Breast CancerPhase 2NCT00631852
A Phase II Biomarker Trial of Gelatin Encapsulated Extract of American Ginseng Root (LEAG) in Breast Cancer
A Phase 2 study testing American Ginseng root in people with Breast Cancer, run by Southern Illinois University at 1 site in United States.
Trial summary
This study was designed to explore the changes brought about by gelatin encapsulated extract of American Ginseng Root (LEAG) in breast cancer tumors and surrounding normal breast epithelial cells. Various tumor biomarkers, as well as inflammatory mediators, will be examined in tissue following LEAG treatment. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Breast Cancer
- What is being tested?
- American Ginseng root
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 16 participants
- Where
- 1 siteUnited States
- Study dates
- Feb 2008to 30 Jun 2019
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients with cytologically confirmed breast cancer with biopsy showing invasive or non-invasive (DCIS) at least 1.0 cm greatest diameter on imaging
- Surgical patients undergoing lumpectomy, subtotal or total mastectomy
- 18 years of age or greater
- female
- available tissue blocks from diagnostic biopsy
- negative pregnancy test, medical history of surgical sterilization, or 1 year post menopausal
Show all 11Show fewer
- must be willing to forego surgery for minimum of 5 days
- ability and willingness to sign written consent
- if hypertensive, on stable dose of medication at least 30 days
- if diabetic, well controlled (HbA1C < 8.5 within past 60 days or documented FPG < 140 mg/dl for 3 consecutive days
- ECOG status < 2 or Karnofsky of 60% or greater
Who cannot join
- previous or current malignancy, excluding non-melanomic skin cancer
- evidence of distant metastatic disease
- history of chemotherapy, biologic or radiotherapy with 6 months of biopsy
- usage of herbal supplements or alternative medications not approved by the FDA within 1 week of starting study drug. LEAG or related ginseng products, and combination products containing ginseng, should be discontinued within 6 weeks of starting study drug
- history of allergic reactions attributed to compounds of similar chemical or biologic composition to LEAG
- history of chronic inflammatory process, including, but not limited to, rheumatoid arthritis and lupus. This includes patients on concurrent systemic steroids or anti-inflammatory medications
Show all 16Show fewer
- active bleeding or a pathological condition that carries a high risk of bleeding
- any swallowing dysfunction
- uncontrolled intercurrent illness
- poorly controlled diabetes (control indicated with HbA1c < 8.5 within past 60 days or documented fasting blood glucose < 140 mg/dl for three consecutive days)
- known diabetics who have experienced episodes of symptomatic hypoglycemia in the last 6 months are also considered poorly controlled and will be excluded from study participation.
- uncontrolled hypertension (SBP > 140 mmHg or DBP > 90 mmHG)
- pregnant or breast feeding women Women must be willing to use birth control throughout study duration.
- current investigational medications or treatment with an investigational agent within 6 weeks prior to biopsy
- current coumadin therapy or who have been treated with coumadin within the 2 weeks prior to biopsy
- current monoamine oxidase inhibitors treatment
Trial locations and contacts
1 site in 1 country.
United States1 site
Simmons Cancer Institute-SIU School of Medicine
Springfield, Illinois, 62702
About this study
This study was designed to explore the changes brought about by gelatin encapsulated extract of American Ginseng Root (LEAG) in breast cancer tumors and surrounding normal breast epithelial cells. Various tumor biomarkers, as well as inflammatory mediators, will be examined in tissue following LEAG treatment.
Read the detailed description
Asian ginseng (Panax ginseng) and its close relative American ginseng (Panax quinquefolium) are perennial aromatic herbs that are widely used in Asian medicine. Ginseng root is used as a tonic thought to increase the body's resistance to stress and fatigue, to increase endurance under heavy physical activity, and to improve well-being in age-related debilitation. Most of the ginseng consumed, even in Asian populations, is American ginseng, and the majority of American ginseng is grown and processed in Wisconsin, with quality and standardization overseen by the Ginseng Board of Wisconsin. Furthermore, in Asian medicine, Asian ginseng (Panax ginseng) and American ginseng (Panax quinquefolium) are common components in herbals used for cancer prevention and treatment. Indeed, retrospective studies have shown that patients who consumed ginseng on a regular basis experienced cancers at a reduced rate, however, breast cancer was not considered. Ginseng has been used medicinally for over 2000 years and there are no substantiated serious adverse effects, and few, if any, non-serious adverse effects. The World Health Organization lists ginseng as a traditional medicine with very low toxicity. Clinical trials have also demonstrated an anti-hyperglycemic action of American ginseng. These studies utilized capsules containing dried, ground Ontario-grown P. qinquefolius L. root. The ground AG root preparation had an onset of action of 40 minutes. They found no significant increase in anti-hyperglycemic action after 40 minutes and no significant increase in anti-hyperglycemic action using 1 gram versus 3 gram dosing.
