Patient description: The patient is a 55 year old man visiting his primary care physician for lower urinary tract symptoms including frequency, urgency, weak stream, incomplete emptying and intermittent flow for the past 9 months. Further evaluation revealed: IPSS score : 15 Post-void residual: 70 mL Prostate volume (TRUS): 60 mL Prostate-specific antigen (PSA) level: 3.2 ng/mL 10 mL/sec of maximum flow rate when urine volume was 130 mL He is otherwise healthy only using Vit D 1000 units daily. His recent blood chemistry (3 days ago) was normal: Hgb: 13.5 g/dl WBC: 135000 /mm3 Plt: 350000 /ml PT: 11 second PTT: 35 second INR: 0.9 Creatinine: 0.5 mg/dl BUN: 10 mg/dl U/A: Color: yellow Appearance: cloudy PH: 5.3 Specific gravity: 1.010 Glc: 100 Nitrite: negative Ketone: none Leukocyte esterase: negative RBC: negative WBC: 2 WBCs/hpf U/C: negative

Clinical trial eligibility criteria: eligible ages (years): 18.0-72.0,  Prostate Cancer Localized prostate cancer suitable for active surveillance 1. Histologically confirmed adenocarcinoma of the prostate, with Gleason Score 6 or less prostate cancer. No limit in the percentage of cancer in each core or percentage of positive cores. 2. Male, 18 years or older 3. Able to swallow the soft gelatin capsule form of the drug which is ~6mm long. 4. Clinically localized prostate cancer: T1-2, NX or N0, MX or M0. 5. No previous treatment for prostate cancer (including hormonal therapy, radiation therapy, surgery, or chemotherapy). 6. ECOG Performance Status 0 or 1. 7. Patient has elected Active Surveillance as preferred management plan for prostate cancer. 8. Written informed consent obtained prior to any patient participation. 9. Participant is accessible and compliant for follow-up. 10. Prostate biopsy requirements: 1. If diagnosis was within one year of baseline visit, participant must have at least one biopsy with at least 10 cores. 2. If diagnosis was more than 1 year prior to baseline visit, participant must have a minimum of 2 biopsies, one of which must be within 2 years prior to baseline visit. 11. Voiding requirements: IPSS score of at least 15 and Qmax < 15 cc/s. 12. Adequate hematopoietic function as demonstrated by hemoglobin of ≥ 9.0 g/dL without need for sustained blood transfusions Platelet count ≥100,000 platelet/mm3 (100 x 109/L) White Blood Cell (WBC) count ≥ 2.0 x109/L and Absolute Neutrophil Count (ANC) ≥1.5 x109/L 13. Adequate hepatobiliary function as demonstrated by Total bilirubin level within normal limits Alanine aminotransferase (ALT) levels within normal limits Adequate renal function as demonstrated by creatinine level within normal limits or creatinine clearance within normal limits Coagulation profile (PT, PTT, INR and TCT) within normal limits 14. If of reproductive capacity, willing to use an effective double barrier method of birth control (i.e., latex condom, partner use of diaphragm, cervical cap, etc) during the study and for 30 days after the last administration of OMN54  Unwillingness or inability to undergo serial prostate biopsy or MRI. 2. History of other malignancies, except: adequately treated non-melanoma skin cancer or adequately treated superficial bladder cancer (Ta) or other solid tumors curatively treated with no evidence of disease for > 5 years. 3. Previous surgical intervention for BPH 4. Active uncontrolled infection, including known history of HIV, hepatitis B or C 5. Concurrent uncontrolled hypertension 6. Congestive Heart Failure 7. Hepatic disease (cirrhosis, hepatitis, hepatocellular carcinoma or liver failure of unknown etiology) 8. Renal disease (glomerulonephritis, nephropathy, polycystic kidney disease) 9. Patients requiring new treatment of BPH (either medical or surgical) are not eligible. 10. Refractory nausea and vomiting, chronic gastrointestinal diseases (e.g., inflammatory bowel disease), or significant bowel resection that would preclude adequate absorption. 11. Known hypersensitivity to any of the three botanical constituents of Aneustat™ (OMN54); soy; any of the plants belonging to the Ganodermataceae family, e.g., reishi mushroom (Ganoderma lucidum, lingzhi); any plants belonging to Labiatae or Lamiaceae families, e.g., culinary herbs including basil, mint, rosemary, sage, savory, marjoram, oregano, thyme, lavender, and perilla; or Aneustat™ (OMN54) excipients. 12. Concurrent administration, or exposure within 30 days, of Investigational drugs and devices Chemotherapy Radiation therapy Immunotherapy