Minoxidil With or Without Low-Level Red-Light Therapy for Improving Chemotherapy-Induced Alopecia in Breast Cancer Patients
30 août 2026 mis à jour par: Brittany Dulmage, Ohio State University Comprehensive Cancer Center
A Pilot Study of Low-Level Red-Light Therapy Combined With Topical Minoxidil Compared With Topical Minoxidil Alone in Breast Cancer Patients With Chemotherapy-Induced Alopecia
This phase II trial compares the safety and effectiveness of topical minoxidil alone to topical minoxidil in combination with low-level red-light therapy for improving chemotherapy-induced hair loss or thinning (alopecia).
Minoxidil has been approved by the Food and Drug Administration as a treatment for hair loss.
It increases blood flow in the skin and may have a direct stimulatory effect on hair follicle cells, forcing them from their resting phase into their active growth phase.
Low-level light therapy is regarded as a safe and medically accepted treatment for a variety of skin conditions, including acne, scars, and psoriasis.
Red light wavelengths are readily absorbed into the skin and do not contain harmful ultraviolet light.
When absorbed into the skin, these wavelengths stimulate fibroblasts, which are connective tissue cells that make and secrete collagen proteins.
Low-level red-light therapy may improve hair loss by stimulating hair follicles.
Combining minoxidil with low-level red-light therapy may be safe and more effective at improving chemotherapy-induced alopecia than minoxidil alone.
Aperçu de l'étude
Statut
Pas encore de recrutement
Les conditions
Description détaillée
PRIMARY OBJECTIVE:
I. To determine the improvement in hair density as determined by the Dean scale score in patients with chemotherapy-induced alopecia following treatment with low-level light therapy (LLLT) and topical minoxidil versus topical minoxidil alone.
SECONDARY OBJECTIVES:
I. To determine the improvement in hair density and hair diameter as determined by trichoscopic evaluation in patients with chemotherapy-induced alopecia following treatment with LLLT and topical minoxidil versus topical minoxidil alone.
II. To determine the change in the quality-of-life Chemotherapy Alopecia Distress Scale (CADS) questionnaire score in patients with chemotherapy-induced alopecia following treatment with LLLT and topical minoxidil versus topical minoxidil alone.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I: Patients receive minoxidil topically to the scalp daily for 6 months in the absence of unacceptable toxicity.
ARM II: Patients receive minoxidil topically to the scalp daily and undergo low-level red-light therapy with the Revian RED LED-light cap over 10 minutes daily for 6 months in the absence of unacceptable toxicity.
After completion of study intervention, patients are followed up at 12 months.
Type d'étude
Interventionnel
Inscription (Estimé)
50
Phase
- Phase 2
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Coordonnées de l'étude
- Nom: The Ohio State University Comprehensive Cancer Center
- Numéro de téléphone: 800-293-5066
- E-mail: OSUCCCClinicaltrials@osumc.edu
Lieux d'étude
-
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Ohio
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Columbus, Ohio, États-Unis, 43210
- Ohio State University Comprehensive Cancer Center
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Chercheur principal:
- Brittany L. Dulmage, MD
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Contact:
- Brittany L. Dulmage, MD
- Numéro de téléphone: 614-293-1707
- E-mail: Brittany.Dulmage@osumc.edu
-
-
Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
Non
La description
Inclusion Criteria:
- Patients will be Ohio State University patients > 18 years old
- Patients will have a diagnosis of breast cancer, stages I-IV
- Patients will have been treated with a chemotherapy regimen containing either an anthracycline or taxane
- Patients will have a loss of at least 50% of the hair on the scalp by the final chemotherapy infusion
- Patients will NOT be pregnant or nursing women
- Patients will NOT have a history of scarring/cicatricial alopecia or alopecia areata
- Patients will NOT have a known sensitivity to minoxidil
- Patients will NOT have ongoing treatment with an antibody-drug conjugate or immunotherapy
- NOTE: There is no exclusion criteria for utilization of scalp cooling
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Soins de soutien
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur actif: Arm I (minoxidil)
Patients receive minoxidil topically to the scalp daily for 6 months in the absence of unacceptable toxicity.
|
Etudes annexes
Etudes annexes
Given topically
Autres noms:
|
|
Expérimental: Arm II (minoxidil, LLLT)
Patients receive minoxidil topically to the scalp daily and undergo low-level red-light therapy with the Revian RED LED-light cap over 10 minutes daily for 6 months in the absence of unacceptable toxicity.
|
Etudes annexes
Etudes annexes
Given topically
Autres noms:
Undergo low-level red-light therapy with Revian RED LED-light cap
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Dean scale score
Délai: After 6 months of intervention
|
The Dean scale measures hair loss along a 4-grade scale.