LEAG is a standardized preparation of lyophilized water-extract of American ginseng root in 250-mg gelatin capsules. The ginseng was purchased through the Ginseng Board of Wisconsin and the lyophilized extract has been certified for percentage of each and total ginsenoside content and screened for safe levels of minerals, metals, and pesticides by ConsumerLab.com, a leading testing service company of dietary supplements.
- Conditions
- Breast Cancer
- Being tested
- American Ginseng root
- Keywords
- Breast Cancer, Biomarkers, Ginseng Root
- Medical subject headings
- Breast Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
American Ginseng rootDrug
Also called LEAG, Ginseng
four, 250mg tablets daily 5-14 days prior to surgery
| Study group | Role | What they receive |
|---|---|---|
| American Ginseng root | Experimental | four, 250mg tablets daily 5-14 days prior to surgery Receives: Drug: American Ginseng root |
What is being measured
The primary outcome is the main question the study is designed to answer.
Adiponectin
Change from baseline to completion of treatment with LEAG.
Measured: mean of 11.8 days
C Reactive Protein (CRP)
Mean change from baseline to completion of treatment with LEAG.
Measured: mean of 11.8 days
Hepatocyte Growth Factor (HGF)
Mean change from baseline to completion of treatment with LEAG.
Measured: mean of 11.8 days
Insulin Like Growth Factor 1 (IGF-1)
Mean change from baseline to completion of treatment with LEAG.
Measured: mean of 11.8 days
Insulin Like Growth Factor 1 Receptor (IGF-1R)
Mean change from baseline following 10-14 days of treatment with LEAG.
Measured: 10-14 days
Interlueken-1- (IL-10)
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-12p40
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-1b
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-1ra
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-2
Mean change from baseline to completion of treatment with LEAG.
Measured: mean of 11.8 days
IL-23
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-4
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-6
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
IL-8
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
Insulin
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
Leptin
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
MCP-1
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
TGFb1
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
TNFa
Mean change from baseline to completion of treatment with LEAG.
Measured: mean 11.8 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Mar 2008 (estimated)
- Study startFeb 2008
- Primary completion30 Jun 2019
- Study completion30 Jun 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Breast CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 16 participants (actual)
Sponsor and investigators
- Lead sponsor
- Southern Illinois University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Elizabeth Peralta, M.D., Principal investigator, Sutter Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00631852
- Sponsor's protocol ID
- PER-SCCI 07-001.1
- Status last verified
- Nov 2021
- First submitted
- 26 Feb 2008
- Last updated
- 12 May 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Peralta EA, Murphy LL, Minnis J, Louis S, Dunnington GL. American Ginseng inhibits induced COX-2 and NFKB activation in breast cancer cells. J Surg Res. 2009 Dec;157(2):261-7. doi: 10.1016/j.jss.2009.05.011. Epub 2009 Jun 6.
PubMed 19815237Peralta EA, Brewer AT, Louis S, Dunnington GL. Vitamin E increases biomarkers of estrogen stimulation when taken with tamoxifen. J Surg Res. 2009 May 1;153(1):143-7. doi: 10.1016/j.jss.2008.03.030. Epub 2008 Apr 22.
PubMed 18468636Peralta EA, Viegas ML, Louis S, Engle DL, Dunnington GL. Effect of vitamin E on tamoxifen-treated breast cancer cells. Surgery. 2006 Oct;140(4):607-14; discussion 614-5. doi: 10.1016/j.surg.2006.07.007. Epub 2006 Sep 6.
PubMed 17011908
Study at a glance
From the registry record, last updated by the sponsor on 12 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Biomarker Trial of Gelatin Encapsulated Extract of American Ginseng Root (LEAG) in Breast Cancer
- ClinicalTrials.gov ID
- NCT00631852
- Acronym / sponsor ID
- PER-SCCI 07-001.1
- Conditions
- Breast Cancer
- Keywords
- Breast Cancer, Biomarkers, Ginseng Root
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 16 participants (actual)
- Lead sponsor
- Southern Illinois UniversityUniversity, hospital or other
- Study start
- Feb 2008
- Primary completion
- 30 Jun 2019 (actual)
- Study completion
- 30 Jun 2019 (actual)
- First posted
- 10 Mar 2008 (estimated)
- Results
- Posted 11 Nov 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study was designed to explore the changes brought about by gelatin encapsulated extract of American Ginseng Root (LEAG) in breast cancer tumors and surrounding normal breast epithelial cells. Various tumor biomarkers, as well as inflammatory mediators, will be examined in tissue following LEAG treatment.
