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A Phase 2a Trial of FOL-005 Topical Formulations to Investigate Hair Growth Potential and Safety in Healthy Male Volunteers

Primary Purpose

Androgenetic Alopecia

Status
Completed
Phase
Phase 2
Locations
Germany
Study Type
Interventional
Intervention
Topical formulation
Sponsored by
Follicum AB
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Androgenetic Alopecia

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male, aged 18-55 years
  2. Skin phototype II, III and IV according to Fitzpatrick's classification (Fitzpatrick et al. 1974)
  3. Androgenetic alopecia (AGA) classified according to Hamilton Norwood grade 3V, 4, 5, 5A, 5V (Hamilton, 1951)
  4. Willing and able to comply with scheduled visits
  5. Willing to maintain the same hair hygiene products and general hair care habits during the trial period
  6. Willing to maintain the same hair length and hair color during the trial period
  7. Willing to have treatment areas shaved for TrichoLAB® measurement and marked with small semi-permanent dot tattoos
  8. Willing to avoid prolonged UV exposition and UV tanning beds
  9. Signed written informed consent before participation in the trial.
  10. Subjects with a hair length of above 1 cm

Exclusion Criteria:

  1. Damaged skin in or around test sites including sunburn, uneven skin tones, tattoos, scars or other disfiguration of the test sites risking to interfere with investigational evaluations
  2. Any dermatological disorders of the scalp which might interfere with the application of the investigational product (IP) or examination method, such as fungal or bacterial infections, seborrheic dermatitis (except mild forms which are managed with OTC shampoos and which do not require dermatological treatment), psoriasis, eczema, folliculitis, that require chronic use of medication or scalp atrophy
  3. Any skin pathology (e.g. scar, nevus) or general condition (e.g. uncontrolled thyroid diseases) that in the Investigator's opinion can interfere with the evaluation of the test areas or requires prohibited topical or systemic therapy
  4. History of active hair loss due to alopecia areata, scarring alopecia, diffuse telogen effluvium or conditions other than androgenetic alopecia
  5. Diabetes mellitus
  6. Presence of any acute (e.g. acute infections) or chronic illness (e.g. psoriasis, atopic dermatitis, porphyria, folliculitis) or presence or history of known skin cancer that in the opinion of the Investigators might confound the results of the trial
  7. History or clinical signs of keloids or hypertrophic scars
  8. Immunological disorders such as alopecia areata, and systemic lupus erythematosus and other systemic known autoimmune disorders
  9. Current or within the last 6 months history of severe dietary or weight changes
  10. Hair transplantation at any time
  11. Known sensitization to cosmetic hair dyes or hypersensitivity to any ingredients of the IP or tattoo ink.
  12. Application of topical minoxidil preparation or any other topical over-the counter (OTC) or prescription medication for hair re-growth to scalp for 4 weeks or more during a 6 months period before enrollment.
  13. Use of or planned use of shampoo with expected medicinal effect on the scalp (e.g. but not limited to anti-dandruff containing ketoconazole, anti-psoriatic, anti-fungal or shampoo containing urea, caffeine, acetylsalicylic acid, etc.) during the course of trial
  14. Topical treatments of the scalp including corticosteroids, tacrolimus, retinoids or other treatments that may affect hair growth in the last 3 months as well as during the trial.
  15. Platelet rich plasma (PRP) or any mesotherapy treatment on scalp during the last 12 months as well as during the trial.
  16. Systemic therapy using retinoids, cyclosporine, beta blockers or corticosteroids within the last 6 months as well as during the trial.
  17. Scalp procedures e.g. surgery, laser, light, micro-needling within the last 6 months as well as during the trial.
  18. Finasterid (e.g. Propecia®) or Dutasteride intake or topical application in the last 12 months, or any systemic hair therapy medication in the last 12 months as well as during the trial.
  19. Other systemic therapy which in the opinion of the Investigator might affect hair growth
  20. Current or within 2 weeks prior to first dosing use of vasodilating drugs (e.g. Pentoxifyllin, nitroglycerine) or anticoagulating drugs (e.g. heparine, cumarines, new oral anticoagulants, regular intake of acetylsalicylic acid)
  21. Current or within 3 months prior to first dosing use of systemic corticosteroids (nose drops, eye drops and/or inhalers are permitted) or other immunosuppressive drugs (e.g. cyclosporine A)
  22. Elevated values for vital signs: blood pressure: systolic above 160 mmHg, diastolic above 95 mmHg, pulse rate: above 100 beats/min
  23. Planned or scheduled subject surgery or hospitalisation during the course of the trial
  24. Previously randomized in this trial (only valid for subjects included after 01JUN2020)
  25. Psychiatric conditions that might limit the participation in the trial and/or that lead to the assumption that the ability to completely understand the consequences of consent is missing.
  26. Subjects, who are inmates of psychiatric wards, prisons or state institutions.
  27. Participation in a clinical trial with investigational medicinal products within the last 30 days prior to the Day 1 and / or during this trial.
  28. Employees of the trial sites who are directly involved in this trial or employees of the Sponsor's company.
  29. If in the opinion of the Investigator the subject should not participate in the trial for any reason.

