Phase I Trial of Endoxifen Gel Versus Placebo in Women Undergoing Breast Surgery
Active, enrolledPhase 1Results postedLast 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.
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 SitePrimary· 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.
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
4
Endoxifen Hydrochloride Gel 20 mg Daily
2
Placebo
0
Drug Concentration in TissueSecondary· 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
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.47
0.15 – 0.79
Endoxifen Hydrochloride Gel 20 mg Daily
0.76
0.65 – 1.01
Placebo
0.00
0.00 – 0.00
Central Subareolar Left Breast E_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.16
0.16 – 0.28
Endoxifen Hydrochloride Gel 20 mg Daily
0.25
0.16 – 0.39
Placebo
0.00
0.00 – 0.00
Central Subareolar Right Breast Z_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.37
0.15 – 0.44
Endoxifen Hydrochloride Gel 20 mg Daily
1.00
0.62 – 1.51
Placebo
0.00
0.00 – 0.00
Central Subareolar Right Breast E_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.16
0.16 – 0.16
Endoxifen Hydrochloride Gel 20 mg Daily
0.30
0.16 – 0.58
Placebo
0.00
0.00 – 0.08
Central Deepest Left Breast Z_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.40
0.15 – 1.73
Endoxifen Hydrochloride Gel 20 mg Daily
1.55
0.34 – 2.85
Placebo
0.00
0.00 – 0.00
Central Deepest Left Breast E_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.16
0.16 – 1.39
Endoxifen Hydrochloride Gel 20 mg Daily
0.91
0.16 – 1.78
Placebo
0.00
0.00 – 0.16
Central Deepest Right Breast Z_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.46
0.15 – 1.58
Endoxifen Hydrochloride Gel 20 mg Daily
2.57
1.3 – 15.06
Placebo
0.00
0.00 – 0.100
Central Deepest Right Breast E_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.28
0.16 – 1.69
Endoxifen Hydrochloride Gel 20 mg Daily
1.70
1.13 – 17.20
Placebo
0.00
0.00 – 0.00
Drug Concentration in PlasmaSecondary· 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
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg
0.15
0.15 – 0.15
Endoxifen Hydrochloride Gel 20 mg
0.44
0.15 – 0.54
Placebo
0.00
0.00 – 0.00
E_ENX
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg
0.00
0.00 – 0.00
Endoxifen Hydrochloride Gel 20 mg
0.00
0.00 – 0.00
Placebo
0.00
0.00 – 0.00
Change in Plasma Estrogenic and Coagulation ParametersSecondary· 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
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
-1.7
-9.9 – 6.6
Endoxifen Hydrochloride Gel 20 mg
3.0
-8.6 – 15
Placebo
-1.0
-17 – 15
IGFBP3
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
48
-29 – 125
Endoxifen Hydrochloride Gel 20 mg
-2.5
-216 – 211
Placebo
-60
-205 – 84
SHBG
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
-9.4
-26 – 6.8
Endoxifen Hydrochloride Gel 20 mg
1.9
-13 – 17
Placebo
-4.4
-12 – 3.8
Change in Pre-therapy and Post-therapy Symptoms Captured by BESS QuestionnaireSecondary· 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
Group
Value
95% 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
Group
Value
95% 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
Group
Value
95% 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
Placebo
0.19
-0.64 – 1.0
Gastrointestinal
Group
Value
95% 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
Placebo
0.10
-0.20 – 0.39
Sexual Problems
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.13
-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
Group
Value
95% 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
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.13
-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
Group
Value
95% CI
Endoxifen Hydrochloride Gel 10 mg Daily
0.03
-0.04 – 0.10
Endoxifen Hydrochloride Gel 20 mg Daily
-0.86
-1.8 – 0.06
Placebo
0.07
-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)
Reaction
System
Endoxifen Hydrochloride Ge…
Endoxifen Hydrochloride Ge…
Placebo
General disorders and administration site conditions - Other, specify
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.
NCT02311933 — Tamoxifen Citrate or Z-Endoxifen Hydrochloride in Treating Patients With Locally Advanced or Metastatic, Estrogen Recept
· Phase 2
· active not recruiting
NCT01327781 — Z-Endoxifen Hydrochloride in Treating Patients With Metastatic or Locally Recurrent Estrogen Receptor-Positive Breast Ca
· Phase 1
· active not recruiting
Other recruiting trials for Breast Ductal Carcinoma In Situ
Currently open trials in the same condition.
NCT07339306 — A Novel Fluorescent Ductal Needle for Localization and Sampling of Micro Lesions in Breast Ducts
· NA
· recruiting
NCT06195306 — Low Dose Tamoxifen With or Without Omega-3 Fatty Acids for Breast Cancer Risk Reduction
· Phase 2
· recruiting
NCT06184750 — Finding the Best Tamoxifen Dose for Breast Cancer Risk Reduction in Premenopausal Women, RENAISSANCE Trial
· Phase 2
· recruiting
NCT05941520 — Acolbifene Versus Low Dose Tamoxifen for the Prevention of Breast Cancer in Premenopausal Women at High Risk for Develop
· Phase 2
· recruiting
NCT05023967 — Metformin and Nightly Fasting in Women With Early Breast Cancer
· Phase 2
· active not recruiting
Other National Cancer Institute (NCI) trials
Trials by the same sponsor.
NCT07147231 — Testing the Effectiveness of the Anti-cancer Drug Pidnarulex (CX-5461), in Combination With Another Anti-cancer Drug Cem
· Phase 1, PHASE2
· recruiting
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
· Phase 2, PHASE3
· not yet recruiting
NCT07281417 — Testing the Addition of Cemiplimab (REGN2810) to Chemotherapy Treatment Given Prior to Surgery in Patients With Sinonasa
· Phase 2
· recruiting
NCT07012044 — A Study to Find the Highest Dose of Cedazuridine and Decitabine Combination With Filgrastim as a Treatment Option After
· Phase 1
· not yet recruiting
NCT07437950 — Comparing Different Treatment Lengths for Venetoclax in Older People With Newly Diagnosed Acute Myeloid Leukemia (A Myel
· Phase 2
· not yet recruiting
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Cancer Institute (NCI)
Last refreshed: 28 August 2025
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03317405.