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NCT03317405

Phase I Trial of Endoxifen Gel Versus Placebo in Women Undergoing Breast Surgery

Active, enrolled Phase 1 Results posted Last updated 28 August 2025
What this trial tests

Phase 1 trial testing Endoxifen Hydrochloride in Breast Ductal Carcinoma In Situ in 32 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
31 October 2018
Primary endpoint
22 February 2021
12 August 2026

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 1
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment32
Start date31 October 2018
Primary completion22 February 2021
Estimated completion12 August 2026
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, female only, with Breast Ductal Carcinoma In Situ or Breast Lobular Carcinoma In Situ. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Dermal Toxicity on Breast Skin at the Application Site Primary · Up to 60 days

Number of participants with dermal toxicity on breast skin at the transdermal gel application site. Will be assessed by Common Terminology Criteria for Adverse Events version 4.

GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily4
Endoxifen Hydrochloride Gel 20 mg Daily2
Placebo0
Drug Concentration in Tissue Secondary · up to 28 days

Concentrations of (E) and (Z) Isomers ENX in right and left breast tissue at end of intervention (up to 4 weeks) in tissue samples

Central Subareolar Left Breast Z_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.470.15 – 0.79
Endoxifen Hydrochloride Gel 20 mg Daily0.760.65 – 1.01
Placebo0.000.00 – 0.00
Central Subareolar Left Breast E_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.160.16 – 0.28
Endoxifen Hydrochloride Gel 20 mg Daily0.250.16 – 0.39
Placebo0.000.00 – 0.00
Central Subareolar Right Breast Z_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.370.15 – 0.44
Endoxifen Hydrochloride Gel 20 mg Daily1.000.62 – 1.51
Placebo0.000.00 – 0.00
Central Subareolar Right Breast E_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.160.16 – 0.16
Endoxifen Hydrochloride Gel 20 mg Daily0.300.16 – 0.58
Placebo0.000.00 – 0.08
Central Deepest Left Breast Z_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.400.15 – 1.73
Endoxifen Hydrochloride Gel 20 mg Daily1.550.34 – 2.85
Placebo0.000.00 – 0.00
Central Deepest Left Breast E_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.160.16 – 1.39
Endoxifen Hydrochloride Gel 20 mg Daily0.910.16 – 1.78
Placebo0.000.00 – 0.16
Central Deepest Right Breast Z_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.460.15 – 1.58
Endoxifen Hydrochloride Gel 20 mg Daily2.571.3 – 15.06
Placebo0.000.00 – 0.100
Central Deepest Right Breast E_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.280.16 – 1.69
Endoxifen Hydrochloride Gel 20 mg Daily1.701.13 – 17.20
Placebo0.000.00 – 0.00
Drug Concentration in Plasma Secondary · baseline and up to 28 days

Concentration of (E) and (Z) Isomers ENX in plasma at the end of intervention (up to 4 weeks)

Z_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg0.150.15 – 0.15
Endoxifen Hydrochloride Gel 20 mg0.440.15 – 0.54
Placebo0.000.00 – 0.00
E_ENX
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg0.000.00 – 0.00
Endoxifen Hydrochloride Gel 20 mg0.000.00 – 0.00
Placebo0.000.00 – 0.00
Change in Plasma Estrogenic and Coagulation Parameters Secondary · baseline and up to 28 days

Change in plasma Estrogenic and Coagulation Parameters from baseline to end of intervention (up to 28 days) including: IGF1, IGFBP3, SHBG.

IGF1
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-1.7-9.9 – 6.6
Endoxifen Hydrochloride Gel 20 mg3.0-8.6 – 15
Placebo-1.0-17 – 15
IGFBP3
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily48-29 – 125
Endoxifen Hydrochloride Gel 20 mg-2.5-216 – 211
Placebo-60-205 – 84
SHBG
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-9.4-26 – 6.8
Endoxifen Hydrochloride Gel 20 mg1.9-13 – 17
Placebo-4.4-12 – 3.8
Change in Pre-therapy and Post-therapy Symptoms Captured by BESS Questionnaire Secondary · baseline and up to 60 days

Assessed using the Breast Cancer Prevention Trial (BCPT) Eight Symptom Scale (BESS) questionnaire. A patient reported outcome, subscale scores range from 0 (Not at All) to 4 (Extremely) when asked about experiencing symptoms. A positive change in scores indicates an increase in symptoms experienced and a negative change in scores indicates a decrease in symptoms experienced.

Cognitive
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-0.16-0.60 – 0.29
Endoxifen Hydrochloride Gel 20 mg Daily-0.05-1.0 – 0.88
Placebo-0.19-0.62 – 0.24
Body Pain
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-0.18-0.44 – 0.08
Endoxifen Hydrochloride Gel 20 mg Daily-0.38-1.2 – 0.48
Placebo-0.10-0.73 – 0.54
Vasomotor
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-0.02-0.26 – 0.21
Endoxifen Hydrochloride Gel 20 mg Daily-0.05-0.16 – 0.07
Placebo0.19-0.64 – 1.0
Gastrointestinal
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-0.07-0.19 – 0.06
Endoxifen Hydrochloride Gel 20 mg Daily-0.24-0.53 – 0.06
Placebo0.10-0.20 – 0.39
Sexual Problems
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.13-0.15 – 0.42
Endoxifen Hydrochloride Gel 20 mg Daily-0.57-1.8 – 0.64
Placebo-0.29-0.74 – 0.17
Body Image
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily-0.20-0.54 – 0.14
Endoxifen Hydrochloride Gel 20 mg Daily-0.64-1.3 – 0.00
Placebo-0.43-1.4 – 0.55
Vaginal
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.13-0.21 – 0.47
Endoxifen Hydrochloride Gel 20 mg Daily-0.29-0.77 – 0.20
Placebo-0.24-0.53 – 0.06
Bladder Problem
GroupValue95% CI
Endoxifen Hydrochloride Gel 10 mg Daily0.03-0.04 – 0.10
Endoxifen Hydrochloride Gel 20 mg Daily-0.86-1.8 – 0.06
Placebo0.07-0.10 – 0.25

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs collected from the time informed consent was signed and baseline procedures were completed through 60 days post-intervention. In total AEs collected for a period of up to 3 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Endoxifen Hydrochloride Gel 10 mg Daily
Serious: 0/16 (0%)
Deaths: 0/16
Endoxifen Hydrochloride Gel 20 mg Daily
Serious: 0/8 (0%)
Deaths: 0/8
Placebo
Serious: 0/8 (0%)
Deaths: 0/8
Other adverse events (9 terms — click to expand)

ReactionSystemEndoxifen Hydrochloride Ge…Endoxifen Hydrochloride Ge…Placebo
General disorders and administration site conditions - Other, specifyGeneral disorders
Hot flashesVascular disorders
HyperhidrosisSkin and subcutaneous tissue disorders
Vaginal InfectionsInfections and infestations
FatigueGeneral disorders
InsomniaPsychiatric disorders
Breast painReproductive system and breast disorders
NauseaGastrointestinal disorders
HeadacheNervous system disorders

Data from ClinicalTrials.gov NCT03317405 adverse events section.

Sponsor's own description

This randomized phase I trial studies the side effects and best dose of endoxifen hydrochloride in treating participants who are undergoing breast surgery. Endoxifen hydrochloride may treat or reduce the risk of breast cancer.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

Verify or expand the search:

Other trials of Endoxifen Hydrochloride

Trials testing the same drug.

Other recruiting trials for Breast Ductal Carcinoma In Situ

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

Verify against primary sources

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