Sites / Locations

  • ProDerm GmbH

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

FOL- 005 (0.1 %)

FOL -005 (0.5 %)

FOL -005 (1.5 %)

Vehicle

Arm Description

topical formulation

topical formulation

topical formulation

topical formulation

Outcomes

Primary Outcome Measures

Change in total hair density at week 16
The change in total (terminal+vellus) hair density (hair count (n per cm²)) from Baseline to Day 112

Secondary Outcome Measures

Change in total hair density at week 12
The change in total (terminal+vellus) hair density (hair count (n per cm²)) from Baseline to Day 84
Change in terminal hair density at week 16
Comparisons of treatments on terminal hair density at week 16 based on relative differences to Baseline
Change in vellus hair density at week 16
Comparisons of treatments on vellus hair density at week 16 based on relative differences to Baseline
Change in telogen hair density at week 16
Comparison of the change from Baseline (Day 1) to week 16 in percentage of telogen hairs (number of telogen hairs /total number of hairs) for each IP separately
Change in anagen hair density at week 16
Comparison of the change from Baseline (Day 1) to week 16 in percentage of anagen hairs (number of anagen hairs /total number of hairs) for each IP separately
Safety parameters
Adverse events

Full Information

First Posted
February 25, 2021
Last Updated
February 25, 2021
Sponsor
Follicum AB
Collaborators
proDERM GmbH, Hair and Skin Institute, Charité, Berlin, Germany, CentroDerm GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT04774874
Brief Title
A Phase 2a Trial of FOL-005 Topical Formulations to Investigate Hair Growth Potential and Safety in Healthy Male Volunteers
Official Title
A Randomized, Double-blind, Vehicle-controlled, Dose-finding Multi-center, Phase 2a Trial of FOL-005 Topical Formulations to Investigate Hair Growth Potential and Safety in Healthy Male Volunteers With Androgenetic Alopecia
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
June 24, 2020 (Actual)
Primary Completion Date
January 29, 2021 (Actual)
Study Completion Date
January 29, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Follicum AB
Collaborators
proDERM GmbH, Hair and Skin Institute, Charité, Berlin, Germany, CentroDerm GmbH

