Breast Cancer Clinical Trial
Topical or Oral Minoxidil for the Treatment of Endocrine Therapy-Induced Alopecia in Patients With Stage I-IV Breast Cancer
Summary
This early phase I trial studies the possible benefits and/or side effects of topical or oral minoxidil in treating endocrine therapy-induced hair loss (alopecia) in patients with stage I-IV breast cancer. Endocrine therapy-induced alopecia (EIA) is a distressing side effect that leads to reduced quality of life and early cessation of therapy in women undergoing treatment for breast cancer. Patients on endocrine therapy commonly report hair loss or thinning. Minoxidil is a drug that may promote hair growth and reduce hair loss. Oral minoxidil may increase hair density in women with EIA, and work the same as topical minoxidil in treating EIA in patients with breast cancer.
Full Description
PRIMARY OBJECTIVES:
I. To evaluate the safety and tolerability of low-dose oral minoxidil in patients with breast cancer and EIA.
II. To obtain preliminary data to support whether low-dose oral minoxidil is a reasonable alternative to topical minoxidil in patients with EIA.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Patients apply minoxidil foam topically to affected areas of the scalp once daily (QD) for up to 12 months in the absence of disease progression or unacceptable toxicity.
ARM II: Patients receive minoxidil orally (PO) QD for up to 12 months in the absence of disease progression or unacceptable toxicity.
Eligibility Criteria
Inclusion Criteria:
Women >= 18 years of age
Established diagnosis of breast cancer stages I-IV
On endocrine therapy including tamoxifen or aromatase inhibitors with or without concurrent use of ovarian function suppression
Self-reporting hair loss since starting endocrine therapy
Exclusion Criteria:
Pregnant or nursing women
Current chemotherapy use or prior chemotherapy use within the last 2 years
History of scarring/cicatricial alopecia or alopecia areata
Prior use of oral or topical minoxidil
Prior or ongoing use of spironolactone
Known sensitivity to minoxidil
Untreated hypothyroidism or iron deficiency as determined by thyroid stimulating hormone (TSH) with reflex free T4 and ferritin level > 40 to be checked at the time of enrolling if not completed in the 12 months prior
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There is 1 Location for this study
Columbus Ohio, 43210, United States More Info
Principal Investigator
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