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CompletedNCT03654638Updated Apr 4, 2025

Soy Bread Diet in Improving Immune Function in Participants With Prostate Cancer

A Phase 2 interventional study of Dietary Intervention and Dietary Intervention in Prostate Adenocarcinoma, sponsored by Ohio State University Comprehensive Cancer Center. Completed at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-04.

Sponsored by Ohio State University Comprehensive Cancer Center · Phase 2, Interventional, and Other

Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

This phase II trial studies the effects of a soy bread versus a wheat bread in improving immune function in participants who are beginning a course of androgen deprivation therapy for prostate cancer. Components found in soy foods may influence the immune system in a way that may be beneficial for prostate cancer prevention and survivorship.

Read the detailed description

PRIMARY OBJECTIVES:

I. To precisely define the impact of soy on myeloid derived suppressor cells (MDSC) in a human model clinical trial.

OUTLINE: Participants are randomized to 1 of 2 arms.

ARM I (SOY BREAD): Participants consume 2 slices of soy bread daily for approximately 20 weeks in the absence of unacceptable toxicity. Concurrent with the intervention, participants will be staring androgen deprivation therapy at the direction of their medical oncologist.

ARM II (WHEAT BREAD): Participants consume 2 slices of wheat bread daily for approximately 20 weeks in the absence of unacceptable toxicity. Concurrent with the intervention, participants will be staring androgen deprivation therapy at the direction of their medical oncologist.

02

Conditions studied

  • Prostate Adenocarcinoma

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03

In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's enrollment of 25 is below the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

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Lead sponsor

Ohio State University Comprehensive Cancer Center is the lead sponsor of 369 studies on the registry; 81 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 19 (50%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Have biopsy proven adenocarcinoma of the prostate (no small cell, sarcomatoid, or other rare subtypes)
  • Be planning a course of at least 5 months of androgen deprivation therapy. Patients who have had androgen deprivation therapy in the past as part of salvage therapy or primary therapy, but are initiating a new course will be eligible.
  • Have a testosterone concentration within normal limits.
  • No neoadjuvant hormonal or chemotherapy (other clinical trials) for their prostate cancer
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
  • Have blood, urea, nitrogen (BUN)/creatinine (Cr), liver enzymes, complete blood count (CBC), and prothrombin time (PT)/partial thromboplastin time (PTT)/international normalized ratio (INR) within normal limits
  • Voluntarily agree to participate and a sign an informed consent document
  • Agree to have prostate biopsy blocks provided to the study for evaluation
  • Willing to discontinue all current vitamin/mineral supplements
  • Not currently be taking complementary or alternative products (i.e. PC-SPES, Saw Palmetto) that target the prostate or may impact the hormonal environment
  • Agree to consume a standardized vitamin and mineral supplement (provided by the study) and avoid other nutrition, dietary, or alternative medications/supplements for the duration of the study

Exclusion criteria

Exclusion Criteria:

  • Have an active malignancy other than prostate cancer that requires therapy
  • No diagnosed hematologic malignancy
  • Not currently taking steroid medications (i.e., chronic lymphocytic leukemia [CLL])
  • No chronic infection (i.e., human immunodeficiency virus-positive [HIV+])
  • No history of organ transplant requiring immunosuppressive medications
  • History of nephrolithiasis (renal stones)
  • Renal insufficiency with creatinine > 1.8, including anyone on dialysis regardless of nadir creatinine
  • Have certain medical conditions. Have no history of malabsorptive disorders or other metabolic disorders requiring special diet recommendations (for example, Crohn?s disease or gluten enteropathy)
05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Arm I Soy Bread Intervention

    Men who are scheduled to begin androgen deprivation therapy for prostate cancer will begin an intervention to consume 2 slices of soy bread daily for approximately 20 weeks. Blood, urine and toxicity data will be collected at regularly scheduled medical oncology visits.

