Endocrine Therapy-Induced Alopecia in Postmenopausal and Premenopausal Female Breast Cancer Patients

NCT ID: NCT05612100

Last Updated: 2025-12-17

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

RECRUITING

Total Enrollment

170 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-07-06

Study Completion Date

2028-06-30

Brief Summary

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This study evaluates endocrine therapy-induced alopecia among postmenopausal and premenopausal female patients with breast cancer. Alopecia is one of the most feared side effects of cancer-directed therapy, causing distress in women starting treatment for breast cancer. While alopecia is a well-known side effect of many chemotherapy drugs, it has also been reported by women undergoing endocrine therapy. Despite the frequent reports of alopecia related to endocrine therapy, hair loss is rarely reported as a side effect of endocrine therapy and the exact characterization of alopecia is not well understood. By having postmenopausal and premenopausal breast cancer patients describe their hair loss symptoms experienced while undergoing endocrine therapy, researchers may be able to better characterize the incidence, timing, duration, and severity of alopecia and whether the different types of endocrine therapy cause more or less trouble in this regard.

Detailed Description

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PRIMARY OBJECTIVE:

I. To describe the incidence, characteristics, and severity of alopecia related to endocrine therapy in four cohorts of postmenopausal women who have had a diagnosis of breast cancer: patients undergoing endocrine therapy with tamoxifen, patients undergoing endocrine therapy with an aromatase inhibitor, patients undergoing therapy with an aromatase inhibitor in addition to a CDK4/6 inhibitor, and patients not receiving endocrine therapy. A fifth cohort has met the accrual goal and is no longer enrolling: premenopausal women receiving any type of endocrine therapy.

SECONDARY OBJECTIVE:

I. To investigate the difference in incidence, characteristics, and severity of alopecia between the aforementioned five cohorts of patients.

OUTLINE: This is an observational study.

Patients complete alopecia questionnaires and surveys and have medical records reviewed on study.

Conditions

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Breast Carcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Observational (alopecia questionnaires and surveys)

Patients complete alopecia questionnaires and surveys and have medical records reviewed on study.

Electronic Health Record Review

Intervention Type OTHER

Ancillary studies

Questionnaire Administration

Intervention Type OTHER

Complete alopecia questionnaires

Survey Administration

Intervention Type OTHER

Complete alopecia surveys

Interventions

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Electronic Health Record Review

Ancillary studies

Intervention Type OTHER

Questionnaire Administration

Complete alopecia questionnaires

Intervention Type OTHER

Survey Administration

Complete alopecia surveys

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age \>= 18 years
* Women with a diagnosis of breast cancer who are being treated with curative intent, with the one exception being women who are receiving CDK4/6 inhibitors (these patients being allowed to have more advanced disease)
* Provide informed consent
* Ability to complete questionnaire(s) by themselves or with assistance
* Filling into one of the 5 groups (understanding that groups will close once they complete their accrual goals of 30 patients)
* Willingness to complete questionnaires every 3 months
* Ability to complete the first questionnaire within 2 weeks of therapy initiation (for the four arms that are receiving adjuvant hormonal therapy)

* For patients starting tamoxifen or an aromatase inhibitor: within 2 weeks of starting tamoxifen or aromatase inhibitor
* For patients starting a CDK 4/6 inhibitor: within 2 weeks of starting the CDK 4/6 inhibitor (patients may have started an aromatase inhibitor at any time prior to initiation of CDK 4/6 inhibitor).

Exclusion Criteria

* Verbal baseline alopecia \>= 2 on an 11 point scale (from none = 0 to severe = 10). The question to use for this item is: Please rate your hair thinning or loss on a scale from 0 to 10, with 0 being no hair loss and 10 being complete hair loss
* Planned receipt of chemotherapy or another cancer-directed therapy concurrently (e.g., everolimus, etc.; note that a CDK4/6 inhibitor is allowed within cohort 3)
* Prior use of endocrine therapy for breast cancer
* Receipt of chemotherapy over the previous 6 months
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elizabeth Cathcart-Rake, M.D.

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic in Rochester

Locations

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Mayo Clinic Health System in Albert Lea

Albert Lea, Minnesota, United States

Site Status RECRUITING

Essentia Health Baxter Clinic

Baxter, Minnesota, United States

Site Status RECRUITING

Sanford Joe Lueken Cancer Center

Bemidji, Minnesota, United States

Site Status RECRUITING

Essentia Health Saint Joseph's Medical Center

Brainerd, Minnesota, United States

Site Status RECRUITING

Essentia Health - Deer River Clinic

Deer River, Minnesota, United States

Site Status RECRUITING

Essentia Health Saint Mary's - Detroit Lakes Clinic

Detroit Lakes, Minnesota, United States

Site Status RECRUITING

Essentia Health Cancer Center

Duluth, Minnesota, United States

Site Status RECRUITING

Essentia Health Ely Clinic

Ely, Minnesota, United States

Site Status RECRUITING

Essentia Health - Fosston

Fosston, Minnesota, United States

Site Status RECRUITING

Fairview Grand Itasca Clinic & Hospital

Grand Rapids, Minnesota, United States

Site Status RECRUITING

Essentia Health Hibbing Clinic

Hibbing, Minnesota, United States

Site Status RECRUITING

Fairview Range Medical Center

Hibbing, Minnesota, United States

Site Status RECRUITING

Essentia Health - International Falls Clinic

International Falls, Minnesota, United States

Site Status RECRUITING

Mayo Clinic Health Systems-Mankato

Mankato, Minnesota, United States

Site Status RECRUITING

MMCORC CentraCare Monticello Cancer Center

Monticello, Minnesota, United States

Site Status ACTIVE_NOT_RECRUITING

Essentia Health Moose Lake

Moose Lake, Minnesota, United States

Site Status RECRUITING

Essentia Health - Park Rapids

Park Rapids, Minnesota, United States

Site Status RECRUITING

Fairview Northland Medical Center

Princeton, Minnesota, United States

Site Status RECRUITING

Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status RECRUITING

Essentia Health Sandstone

Sandstone, Minnesota, United States

Site Status RECRUITING

Sanford Health Thief River Falls

Thief River Falls, Minnesota, United States

Site Status RECRUITING

Essentia Health Virginia Clinic

Virginia, Minnesota, United States

Site Status RECRUITING

Sanford Health Worthington

Worthington, Minnesota, United States

Site Status RECRUITING

Countries

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United States

Facility Contacts

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Clinical Trials Referral Office

Role: primary

855-776-0015

Bret E. Friday, M.D.

Role: primary

612-624-2620

Jarrett Failing, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Anastas Provatas, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Anastas Provatas, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Clinical Trials Referral Office

Role: primary

855-776-0015

Bret E. Friday, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Anastas Provatas, M.D.

Role: primary

612-624-2620

Clinical Trials Referral Office

Role: primary

855-776-0015

Bret E. Friday, M.D.

Role: primary

612-624-2620

Amit Panwalkar, M.D.

Role: primary

612-624-2620

Bret E. Friday, M.D.

Role: primary

612-624-2620

Jonathan Bleeker, M.D.

Role: primary

612-624-2620

Related Links

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Other Identifiers

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NCI-2022-05686

Identifier Type: REGISTRY

Identifier Source: secondary_id

22-004341

Identifier Type: OTHER

Identifier Source: secondary_id

MNCCTN013

Identifier Type: OTHER

Identifier Source: secondary_id

MC220902

Identifier Type: -

Identifier Source: org_study_id