaway......Urology
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Study Summary Title
Study Summary
Number:
2007-0922
Study Title:A 48-Month Extension to the Randomized, Double-Blind, Placebo-Controlled Study of the Effects of Pomegranate Extract on Rising Prostate-Specific Antigen Levels in Men Following Primary Therapy for Prostate Cancer
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Physician New Patient Referral
Name:Curtis A. PettawayPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:UrologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-3250
Contact us about clinical trials
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General Information
Disease Group:ProstateSupported By:Roll International
Roll International
Phase of Study:N/AReturn
Visit:
Subjects will return for clinical and laboratory evaluation every 3 month for
48 months or until disease progression. Each participant will receive $25.00
for every 3 month clinic visit for travel reimbursement.
Treatment
Agents:
Pomegranate ExtractHome Care:Subjects will drink 8 ounces of pomegranate juice, pomegranate liquid extract
or placebo daily for 48 months. Study product will be shipped to them weekly.
Patients will also complete a diary to report the consumption of the product.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
No hospital stay is required for this study.
Description/
Intervention:
The goal of this clinical research study is to learn if continuing to take the
previously assigned study juice for an additional 48 months has any effect on
people with prostate cancer who do not have rising prostate specific antigen
(PSA) levels and whose disease is not getting worse.
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Study Objectives / Outcomes
Primary Objective:
To compare the effects of daily consumption of pomegranate liquid extract
versus placebo on the absolute prostate-specific antigen (PSA) doubling
time at the end of 12, 24,36 and 48 months in male subjects who rolled-over
from the GUP-0205-1 study.

Secondary Objectives:

1. To determine the effect of the pomegranate treatment on the change in PSA doubling time from baseline to each 12-month visit
2. To determine the time to tumor recurrence
3. To assess the tolerability and toxicity of the pomegranate treatments
4. To determine the effect of the pomegranate treatments on response rates for positive PSA doubling times and for declining post-treatment PSA levels (negative doubling times)


Primary Outcome Variable
The primary outcome variable will be the mean PSA doubling time at end-of-treatment.

Secondary Outcome Variables
The secondary outcome variables include:

1. Measures of tolerability (adverse events) and toxicity (clinical chemistries, etc.).
2. Response rates in positive and negative PSA doubling times with a clinically significant positive doubling time is defined as >150% of baseline.
3. Overall efficacy responses categorized as,
    Objective Response (OR): Defined as a decrease of 50% or more in the PSA from baseline level;
    Progressive Disease (PD): Defined as either: a >/=100% increase in PSA (with a minimum value of 1.0 ng/mL) from baseline level, or confirmed metastatic or recurrent disease; and
    Stable Disease (SD): Does not qualify as objective response or progressive disease.
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Study Status Information
Study Activation / Registration Date:04/21/2008
IRB Review and Approval Date:04/21/2008
Study Type:Phase Iii
Recruitment Status:Open
Projected Accrual:180
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) No evidence of disease progression while on any of the three GUP-0205 study products (disease progression defined as >/= 100% increase in serum PSA [with a minimum value of 1.0 ng/mL]).

2) Willingness and ability to sign an informed consent document.

3) Agreement with complete abstinence from other commercially available pomegranate products during the course of the study.

4) Use of dietary/herbal supplements (e.g., saw palmetto, selenium, etc) are acceptable provided the dose has been stable during the course of the GUP-0205- 1 study

5) Performance status 0 or 1 on the ECOG scale.

Exclusion Criteria:1) Significant concomitant medical or psychiatric condition that, in the opinion of the investigator, would make the subject a poor protocol candidate.

2) Hormonal therapy, with the exception of neoadjuvant androgen deprivation therapy (ADT) prior to or concurrent with primary therapy. Subjects who underwent neoadjuvant ADT must have a serum testosterone of >150 ng/mL at study entry.

3) Concomitant or antecedent hormonal therapy for rising serum PSA after initial therapy of prostate cancer.

4) Subjects unable or unwilling to comply with protocol requirements.

5) Prior treatment with experimental drugs, high dose steroids, or with any drug or therapy with the potential to impact prostate cancer or PSA within 6 months prior to the first dose of study product and for the duration of the study.

6) Serum PSA >7.0 ng/mL (assessed at termination of the double-blind study; at any PSA level, the subject will be excluded if determined by the investigator that the subject's continued participation would not be in their best interest).

7) Serum PSA doubling time <13 weeks (assessed at termination of the double-blind study).

8) Evidence of metastatic disease on physical examination or on CT or bone scan.

9) Use of finasteride, dutasteride at any point since primary therapy or during the study.

10) Clinically significant abnormal laboratory value (other than PSA) greater than 2 times the upper limit of normal (>2XULN).

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Links
Registration Number: NCT00336934
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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