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CompletedNCT00462813Updated Aug 7, 2013

Diindolylmethane in Treating Patients With Abnormal Cervical Cells

A Phase 3 interventional study of oral microencapsulated diindolylmethane and polymerase chain reaction in Cervical Cancer and Precancerous Condition, sponsored by Barts and the London School of Medicine and Dentistry. Completed at 2 sites in United Kingdom. Open to female participants. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by Barts and the London School of Medicine and Dentistry · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
3,000
Allocation
Randomized
Sex
Female
01

Study summary

RATIONALE: Chemoprevention is the use of certain drugs to keep cancer from forming. The use of diindolylmethane, a substance found in cruciferous vegetables, may keep cervical intraepithelial neoplasia or cervical cancer from forming.

PURPOSE: This randomized phase III trial is studying diindolylmethane to see how well it works compared to a placebo in treating patients with abnormal cervical cells.

Read the detailed description

OBJECTIVES:

  • Compare the effect of diindolylmethane vs placebo in reducing the prevalence of histologically proven high-grade cervical intraepithelial neoplasia in patients with low-grade cervical cytological abnormalities.
  • Compare the effect of these regimens in reducing the prevalence of cytological abnormalities in these patients.
  • Compare the effect of these regimens in changing the clinical appearance of the cervix in these patients.
  • Determine if diindolylmethane offers benefits in relation to human papillomavirus (HPV) status, including HPV type, viral load, and integration.
  • Determine the side effects of supplementation with diindolylmethane.
  • Determine the effects of this drug on migraine, mastalgia, weight, and premenstrual syndrome (PMS).

OUTLINE: This is a double-blind, randomized, placebo-controlled, multicenter study. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive oral diindolylmethane once daily for 6 months.
  • Arm II: Patients receive oral placebo once daily for 6 months. Patients undergo cervical sampling at baseline and at 6 months for Pap testing by liquid based cytology and human papillomavirus (HPV) testing by polymerase chain reaction. Some patients also undergo urine and hair sample collection at baseline and at 3 and 6 months. Samples are analyzed for estrogen and diindolylmethane metabolites, to monitor patient compliance and response to treatment. Some patients have a cervical photograph taken using a colposcope at baseline and at 6 months. All patients undergo colposcopy at 6 months.

Patients complete a questionnaire at baseline (i.e., for reproductive history, diet, smoking, and premenstrual symptoms) and at 6 months (i.e., for side effects, compliance, changes in smoking, and contraception use). Patients with moderate to severe premenstrual syndrome (PMS) also complete PMS questionnaires once monthly during months 1-6 and 4 months following completion of study therapy. All patients are instructed to maintain current diet and to keep cruciferous vegetables and soy products constant during study course.

After completion of study treatment, patients are followed periodically for up to 7 years.

PROJECTED ACCRUAL: A total of 3,000 patients will be accrued for this study.

02

Conditions studied

  • Cervical Cancer
  • Precancerous Condition

Keywords

  • cervical cancer
  • cervical intraepithelial neoplasia grade 2
  • cervical intraepithelial neoplasia grade 3
  • cervical intraepithelial neoplasia grade 1
03

In context

Uterine Cervical Neoplasms

1,881 studies on the registry are indexed under Uterine Cervical Neoplasms; 567 are open to participants now.

This study's planned enrollment of 3,000 is above the median of 100 across 1,377 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Barts and the London School of Medicine and Dentistry is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • First mildly dyskaryotic Pap smear or a second borderline Pap smear taken within the Cervical Screening Wales program

    • Patients under surveillance following treatment for high-grade cervical intraepithelial neoplasia are not eligible
  • No clinical suspicion of a concurrent invasive cervical cancer

PATIENT CHARACTERISTICS:

  • No invasive cancer within the past 3 years
  • No known HIV positivity
  • Not pregnant or nursing
  • Not planning to become pregnant within the next 6 months

PRIOR CONCURRENT THERAPY:

  • No concurrent immunosuppressive drugs, warfarin, or theophylline
  • No concurrent proton pump inhibitor drugs for ulcer or reflux disease (i.e., rabeprazole, esomeprazole magnesium, lansoprazole, omeprazole, or pantoprazole sodium)
05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Masking
Double
Enrollment
3,000 participants (estimated)

Interventions

  • Drugoral microencapsulated diindolylmethane
  • Geneticpolymerase chain reaction
  • Othercervical Papanicolaou test
  • Othercytology specimen collection procedure
  • Procedurecolposcopic biopsy
06

What researchers measure

Primary outcomes

  1. Biopsy confirmed high-grade cervical intraepithelial neoplasia (CIN) at 6 months

Secondary outcomes

  1. Change in lesion size at 6 months

  2. Human papillomavirus (HPV) status and characteristics (type, viral load, and integration) at baseline and 6 months

  3. Change in cervical cytology at 6 months

  4. CIN ≥ grade 3 on histology at 6 months

  5. Long term follow-up (i.e., 7 years)

  6. Migraine, premenstrual syndrome (PMS), menstruation, and body weight

07

Study locations

2 sites
  • Barts and the London School of Medicine
    London, England EC1M 6BQ, United Kingdom
  • University Hospital of Wales
    Cardiff, Wales CF14 4XW, United Kingdom
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00462813
Lead sponsor
Barts and the London School of Medicine and Dentistry
First posted
Apr 19, 2007
Start date
Oct 2004
Primary completion
Jun 2008
Completion
Jan 2010
Last update
Aug 7, 2013

Study contacts

Peter Sasieni, MD
study chair · Barts and the London School of Medicine and Dentistry
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2008. You cannot join it, but the record below documents what was studied.

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