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Low-Fat Diet and/or Flaxseed in Preventing Prostate Cancer



Low-Fat Diet and/or Flaxseed in Preventing Prostate Cancer

For Condition: stage 3 prostate cancer,stage 1 prostate cancer,stage 2 prostate cancer
Status: Recruiting
Sponsor(s): University of Michigan Comprehensive Cancer Center , National Cancer Institute (NCI)
Synopsis: RATIONALE: A diet that is low in fat and/or high in flaxseed may slow or prevent disease progression of prostate cancer. PURPOSE: Randomizedphase II trial to study the effectiveness of a diet that is low in fat and/or high in flaxseed in slowing or preventing disease progression in patients who have newly diagnosed prostate cancer.
Details: OBJECTIVES: - Compare tumor proliferation in patients with newly diagnosed prostate cancer eating fat- and/or flaxseed-modified diets. - Compare differences in histopathological markers associated with prostate cancer (rates of apoptosis, extent of high-grade prostatic intraepithelial neoplasia) among patients in these diet groups. - Compare changes in serum prostate specific antigen among patients in these diet groups. - Compare changes in hormone-related factors (total serum testosterone and free androgen index, insulin-like growth factor [IGF], and IGF-binding protein-3) among patients in these diet groups. - Compare the effects of diet on nutritional biomarkers (levels of lignans in the urine and ejaculate, fatty acid profiles of erythrocytes and prostatic tissue) in these patients. - Determine associations between dietary modification and changes in dietary biomarkers, hormonal intermediates, and study endpoints in these patients. OUTLINE: This is a randomized study. Patients are stratified according to Gleason score (less than 7 vs at least 7) and race (black vs non-black). Patients are randomized to 1 of 4 diet groups. - Arm I (Flaxseed-supplemented diet): Patients are instructed to incorporate ground flaxseed into their daily diets. - Arm II (Low-fat diet): Patients are instructed on ways to achieve a diet with no greater than 20% of total energy from dietary fat. - Arm III (Flaxseed-supplemented, low-fat diet): Patients are instructed as in arm I and arm II. - Arm IV (Control diet): Patients are contacted weekly, but do not receive dietary counseling until after surgery. All patients ingest the diets for at least 3 weeks and complete diet diaries until surgery. After surgery, all patients receive dietary counseling. PROJECTED ACCRUAL: A total of 160 patients (40 per treatment arm) will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Prevention
Minimum Age/Maximum Age: 18 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed prostate cancer - At least 3 weeks until planned prostatectomy (24 days between day 1 visit and surgery) - Current diet that provides more than 30% of calories from fat PATIENT CHARACTERISTICS: Age - 18 and over Performance status - Not specified Life expectancy - Not specified Hematopoietic - Not specified Hepatic - Not specified Renal - Not specified Other - Mentally competent - Able to speak and write English - Must have telephone access PRIOR CONCURRENT THERAPY: Biologic therapy - Not specified Chemotherapy - Not specified Endocrine therapy - No concurrent hormonal therapy Radiotherapy - Not specified Surgery - At least 2 weeks since prior prostate biopsy Other - At least 7 days since prior antibiotics - No prior therapy for prostate cancer - No concurrent dietary supplements initiated within the past 3 months or anticipated to begin during study - No other concurrent neoadjuvant therapies - No other concurrent flaxseed consumption
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DeanBrenner,  Study Chair,  University of Michigan Comprehensive Cancer Center

Duke Comprehensive Cancer Center *Recruiting*
Durham,  North Carolina,  27710
United States
Recruiting Wendy  Demark-Wahnefried 919-681-3261

Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill *Recruiting*
Chapel Hill,  North Carolina,  27599-7295
United States
Recruiting Boyd  Switzer 919-966-7221

University of Michigan Comprehensive Cancer Center *Recruiting*
Ann Arbor,  Michigan,  48109-0930
United States
Recruiting Dean  Brenner 734-647-1417


Additional Information:
Study ID Numbers:
  CDR0000258042;  CCUM-0202,UMCC-0202,NCI-P02-0235,DUMC-1385-02-7R3ER
Study Start Date: 
Record last reviewed: September 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00049309

Other Stage 2 Prostate Cancer Studies:
1. Magnetic Resonance Imaging and Magnetic Resonance Spectroscopic Imaging in Diagnosing the Extent of Disease in Patients With Prostate Cancer

2. Radiation Therapy With Androgen Suppression in Treating Patients With Prostate Cancer

3. Low-Fat, High-Fiber Diet Compared to a Standard Diet in Treating Patients With Prostate Cancer

4. Radiation Therapy in Treating Patients With Stage I or Stage II Prostate Cancer

5. Group Therapy Compared With Educational Materials in Patients With Prostate Cancer

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