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

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

106 participants

Primary outcome timeframe

6 months

Results posted on

2026-03-31

Participant Flow

Participant milestones

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

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

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 months

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

Outcome measures

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 months

General 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 months

Quality 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 months

Sleep 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 months

Cognitive 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 months

Self-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 months

Physical 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 month

Submaximal (6-minute walk) exercise capacity will be measured to assess physical fitness.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Baseline and 6 months

Whole 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 months

PSA 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 months

Progression-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

Serious events: 6 serious events
Other events: 43 other events
Deaths: 1 deaths

Placebo Group

Serious events: 8 serious events
Other events: 43 other events
Deaths: 0 deaths

Serious adverse events

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

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

Phone: 3367135045

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place