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Updated: Jun 9, 2026

An Orthotopic Murine Model of Human Prostate Cancer Metastasis
Published on: September 18, 2013
High-dose isoflavones do not improve metabolic and inflammatory parameters in androgen-deprived men with prostate
Joshua K Napora1, Ryan G Short, Denis C Muller
1National Institute of Health, National Institute on Aging, Laboratory of Clinical Investigation, Diabetes Section, Baltimore, Maryland, USA.
Abstract:
The profound hypogonadism that occurs with androgen deprivation therapy (ADT) for prostate cancer (PCa) results in complications such as diabetes and metabolic syndrome that predispose to cardiovascular disease. Because phytoestrogens have been associated with an improvement in metabolic parameters, we evaluated their role in men undergoing ADT. Our objective was to evaluate the effects of high-dose isoflavones on metabolic and inflammatory parameters in men undergoing ADT. This was a randomized, double-blind, placebo-controlled, 12-week pilot study. Participants were randomly assigned to receive 20 g of soy protein containing 160 mg of total isoflavones vs taste-matched placebo (20 g whole milk protein). The study was conducted at a tertiary care center in the United States. Thirty-three men (isoflavones = 17, placebo = 16) undergoing ADT for PCa completed this pilot study. Mean age in the 2 groups was 69 years and the majority of men were Caucasians. Mean duration of ADT in both groups was approximately 2 years (P = .70). The 2 groups were well matched at baseline. After 12 weeks of intervention, there was no significant difference in either metabolic or inflammatory parameters between the 2 groups. We found that high-dose isoflavones over a course of 12 weeks do not improve metabolic or inflammatory parameters in androgen-deprived men.
Insights
High-dose isoflavones did not improve metabolic or inflammatory parameters in men undergoing androgen deprivation therapy (ADT) for prostate cancer. This 12-week study found no significant differences between soy protein and placebo groups.
Area of Science:
- Endocrinology
- Oncology
- Nutritional Science
Background:
- Androgen deprivation therapy (ADT) for prostate cancer (PCa) can cause hypogonadism, leading to metabolic syndrome and cardiovascular disease.
- Phytoestrogens, like isoflavones, have shown potential in improving metabolic health.
Purpose of the Study:
- To evaluate the effects of high-dose isoflavones on metabolic and inflammatory parameters in men undergoing ADT for PCa.
Main Methods:
- A 12-week, randomized, double-blind, placebo-controlled pilot study.
- 33 men undergoing ADT received either 20g soy protein with 160mg isoflavones or a taste-matched placebo.
Main Results:
- No significant differences were observed in metabolic or inflammatory parameters between the isoflavone and placebo groups after 12 weeks.
- High-dose isoflavones did not demonstrate a benefit in this cohort.
Conclusions:
- High-dose isoflavones do not appear to improve metabolic or inflammatory parameters in men undergoing androgen deprivation therapy for prostate cancer.
- Further research may be needed to explore other phytoestrogens or intervention durations.
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