PMID- 25309637 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20141013 LR - 20211021 IS - 1878-5077 (Print) IS - 1878-5085 (Electronic) IS - 1878-5077 (Linking) VI - 5 IP - 1 DP - 2014 TI - Safety and tolerability of DIM-based therapy designed as personalized approach to reverse prostatic intraepithelial neoplasia (PIN). PG - 18 LID - 10.1186/1878-5085-5-18 [doi] AB - BACKGROUND: It has been shown previously that novel formulation of 3,3'-diindolylmethane (DIM) substance with high bioavailability (Infemin) inhibits tumor development due to the tumor growth rate reduction in the xenograft model of prostate cancer. Prostatic intraepithelial neoplasia (PIN) is considered to be promising as a personalized and preventive treatment strategy of prostate cancer (PC). We assessed the safety of Infemin in men with PIN and discussed the interim results. MATERIALS AND METHODS: A total of 14 patients with PIN were enrolled. They were randomized to 900 mg DIM or placebo daily for 3 months. Safety was evaluated by adverse events (AEs), laboratory tests and physical examinations. RESULTS AND CONCLUSION: The trial revealed that Infemin treatment is associated with minimal toxicity and no serious adverse events when administered orally for 3 months. We noted three adverse events including nausea and diarrhea in two patients (14%). Combined 95% confidence interval (CI) was 1.8%-42.8%. Therapy was continued in all cases of adverse events. Good tolerability of DIM-based formulation allows us to recommend it for further clinical trials among men diagnosed with PIN for its efficacy and long-term safety parameters. FAU - Paltsev, Mikhail AU - Paltsev M AD - National Research Centre (NRC 'Kurchatov Institute'), 1, Akademika Kurchatova pl., Moscow 123182, Russia. FAU - Kiselev, Vsevolod AU - Kiselev V AD - Peoples' Friendship University of Russia, Miklukho-Maklaya str. 6, 117198 Moscow, Russia. FAU - Muyzhnek, Ekaterina AU - Muyzhnek E AD - ZAO 'MiraxBioPharma', 12 Kutuzovsky av., 121248 Moscow, Russia. FAU - Drukh, Vadim AU - Drukh V AD - Peoples' Friendship University of Russia, Miklukho-Maklaya str. 6, 117198 Moscow, Russia. FAU - Kuznetsov, Igor AU - Kuznetsov I AD - Moscow State Medical Stomatological University (MGMSU), Delegatskaya St. 2/1, 127473 Moscow, Russia. FAU - Pchelintseva, Olga AU - Pchelintseva O AD - Peoples' Friendship University of Russia, Miklukho-Maklaya str. 6, 117198 Moscow, Russia. LA - eng PT - Journal Article DEP - 20141008 PL - Switzerland TA - EPMA J JT - The EPMA journal JID - 101517307 PMC - PMC4193909 OTO - NOTNLM OT - 3,3'-Diindolylmethane OT - Bioavailability OT - Infemin OT - Molecularly targeted treatment OT - Personalized medicine OT - Preclinical trials OT - Prostate cancer OT - Prostatic intraepithelial neoplasia OT - Safety OT - Targeted prevention OT - Tolerability EDAT- 2014/10/14 06:00 MHDA- 2014/10/14 06:01 PMCR- 2014/10/08 CRDT- 2014/10/14 06:00 PHST- 2014/08/08 00:00 [received] PHST- 2014/08/26 00:00 [accepted] PHST- 2014/10/14 06:00 [entrez] PHST- 2014/10/14 06:00 [pubmed] PHST- 2014/10/14 06:01 [medline] PHST- 2014/10/08 00:00 [pmc-release] AID - 1878-5085-5-18 [pii] AID - 10.1186/1878-5085-5-18 [doi] PST - epublish SO - EPMA J. 2014 Oct 8;5(1):18. doi: 10.1186/1878-5085-5-18. eCollection 2014.