Status:

RECRUITING

Placebo-Controlled Trial of Urolithin A Supplementation in Men With Prostate Cancer Undergoing Radical Prostatectomy, URO-PRO Trial

Lead Sponsor:

National Cancer Institute (NCI)

Conditions:

Prostate Adenocarcinoma

Eligibility:

MALE

18+ years

Phase:

PHASE2

Brief Summary

This phase II randomized control trial assesses the effect of Urolithin A (Uro-A) supplementation compared to placebo in men with biopsy-confirmed prostate cancer undergoing radical prostatectomy (RP)...

Detailed Description

PRIMARY OBJECTIVE: I. To determine the effect of a 3-to-6-week intervention of urolithin A (Uro-A) supplements versus placebo on 8-OHdG percent positive change in prostate cancer tumor tissue obtaine...

Eligibility Criteria

Inclusion

  • Participants must have pathologically confirmed adenocarcinoma of the prostate with formalin-fixed paraffin embedded (FFPE) biopsy tissue available for analysis. Diagnosis can be any time in the six months prior to registration/randomization
  • Participants \>= 18 years will be enrolled. Because no dosing or adverse event (AE) data are currently available on the use of urolithin A in participants \< 18 years of age, children and adolescents are excluded from this study
  • Eastern Cooperative Oncology Group (ECOG) performance status =\< 2 (Karnofsky \>= 60%)
  • Absolute neutrophil count \>= 1,000/microliter
  • Platelets \>= 100,000/microliter
  • Total bilirubin =\< 1.5 x institutional upper limit of normal (ULN) Note: Higher total bilirubin levels (=\< 3 mg/dL) can be allowed if due to known benign liver condition, i.e. Gilbert's
  • Aspartate aminotransferase (AST) (serum glutamic-oxaloacetic transaminase \[SGOT\])/alanine aminotransferase (ALT) (serum glutamate pyruvate transaminase \[SGPT\]) =\< 3.0 x institutional upper limit of normal
  • Creatinine =\< 1.5 x institutional upper limit of normal
  • Human immunodeficiency virus (HIV)-infected participants on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial
  • For participants with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated
  • Participants with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
  • Participants on chronic suppressive antiviral therapy for herpes simplex virus (HSV) are eligible
  • Scheduled to undergo RP in the next 3-6 weeks
  • Ability to understand and the willingness to sign a written informed consent document

Exclusion

  • Participants with prior primary treatment or hormonal therapy for prostate cancer (PC)
  • Participants with documented active alcohol and illegal substance dependency
  • Participants already receiving urolithin A (Mitopure, commercially available in the United States), or pomegranate supplements. Note: Other supplements are allowed but must be documented
  • Participants receiving any other investigational agents
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to urolithin A
  • Uncontrolled intercurrent illness, or psychiatric illness/social situations that would limit compliance with study requirements

Key Trial Info

Start Date :

September 12 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2027

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT06022822

Start Date

September 12 2024

End Date

May 1 2027

Last Update

January 9 2026

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Cedars Sinai Medical Center

Los Angeles, California, United States, 90048

2

Northwestern University

Chicago, Illinois, United States, 60611

3

University of Chicago Comprehensive Cancer Center

Chicago, Illinois, United States, 60637

4

Duke University Medical Center

Durham, North Carolina, United States, 27710