Inclusion: |
• Age over 21. |
• Smoking history > 30 pack years. |
Exclusion: |
• Inability to provide informed consent (e.g. cognitive impairment, severe psychiatric disorders). |
• Hypersensitivity to grapes and related products. |
• Liver dysfunction (abnormal liver function tests). |
• Renal dysfunction (abnormal serum creatinine). |
• End stage respiratory disease (FEV1<0.8 liters, resting or exertional hypoxemia, to select patients with adequate reserve to undergo bronchoscopy and complete the study). |
• Unstable angina. |
• Malignancy within 5 years, excluding non-melanoma type skin cancer or stage I NSCLC post curative resection without evidence of recurrence. |
• Pregnancy. |
• Systemic corticoid steroid therapy. |
• Coagulopathy. |
• Concurrent use of grapes or grape related products. |
• Unwilling to refrain from drinking more than 1 glass of wine a day. |
• Patients with concurrent medical conditions that may interfere with completion of tests, therapy, or the follow up schedule. |