Trial Outcomes & Findings for Effects of Muscadine Grape Extract in Men With Prostate Cancer on Androgen Deprivation Therapy (NCT NCT03496805)
NCT ID: NCT03496805
Last Updated: 2026-03-31
Results Overview
The PROMIS Fatigue 7a Short-Form assesses the experience (3 items) and impact (4 items) of fatigue. Item responses are rated on a five-point scale ranging from "never" to "always" and are summed for a total score and transformed to a T-score metric. Higher scores indicate more fatigue. Recommendations for classifying fatigue based on the T scores are as follows: \<50 normal; 50-59 mild; 60-69 moderate; ≥70 severe. 50 indicates the population mean with a standard deviation of 10
COMPLETED
PHASE2
106 participants
6 months
2026-03-31
Participant Flow
Participant milestones
| Measure |
MGE Group
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
|---|---|---|
|
Overall Study
STARTED
|
53
|
53
|
|
Overall Study
COMPLETED
|
35
|
43
|
|
Overall Study
NOT COMPLETED
|
18
|
10
|
Reasons for withdrawal
| Measure |
MGE Group
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
|---|---|---|
|
Overall Study
Adverse Event
|
1
|
0
|
|
Overall Study
Death
|
1
|
0
|
|
Overall Study
Lost to Follow-up
|
1
|
1
|
|
Overall Study
Physician Decision
|
1
|
0
|
|
Overall Study
Withdrawal by Subject
|
14
|
9
|
Baseline Characteristics
Effects of Muscadine Grape Extract in Men With Prostate Cancer on Androgen Deprivation Therapy
Baseline characteristics by cohort
| Measure |
MGE Group
n=53 Participants
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
n=53 Participants
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Total
n=106 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
71.3 years
STANDARD_DEVIATION 5.6 • n=4 Participants
|
72.1 years
STANDARD_DEVIATION 5.9 • n=28 Participants
|
71.7 years
STANDARD_DEVIATION 5.6 • n=10 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=10 Participants
|
|
Sex: Female, Male
Male
|
53 Participants
n=4 Participants
|
53 Participants
n=28 Participants
|
106 Participants
n=10 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
1 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
1 Participants
n=10 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
51 Participants
n=4 Participants
|
53 Participants
n=28 Participants
|
104 Participants
n=10 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
1 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
1 Participants
n=10 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=10 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=10 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=4 Participants
|
0 Participants
n=28 Participants
|
0 Participants
n=10 Participants
|
|
Race (NIH/OMB)
Black or African American
|
17 Participants
n=4 Participants
|
6 Participants
n=28 Participants
|
23 Participants
n=10 Participants
|
|
Race (NIH/OMB)
White
|
36 Participants
n=4 Participants
|
45 Participants
n=28 Participants
|
81 Participants
n=10 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=4 Participants
|
1 Participants
n=28 Participants
|
1 Participants
n=10 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=4 Participants
|
1 Participants
n=28 Participants
|
1 Participants
n=10 Participants
|
|
Region of Enrollment
United States
|
53 participants
n=4 Participants
|
53 participants
n=28 Participants
|
106 participants
n=10 Participants
|
PRIMARY outcome
Timeframe: 6 monthsThe PROMIS Fatigue 7a Short-Form assesses the experience (3 items) and impact (4 items) of fatigue. Item responses are rated on a five-point scale ranging from "never" to "always" and are summed for a total score and transformed to a T-score metric. Higher scores indicate more fatigue. Recommendations for classifying fatigue based on the T scores are as follows: \<50 normal; 50-59 mild; 60-69 moderate; ≥70 severe. 50 indicates the population mean with a standard deviation of 10
Outcome measures
| Measure |
MGE Group
n=53 Participants
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
n=53 Participants
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
|---|---|---|
|
Changes in Fatigue
|
52.4 T-score
Standard Error 0.9
|
53.4 T-score
Standard Error 0.9
|
SECONDARY outcome
