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A
Pilot Study of the Supplementation of Genistein Concentrated
Polysaccharide, GCP™, in men with Prostate Cancer before
Radical Retropubic Prostatectomy.
Principal
Investigator:
Aaron
E. Katz, M.D.
Assistant Professor of Urology
College of Physicians and Surgeons
Department of Urology
Columbia University
(212) 305-6408
Study
Purpose: This study will examine the physiological effects
of Genistein Concentrated Polysaccharide (GCP™) supplementation
in men diagnosed with prostate cancer who will undergo radical
surgery. The study will investigate whether the ingestion
of GCP induces cell death or a reduction in the blood vessels
within the prostate gland using tissue markers of angiogenesis
such as CD31. In addition, we will determine if there is
a change in the serum and urine levels of genistein following
GCP ingestion. Since this is a pilot investigation, an additional
objective of the study is to determine the toxicity profile
of GCP.
GCP™
is a nutritional supplement made by the Amino Up Chemical
Company in Sapporo, Japan. It is a mixture of a mushroom
and soybean extract. Research on GCP™ has shown it can
reduce prostate cancer cell growth and the formation of
blood vessels in prostate tumors.
Study
subjects and method of recruitment:
Men
who have been diagnosed with prostate cancer who will be
undergoing radical surgery for primary treatment of prostate
cancer in the Department of Urology will be eligible for
this study.
Study
procedures: Prior to study participation, all patients
will sign an informed consent. At baseline and at 6 weeks,
patients will have a PSA (prostate specific antigen), liver
function test, CBC, Chem 7, and 24 hour urine and blood
analysis for genistein content. At baseline and 6 weeks,
they will also complete a side effect profile questionnaire.
At baseline, prostate biopsy tissue will be tested for levels
and expression of bcl2, CD31, and p27. For the PSA, toxicity
tests, and blood genistein test, 5 ml of blood (approximately
1 teaspoon) will be taken from study participants. Patients
will take GCP™ prior to surgery. Upon pathological diagnosis
post radical surgery, prostate tissue will be evaluated
for the genistein level, bcl-2, CD31, and p27.
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