Grade 1 = <25% hair loss.
Grade 2= 25-50% hair loss.
Grade 3=50-75% hair loss.
Grade 4 = >75% hair loss.
Success will be defined as Dean scale score of 1 or 0. This will be based on clinical photographs taken at the initial and 6-month visits and scored by two board-certified dermatologists.
Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups, including the proportion of patients with a Dean score of 1 or 0 at 6 months.
|
After 6 months of intervention
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change in Dean scale score
Délai: From baseline to 2, 4, and 12 months
|
The Dean scale measures hair loss along a 4-grade scale.
Grade 1 = <25% hair loss.
Grade 2= 25-50% hair loss.
Grade 3=50-75% hair loss.
Grade 4 = >75% hair loss.Will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups.
|
From baseline to 2, 4, and 12 months
|
|
Change in trichoscopic hair density
Délai: From baseline to 2, 4, 6, and 12 months
|
Measures of hair density will be taken via trichoscopic photography by use of the HairMetrix device.
Density measurements will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups.
|
From baseline to 2, 4, 6, and 12 months
|
|
Change in Chemotherapy Alopecia Distress Scale (CADS)
Délai: From baseline to 2, 4, 6, and 12 months
|
CADS is a 17-item tool that measures hair loss distress. Each question uses a 4-point likert scale (0-3), and total scores range from 0-51 with higher scores indicating greater hair loss distress. Longitudinal mixed effects linear and generalized linear or logistic models will be used with improvement from baseline as the outcome at 2, 4, 6, and 12 months. Randomization group, time point, and their interaction will be used as fixed effects, and a subject random effect will be used to account for within-subject correlation of outcomes. For CADS, baseline score will also be included as a fixed effect. TWill be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate). Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups. |
From baseline to 2, 4, 6, and 12 months
|
|
Change in patient reported outcomes (hair loss survey)
Délai: From baseline to 2, 4, 6, and 12 months
|
Participants will be asked four questions about symptoms related to hair loss over the last week.
Each question is scored on a scale with possible answers ranging from 0 (not present) to 10 (as bad as you can imagine).
Will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups.
|
From baseline to 2, 4, 6, and 12 months
|
|
Change in patient reported outcomes (feelings survey)
Délai: From baseline to 2, 4, 6, and 12 months
|
Participants will be asked four questions about their general feelings over the last week.
Each question is scored on a scale with possible answers ranging from 0 (as bad as it can be) to 10 (as good as it can be).
Will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
Will construct two-sided 95% confidence intervals for improvement from baseline and differences between randomized groups.
|
From baseline to 2, 4, 6, and 12 months
|
|
Differences in patient satisfaction (feasibility)
Délai: At 2, 4, and 6 months
|
Differences in patient satisfaction will be used to determine differences in feasibility between the two treatment arms.
Participants will be asked five questions about their satisfaction with hair changes and study treatment over the last two months.
Each question will be scored on a scale ranging from 0 (not satisfied at all) to 10 (as satisfied as I can be).
Will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
|
At 2, 4, and 6 months
|
|
Compliance
Délai: At 2, 4, and 6 months
|
Differences in medication administration logs will be used to determine differences in compliance between the two treatment arms.
For the topical minoxidil group, the proportions of days medication was applied will be reported.
For the low-level red-light therapy + minoxidil group, the proportions of days minoxidil was applied as well as the proportions of weeks that the low-level red-light therapy was used will be reported.
Will be reported by treatment group using summary statistics (mean and standard deviation, median and quartiles, or count and percentage, as appropriate).
|
At 2, 4, and 6 months
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Les enquêteurs
- Chercheur principal: Brittany L Dulmage, MD, Ohio State University Comprehensive Cancer Center
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Liens utiles
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Estimé)
15 novembre 2026
Achèvement primaire (Estimé)
31 décembre 2027
Achèvement de l'étude (Estimé)
31 décembre 2027
Dates d'inscription aux études
Première soumission
16 avril 2026
Première soumission répondant aux critères de contrôle qualité
15 mai 2026
Première publication (Réel)
19 mai 2026
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
2 septembre 2026
Dernière mise à jour soumise répondant aux critères de contrôle qualité
30 août 2026
Dernière vérification
1 août 2026
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- OSU-24393
- NCI-2026-02583 (Identificateur de registre: CTRP (Clinical Trial Reporting Program))
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Oui
Étudie un produit d'appareil réglementé par la FDA américaine
Oui
produit fabriqué et exporté des États-Unis.
Non
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .