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Chapter 2B: Development of a Clinical Trial for Hot Flash Protocol: Drug Information
 

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15.1 Soy phytoestrogens (SOYEST)

15.11 Preparation and storage

The SOYEST tablet we are utilizing in this protocol is made from a powder that is a pure product derived from soybeans. Each 600 mg tablet contains 50 mg of isoflavones. The isoflavones consist primarily of 45% daidzein and daidzin isoforms, 46% genistein and genistin isoforms, and 10% glycitein and glycitin isoforms. The tablets can be stored at room temperature. The isoflavone concentrate used to make the tablets has been stored in a 70% relative humidity 40°C chamber for 9 months without any apparent isoflavone loss.

The other ingredients in the tablet (in addition to the soy isoflavone powder) are dicalcium phosphate, sorbitol (10%), and a very small amount of magnesium stearate (0.5%).

15.12 Potential toxicities

No serious toxicities are expected. The amount of isoflavones that will be in each tablet will be similar to that which would be ingested with a glass of soybean milk. This current product is considered a food substance as opposed to a drug. As with any product, however, there is always a possibility of an allergic reaction (patients with known soy allergies will be excluded from this study). Flatulence and bloating may occur with some soy products but the products known to cause these symptoms are not present in any appreciable amounts in the tablets we are utilizing. We will monitor patients for allergic reactions, flatulence, bloating, diarrhea, nausea, and vomiting.

15.13 Medication procurement - The NCCTG research base pharmacist will obtain the medication and placebo from Archer Daniels Midland Company (Decatur, IL). Each institution will order the medication from the NCCTG research base pharmacist. Submit the NCCTG Clinical Drug Order/Return Form request to:


Medical Oncology Pharmacist
Mayo Clinic Mayo Building, E-12
Rochester, MN 55555
FAX (555) 555-5555


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