Topical Tretinoin for Colon Cancer
(FACE Trial)
Trial Summary
What is the purpose of this trial?
The goal of this clinical trial is to learn if using topical tretinoin will help patients with colorectal cancer who are experiencing an acneiform rash as a side effect of their treatment. Researchers will compare the use of tretinoin on one side of the face to the use of a placebo on the other side of the face to see if there is an impact.
Do I need to stop my current medications for the trial?
The trial requires a washout period (time without taking certain medications) for any prohibited medications, lasting at least five half-lives or as clinically indicated, before starting treatment. The specific medications that are prohibited are not listed in the provided information.
What evidence supports the effectiveness of the drug Topical Tretinoin for colon cancer?
Research shows that all-trans retinoic acid (ATRA), a component of Topical Tretinoin, can reduce the invasiveness of colon cancer cells and decrease the number of liver metastases in animal models. Additionally, ATRA has been found to inhibit the growth of colon cancer cells by targeting specific receptors involved in cancer cell growth.12345
Is topical tretinoin generally safe for humans?
Topical tretinoin (all-trans-retinoic acid) has been used in various treatments and is generally well-tolerated, but it can cause skin irritation and dryness. In some cases, it has been associated with more serious side effects like hypercalcemia (high calcium levels in the blood) and genital ulcers, especially when used in combination with other medications.46789
How is the drug Topical Tretinoin unique for treating colon cancer?
Topical Tretinoin is unique for colon cancer treatment because it is applied directly to the skin, unlike most cancer treatments that are taken orally or intravenously. This method may help reduce systemic side effects, which are common with oral formulations of tretinoin used for other conditions.14101112
Eligibility Criteria
Adults over 18 with metastatic colorectal cancer, who are about to start or are currently receiving panitumumab or cetuximab treatment. They must have good organ function and performance status, not be pregnant, agree to use contraception if applicable, and have recovered from previous cancer treatments.Inclusion Criteria
Exclusion Criteria
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive topical tretinoin on one side of the face and placebo on the other side to assess the impact on anti-EGFR induced acneiform rash
Follow-up
Participants are monitored for safety and effectiveness after treatment
Treatment Details
Interventions
- Topical Tretinoin (Retinoid)
Topical Tretinoin is already approved in United States, European Union, Canada for the following indications:
- Acne
- Psoriasis
- Fine wrinkles
- Mottled hyperpigmentation
- Lentigines
- Acne
- Severe psoriasis
- Acne
- Psoriasis