The purpose of this study is to determine whether dietary lycopene supplementation lowers serum prostate specific antigen(PSA) in men with high grade intraepithelial neoplasia (HGPIN).

Observational studies suggest higher lycopene intake or higher lycopene blood levels are associated with a lower risk for prostate cancer. Two recent trials of lycopene supplementation conducted in men with prostate cancer, during the three weeks prior to radical prostatectomy, found a reduction in serum PSA suggesting a regression of prostate cancer.

High grade intraepithelial neoplasia (HGPIN)is thought to be a precancerous lesion, and men with HGPIN have an elevated risk of prostate cancer diagnosis on subsequent biopsy. The objective of this study is to determine whether dietary lycopene supplementation lowers serum prostate specific antigen(PSA)over four months of supplementation. Serum PSA is compared in men randomized to 30 mg/day lycopene plus a standard multivitamin versus standard multivitamin alone.

Inclusion Criteria:

• biopsy reported high grade prostatic intraepithelial neoplasia
• and/or biopsy reported atypia
• and/or persistently elevated serum prostate specific antigen with normal biopsy

Exclusion Criteria:

• biopsy diagnosed prostate cancer
• serum prostate specific antigen > 40 ng/ml
• hospitalization in past six months
• history of allergy to tomatoes
• history of allergic dermatitis
• serious concurrent illness
• inability to provide informed consent