Detailed description
Asian ginseng (Panax ginseng) and its close relative American ginseng (Panax quinquefolium) are perennial aromatic herbs that are widely used in Asian medicine. Ginseng root is used as a tonic thought to increase the body's resistance to stress and fatigue, to increase endurance under heavy physical activity, and to improve well-being in age-related debilitation. Most of the ginseng consumed, even in Asian populations, is American ginseng, and the majority of American ginseng is grown and processed in Wisconsin, with quality and standardization overseen by the Ginseng Board of Wisconsin. Furthermore, in Asian medicine, Asian ginseng (Panax ginseng) and American ginseng (Panax quinquefolium) are common components in herbals used for cancer prevention and treatment. Indeed, retrospective studies have shown that patients who consumed ginseng on a regular basis experienced cancers at a reduced rate, however, breast cancer was not considered. Ginseng has been used medicinally for over 2000 years and there are no substantiated serious adverse effects, and few, if any, non-serious adverse effects. The World Health Organization lists ginseng as a traditional medicine with very low toxicity. Clinical trials have also demonstrated an anti-hyperglycemic action of American ginseng. These studies utilized capsules containing dried, ground Ontario-grown P. qinquefolius L. root. The ground AG root preparation had an onset of action of 40 minutes. They found no significant increase in anti-hyperglycemic action after 40 minutes and no significant increase in anti-hyperglycemic action using 1 gram versus 3 gram dosing.
LEAG is a standardized preparation of lyophilized water-extract of American ginseng root in 250-mg gelatin capsules. The ginseng was purchased through the Ginseng Board of Wisconsin and the lyophilized extract has been certified for percentage of each and total ginsenoside content and screened for safe levels of minerals, metals, and pesticides by ConsumerLab.com, a leading testing service company of dietary supplements.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| American Ginseng root | Experimental | Drug: American Ginseng rootfour, 250mg tablets daily 5-14 days prior to surgery |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Patients with cytologically confirmed breast cancer with biopsy showing invasive or non-invasive (DCIS) at least 1.0 cm greatest diameter on imaging
- Surgical patients undergoing lumpectomy, subtotal or total mastectomy
- 18 years of age or greater
- female
- available tissue blocks from diagnostic biopsy
Key exclusion criteria (16 listed)
- previous or current malignancy, excluding non-melanomic skin cancer
- evidence of distant metastatic disease
- history of chemotherapy, biologic or radiotherapy with 6 months of biopsy
- usage of herbal supplements or alternative medications not approved by the FDA within 1 week of starting study drug. LEAG or related ginseng products, and combination products containing ginseng, should be discontinued within 6 weeks of starting study drug
- history of allergic reactions attributed to compounds of similar chemical or biologic composition to LEAG
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| American Ginseng rootAlso: LEAG, Ginsengfour, 250mg tablets daily 5-14 days prior to surgery | Drug | American Ginseng root |
Primary outcome
Adiponectin
Time frame: mean of 11.8 days
Change from baseline to completion of treatment with LEAG.
C Reactive Protein (CRP)
Time frame: mean of 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Hepatocyte Growth Factor (HGF)
Time frame: mean of 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Insulin Like Growth Factor 1 (IGF-1)
Time frame: mean of 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Insulin Like Growth Factor 1 Receptor (IGF-1R)
Time frame: 10-14 days
Mean change from baseline following 10-14 days of treatment with LEAG.
Interlueken-1- (IL-10)
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-12p40
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-1b
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-1ra
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-2
Time frame: mean of 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-23
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-4
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-6
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
IL-8
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Insulin
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Leptin
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
MCP-1
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
TGFb1
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
TNFa
Time frame: mean 11.8 days
Mean change from baseline to completion of treatment with LEAG.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 May 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 19815237Peralta EA, Murphy LL, Minnis J, Louis S, Dunnington GL. American Ginseng inhibits induced COX-2 and NFKB activation in breast cancer cells. J Surg Res. 2009 Dec;157(2):261-7. doi: 10.1016/j.jss.2009.05.011. Epub 2009 Jun 6.
- Background: PubMed 18468636Peralta EA, Brewer AT, Louis S, Dunnington GL. Vitamin E increases biomarkers of estrogen stimulation when taken with tamoxifen. J Surg Res. 2009 May 1;153(1):143-7. doi: 10.1016/j.jss.2008.03.030. Epub 2008 Apr 22.
- Background: PubMed 17011908Peralta EA, Viegas ML, Louis S, Engle DL, Dunnington GL. Effect of vitamin E on tamoxifen-treated breast cancer cells. Surgery. 2006 Oct;140(4):607-14; discussion 614-5. doi: 10.1016/j.surg.2006.07.007. Epub 2006 Sep 6.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Elizabeth Peralta, M.D. principal investigator
Sutter Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing American Ginseng root in people with Breast Cancer, run by Southern Illinois University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 11 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Nov 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Adiponectin (time frame: mean of 11.8 days). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00631852, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2026.