Doctors prescribe the drug to treat the majority of breast cancer cases in the U.S., and each year about 300,000 women are diagnosed with the disease. The drug is also the most prescribed drug in its class. In 2009, Taxotere made over $3 billion for Sanofi before the company lost patent protection.
The treatment plan for Taxotere is once every three weeks, unlike paclitaxel — a drug in the same class — which is weekly. So, patients make a trip to receive treatment less often, an idea that is attractive to many women. Some doctors prescribe Taxotere to their patients for reasons of convenience, though studies show paclitaxel is just as effective.
But, studies also linked the drug to a disfiguring side effect: permanent hair loss, also called alopecia. In some cases, about 9 percent of breast cancer patients suffered alopecia that lasted for a decade or more, severely decreasing their quality of life, negatively affecting body image and causing depression and distress.
Now, breast cancer survivors and their families are filing lawsuits against Sanofi, claiming the company failed to warn them of the risk and hid research linking the chemo drug to the toxic side effects.
Why Women File Taxotere Lawsuits
Hair loss during chemotherapy is expected. It is a very common side effect of fighting cancer. But, women who underwent treatment with Taxotere did not prepare themselves for permanent loss of their hair. What angers many of these women and their families is that they were never properly warned of the risk so they could make an informed choice.
Despite informing other countries, Sanofi did not warn women in the U.S. The words “permanent hair loss” or “alopecia” do not appear in any information published in the U.S., according to lawsuits.
The permanent loss of hair is more than cosmetic. For breast cancer survivors, it is a constant reminder of their struggle. For them, life will never be the same. The loss is emotional, physical and financial.
“I did not anticipate that years out of treatment I would be left with fine wisps of hair that grew in clumps around my head, but offered no coverage and no relief from the wigs and scarves that I had been wearing during the treatment,” said one breast cancer patient who told her story on A Head of Our Time, an online support group. “The painful reality is that I will forever look like a cancer patient.”
Sometimes, the only way to be compensated for physical and emotional loss is through filing a lawsuit.
Lawsuits filed against Sanofi-Aventis claim several legal actions against the drug maker, including:
- Selling the drug without properly testing it.
- Failing to determine whether the drug was safe.
- Selling the drug without disclosing the dangers or risks.
- Failing to properly warn patients and health care providers.
- Misleading the public in advertising and marketing.
- Manufacturing a dangerous drug.
- Concealing information from the public.
- Downplaying the dangers associated with the drug.
Lawsuits Say Sanofi Hid Hair Loss Side Effects
According to lawsuits, Sanofi misled the public by falsely assuring them that hair would grow back after chemotherapy. But, the company should have known that their drug had a higher rate of permanent alopecia than similar drugs on the market.
Studies the company should have been aware of include:
Sanofi sponsored a study called GEICAM 9805. By 2005, the company knew that the results of this trial revealed 9.2 percent of women who used the chemo drug suffered permanent alopecia.
Dr. Scot Sedlacek of the Rocky Mountain Cancer Centers conducted a study that revealed Taxotere could cause more than 6 percent of women to suffer permanent alopecia.
Loss of Quality of Life
Hair loss consistently ranks as one of the most distressing side effects of cancer treatment and has a profound impact on well-being and quality of life.
Lemieux et al. published a 2008 review of 38 articles analyzing the impact of hair loss on women with breast cancer. Study authors looked at quality of life relating to anxiety, body image, distress, sexuality, social functioning, self-esteem and the ability to return to work.
Results showed that “hair loss consistently ranked amongst the most troublesome side effects, was described as distressing, and may affect the body image.”
Klugel et al. published a 2012 study in the Annals of Oncology that followed 20 patients who used Taxotere as a part of their therapy. All 20 suffered permanent hair loss after treatment. Despite various alopecia treatments, the women were left with incomplete, sparse and clumpy hair regrowth.
Compared to a healthy population, these women showed “significant impairment” of quality of life. Out of these women, about 40 percent showed scores that indicated “severe impairment.” One woman in the study said, “‘she would have preferred not to receive any chemotherapy for her breast cancer’ rather than being affected by such a distressing and permanent side-effect.”
About 70 percent of the women in this study wore wigs or scarves to cover their heads.
Women Who Filed Lawsuits
Ami Dodson is one of the first women to file a permanent alopecia lawsuit against Sanofi. According to court documents, Dodson had a left breast biopsy on March 3, 2010. Doctors found a tumor in her breast. After she had a partial mastectomy, Dodson spoke with her doctor about chemotherapy.
Neither she nor her doctor was aware of the risk for permanent alopecia. Following her treatment, her hair never grew back.
“Before Defendants’ wrongful conduct resulted in thousands of women being exposed to the side effects of Taxotere, there were already similar products on the market that were at least as effective as Taxotere and did not subject female users to the same risk of disfiguring permanent alopecia as does Taxotere,” Dodson wrote in her complaint.
Michelle Y. Llamas is a senior content writer and researcher for Drugwatch. She is also the host of the Drugwatch Podcast where she talks to patients, experts and advocates about drugs, medical devices and health. She uses her technical writing experience to provide easy-to-understand information on how drugs and devices work. But she also tells people what happens when products that are supposed to improve their lives can hurt them.
- Dodson v. Sanofi, et al. (2016). U.S. District Court for the Northern District of California. Complaint and Demand for Jury Treial. Case no. 3:16-cv-01251
- Kluger, N. et al. (2012). Permanent scalp alopecia related to breast cancer chemotherapy by sequential fluorouracil/epirubicin/cyclophosphamide (FEC) and docetaxel: a prospective study of 20 patients. Annals of Oncology. Retrieved from http://annonc.oxfordjournals.org/content/early/2012/05/09/annonc.mds095.full.pdf
- Potts, J. (2015, September 3). I survived cancer - but drugs left me with permanent alopecia. The Telegraph. Retrieved from http://www.telegraph.co.uk/lifestyle/wellbeing/healthadvice/11841436/I-survived-cancer-but-drugs-left-me-with-permanent-alopecia.html
Did you suffer from permanent hair loss after using Taxotere?