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Safety and Tolerability of Hair Stimulating Complex (HSC) in Female Pattern Hair Loss

Primary Purpose

Alopecia

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Hair Stimulating Complex (HSC)
Phosphate Buffered Saline
Sponsored by
Histogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alopecia

Eligibility Criteria

40 Years - 70 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Female, 40-70 years of age.
  • A healthy scalp with no cutaneous disorder.
  • Good general health.
  • Must fulfill the Ludwig I or II classification or Savin classification of frontal hair loss (see Appendix 1).
  • Willing and able to comply with scheduled visits (6 visits in 22 weeks).
  • Willing to maintain the same hair style and color during the study period.
  • Subjects not already using any over-the-counter or prescription hair/scalp treatments, must be willing to refrain from starting use of any new hair/scalp products other than the provided study product for the duration of the study.
  • Willingness to have blood and urine samples taken before and after each of the two treatments to evaluate overall systemic effect and also at Weeks 18 and 22. Also willing to give additional serum samples at each collection for long-term storage and immunogenicity testing by Histogen to components in HSC.
  • Be able to speak and read English to the standard required to provide written informed consent and to cooperate with the study staff.
  • Female subjects will be either of non-childbearing potential defined as:

    1. Having no uterus
    2. No menses for at least 12 months. Or; (WOCBP) women of childbearing potential must agree to use an effective method of birth control during the course of the study, such as:
    1. Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device
    2. Intrauterine coil
    3. Bilateral tubal ligation
    4. Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom)
    5. Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active).
    6. Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized).

      -

      Exclusion Criteria:

  • Known sensitivity to any of the test material ingredients.
  • History of keloid formation or hyperpigmentation.
  • Pregnant, planning pregnancy or breastfeeding during the course of the study.
  • A history of any acute or chronic illness that in the opinion of the investigators might confound the results of the study including some drugs or medications.
  • Active skin diseases (e.g. Eczema, seborrheic dermatitis, psoriasis, skin cancer, sun damaged skin with actinic keratosis on scalp, excessive number and size of seborrheic keratosis, etc.).
  • Routine high dosage use of anti-inflammatory medications (aspirin, ibuprofen, corticosteroids), immunosuppressive drugs or antihistamine medications (Note that steroid nasal spray / drops and/or topical steroids administered to the eye(s) are not exclusion criteria, and that a daily dose of 81 - 325mg aspirin is also permitted).
  • (Auto-) Immunological disorders such as HIV positive, alopecia areata, and systemic lupus erythematosus.
  • Participation in any clinical study within one month prior to enrollment or planned participation in any clinical trial during the duration of their participation in this study.
  • Treatment with an experimental or investigative drug or product within the last 3 months.
  • Moderate/severe Seborrheic dermatitis (scalp).
  • Damaged skin in or around test sites (including sunburn, uneven skin tones, tattoos, scars or other disfiguration of the test site).
  • Use of any over-the-counter or prescription hair/scalp treatments for less than 6 months from date subject would start study, including finasteride or minoxidil.
  • Discontinuation of the use of an over-the-counter or prescription hair/scalp treatments within the last 6 months
  • Use of laser or light device for the scalp for purposes of hair growth within the last 6 months or any plans to use these devices during the duration of the study.
  • History of hair transplantation surgery during the last 6 months.
  • Currently using hair system or wig and/or unwilling to refrain from use throughout the duration of the study.
  • History of malignancy, other than non-melanoma skin cancer. Any condition for which the Investigator determines that the subject could be placed under undue hazard.
  • Known allergy to rice.

Sites / Locations

  • Cosmetic Laser Dermatology

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

Hair Stimulating Complex

Phosphate Buffered Saline

Arm Description

Hair Stimulating Complex (HSC) is derivative of hypoxia-induced multipotent cell conditioned media enriched for certain key growth factors

Phosphate Buffered Saline

Outcomes

Primary Outcome Measures

Number of Adverse Events due to HSC
Safety and tolerability of HSC by comparing adverse events to baseline

Secondary Outcome Measures

Investigator Assessments of Global Photographs compared to baseline
Investigator Assessments of Global Photographs compared to baseline

Full Information

First Posted
August 14, 2018
Last Updated
February 20, 2019
Sponsor
Histogen
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1. Study Identification

Unique Protocol Identification Number
NCT03662854
Brief Title
Safety and Tolerability of Hair Stimulating Complex (HSC) in Female Pattern Hair Loss
Official Title
Phase 1, Randomized, Double-Blind, Vehicle-Controlled Study of Safety and Tolerability of Hair Stimulating Complex (HSC) in Female Subjects With Female Pattern Hair Loss
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Unknown status
Study Start Date
July 2, 2018 (Actual)
Primary Completion Date
January 21, 2019 (Actual)
Study Completion Date
January 21, 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Histogen