Timeframe: Baseline and 6 monthsGeneral Quality of Life will be measured using the Patient Reported Outcomes Measurement Information System© (PROMIS©) Global Health Short Form (SF), a 10-item instrument representing multiple domains. Items assess self-reported measures of general aspects of physical, mental and social health in adults. Raw scores are summed within each sub-domain, and converted to T-scores. Higher scores indicate better general health than the general population.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsQuality of life will be assessed by the Hot Flash Related Daily Interference Scale (HFRDIS). HFRDIS is a 10-item scale that assesses the degree to which hot flashes interfere with a variety of daily activities and quality of life. Interference is rated on an 11-point scale (0=not interfere; 10=completely interfere). Higher scores indicate more interference.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsSleep disturbance will be measured using the PROMIS Sleep Disturbance (SD) SF 8a. The PROMIS-SD items assess self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep. Each question has five response options ranging in value from one to five. The lowest possible raw score is 8; the highest possible raw score is 40. Raw scores are converted to a standardized T-score. Higher scores indicate more sleep disturbance.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsCognitive abilities will be measured using the PROMIS Cognitive Abilities SF 4a, which assesses patient-perceived functional abilities related to mental acuity, concentration, and memory. Raw scores are converted to a standardized T-score; final scores are represented by the T-score. Higher scored indicate more cognitive ability.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsSelf-reported physical function will be measured using the PROMIS Physical Function 10a SF, which is designed to assess self-reported capability rather than actual performance of physical activities. The form consists of 10 items. Raw scores are summed within each sub-domain, and converted to T-scores. Higher scores indicate better physical function general health than the general population.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsPhysical performance will be objectively assessed using the Short Physical Performance Battery (SPPB). Each performance measure is scored ranging from 0-4 (0 = unable to complete; 4 = highest performance level), with total sum score range from 0-12. Lower score on the SPPB have been associated with increased risk of disability, hospitalization and worse survival among older adults with and without cancer.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: baseline and 6 monthSubmaximal (6-minute walk) exercise capacity will be measured to assess physical fitness.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: Baseline and 6 monthsWhole body lean mass, fat mass, and bone mass will be measured by duel energy X-ray absorptiometry (DXA). BMI will be calculated from height and weight.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: baseline, 6, and 12 monthsPSA will be measured at baseline, 6, and 12 months while patient is on MGE/placebo.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: up to 12 monthsProgression-free survival is defined as the time from initiation of ADT treatment to disease progression or death.
Outcome measures
Outcome data not reported
Adverse Events
MGE Group
Placebo Group
Serious adverse events
| Measure |
MGE Group
n=53 participants at risk
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
n=53 participants at risk
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
|---|---|---|
|
Investigations
Alanine aminotransferase increased
|
1.9%
1/53 • Number of events 1 • 1 year
|
0.00%
0/53 • 1 year
|
|
Cardiac disorders
Cardiac arrest
|
1.9%
1/53 • Number of events 1 • 1 year
|
0.00%
0/53 • 1 year
|
|
Infections and infestations
Device related infection
|
0.00%
0/53 • 1 year
|
1.9%
1/53 • Number of events 1 • 1 year
|
|
Nervous system disorders
Dizziness
|
0.00%
0/53 • 1 year
|
1.9%
1/53 • Number of events 1 • 1 year
|
|
Gastrointestinal disorders
Diverticulitis
|
1.9%
1/53 • Number of events 1 • 1 year
|
0.00%
0/53 • 1 year
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
0.00%
0/53 • 1 year
|
1.9%
1/53 • Number of events 1 • 1 year
|
|
Vascular disorders
Hypotension
|
0.00%
0/53 • 1 year
|
1.9%
1/53 • Number of events 1 • 1 year
|
|
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
|
1.9%
1/53 • Number of events 1 • 1 year
|
0.00%
0/53 • 1 year
|
|
Infections and infestations
Lung infection
|
1.9%
1/53 • Number of events 2 • 1 year
|
1.9%
1/53 • Number of events 2 • 1 year
|
|
Nervous system disorders
Myasthenia gravis
|
0.00%
0/53 • 1 year
|
1.9%
1/53 • Number of events 1 • 1 year
|
|
Nervous system disorders
Stroke
|
1.9%
1/53 • Number of events 1 • 1 year
|
3.8%
2/53 • Number of events 2 • 1 year
|
Other adverse events
| Measure |
MGE Group
n=53 participants at risk
Patients will be randomized to muscadine grape extract (MGE). The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
MGE: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
Placebo Group
n=53 participants at risk
Patients will be randomized to placebo. The patients will take 4 capsules by mouth BID (twice daily). Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of placebo.
