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Latest Clinical Trials Combating Male Pattern Hair Loss

Male Pattern Hair Loss
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Written by Andrew Le, MD.
Medically reviewed by
Last updated May 10, 2024

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Male pattern hair loss affects millions of men worldwide and can significantly impact your self-esteem and confidence. But there's good news on the horizon. Cutting-edge clinical trials are currently underway that could change the game for hair loss treatments.

These trials push the boundaries of what we know about hair loss and its treatment. They're exploring new techniques, medications, and surgical procedures that could offer hope when you've tried everything else. Read on for more information about the most promising research and active trials, and get ready for a future where male pattern hair loss is manageable.

Key Takeaways

  • Male pattern hair loss, also known as androgenetic alopecia, is the most common type of hair loss in men. People with the inherited condition are sensitive to a hormone called dihydrotestosterone (DHT), which shrinks their hair follicles and causes hair loss.
  • Clinical trials have led researchers to discover and fine-tune male pattern hair loss treatments. Ongoing trials are essential for testing new potential treatments, managing side effects, and improving our understanding of the condition.
  • Current research trends include interfering with the hormonal activity that results in hair loss, reversing hair follicle shrinkage that leads to hair thinning, and exploring less invasive ways to administer current hair regrowth therapies.
  • Ongoing clinical trials are testing DHT blockers, targeting new therapies for hair regrowth, and exploring more efficient treatment of hair regrowth options with fewer side effects.
  • Potential breakthroughs include targeted hair regrowth therapies, a new alopecia areata treatment, improved hair transplant solutions, and tested preventive strategies, including dietary changes and nutritional supplements.

Understanding Male Pattern Hair Loss

If you're noticing more hair than usual on your pillow, shower drain, or comb, it may not be simply due to aging. It could be male pattern hair loss.

Also known as androgenetic alopecia, male pattern hair loss is the most common type of hair loss in men. It’s an inherited phenomenon with a distinct pattern of hair loss. It usually starts at the hairline, which gradually recedes to form an "M" shape. As time passes, the hair on the top or crown of the scalp also thins, progressing to either partial or complete baldness.

Sensitivity to a hormone called dihydrotestosterone (DHT) is a key factor in this condition. DHT, an androgen hormone, causes hair follicles to shrink, leading to finer, shorter, less pigmented hair. Eventually, these hair follicles stop producing hair altogether.

Although hair loss can occur at any age, it most often occurs after age 30 and progresses over time. Even though it's a common part of aging for many men—as many as 50% have male pattern hair loss—it nevertheless strikes a blow to your self-esteem and confidence. Fortunately, there are some effective treatments, and researchers continue to make discoveries and explore new therapies through clinical trials for better understanding and treatment.

Current Trends in Hair Loss Research

There are many exciting developments in hair loss research. One notable direction is exploring RNA interference therapy to target and decrease androgen hormones responsible for androgenic alopecia. This research focuses on addressing the hormonal root causes of hair thinning and loss. 

Another area of investigation is new approaches to administering hair loss treatments, such as tattoo machine needling instead of traditional needle injections. This approach could be a more effective and less invasive way to deliver medications that block the action of enzymes converting testosterone into dihydrotestosterone (DHT), a key factor in hair loss.

Additionally, there's growing interest in using topical solutions to inhibit the effects of androgens directly on the skin rather than using a systemic approach to combat hair loss. This localized application could provide a safer alternative with fewer side effects than oral medications.

The development of activated platelet-rich plasma (PRP) treatments using pulsed electrical fields is also promising. This technique aims to increase the growth factors and bioactive molecules your platelets release. More growth factors could reverse the shrinking of your hair follicles (which causes hair thinning) and promote healthier hair growth.

These emerging treatments reflect a broader move towards more targeted, less invasive, and potentially safer options for treating hair loss.

Current Notable Trials:

  1. Phase 1 -OliX Pharmaceuticals Phase I Trial for androgen receptor targeting (actively recruiting)

The ongoing Phase I clinical trial in Australia examines a novel RNA interference (RNAi) therapy to treat male-pattern baldness. The early-stage trial will assess the single-injection treatment's safety, tolerability, and effectiveness. The treatment decreases the expression of the androgen receptor (AR) in the body and, as a result, reduces the hormone levels that cause male pattern hair loss. Thirty men with the condition will receive injections in six areas of hair loss near the crown of their head and monitored over eight weeks to observe the effects of varying doses compared to a placebo.

Phase 4 - Comparative Study on Dutasteride Delivery Methods for Androgenetic Alopecia in Brazilian Men (actively recruiting)

This Phase 4 randomized clinical trial investigates the effectiveness of two different administration techniques of dutasteride in treating mild to moderate male pattern hair loss in 60 men. Dutasteride, normally prescribed to treat an enlarged prostate, blocks the enzyme that converts testosterone into dihydrotestosterone (DHT), preventing the hair follicle from shrinking and causing hair thinning. The study compares traditional needle injection treatments to an innovative approach using tattoo machines for needling.

Phase 3 - Androgenetic Alopecia Treatment Study by Cassiopea SpA (actively recruiting)

The Phase 3 clinical trial evaluates the effectiveness and safety of clascoterone, a topical solution applied to the scalp for pattern hair loss. Clascoterone, primarily prescribed for acne, is being explored to treat male and female pattern hair loss due to its ability to block the effects of dihydrotestosterone, or DHT, at the skin level. The study spans 12 months.

Phase 1/2 - Clinical Trial Summary: Activated PRP for Male Hair Loss Treatment

This active clinical trial explores the effectiveness and safety of activated platelet-rich plasma (PRP) using pulsed electrical fields (PEFA-PRP) for treating male pattern hair loss. Currently in Phase ½, the study aims to compare the outcomes of PEFA-PRP with traditional, unactivated PRP.

PRP has a higher concentration of growth factors than whole blood and can stimulate the healing of bone and soft tissue. Activation of PRP refers to the process of triggering the platelets to release growth factors. These growth factors are believed to stimulate and potentially reverse the shrinking of follicles, thus promoting healthier, thicker hair growth.

PEFA-PRP is thought to induce a more effective release of the growth factors from the platelets than traditional activation methods. However, while PRP treatments (including PEFA-PRP) are gaining popularity for hair loss, their effectiveness and optimal protocols are still being established.

Conclusion

With so many active trials of targeted therapies and novel treatments, the future for male pattern hair loss treatment looks promising. As researchers progress, there will undoubtedly be breakthroughs coming down the pike.

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Jeff brings to Buoy over 20 years of clinical experience as a physician assistant in urgent care and internal medicine. He also has extensive experience in healthcare administration, most recently as developer and director of an urgent care center. While completing his doctorate in Health Sciences at A.T. Still University, Jeff studied population health, healthcare systems, and evidence-based medi...
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