Clinical Trials and Hair Loss

    July 2018 in “ Elsevier eBooks
    Jose A. Jaller, Flor Macquhae, Anna J. Nichols
    From the encyclopedia
    Minoxidil →

    An essential vasodilator with some anti-androgenic effects

    Finasteride →

    Frontline, gold standard treatment for combatting androgenic alopecia

    Spironolactone →

    powerful topical and oral anti-androgen used mostly by women

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    Studysummary This review explores the current treatments for different types of alopecia, emphasizing the need for well-designed clinical trials and highlighting that most therapies are used off-label, as only androgenetic alopecia has FDA-approved drugs.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    In 2018, over 150 trials were conducted to understand and develop better treatments for hair loss, a condition affecting two-thirds of American men by the age of 35 and 85% by the age of 50. The global alopecia market was valued at over $7.3 billion in 2015. Despite the high demand, there was little high-quality evidence supporting the effectiveness of available treatments. The FDA had only approved minoxidil for women and minoxidil and finasteride for men for androgenetic alopecia. Other therapies were used off-label. Treatments like immunomodulators, spironolactone, prostaglandin agonists, microneedling combined with minoxidil, low-level laser light therapy, and dietary supplements showed varying degrees of potential, but well-designed clinical trials were needed to confirm their efficacy. The document also detailed the FDA approval process for new drugs and devices, emphasizing the rigorous testing and low approval rates.
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