Improving the efficacy of anti-hair loss drug treatments with a cosmetic lotion containing caffeine, taurine and growth factors

ISRCTN ISRCTN10404684
DOI https://doi.org/10.1186/ISRCTN10404684
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number GFM-DA-01/2020
Sponsor Difa Cooper (Italy)
Funder Cantabria Labs
Submission date
18/07/2022
Registration date
18/07/2022
Last edited
31/05/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Androgenetic alopecia is a common form of hair loss in both men and women. In men, this condition is also known as male-pattern baldness.
Oral Finasteride 1% and topical minoxidil 2 and 5% are the only two drugs with an approved indication for androgen alopecia (AGA) in men or in women (FAGA), however, both treatments have a response rate of 50-60%.
Concomitant coadjuvant treatments with medical devices or cosmetic products could increase the response rate of anti AGA drugs. GFM-DA is a cosmetic gel to be used once-weekly containing caffeine, taurine and a mixture of growth factors mimicking oligopeptide. So far, there are no controlled data regarding the efficacy of this gel in association with drugs treatment for AGA/FAGA.

Who can participate?
Adults over 18 years with AGA.

What does the study involve?
The study was designed as a randomised, investigator-blinded, prospective trial with 4 arms (one group treated with topical minoxidil 5% twice daily, one group treated with oral finasteride 1 mg orally and two groups with drug (minoxidil or finasteride) plus GFM-DA gel once weekly. The treatments lasted six months (24 weeks). Subjects with AGA/FAGA could participate in the trial. Efficacy evaluation was performed using a colour-high definition global picture of the scalp to perform a Global Photographic Assessment Score (GPAS)(+3 Very good improvement,+2 good improvement;+1 mild improvement; 0: not an improvement; -1 mild worsening; -2 worsening; -3 severe worsening). GPAS was evaluated by comparing the standard photos taken at baseline visit, after 12 weeks and at week 24 by an investigator unaware of treatment arm allocation . The study was conducted in University Dermatology Clinic with specific knowledge of hair loss conditions.

What are the possible benefits and risks of participating?
This trial could offer dermatologists additional clinical evidence regarding the most effective treatment approach for androgenic alopecia, improving the efficacy outcome of standard pharmacological already approved treatments. No significant risk for participating subjects could be identified.

Where is the study run from?
Ospedale Sant Orsola (Italy)

When is the study starting and how long is it expected to run for?
July 2020 to February 2022

Who is funding the study?
Cantabria Labs (Italy)

Who is the main contact?
Prof Bianca Maria Piraccini

Contact information

Dr Massimo Milani
Scientific

Via Milano 160
Caronno Pertusella
21042
Italy

ORCiD logoORCID ID 0000-0001-7559-1202
Phone +39 29659031
Email massimo.milani@difacooper.com

Study information

Primary study designInterventional
Study designInterventional prospective randomized 4-arm single-centre assessor-blinded trial
Secondary study designRandomised parallel trial
Study type Participant information sheet
Scientific titleEfficacy and tolerability of a topical formulation based on growth factors, caffeine and taurine in male subjects with androgenetic alopecia who are candidates for pharmacological treatments (topical minoxidil or oral finasteride): A prospective, randomized, assessor-blinded, parallel group study.
Study objectivesTo evaluate if the addition of a cosmetic gel applied once weekly, containing caffeine, taurine and a pool of oligopetides with growth factor mimicking activity could increase the efficacy of standard androgenic alopecia drug treatments such as topical minoxidil or oral finasteride
Ethics approval(s)Approved 20/10/2020, Ospedale Sant Orsola University of Bologna (Via Massarenti 1, Bologna, Italy; no telephone number provided; no email provided), ref: GFM-DA-01 Trial
Health condition(s) or problem(s) studiedAndrogenic alopecia in men or women (FAGA) candidate for specific drug treatment (i.e. topical minoxidil in men or women or oral finasteride in men)
InterventionThe study design included 4 treatment arms:
1. Minoxidil 5% twice daily
2. Minoxidil 5% twice daily plus Investigational cosmetic gel (GFM-DA) once weekly
3. Oral Finasteride 1 mg daily
4. Oral Finasteride 1 mg daily plus Investigational cosmetic gel (GFM -DA) once weekly
The total duration of treatment: 6 months; No follow-up
A randomisation list was generated by a computer
Intervention typeDrug
PhasePhase IV
Drug / device / biological / vaccine name(s)Minoxidil 5% lotion, Finasteride 1 mg tablet, GFM-DA gel
Primary outcome measure(s)

1. Evolution of alopecia using a 7-point Global Photographic Assessement Score (GPAS)(+3 Very good improvement,+2 good improvement;+1 mild improvement; 0: not an improvement; -1 mild worsening; -2 worsening; -3 severe worsening) in the group of GFM-DA treated subjects in comparison with the group of drugs treatment only.
2. GPAS was evaluated by comparing the standard photos taken at baseline visit, after 12 weeks and at week 24 by an investigator unaware of treatment arm allocation

Key secondary outcome measure(s)

There are no secondary outcome measures

Completion date01/02/2022

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration60
Total final enrolment60
Key inclusion criteria1. Men and women >18 years of age
2. Suffering AGA or FAGA requiring drugs treatments (Norwood Hamilton AGA grade III-V)
Key exclusion criteria1. Inflammatory scalp skin condition
2. AGA treatments (finasteride or minoxidil) in the previous 6 months
3. Iron deficiency anaemia
4. Seborrheic dermatitis or scalp psoriasis
Date of first enrolment07/01/2021
Date of final enrolment20/11/2021

Locations

Countries of recruitment

  • Italy

Study participating centre

Ospedale Sant Orsola
Via Massarenti 1
Bologna
10010
Italy

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from massimo.milani@difacooper.com

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 19/12/2022 31/05/2023 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

31/05/2023: Publication reference added.
18/07/2022: Trial's existence confirmed by University of Bologna.