Tier 1 — highest

Transcriptional changes in prostate of men on active surveillance after a 12-mo glucoraphanin-rich broccoli intervention-results from the Effect of Sulforaphane on prostate CAncer PrEvention (ESCAPE) randomized controlled trial

Maria H Traka, Antonietta Melchini, Jack Coode-Bate, Omar Al Kadhi, Shikha Saha, Marianne Defernez, Perla Troncoso-Rey, Helen Kibblewhite, Carmel M O'Neill, Federico Bernuzzi, Laura Mythen, Jackie Hughes, Paul W Needs, Jack R Dainty, George M Savva, Robert D Mills, Richard Y Ball, Colin S Cooper, Richard F Mithen
The American Journal of Clinical Nutrition 2019 109(4):1133-1144

Bibliography

PubMed
PMID 30982861
PubMed Central
PMC6462431
Trial registry
View on ClinicalTrials.gov Registered trial — results not yet published in a peer-reviewed journal.
Funding
Supported by the Prostate Cancer Foundation Challenge Award 2012 and UK Biotechnology and Biological Sciences Research Council grant BB/J004545/1. The paper states that funders had no role in study design, conduct, analysis, interpretation, or manuscript preparation.
Competing interests
Richard F. Mithen was an inventor on a patent for broccoli with elevated glucoraphanin; Mithen, Maria H. Traka and Antonietta Melchini were co-inventors on two patents covering glucoraphanin/SMCSO combinations for prostate cancer. No other study-related conflicts were reported.

Study snapshot

DesignThree-arm parallel randomized double-blinded dietary intervention
ModelMen with localized prostate cancer on active surveillance
Sample49 participants completed
InterventionWeekly 300 mL soup made from standard broccoli or experimental broccoli delivering approximately 3-fold or 7-fold higher glucoraphanin.
Duration12 months
EndpointsProstate tissue gene expression; Oncogenic pathway expression; RNA sequencing; Dietary exposure; Clinical progression exploratory observations

What the study showed, in plain terms

The ESCAPE trial tested whether a year of glucoraphanin-rich broccoli alters prostate-tissue gene expression in men being monitored for localized prostate cancer.

Key findings

Higher-glucoraphanin broccoli attenuated changes in several potentially oncogenic gene-expression pathways in a dose-dependent pattern compared with standard broccoli. The trial was not powered to determine whether this translated into less cancer progression.

What this study can and cannot tell us

The main outcomes were tissue transcriptomic changes rather than recurrence, metastasis or survival. The study was not powered for clinical progression, so mechanistic signals should not be presented as proven cancer prevention.

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