Efficacy and Safety of Topical Vitamin D Analogue in Treatment of Female Pattern Hair Loss

Female Pattern Baldness Clinical Trial

Official title:

Efficacy and Safety of Topical Vitamin D Analogue in Treatment of Female Pattern Hair Loss

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06333600
• Other study ID #: Soh-Med-23-07-05
• Status: Recruiting
• Phase: Phase 1/Phase 2
• Start date: May 20, 2023
• Est. completion date: May 1, 2024

Study information

• Verified date: March 2024
• Source: Sohag University
• Contact: Doaa G Abdelbaset, MSc
• Phone: 0201022330810
• Email: dodygaber64[@]yahoo.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The trial aims to study efficay of topical vitamin D analogue in treatment of female pattern hair loss cases

Description:

Study approval: The study will be approved by Research and Ethical committee at Faculty of Medicine, Sohag University. Informed written consent will be obtained from all participants after explanation of nature of the study.

Study design: A prospective, randomized, controlled clinical study. Study population: The study will include 45 females aged 15-70 years attending Dermatology outpatient clinic at Sohag University Hospital with a complaint of chronic diffuse hair loss diagnosed clinically and will be confirmed by trichoscope as FPHL and with serum vitamin D deficiency.

Exclusion criteria will include:

• Patients with other hair loss disorders as telogen effluvium, anagen effluvium, alopecia areata, cicatricial alopecia and trichotillomania.

• Oral or parentral vitamin D supplementation for the last 3 months

• Treatment with topical vitamin D analogs in the past month

• Patients who received hair tonics or any specific hair therapy over the last 3 months prior to enrollement in the study.

• Patients with diabetes mellitus, renal disease, thyroid and parathyroid abnormalities, or autoimmune diseases.

• Patients who are pregnant, lactating or on contraceptive pills.

All patients in this study will be subjected to:

1. Complete history including:

• Personal history: age, occupation, residence, marital status, special habits of medical importance

• Menstrual and obstetric history

• Average time spent outdoor (per hour)

• Diatery habits

• Family history of similar condition

• History of any chronic illness or hormonal abnormalities such as hirsutism, PCO…..

• History of hair loss including: age of onset, course, duration, affected site and any previous treatment taken by the patient and its response.

2. Hair examination will include:

• Pattern of hair loss (Ludwig, Olsen or Norwood)

• Pull test

• Scalp skin condition

• Grading according to Sinclair scale

3. Evaluating tools:

• Gross photos will be taken under adequate illumination, identical settings, lighting, and position before starting treatment and at monthly follow up visits.

• Trichoscopic examination: All cases will be viewed trichoscopically from frontal, temporal, and occipital views (before treatment and at follow up visits) and will be evaluated by two blinded investigators. Establishing the diagnosis of FPHL will be done according to diagnostic criteria of FPHL. Hair density, hair diameter and peripilar sign will be recorded before and after treatment.

• Subject assessment: A 7-point scale will be used Investigations:-

• Serum vit.D will be measured for all participants • Other investigations will be done if needed according to primary patient evaluation: CBC, serum ferritin, serum calcium level, serum creatinine, hormonal (TSH, FSH, LH, prolactin, testosterone).

Therapeutic interventions:- 45 patients diagnosed as FPHL with decreased serum vitamin D will be randomly divided into 3 treatment groups:

• Group 1 (15 patients) will apply topical 5% minoxidil solution in a dose of 1ml twice daily.

• Group 2 (15 patients) will apply topical vit. D analogue (calcipotriol ointment 0.005%) twice daily (1 fingertip unit for every 2% of body surface area)

• Group 3 (15 patients) ( placebo group).

• Any side effects will be registered such as itching, scalling, burning sensation, dryness….

• Duration of treatment will continue for 3 months

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 45
• Est. completion date: May 1, 2024
• Est. primary completion date: April 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 15 Years to 60 Years

Eligibility

Inclusion Criteria:

• All females with FPHL aging 15 - 60 years

Exclusion Criteria:

• Patients with other hair loss disorders as telogen effluvium, anagen effluvium, alopecia areata, cicatricial alopecia and trichotillomania.

• Patients with normal serum vit.D level

• Oral or parentral vitamin D supplementation for the last 3 months

• Treatment with topical vitamin D analogs in the past month

• Patients who received hair tonics or any specific hair therapy over the last 3 months prior to enrollement in the study.

• Patients with diabetes mellitus, renal disease, thyroid and parathyroid abnormalities, or autoimmune diseases.

• Patients who are pregnant, lactating or on contraceptive pills.

Related Conditions & MeSH terms

• Alopecia
• Female Pattern Baldness

Intervention

Drug:
• Topical minoxidil
Therapeutic intervention
• Topical Vitamin D
Therapeutic intervention
• Saline spray
placebo

Locations

Country	Name	City	State
Egypt	Facult of Medicine, Sohag Uniiversity	Sohag

Sponsors (1)

Lead Sponsor	Collaborator
Sohag University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change of Sinclaire grading of Female pattern hair loss	clinical grading of female pattern hair loss	3 months
Primary	Change of Trichoscopic parameters (Hair dermoscopy)	Measure specific findings of female pattern hair loss diagnosis and follow up after treatment	3 months