RATIONALE: Pomegranate extract may keep prostate cancer from growing in patients with rising prostate-specific antigen (PSA) levels after surgery or radiation therapy for localized prostate cancer. PURPOSE: This randomized trial is studying how well pomegranate extract works in treating patients with rising PSA levels after surgery or radiation therapy for localized prostate cancer.
OBJECTIVES: Primary * Evaluate the effects of pomegranate extract in patients with and rising prostate-specific antigen (PSA) levels after surgery or radiotherapy for localized prostate cancer. * Determine the effect of a daily oral dose of pomegranate extract on the absolute value of PSA and on the change in PSA doubling time in these patients. Secondary * Assess toxicities associated with daily oral dosing of pomegranate extract in these patients. * Determine the effect of pomegranate extract on positive PSA doubling-time outcome, defined as greater than 150% baseline or a negative post-treatment PSA doubling time (i.e., declining PSA). OUTLINE: This is a multicenter, double-blind, placebo-controlled, randomized study. Patients are stratified according to participating center. Patients are randomized to 1 of 2 treatment arms. * Arm I: Patients receive oral pomegranate extract daily. * Arm II: Patients receive oral placebo daily. Treatment in both arms continues for up to 1 year in the absence of disease progression. PROJECTED ACCRUAL: A total of 180 patients will be accrued for this study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
183
Given orally daily.
Given orally daily.
Objective response
Time frame: 12 months
Response duration
Time frame: 12 months
Effects of pomegranate extract on prostate-specific antigen (PSA) doubling and velocity times
Time frame: 12 months
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