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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00363805
Other study ID # CDR0000487501
Secondary ID U01CA101204P30CA
Status Completed
Phase Phase 2
First received August 10, 2006
Last updated September 27, 2013
Start date May 2004

Study information

Verified date September 2013
Source University of Arizona
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

RATIONALE: Chemoprevention is the use of certain substances to keep cancer from forming, growing, or coming back. The use of green tea or polyphenon E may prevent cancer from forming in former smokers with chronic obstructive pulmonary disease.

PURPOSE: This randomized phase II trial is studying how well green tea or polyphenon E work in preventing lung cancer in former smokers with chronic obstructive pulmonary disease.


Description:

OBJECTIVES:

Primary

- Evaluate the effects of high-level oral consumption of defined green tea (four 12-oz servings/day) or polyphenon E capsules (4 capsules/day) on markers of cellular oxidative damage, as measured by 8-hydroxydeoxyguanosine (8-OHdG) and 8-F_2-isoprostanes (8-epi-PGF2) in former smokers with chronic obstructive pulmonary disease.

Secondary

- Evaluate the effects of high-level oral consumption of defined green tea or polyphenon E capsules on body antioxidant status (carotenoids, vitamins A and E, ascorbic acid [vitamin C] and antioxidant enzymes [catalase and glutathione peroxidase]) in blood in these patients.

- Evaluate the effects of high-level oral consumption of defined green tea or polyphenon E capsules on gene expression of markers of proliferation and apoptosis in induced sputum in these patients.

Tertiary

- Evaluate the effects of high-level oral consumption of defined green tea or polyphenon E capsules on lung function in these patients.

- Evaluate the relative adherence to use of green tea beverage vs polyphenon E capsules in these patients.

OUTLINE: This is a randomized, double-blind, placebo-controlled study. Patients are stratified according to gender and inhaled steroid usage (yes vs no).

All patients receive placebo tea beverage and placebo capsules 4 times a day for 2 weeks. Patients are randomized to 1 of 3 treatment arms after successful completion of the 2-week period.

- Arm I (green tea beverage): Patients receive oral green tea beverage and oral polyphenon E placebo daily for 6 months.

- Arm II (green tea capsule [polyphenon E]): Patients receive oral green tea beverage placebo and oral polyphenon E daily for 6 months.

- Arm III (placebo): Patients receive oral green tea beverage placebo and oral polyphenon E placebo daily for 6 months.

Patients undergo blood, urine, exhaled breath condensate (EBC), induced sputum, and buccal cell collection at baseline and periodically during study for biomarker/laboratory analysis. Blood samples are analyzed for 8-hydroxydeoxyguanosine (8-OHdG), glutathione peroxidase, and catalase. Urine is examined for F_2-isoprostanes, 8-OHdG, and tea polyphenols. Induced sputum broncho-epithelial cells are analyzed for gene expression of genes implicated in cellular growth and apoptotic pathway via reverse transcriptase-polymerase chain reaction. EBC samples are examined for F_2-isoprostane levels. Buccal cells are stored for future analysis.

PROJECTED ACCRUAL: A total of 195 patients will be accrued for this study.


Recruitment information / eligibility

Status Completed
Enrollment 178
Est. completion date
Est. primary completion date March 2009
Accepts healthy volunteers No
Gender Both
Age group 40 Years to 80 Years
Eligibility DISEASE CHARACTERISTICS:

- Diagnosis of chronic obstructive pulmonary disease

- FEV_1/FVC = 78

- History of smoking = 1 pack daily for 30 years OR 2 packs daily for 15 years

- Stopped smoking for = 1 year

- No previously diagnosed bronchiectasis

- No history of > 1 acute emphysema exacerbation within the past 3 months

PATIENT CHARACTERISTICS:

- ECOG performance status 0-1

- WBC = 3,500/mm³

- Platelet count > 130,000/mm³

- Hemoglobin = 11 g/dL (female) or 12 g/dL (male)

- AST and ALT normal

- Bilirubin = 1.5 mg/dL (unless Gilbert's disease present)

- Creatinine = 1.5 mg/dL

- Alkaline phosphatase = 2 times upper limit of normal

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No invasive cancer within the past 5 years

- Able and willing to consume caffeinated beverages

- Able to produce induced sputum

- Able to perform forced expiratory maneuver during spirometry testing

- No immunosuppression by virtue of medication or disease including, but no limited to, any of the following:

- Organ transplantation

- Liver or kidney failure

- Autoimmune diseases

- Oral steroids

- Chemotherapy

- No serious concurrent illness that could preclude study compliance, such as uncontrolled high blood pressure, heart disease, or poorly controlled diabetes

- No myocardial infarction within the past 6 weeks

PRIOR CONCURRENT THERAPY:

- At least 2 weeks since prior and no concurrent dietary supplements or herbal products, including any of the following:

- Herbal tea

- Ginkgo biloba > 60 mg/day

- Melatonin > 3 mg/day

- Echinacea > 300 mg/day

- Hypericum perforatum (St. John's wort) > 300 mg/day

- DHEA mustard > 5 mg/day

- At least 2 weeks since prior and no concurrent nontrial tea or tea products

- More than 3 weeks since prior chest or abdominal surgery

- More than 3 months since prior participation in chemoprevention or clinical intervention trials

- At least 3 months since prior and no concurrent megadoses of vitamins, defined as > 4,000 IU of vitamin A, 400 IU of vitamin E, 400 IU of cholecalciferol (vitamin D), 60 µg of selenium, or 1,000 mg of ascorbic acid (vitamin C) per day

- No regular consumption of = 6 cups or glasses of tea per week

- No concurrent nontrial caffeine at > 1 serving/day (1 serving defined as 12 oz of regular soda or 8 oz of coffee)

- No concurrent participation in another interventional clinical trial

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
green tea
Given orally
Drug:
Polyphenon E
Given orally
Other:
placebo
Given orally

Locations

Country Name City State
United States Arizona Cancer Center at University of Arizona Health Sciences Center Tucson Arizona
United States Veterans Affairs Medical Center - Tucson Tucson Arizona
United States Virginia G. Piper Cancer Center at Scottsdale Healthcare - Shea Tucson Arizona

Sponsors (2)

Lead Sponsor Collaborator
Sherry Chow National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in Urinary 8-hydroxydeoxyguanosine Levels the urinary concentrations of 8-hydroxydeoxyguanosine were normalized by the urinary creatinine concentrations to correct for variations in urine dilution/production and the change in urinary 8-hydroxydeoxyguanosine levels was calculated as the 6 months levels minus the baseline levels Baseline and 6 months No
Primary Change in Urinary 8-F2-isoprostanes Levels the urinary concentrations of 8-F2-isoprostanes were normalized by the urinary creatinine concentrations to correct for variations in urine dilution/production and the change in urinary 8-F2-isoprostanes levels was calculated as 6 months levels minus baseline levels Baseline and 6 months No
See also
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Completed NCT02719860 - High Tea Consumption on Smoking Related Oxidative Stress Phase 2