Randomized Phase II Trial of Polyphenon E vs.Placebo in Patients at High Risk of Recurrent Colonic Neoplasia
PRIMARY OBJECTIVES: I. To determine whether POLYE (Polyphenon E) treatment is associated
with a significant percent decrease in the number of rectal Aberrant Crypt Foci (ACF) (%
change in ACF) identified during the pre-intervention and post-intervention chromoendoscopy
exams. SECONDARY OBJECTIVES: I. To determine the relative tolerability and safety of
treatment with 2 capsules of POLYE taken twice a day by mouth (Note: each capsule of
Polyphenon E contains approximately 200 mg of epigallocatechin gallate (EGCG) versus placebo
administered for 6 months. TERTIARY OBJECTIVES: I. To determine the effect of the study
drug vs. placebo on EGCG levels in plasma and to correlate EGCG levels with drug compliance
and toxicity. II. To characterize ACF based on four criteria and correlate such
characterizations with the intervention (vs placebo), as well as exploring the natural
history of ACF over 6 months in persons at high risk for colorectal cancer randomized to
placebo. III. To correlate the 6-month measurements of ACF size (e.g., number of
crypts/ACF), number, morphology, and histopathology with the adenoma recurrence data at the
next surveillance endoscopy. IV. To assess caffeine and black tea consumption via a Beverage
Consumption Questionnaire and correlate with study endpoints. V. To assess the effects of
POLYE versus placebo on a focused panel of tissue biomarkers using re- and post-intervention
biopsy samples obtained from ACF and normal-appearing rectal mucosa. Residual tissue will be
stored for further analysis. VI. To study the association of clinical (toxicity and/or ACF
response or activity) with the pharmacokinetic parameters, and/or biologic (pharmacodynamic)
results. OUTLINE: Patients are randomized to 1 of 2 treatment arms. ARM I: Patients
receive Polyphenon E orally (PO) twice daily (BID). ARM II: Patients receive placebo PO
BID. Courses in both arms repeat every 28 days for 6 months in the absence of disease
progression or unacceptable toxicity. After completion of study treatment, patients are
followed up for 5 years.
Interventional
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Percent change in rectal ACF, pre- and post intervention at 6 months
Calculated as patients pre-registration number of rectal ACF minus the number of rectal ACF present at the 6-month post-intervention exam, divided by the number of rectal ACF present at pre-registration.
6 months
No
Frank Sinicrope
Principal Investigator
Mayo Clinic
United States: Food and Drug Administration
MC084C
NCT01606124
June 2012
Name | Location |
---|---|
Mayo Clinic | Rochester, Minnesota 55905 |
University of Illinois | Chicago, Illinois 60612 |