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This exploratory phase IIa, double blind, randomized, vehicle controlled, multicenter dose-finding trial will evaluate the safety, tolerability, and efficacy of FOL-005 topical formulation (at 0.1%, 0.5% and 1.5% strength) administered once daily (in the evening) for 16 weeks in healthy male subjects with androgenetic alopecia.
Detailed Description
This exploratory phase IIa, double blind, randomized, vehicle controlled, multicenter dose-finding trial will evaluate the safety, tolerability, and efficacy of FOL-005 topical formulation (at 0.1%, 0.5% and 1.5% strength) administered once daily (in the evening) for 16 weeks in healthy male subjects with androgenetic alopecia. The trial will be performed at three centers in Germany. The aim of the trial is to determine the most efficacious dose of FOL-005 topical formulation based on efficacy dose trends. It is planned to randomize 220 subjects (with a ratio 1:1:1:1 FOL-005 0.1%; FOL-005 0.5%; FOL-005 1.5%; vehicle). The trial consists of a screening period of up to three weeks and a treatment period of 16 weeks. Eligible subjects will be randomized at Baseline (Day 1) and will apply the investigational products themselves at home once daily for 16 weeks. Subjects will return to the sites bi- weekly for check of compliance and assessment of local tolerability. At Day1, Day 84 and Day 112 subjects will be evaluated for hair growth parameters by TrichoLAB imaging. The end of the clinical trial for each individual subject is defined as the Final Visit at Day 112. In case of premature termination of a randomized subject an Early Termination (ET) visit should be performed.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
This trial will be conducted as a double-blind trial. Neither the Investigator nor the subject will know the identity of the IP assigned. Also, all other persons involved in the trial (e.g. Data Manager and Trial Statistician) remain blinded until all possible queries are resolved and 'closure of the data base' is done, i.e. after quality assurance of the data and hard lock of the data base clean files.
Allocation
Randomized
Enrollment
209 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FOL- 005 (0.1 %)
Arm Type
Experimental
Arm Description
topical formulation
Arm Title
FOL -005 (0.5 %)
Arm Type
Experimental
Arm Description
topical formulation
Arm Title
FOL -005 (1.5 %)
Arm Type
Experimental
Arm Description
topical formulation
Arm Title
Vehicle
Arm Type
Placebo Comparator
Arm Description
topical formulation
Intervention Type
Drug
Intervention Name(s)
Topical formulation
Intervention Description
Topical administration on the scalp once daily for 16 weeks
Primary Outcome Measure Information:
Title
Change in total hair density at week 16
Description
The change in total (terminal+vellus) hair density (hair count (n per cm²)) from Baseline to Day 112
Time Frame
16 weeks
Secondary Outcome Measure Information:
Title
Change in total hair density at week 12
Description
The change in total (terminal+vellus) hair density (hair count (n per cm²)) from Baseline to Day 84
Time Frame
12 weeks
Title
Change in terminal hair density at week 16
Description
Comparisons of treatments on terminal hair density at week 16 based on relative differences to Baseline
Time Frame
16 week
Title
Change in vellus hair density at week 16
Description
Comparisons of treatments on vellus hair density at week 16 based on relative differences to Baseline
Time Frame
16 week
Title
Change in telogen hair density at week 16
Description
Comparison of the change from Baseline (Day 1) to week 16 in percentage of telogen hairs (number of telogen hairs /total number of hairs) for each IP separately
Time Frame
16 weeks
Title
Change in anagen hair density at week 16
Description
Comparison of the change from Baseline (Day 1) to week 16 in percentage of anagen hairs (number of anagen hairs /total number of hairs) for each IP separately
Time Frame
16 weeks
Title
Safety parameters
Description
Adverse events
Time Frame
16 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male, aged 18-55 years Skin phototype II, III and IV according to Fitzpatrick's classification (Fitzpatrick et al. 1974) Androgenetic alopecia (AGA) classified according to Hamilton Norwood grade 3V, 4, 5, 5A, 5V (Hamilton, 1951) Willing and able to comply with scheduled visits Willing to maintain the same hair hygiene products and general hair care habits during the trial period Willing to maintain the same hair length and hair color during the trial period Willing to have treatment areas shaved for TrichoLAB® measurement and marked with small semi-permanent dot tattoos Willing to avoid prolonged UV exposition and UV tanning beds Signed written informed consent before participation in the trial. Subjects with a