About this trial
The goal of this clinical trial is to find out if taking natural products green tea and quercetin along with docetaxel chemotherapy improves the therapy of advanced prostate cancer, i.e., metastatic castration-resistant prostate cancer (mCRPC). It will also learn about the safety of this combination.
Researchers will compare green tea plus quercetin to a placebo (a look-alike substance that contains no drug) in combination with docetaxel to see if green tea and quercetin works to improve the therapeutic effect of docetaxel.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed and dated informed consent form and HIPPA (Health Insurance Portability and Accountability Act) authorization.
Stated willingness to comply with all study procedures and availability for the duration of the study.
Male patients 18 years or older
Diagnosed with metastatic prostate cancer
Disqualifiers
Prior treatment of chemotherapy and/or radiotherapy for metastatic disease
Any comorbid condition that would preclude the administration of docetaxel/prednisone
Ongoing alcohol abuse
Significant medical or psychiatric conditions that would make the patient a poor protocol candidate
Trial design
Sequential
Treatments tested in this trial
green tea and quercetin + docetaxel
Druggreen tea and quercetin supplements in combination with docetaxel infusion
Placebo + docetaxel
DrugPlacebo will be given along with docetaxel chemotherapy
Treatment groups
Trial outcomes
Primary outcomes
Efficacy evaluated with blood prostate specific antigen (PSA) level
Blood PSA will be measured at baseline, 1st day of each cycle of docetaxel treatment (21 days per cycle, for 3 cycles), and at the end of the intervention.
Secondary outcomes
circulating tumor DNA level (ctDNA) analyzed by next generation sequencing
CtDNA will be measured at the 1st day of each cycle of docetaxel treatment, and at the end of the intervention.
tumor burden by CT detection
Tumor burden, including tumor number and size, will be assessed in both primary and metastatic sites using computed tomography (CT), to assist in the evaluation of complete response vs. stable disease vs. progressive disease using the RECIST criteria.
Adverse events graded by using NCI CTCAE criteria
The Common Terminology Criteria for Adverse Events (CTCAE), version 4.0, will be followed for a comprehensive evaluation of adverse events in multiple systems including blood, liver, gastrointestinal tract, and neural system.
Area under curve (AUC) of blood green tea, quercetin, and docetaxel
The AUC of blood green tea, quercetin, and docetaxel will be analyzed in cycle 1 of different dose levels in the dose escalation study.
Sponsors and contacts
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Charles Drew University of Medicine and Science
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator
Watts Healthcare Corporation
Collaborator