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 Trial Title: 
 Study of Genistein in Reducing Side Effects of Superficial Bladder Cancer Treatment 
 NCT ID: 
 NCT01489813 
 Condition: 
 Bladder Cancer 
 Conditions: Official terms: 
 Urinary Bladder Neoplasms 
 Genistein 
 Study type: 
 Interventional 
 Study phase: 
 Phase 2 
 Overall status: 
 Active, not recruiting 
 Study design: 
 Allocation: 
 Randomized 
 Intervention model: 
 Parallel Assignment 
 Primary purpose: 
 Treatment 
 Masking: 
 Single (Participant) 
 Intervention: 
 Intervention type: 
 Drug 
 Intervention name: 
 Genistein 
 Description: 
 30 mg of genistein supplement by mouth three times daily (PO TID). 
 Arm group label: 
 Genistein supplement 
 Other name: 
 Bonistein 
 Other name: 
 I-Cool® 
 Intervention type: 
 Drug 
 Intervention name: 
 Sugar pill 
 Description: 
 Sugar pills will be taken by mouth three times daily (PO TID). 
 Arm group label: 
 Sugar pill 
 Other name: 
 Placebo pills 
 Summary: 
 Patients with non-invasive bladder cancer are often treated with intravesical therapy in
order to prevent the recurrence of bladder cancer. Intravesical therapy can cause many
lower urinary tract symptoms, which can limit the dose of therapy and therefore efficacy
of treatment. There have been a number of studies that suggest a chemical found in soy
beans may be able to help with these side effects. This chemical is called genistein and
can be extracted and given to study subjects in pill form. In this study, the
investigators would like to have patients placed into two different groups. One group
would take genistein and the other group would take a placebo, a sugar pill that looks
like the genistein pill. In doing this study the investigators hope to explore the
findings from other studies to see if lower urinary tract symptoms are reduced and to see
if recurrence rates for patients are affected by genistein. The study would take about
four and a half months total. 
 Detailed description: 
 Patients who are treated with bacillus Calmette-Guerin (BCG) intravesical therapy for
non-muscle invasive (TaT1) Tis superficial bladder cancer often develop adverse effects
(urinary tract symptoms) which limit the dose (and therefore the efficacy) of therapy and
result in poor quality of life. Genistein is a nutritional supplement with
anti-inflammatory properties which might help alleviate adverse effects of intravesical
therapy that are due to inflammation. Additionally, genistein also has anti-tumor and
immunopotentiating properties and has been shown to have no known side effects. Our
hypothesis is that genistein given together with BCG intravesical therapy will reduce its
adverse effects and improve the efficacy of therapy. Patients (N=88) scheduled for
intravesical therapy will be randomly assigned to take 30 mg tablets PO TID of genistein
supplement (N=44) or placebo (N=44) during therapy and one month post therapy. 
 Criteria for eligibility: 
 Criteria: 
  
 Inclusion Criteria:
  1. Male or female gender
  2. 18 years or older
  3. Diagnosis of superficial bladder cancer
  4. Scheduled for induction BCG intravesical therapy
  5. Willing and able to give blood sample
  6. Willing and able to fill out a pill diary to ensure compliance
  7. Willing and able to sign informed consent
  8. Birth control is not required for this study!
Exclusion Criteria:
  1. Patients who are pregnant
  2. Diagnosis of muscle-invasive bladder cancer
  3. Unwillingness to follow study protocol and compliance procedures
  4. HIV positive or immunocompromised
  5. Receiving concurrent immunotherapy or chemotherapy
  6. Presence of concurrent second cancer (active, not history) 
  
 Gender: 
 All 
 Minimum age: 
 18 Years 
 Maximum age: 
 N/A 
 Healthy volunteers: 
 No 
 Locations: 
 Facility: 
  
 Name: 
 Emory University Hospital Midtown 
 Address: 
  
 City: 
 Atlanta 
 Zip: 
 30308 
 Country: 
 United States 
 Facility: 
  
 Name: 
 Emory University Department of Urology 
 Address: 
  
 City: 
 Atlanta 
 Zip: 
 30322 
 Country: 
 United States 
 Facility: 
  
 Name: 
 Emory Saint Joseph's Hospital 
 Address: 
  
 City: 
 Atlanta 
 Zip: 
 30342 
 Country: 
 United States 
 Start date: 
 May 19, 2017 
 Completion date: 
 August 31, 2024 
 Lead sponsor: 
  
 Agency: 
 Emory University 
 Agency class: 
 Other 
 Collaborator: 
  
 Agency: 
 DSM Nutritional Products, Inc. 
 Agency class: 
 Industry 
 Collaborator: 
  
 Agency: 
 National Cancer Institute (NCI) 
 Agency class: 
 NIH 
 Collaborator: 
  
 Agency: 
 National Institutes of Health (NIH) 
 Agency class: 
 NIH 
 Source: 
 Emory University 
 Record processing date: 
 ClinicalTrials.gov processed this data on November 12, 2024 
 Source: ClinicalTrials.gov page: 
 https://clinicaltrials.gov/ct2/show/NCT01489813