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Phase II randomized, placebo-controlled trial of green tea extract in patients with high-risk oral premalignant lesions
Cancer Prevention Research, 11/09/09
Tsaoet AS et al. – Epidemiologic and preclinical data support the oral cancer prevention potential of green tea extract (GTE).
Methods- Randomly assigned patients with high-risk oral premalignant lesions (OPL) to receive GTE at 500, 750, or 1,000 mg/m2 or placebo TID for 12 weeks, evaluating biomarkers in baseline and 12-week biopsies
- OPL clinical response rate higher in all GTE arms (n = 28; 50%) versus placebo (n = 11; 18.2%) but did not reach statistical significance
- 2 higher-dose GTE arms [58.8% (750 and 1,000 mg/m2), 36.4% (500 mg/m2), and 18.2% (placebo)] had higher responses, suggesting dose-response effect
- GTE treatment improved histology (21.4% versus 9.1%), although not statistically significant
- GTE well tolerated, although higher doses increased insomnia/nervousness but produced no grade 4 toxicity
- Higher mean baseline stromal vascular endothelial growth factor (VEGF) correlated with a clinical but not histologic response
- Baseline scores of other biomarkers (epithelial VEGF, p53, Ki-67, cyclin D1, and p16 promoter methylation) not associated with response or survival
- Baseline p16 promoter methylation (n = 5) associated with shorter cancer-free survival
- Stromal VEGF and cyclin D1 expression downregulated in clinically responsive GTE patients and upregulated in nonresponsive patients at 12 weeks (versus at baseline)
- Extended (median, 27.5 months) follow-up showed a median time to oral cancer of 46.4 months
Today in Alternative Therapies...keeping you current
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A phase 2 trial exploring the effects of high-dose (10,000 IU/day) Vitamin D3 in breast cancer patients with bone metastases
Cancer, 11/18/09
Oral Cancer Prevention Advances with a Translational Trial of Green Tea
Cancer Prevention Research, 11/11/09
Complementary and alternative medicine use among long-term lymphoma survivors: A pilot study
American Journal of Hematology, 11/10/09
Today in Head and Neck...keeping you current
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Mobile Phone Use and Risk of Tumors: A Meta-Analysis
Journal of Clinical Oncology, 10/20/09
Thyroid lymphoma and airway obstruction – is there a rationale for surgical management?
International Journal of Clinical Practice, 10/19/09
Primary extranodal marginal zone lymphoma of the uvea associated with massive diffuse epibulbar extension and focal infiltration of the optic nerve and meninges, clinically presented as uveitis masquerade syndrome: a case report
Medical Oncology, 10/16/09
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