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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01360320
Other study ID # MIRACLE
Secondary ID
Status Completed
Phase Phase 2
First received
Last updated
Start date November 2011
Est. completion date July 2019

Study information

Verified date September 2019
Source Martin-Luther-Universität Halle-Wittenberg
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a randomized, placebo controlled, multicentric trial to investigate the effect of diet supplementation with green tea extract containing 300mg epigallocatechin gallate (EGCG), the major polyphenol of green tea, on the recurrence of colon adenomas.


Description:

Prevention of colorectal cancer is a major health care issue because of the high incidence of this cancer. So far, pharmaceutical chemoprevention has not gained widespread acceptance due to side effects of the chemopreventive agents used. Nutraceuticals such as polyphenols from tea plants have demonstrated remarkable therapeutic and preventive effects in molecular, epidemiological and clinical trials. However, controlled trials demonstrating the efficacy of nutraceuticals fo the prevention of colorectal cancer are largely missing.

The investigators present this randomized, placebo controlled, multicentric trial to investigate the effect of diet supplementation with green tea extract containing 300mg epigallocatechin gallate (EGCG), the major polyphenol of green tea, on the recurrence of colon adenomas.

Patients who underwent polypectomy for colonic polyps will be randomized after a one month verum run-in period to receive either 150mg EGCG two times daily or placebo over the course of three years. The beneficial safety profile of decaffeinated green tea extract, the quantifiable and known active content EGCG, and the accumulating evidence on its cancer preventive potential require in our view a validation of this compound for the "nutriprevention" of colorectal adenoma. Good accessibility and low costs might render this nutraceutical a top candidate for a wider use as food supplement in colon cancer prevention.


Recruitment information / eligibility

Status Completed
Enrollment 1001
Est. completion date July 2019
Est. primary completion date May 2019
Accepts healthy volunteers No
Gender All
Age group 50 Years to 80 Years
Eligibility Inclusion Criteria:

- Between 50-80 years of age

- Histologically confirmed colorectal adenomas or serrated lesions removed during colonoscopy within the last 6 months

- Good performance status (ECOG < 2) at study entrance

- Written informed consent.

Exclusion Criteria:

- History of hereditary nonpolyposis colorectal cancer (HNPCC) or familial adenomatous polyposis (FAP)

- History of colon or rectal cancer, other concomitant cancers with the exemption of basalioma or curative treated cancers without actual anticancer medication.

- Intestinal malabsorption, short bowel syndrome or surgical bowel interventions leading to malabsorption

- Liver failure (hepatitis, cirrhosis, elevation of liver enzymes ALT, AST or bilirubin to more than 2.5 fold of the reference levels)

- Inflammatory bowel disease

- Regular intake of NSAIDs (also Cox2 inhibitors) for more than 3 months per year except of low-dose aspirin (100 mg per day)

- Immunosuppressive medication

- Impaired capacity to consent or who are impaired in swallowing a pill

- Regular consumption of green tea extract as nutritional supplement (with a content of EGCG of more than 100mg per day) of longer than 6 months during the past two years

- Allergic reactions towards green tea

Study Design


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
Green tea extract of Camellia Sinensis
Powdered decaffeinated green tea extract of Camellia Sinensis, packed in hard gelatine capsules containing either 150 mg EGCG Run-in period with 150mg EGCG two times daily (p.o) for 4 weeks 150mg EGCG two times daily (p.o.) over the course of three years. Colonoscopy after 3 years
Green tea extract of Camellia Sinensis followed by placebo
Powdered decaffeinated green tea extract of Camellia Sinensis, packed in hard gelatine capsules containing either 150 mg EGCG Run-in period with 150mg EGCG two times daily (p.o.) for 4 weeks Placebo two times daily (p.o.) over the course of three years Colonoscopy after 3 years

Locations

Country Name City State
Germany Ostalb-Klinikum Aalen, Medizinische Klinik 1, Sekretariat Prof. Kleber Aalen
Germany Klinikum Altenburger Land, Gastroenterologie Altenburg
Germany Klinikum Augsburg, III. Med. Klinik Augsburg
Germany Krankenhaus Bietigheim-Bissingen, Klinik für Innere Medizin, Gastroenterologie, Hämato-Onkologie Bietigheim-Bissingen
Germany Krankenhaus Buchholz, Abteilung Innere Medizin Buchholz
Germany Kliniken der Stadt Köln gGmbH, Krankenhaus Holweide -Medizinische Klinik- Cologne
Germany Klinikum Esslingen, Klinik für Innere Medizin, Onkologie, Gastroenterologie Esslingen
Germany Universitätsklinikum der Ernst-Moritz-Arndt-Universität Greifswald, Klinik und Poliklinik für Innere Medizin A Greifswald
Germany Dr. Frank-Gleich Praxis für Innere Medizin und Gastroenterologie Halle
Germany Dr. Zeisler, Praxis für Innere Medizin und Gastroenterologie Halle
Germany Dres. Fechner/Behrens/Steudel - Gastroenterologisch-Onkologische Praxisklinik Halle
Germany Universitätsklinikum Halle, Klinik für Innere Medizin I Halle
Germany Klinikum Ludwigsburg, Medizinische Klinik I Ludwigsburg
Germany Diakoniekrankenhaus Mannheim, Medizinische Klinik II Mannheim
Germany Klinik Mühldorf Abt.Gastroenterologie Mühldorf
Germany Klinikum Bogenhausen, Interdisziplinäre Onkologische Tagklinik München
Germany II. Medizinische Klinik und Poliklinik der TU München, Klinikum rechts der Isar Munich
Germany Regio Kliniken Pinneberg Pinneberg
Germany Klinikum St. Elisabeth, I. Medizinische Klinik Straubing
Germany Universitätsklinikum Ulm, Klinik für Innere Medizin I Ulm
Germany Evangelisches Krankenhaus Wesel, Abteilung Innere Medizin Wesel

Sponsors (4)

Lead Sponsor Collaborator
Martin-Luther-Universität Halle-Wittenberg Deutsche Krebshilfe e.V., Bonn (Germany), KKS Netzwerk, University of Ulm

Country where clinical trial is conducted

Germany, 

References & Publications (1)

Stingl JC, Ettrich T, Muche R, Wiedom M, Brockmöller J, Seeringer A, Seufferlein T. Protocol for minimizing the risk of metachronous adenomas of the colorectum with green tea extract (MIRACLE): a randomised controlled trial of green tea extract versus placebo for nutriprevention of metachronous colon adenomas in the elderly population. BMC Cancer. 2011 Aug 18;11:360. doi: 10.1186/1471-2407-11-360. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Incidence of metachronous colorectal adenomas (tubulovillous, tubular, villous and serrated lesions) at the 3 year follow-up colonoscopy 3 years
Secondary Occurrences of colorectal adenomas or mucosal lesions 3 years
Secondary Number of colorectal adenomas or mucosal lesions 3 years
Secondary Size of colorectal adenomas or mucosal lesions 3 years
Secondary Localization of colorectal adenomas or mucosal lesions 3 years
Secondary Histological subtypes of colorectal adenomas or mucosal lesions 3 years
Secondary Invasive growth of colorectal adenomas or mucosal lesions 3 years
Secondary Incidence of colorectal carcinoma 3 years
Secondary Translational research Genetic and biochemical biomarkers for recurrence of adenoma or development of dysplasia and carcinoma (blood samples and histological in tissue samples of the colorectal lesions) 3 years
Secondary Toxicity and feasibility 3 years

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