    Combination Product: Dietary Intervention · Other: Questionnaire Administration

  • Active comparator
    Arm II Wheat Bread Intervention

    Men who are scheduled to begin androgen deprivation therapy for prostate cancer will begin an intervention to consume 2 slices of wheat bread for approximately 20 weeks. Blood, urine and toxicity data will be collected at regularly scheduled medical oncology visits.

    Combination Product: Dietary Intervention · Other: Questionnaire Administration

Interventions

  • Combination productDietary Intervention

    The dietary intervention requires men to consume 2 slices soy bread each day for 20 weeks while initiating hormone therapy

    Also known as: Dietary Modification, Nutrition Intervention, Nutrition Interventions, Nutritional Interventions

  • Combination productDietary Intervention

    The dietary intervention requires men to consume 2 slices wheat bread each day for 20 weeks while initiating hormone therapy

    Also known as: Dietary Modification, intervention, dietary, Nutrition Intervention, Nutrition Interventions, Nutritional Interventions

  • OtherQuestionnaire Administration

    Ancillary studies

06

What researchers measure

Primary outcomes

  1. Change in peripheral blood myeloid derived suppressor cells (MDSC)

    A two-sample t-test will be used to compare the differences (log-transformed if necessary to improve normality).

    Time frame: Week 0 to week 20

  2. Treatment effect on peripheral blood MDSC

    Mixed-effects regression models will be used to estimate the treatment effect on peripheral blood MDSC after adjusting for covariates such as age, compliance, and weight. A condition by time (pre versus \[vs.\] post) interaction will be included to test for a treatment effect. A random effect will be included for each subject to account for the dependency between the pre-post measurements. Correlations (Pearson and Spearman) between measures will be evaluated to determine if positive or negative relationships exist between the measures themselves or the week 0 to week 5 differences (e.g. MSDC vs. T-cell proliferation, MDSC vs. cytokines). Model adequacy and assumptions will be evaluated via residual plots. In the event that model assumptions are violated, outcomes will be transformed or non-parametric methods will be used. Tissue MDSC will be compared using linear regression.

    Time frame: Up to week 20

  3. Treatment effects in plasma cytokines

    Mixed-effects regression models will be used to estimate the treatment effect. Correlations (Pearson and Spearman) between measures will be evaluated to determine if positive or negative relationships exist between the measures themselves or the week 0 to week 5 differences (e.g. MSDC vs. T-cell proliferation, MDSC vs. cytokines). Model adequacy and assumptions will be evaluated via residual plots. In the event that model assumptions are violated, outcomes will be transformed or non-parametric methods will be used.

    Time frame: Up to week 20

  4. Treatment effects in T-cell proliferation

    Mixed-effects regression models will be used to estimate the treatment effect. Correlations (Pearson and Spearman) between measures will be evaluated to determine if positive or negative relationships exist between the measures themselves or the week 0 to week 20 differences (e.g. MSDC vs. T-cell proliferation, MDSC vs. cytokines). Model adequacy and assumptions will be evaluated via residual plots. In the event that model assumptions are violated, outcomes will be transformed or non-parametric methods will be used.

    Time frame: Up to week 20

  5. Treatment effects in prostate specific antigen (PSA)

    Mixed-effects regression models will be used to estimate the treatment effect.

    Time frame: Up to week 20

Secondary outcomes

  1. PSA response

    Mixed-effects models will be used to explore treatment effects in PSA outcomes

    Time frame: Up to week 20

07

Study locations

1 site
  • Ohio State University Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
08

References and documents

Related links

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03654638
Lead sponsor
Ohio State University Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Steven Clinton (Principal Investigator, Ohio State University Comprehensive Cancer Center) — Principal investigator
First posted
Aug 31, 2018
Start date
Aug 15, 2018
Primary completion
Mar 9, 2022
Completion
Mar 9, 2022
Last update
Apr 4, 2025

Study contacts

Steven Clinton, MD
principal investigator · Ohio State University Comprehensive Cancer Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2025. You cannot join it, but the record below documents what was studied.

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