hair length of above 1 cm Exclusion Criteria: Damaged skin in or around test sites including sunburn, uneven skin tones, tattoos, scars or other disfiguration of the test sites risking to interfere with investigational evaluations Any dermatological disorders of the scalp which might interfere with the application of the investigational product (IP) or examination method, such as fungal or bacterial infections, seborrheic dermatitis (except mild forms which are managed with OTC shampoos and which do not require dermatological treatment), psoriasis, eczema, folliculitis, that require chronic use of medication or scalp atrophy Any skin pathology (e.g. scar, nevus) or general condition (e.g. uncontrolled thyroid diseases) that in the Investigator's opinion can interfere with the evaluation of the test areas or requires prohibited topical or systemic therapy History of active hair loss due to alopecia areata, scarring alopecia, diffuse telogen effluvium or conditions other than androgenetic alopecia Diabetes mellitus Presence of any acute (e.g. acute infections) or chronic illness (e.g. psoriasis, atopic dermatitis, porphyria, folliculitis) or presence or history of known skin cancer that in the opinion of the Investigators might confound the results of the trial History or clinical signs of keloids or hypertrophic scars Immunological disorders such as alopecia areata, and systemic lupus erythematosus and other systemic known autoimmune disorders Current or within the last 6 months history of severe dietary or weight changes Hair transplantation at any time Known sensitization to cosmetic hair dyes or hypersensitivity to any ingredients of the IP or tattoo ink. Application of topical minoxidil preparation or any other topical over-the counter (OTC) or prescription medication for hair re-growth to scalp for 4 weeks or more during a 6 months period before enrollment. Use of or planned use of shampoo with expected medicinal effect on the scalp (e.g. but not limited to anti-dandruff containing ketoconazole, anti-psoriatic, anti-fungal or shampoo containing urea, caffeine, acetylsalicylic acid, etc.) during the course of trial Topical treatments of the scalp including corticosteroids, tacrolimus, retinoids or other treatments that may affect hair growth in the last 3 months as well as during the trial. Platelet rich plasma (PRP) or any mesotherapy treatment on scalp during the last 12 months as well as during the trial. Systemic therapy using retinoids, cyclosporine, beta blockers or corticosteroids within the last 6 months as well as during the trial. Scalp procedures e.g. surgery, laser, light, micro-needling within the last 6 months as well as during the trial. Finasterid (e.g. Propecia®) or Dutasteride intake or topical application in the last 12 months, or any systemic hair therapy medication in the last 12 months as well as during the trial. Other systemic therapy which in the opinion of the Investigator might affect hair growth Current or within 2 weeks prior to first dosing use of vasodilating drugs (e.g. Pentoxifyllin, nitroglycerine) or anticoagulating drugs (e.g. heparine, cumarines, new oral anticoagulants, regular intake of acetylsalicylic acid) Current or within 3 months prior to first dosing use of systemic corticosteroids (nose drops, eye drops and/or inhalers are permitted) or other immunosuppressive drugs (e.g. cyclosporine A) Elevated values for vital signs: blood pressure: systolic above 160 mmHg, diastolic above 95 mmHg, pulse rate: above 100 beats/min Planned or scheduled subject surgery or hospitalisation during the course of the trial Previously randomized in this trial (only valid for subjects included after 01JUN2020) Psychiatric conditions that might limit the participation in the trial and/or that lead to the assumption that the ability to completely understand the consequences of consent is missing. Subjects, who are inmates of psychiatric wards, prisons or state institutions. Participation in a clinical trial with investigational medicinal products within the last 30 days prior to the Day 1 and / or during this trial. Employees of the trial sites who are directly involved in this trial or employees of the Sponsor's company. If in the opinion of the Investigator the subject should not participate in the trial for any reason.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ulrike Blume-Peytavi
Organizational Affiliation
Klinik für Dermatologie, Charité-Universitätsmedizin, Berlin
Official's Role
Principal Investigator
Facility Information:
Facility Name
ProDerm GmbH
City
Hamburg
Country
Germany

12. IPD Sharing Statement

Learn more about this trial

A Phase 2a Trial of FOL-005 Topical Formulations to Investigate Hair Growth Potential and Safety in Healthy Male Volunteers

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