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This double-blind placebo-controlled study will assess the tolerability, feasibility, and pharmacodynamics of intradermal Hair Stimulating Complex (HSC) in up to 18 of 27 women with Ludwig 1 or 2 classification or the Savin Frontal classification of hair loss. Safety measures include vital signs, dermatological examination of the scalp, pre- and post-dose blood and urine collection, as well as Investigator Global Assessments and subject self assessments throughout the 22-week study.
Detailed Description
The study is a double-blind, placebo-controlled, randomized single site trial. The study is to be conducted in La Jolla, CA and is primarily designed to evaluate safety in the clinical application of injected HSC by assessing the tolerability of HSC, as well as the volume that can be delivered safely in the intradermal region of the scalp using a syringe with 31-gauge 1.75 mm length needle. The main study (18 weeks) involves the two treatment time points, collection of lab samples (blood/urine) for screening, and before and after the two treatment time points. Six of the seven total visits (including screening) in the study are conducted in the first 18 weeks. The final visit is for investigator monitoring, global photographs and final lab collection 30 days after the 18-week evaluation point. A 2 year follow up questionnaire will be sent to the patient to collect additional safety information. Additional dermatological exam of the scalp, as well as Subject and Investigator Assessments will also be assessed. The secondary goal of the study will be to explore whether an efficacy signal of the change in hair growth can be detected using an independent panel of physician's comparing global photographs taken at baseline to week 18 (and baseline to week 22), for changes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alopecia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Placebo-controlled study
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Double-blinding
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Hair Stimulating Complex
Arm Type
Experimental
Arm Description
Hair Stimulating Complex (HSC) is derivative of hypoxia-induced multipotent cell conditioned media enriched for certain key growth factors
Arm Title
Phosphate Buffered Saline
Arm Type
Placebo Comparator
Arm Description
Phosphate Buffered Saline
Intervention Type
Biological
Intervention Name(s)
Hair Stimulating Complex (HSC)
Intervention Description
Patients will receive 2 mL of HSC separated by 6 weeks (total of 4 mL of HSC)
Intervention Type
Other
Intervention Name(s)
Phosphate Buffered Saline
Intervention Description
Patients will receive 2 mL of Phosphate Buffered Saline separated by 6 weeks (total of 4 mL of Phosphate Buffered Saline)
Primary Outcome Measure Information:
Title
Number of Adverse Events due to HSC
Description
Safety and tolerability of HSC by comparing adverse events to baseline
Time Frame
Continuous for 22 weeks after first dose
Secondary Outcome Measure Information:
Title
Investigator Assessments of Global Photographs compared to baseline
Description
Investigator Assessments of Global Photographs compared to baseline
Time Frame
Day 1, Week 18 and 22

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female, 40-70 years of age. A healthy scalp with no cutaneous disorder. Good general health. Must fulfill the Ludwig I or II classification or Savin classification of frontal hair loss (see Appendix 1). Willing and able to comply with scheduled visits (6 visits in 22 weeks). Willing to maintain the same hair style and color during the study period. Subjects not already using any over-the-counter or prescription hair/scalp treatments, must be willing to refrain from starting use of any new hair/scalp products other than the provided study product for the duration of the study. Willingness to have blood and urine samples taken before and after each of the two treatments to evaluate overall systemic effect and also at Weeks 18 and 22. Also willing to give additional serum samples at each collection for long-term storage and immunogenicity testing by Histogen to components in HSC. Be able to speak and read English to the standard required to provide written informed consent and to cooperate with the study staff. Female subjects will be either of non-childbearing potential defined as: Having no uterus No menses for at least 12 months. Or; (WOCBP) women of childbearing potential must agree to use an effective method of birth control during the course of the study, such as: Oral contraceptive pill, injection, implant, patch, vaginal ring, intrauterine device Intrauterine coil Bilateral tubal ligation Barrier method used with an additional form of contraception (e.g., sponge, spermicide or condom) Abstinence (If practicing abstinence must agree to use barrier method described above (4) if becomes sexually active). Vasectomized partner (Must agree to use barrier method described above (4) if becomes sexually active with non-vasectomized). - Exclusion Criteria: Known sensitivity to any of the test material ingredients. History of keloid formation or hyperpigmentation. Pregnant, planning pregnancy or breastfeeding during the course of the study. A history of any acute or chronic illness that in the opinion of the investigators might confound the results of the study including some drugs or medications. Active skin diseases (e.g. Eczema, seborrheic dermatitis, psoriasis, skin cancer, sun damaged skin with actinic keratosis on scalp, excessive number and size of seborrheic keratosis, etc.). Routine high dosage use of anti-inflammatory medications (aspirin, ibuprofen, corticosteroids), immunosuppressive drugs or antihistamine medications (Note that steroid nasal spray / drops and/or topical steroids administered to the eye(s) are not exclusion criteria, and that a daily dose of 81 - 325mg aspirin is also permitted). (Auto-) Immunological disorders such as HIV positive, alopecia areata, and systemic lupus erythematosus. Participation in any clinical study within one month prior to enrollment or planned participation in any clinical trial during the duration of their participation in this study. Treatment with an experimental or investigative drug or product within the last 3 months. Moderate/severe Seborrheic dermatitis (scalp). Damaged skin in or around test sites (including sunburn, uneven skin tones, tattoos, scars or other disfiguration of the test site). Use of any over-the-counter or prescription hair/scalp treatments for less than 6 months from date subject would start study, including finasteride or minoxidil. Discontinuation of the use of an over-the-counter or prescription hair/scalp treatments within the last 6 months Use of laser or light device for the scalp for purposes of hair growth within the last 6 months or any plans to use these devices during the duration of the study. History of hair transplantation surgery during the last 6 months. Currently using hair system or wig and/or unwilling to refrain from use throughout the duration of the study. History of malignancy, other than non-melanoma skin cancer. Any condition for which the Investigator determines that the subject could be placed under undue hazard. Known allergy to rice.
Facility Information:
Facility Name
Cosmetic Laser Dermatology
City
San Diego
State/Province
California
ZIP/Postal Code
92121
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Safety and Tolerability of Hair Stimulating Complex (HSC) in Female Pattern Hair Loss

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