Title A Randomized Control Trial to Compare Doxycycline to Isotretinoin for the Treatment of Acneiform Eruptions in Cancer Patients on Tyrosine Kinase Inhibitors
Protocole ID 2021-2635
ClinicalTrials.gov ID NCT04864717
Cancer Type(s) Symptoms Management
Phase Phase IV
Stage
Study Type Clinical
Drug Doxycycline versus Isotretinoin
Institution CIUSSS DU CENTRE-OUEST-DE-L'ILE-DE-MONTREAL
   HOPITAL GENERAL JUIF SIR MORTIMER B.DAVIS
      3755 rue de la Côte Ste. Catherine, Montréal, QC, H3T 1E2
City
Principal Investigator Dr. Kevin Pehr
Coordinator
Status Recruiting
Activation Date
Eligibility Criteria
  • Participant must be ≥18 years of age, able to understand the study procedures, and agrees to participate in the study by providing written informed consent
  • Participant has histologically- or pathologically-confirmed cancer with a known sensitizing EGFR mutation.
  • Participants must have started EGFR-TKI treatment, and subsequently had an acneiform eruption rated moderate or severe per the Leeds scale.
  • Participant has an Eastern Cooperative Oncology Group (ECOG) performance status score of 0-2.
  • Participant has a life expectancy of at least 3 months.
  • Premenopausal participants must use highly effective method of contraception. Female participants are neither pregnant nor breastfeeding
Exclusion Criteria
  • Absolute contraindications: pregnancy, breastfeeding, drug allergy
  • Relative contraindications:
    • moderate to severe hypercholesterolemia (total cholesterol >7.8 mmol/L)
    • hypertriglyceridemia (TG >2.55 mmol/L)
    • significant hepatic dysfunction (AST > 55IU/L, ALT > 94 IU/L)
    • suicidal ideation, pseudotumor cerebri
    • refractory nausea or vomiting
    • GI pathology that would prevent absorption of oral therapy.