Placebo: The patients will take 4 capsules by mouth BID (twice daily).
ADT: Androgen deprivation therapy (ADT) is to be started within 60 days prior to initiation of MGE.
|
|---|---|---|
|
Gastrointestinal disorders
Dyspepsia
|
18.9%
10/53 • Number of events 10 • 1 year
|
24.5%
13/53 • Number of events 15 • 1 year
|
|
Gastrointestinal disorders
Abdominal pain
|
5.7%
3/53 • Number of events 3 • 1 year
|
7.5%
4/53 • Number of events 4 • 1 year
|
|
Investigations
Alkaline phosphatase increased
|
7.5%
4/53 • Number of events 4 • 1 year
|
7.5%
4/53 • Number of events 4 • 1 year
|
|
Blood and lymphatic system disorders
Anemia
|
17.0%
9/53 • Number of events 9 • 1 year
|
17.0%
9/53 • Number of events 9 • 1 year
|
|
Investigations
Aspartate aminotransferase increased
|
0.00%
0/53 • 1 year
|
5.7%
3/53 • Number of events 4 • 1 year
|
|
Musculoskeletal and connective tissue disorders
Back pain
|
0.00%
0/53 • 1 year
|
5.7%
3/53 • Number of events 3 • 1 year
|
|
Gastrointestinal disorders
Constipation
|
24.5%
13/53 • Number of events 14 • 1 year
|
24.5%
13/53 • Number of events 13 • 1 year
|
|
Gastrointestinal disorders
Diarrhea
|
13.2%
7/53 • Number of events 8 • 1 year
|
9.4%
5/53 • Number of events 6 • 1 year
|
|
Nervous system disorders
Dizziness
|
5.7%
3/53 • Number of events 3 • 1 year
|
0.00%
0/53 • 1 year
|
|
Respiratory, thoracic and mediastinal disorders
Dyspnea
|
5.7%
3/53 • Number of events 3 • 1 year
|
0.00%
0/53 • 1 year
|
|
General disorders
Fatigue
|
17.0%
9/53 • Number of events 9 • 1 year
|
17.0%
9/53 • Number of events 10 • 1 year
|
|
Gastrointestinal disorders
Flatulence
|
34.0%
18/53 • Number of events 22 • 1 year
|
22.6%
12/53 • Number of events 12 • 1 year
|
|
Vascular disorders
Hot flashes
|
17.0%
9/53 • Number of events 9 • 1 year
|
17.0%
9/53 • Number of events 9 • 1 year
|
|
Metabolism and nutrition disorders
Hyperglycemia
|
5.7%
3/53 • Number of events 3 • 1 year
|
20.8%
11/53 • Number of events 13 • 1 year
|
|
Vascular disorders
Hypertension
|
24.5%
13/53 • Number of events 13 • 1 year
|
30.2%
16/53 • Number of events 16 • 1 year
|
|
Infections and infestations
COVID-19
|
0.00%
0/53 • 1 year
|
5.7%
3/53 • Number of events 3 • 1 year
|
|
Gastrointestinal disorders
Nausea
|
11.3%
6/53 • Number of events 7 • 1 year
|
5.7%
3/53 • Number of events 3 • 1 year
|
|
General disorders
Pain
|
7.5%
4/53 • Number of events 4 • 1 year
|
7.5%
4/53 • Number of events 4 • 1 year
|
|
Musculoskeletal and connective tissue disorders
Pain in extremity
|
0.00%
0/53 • 1 year
|
9.4%
5/53 • Number of events 5 • 1 year
|
|
Cardiac disorders
Sinus bradycardia
|
0.00%
0/53 • 1 year
|
9.4%
5/53 • Number of events 5 • 1 year
|
|
Investigations
White blood cell decreased
|
0.00%
0/53 • 1 year
|
9.4%
5/53 • Number of events 5 • 1 year
|
Additional Information
Study Coordinator
Wake Forest Baptist Comprehensive Cancer Center
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place