COffee and Metabolites Modulating the Gut MicrobiomE in Colorectal caNCER

Inclusion Criteria:

Participants must meet the following criteria on screening examination to be eligible to participate in the study:

• Participants must have histologically confirmed stage I, II, or III colon or rectaladenocarcinoma and have completed standard treatment (including surgery,chemotherapy and radiotherapy) at least 2 months ago.

• Age 18 years or older.

• This study will only include adult participants because colorectal carcinogenesis inchildren is more likely to be related to a cancer predisposition syndrome withdistinct biological mechanisms compared with sporadic colorectal cancer in adults.

• The effects of coffee on the developing human fetus are unknown. For this reason,women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry andfor the duration of study participation. Should a woman become pregnant or suspectshe is pregnant while participating in this study, she should inform her treatingphysician immediately.

• Subjects must be able and willing to follow study procedures and instructions.

• Ability to understand and the willingness to sign a written informed consentdocument.

Exclusion Criteria:

Participants who exhibit any of the following conditions at screening will not be eligible for admission into the study.

• Participants who are receiving any other investigational agents.

• Concurrent use of other anti-cancer therapy, including chemotherapy agents, targetedagents, biological agents, immunotherapy, or investigational agents not otherwisespecified in this protocol.

• Regularly consuming more than 2 cups of coffee ( 8 oz) per day for at least 3 days aweek in the past month.

• Current or recent use (within 1 month) of any coffee supplements (e.g., green coffeeextracts).

• History of diagnosed conditions that may be worsen by coffee, including arrhythmias,insomnia, tremors, tics, generalized anxiety disorder, bipolar disease, panicattacks, Tourette's, epilepsy or overactive bladder.

• History of adverse reactions to coffee or intolerance of coffee consumption.

• Inability or unwillingness to swallow capsules.

• History of malabsorption or uncontrolled vomiting or diarrhea, or any other diseasethat could interfere with absorption of oral medications.

• Any uncontrolled intercurrent illness including, but not limited to, ongoing oractive infection, symptomatic congestive heart failure, unstable angina pectoris, orpsychiatric illness/social situations that, in the opinion of the investigator, mayincrease the risks associated with study participation or study treatment, limitcompliance with study requirements, or interfere with the interpretation of studyresults.

• Pregnant or breastfeeding. The effects of coffee on the developing human fetus areunknown. For this reason, women of child-bearing potential must agree to useadequate contraception (hormonal or barrier method of birth control; abstinence)prior to study entry and for the duration of study participation.

Should a woman become pregnant or suspect she is pregnant while she is participating in this study, she should inform her treating physician immediately. Similarly, lactating women are excluded from this study because there is an unknown but potential risk of adverse events in nursing infants secondary to treatment of the mother with coffee. Consequently, breastfeeding should be discontinued if the mother is enrolled on the study.

• Presence of synchronous (at the same time) malignancy for which the patient iscurrently receiving active treatment.

• Known positive test for human immunodeficiency virus (HIV), hepatitis C virus, oracute or chronic hepatitis B infection.