Ketoconazole in Treating Participants With Ongoing EGFR Inhibitor-Induced Rash

NCT ID: NCT03471364

Last Updated: 2025-10-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-25

Study Completion Date

2024-09-15

Brief Summary

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This early phase I trial studies the side effects of ketoconazole and how well it works in treating participants with ongoing EGFR inhibitor-induced rash. Ketoconazole may reduce the symptoms related to EGFR inhibitor therapy and improve EGFR inhibitor-induced rash.

Detailed Description

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PRIMARY OBJECTIVES:

I. To demonstrate that topical ketoconazole, an anti-androgen, palliates EGFR inhibitor-induced rash within a group of racially diverse cancer patients.

II. To explore the role of ribonucleic acid (RNA) sequencing to identify other targets that might be used at a later date for rash palliation.

III. To evaluate toxicities associated with topical ketoconazole.

OUTLINE: Participants are randomized to 1 of 2 arms.

ARM I: Participants apply ketoconazole topically twice daily (BID) on days 1-28.

ARM II: Participants apply placebo topically BID on days 1-28.

After completion of study treatment, participants are followed up at 1 week.

Conditions

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Malignant Neoplasm

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Arm I (ketoconazole)

Participants apply ketoconazole topically BID on days 1-28.

Group Type EXPERIMENTAL

Ketoconazole

Intervention Type DRUG

Applied topically

Laboratory Biomarker Analysis

Intervention Type OTHER

Correlative studies

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Arm II (placebo)

Participants apply placebo topically BID on days 1-28.

Group Type PLACEBO_COMPARATOR

Laboratory Biomarker Analysis

Intervention Type OTHER

Correlative studies

Placebo Administration

Intervention Type OTHER

Applied topically

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Ketoconazole

Applied topically

Intervention Type DRUG

Laboratory Biomarker Analysis

Correlative studies

Intervention Type OTHER

Placebo Administration

Applied topically

Intervention Type OTHER

Quality-of-Life Assessment

Ancillary studies

Intervention Type OTHER

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Fungarest Fungoral Ketoderm Ketoisdin Nizoral Orifungal M Panfungol R-41400 Xolegel Quality of Life Assessment

Eligibility Criteria

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Inclusion Criteria

* Patient has developed a rash or symptoms of a rash (cutaneous burning) characteristic of an EGFR inhibitor (health-care provider report of the rash with no other documentation is permitted)
* Patient is anticipated to continue for at least 28 days with an EGFR inhibitor or restart =\< 14 days of registration and continue for at least 28 days
* Mayo only: Patient is willing to provide a skin biopsy for correlative research; Note: Can be waived with permission of study chair (documentation such as an email must be provided)
* Patient must complete baseline quality of life (QOL) packet

Exclusion Criteria

* Patient has a prior allergy or intolerance of ketoconazole
* Patient has an allergy or intolerance to sulfites
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Aminah Jatoi, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Carle on Vermilion

Danville, Illinois, United States

Site Status

Carle Cancer Center

Urbana, Illinois, United States

Site Status

Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Park Nicollet Frauenshuh Cancer Center

Saint Louis Park, Minnesota, United States

Site Status

Regions Hospital

Saint Paul, Minnesota, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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NCI-2018-00355

Identifier Type: REGISTRY

Identifier Source: secondary_id

MC17C1

Identifier Type: OTHER

Identifier Source: secondary_id

R01CA207183

Identifier Type: NIH

Identifier Source: secondary_id

View Link

17-007786

Identifier Type: OTHER

Identifier Source: secondary_id

MC17C1

Identifier Type: -

Identifier Source: org_study_id

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