Clinical Study of DA-007 for the Treatment of Chemotherapy Induced Alopecia
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: DA-007, Placebo.
- Who it may be relevant to
- Registry conditions: Chemotherapy Induced Alopecia, Chemotherapy Side Effects. Basic parameters: 18 years — 65 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Italy
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Overview
Clinical Study of DA-007 As a Treatment for Chemotherapy Induced Alopecia
Detailed description
Chemotherapy induced alopecia (CIA) is a common adverse event of oncological treatment. The significant psychological burden of CIA, particularly in women, leads some (\~8%) to reject life saving therapeutic regimens. Several studies have demonstrated the effectiveness of scalp vasoconstriction as a prophylactic treatment for CIA. Recently, US Food and Drug Administration (FDA) approved a scalp-cooling device as a prophylactic treatment for CIA. Scalp cooling results in reduced local blood perfusion and consequently reduced chemotherapeutic agents reaching the hair follicle niche; however, scalp cooling requires prolongation of the time required to attend the chemotherapy unit (\>2 hrs) as well as common adverse events including intolerance to cold. A previous study demonstrated that the α1 agonist, phenylephrine hydrochloride, applied topically can penetrate the scalp and bind α1 receptors. As such, a topically applied α1 agonist would reduce scalp blood perfusion. A novel formula (DA-007), containing an α1 agonist, that can also penetrate the scalp and bind α1 receptors. The aim of the study is to test the hypothesis that DA-007 can reduce scalp blood perfusion and thus reduce hair loss due to chemotherapy.
Interventions
- Drug DA-007
Topical α1 agonist combination of Phenylephrine + Tyramine + Synephrine - Drug Placebo
Topical placebo solution
Primary outcome measures
- Prevention of Hair Loss (Common Terminology Criteria for Adverse Events V5.0) [Time frame: Week [0,12]]
Secondary outcome measures (1)
- Hair Re-Growth Post Treatment (Common Terminology Criteria for Adverse Events V5.0) [Time frame: Week [12, 24]]
Eligibility criteria
Inclusion criteria
- Diagnosed with stage I or stage II breast cancer
- Scheduled but not begun, at least 4 cycles of taxane and/or anthracycline-based chemotherapy.
- Ages 18-65
- Able to give informed consent
Exclusion criteria
- Resting blood pressure outside the range of 105-140/ 55-99
- Uncontrolled or severe hypertension
- Female pattern hair loss or hair loss disorder
- Folliculitis
- Scalp psoriasis
- Seborrheic dermatitis
- Inflammatory scalp conditions such as lichen planopillaris
- Subjects wearing wigs prior to chemotherapy
- Use of MAO inhibitors
- Unable to provide consent or make allotted clinical visits
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Prevention
Study locations
Italy · 1 center
- University of Rome ("G. Marconi") — Rome
Publications
- Fahl WE. Complete prevention of radiation-induced dermatitis using topical adrenergic vasoconstrictors. Arch Dermatol Res. 2016 Dec;308(10):751-757. doi: 10.1007/s00403-016-1691-2. Epub 2016 Oct 4. PMID 27704205
- Soref CM, Fahl WE. A new strategy to prevent chemotherapy and radiotherapy-induced alopecia using topically applied vasoconstrictor. Int J Cancer. 2015 Jan 1;136(1):195-203. doi: 10.1002/ijc.28961. Epub 2014 May 16. PMID 24811525
Identifiers
NCT: NCT06762548 · DA-007-CIA