Testing a natural supplement for hair loss in men and postmenopausal women

ISRCTN ISRCTN19671217
DOI https://doi.org/10.1186/ISRCTN19671217
Submission date
06/05/2025
Registration date
06/05/2025
Last edited
06/05/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study focuses on a common type of hair loss called androgenetic alopecia (AGA), which affects both men and women. In postmenopausal women, it is referred to as female androgenetic alopecia (FAGA). The goal of the study is to evaluate how effective and well-tolerated a food supplement containing Serenoa repens and Cucurbita pepo (AGA Plus) is in improving hair condition in individuals with mild to moderate AGA or FAGA.

Who can participate?
The study is open to men over 18 years old and postmenopausal women. All participants must have a clinical diagnosis of mild to moderate AGA or FAGA and be eligible for treatment with AGA Plus and other medications.

What does the study involve?
Participants will be involved in the study for six months, during which they will attend three clinical visits: one at the start (baseline), one at three months (optional), and one at six months. They will take one capsule of AGA Plus daily. Dermatologists will assess their hair condition using a 7-point scale, and participants will complete a questionnaire about their experience with the supplement. Hair shedding will also be checked at the three-month visit.

What are the possible benefits and risks of participating?
Participants may experience benefits such as improved hair density and reduced hair loss, along with gaining a better understanding of non-drug treatments for hair loss. Risks are minimal but could include mild stomach discomfort or allergic reactions. The supplement is not recommended for women who could become pregnant, are pregnant, or breastfeeding, and it is not suitable for vegetarians or vegans.

Where is the study run from?
Cantabria Labs Difa Cooper (Italy)

When is the study starting and how long is it expected to run for?
June 2024 to May 2025

Who is funding the study?
Cantabria Labs Difa Cooper (Italy)

Who is the main contact?
Dr Stefano Alfano, Medical Advisor at Cantabria Labs Difa Cooper, stefano.alfano@difacooper.com

Contact information

Dr Stefano Alfano
Public, Scientific, Principal Investigator

Via Milano 160
Presso Cantabria Labs Difacooper
Caronno Pertusella
21042
Italy

ORCiD logoORCID ID 0000-0003-3070-0289
Phone +39 3802607820
Email stefano.alfano@difacooper.com

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home, Medical and other records
Study typeEfficacy
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleEvaluation of the efficacy and tolerability of a supplement based on Serenoa repens and Cucurbita pepo in men and/or postmenopausal women affected by androgenetic alopecia (AGA or FAGA): a prospective, controlled, real-life study
Study objectivesThe use of a food supplement containing Serenoa repens and Cucurbita pepo improves the efficacy of treatments (Minoxidil and finasteride) for androgenic alopecia in men and post-menopausal women, if compared to the treatment alone
Ethics approval(s)Ethics approval not required
Ethics approval additional informationOur study was based on a food supplement and was entirely conducted in Italy. Following current Italian legislation, clinical trials based on food supplements and cosmetics do not require formal ethical approval. Anyway, this study was performed following the Helsinki Declaration, each enrolled subject signed an informed consent, and the study received approval from an external ethical committee.
Health condition(s) or problem(s) studiedAndrogenic alopecia in men and post-menopausal women
InterventionAt the baseline patients will be randomized in one of the two groups using online tools, Group A (Minoxidil or Finasteride only), Group B (Minoxidil or Finasteride+ Food supplement). Participants will be involved in the study for six months, during which they will attend three clinical visits: one at the start (baseline), one at three months (optional), and one at six months.
Intervention typeSupplement
Primary outcome measureClinical efficacy will be evaluated by the dermatologist using the GLOBAL ASSESSMENT SCORE (7-Point Score), ranging from +3 to -3: Very Much Improved (+3); Moderately Improved (+2); Slightly Improved (+1); Stable (0); Slightly Worsened (−1); Moderately Worsened (−2); Very Much Worsened (−3) at baseline and 6 months
Secondary outcome measures1. The degree of acceptability and tolerability will be assessed through a dedicated questionnaire consisting of 2 questions, each scored from 1 to 10 at 6 months
2. After 3 months, hair shedding during the initial phase of treatment will be evaluated following the Hamilton Score (for male) and the Ludwig score (for women). For each patient a representative photo will be taken
Overall study start date20/06/2024
Completion date06/05/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participantsGroup A 85 subjects, Group B 98 subjects
Total final enrolment183
Key inclusion criteria1. Male subjects over 18 years of age and/or postmenopausal women
2. Diagnosis of mild to moderate androgenetic alopecia (AGA or FAGA)
3. Eligible for treatment with AGA Plus and for pharmacological treatment
Key exclusion criteria1. Subjects with active acute inflammatory conditions of the scalp
2. Patients undergoing pharmacological treatment for AGA or FAGA for more than three months
3. Known allergy to any of the components of the study product
4. Subjects with clinically significant iron deficiency
5. Subjects with clinically significant thyroid dysfunction
6. Subjects with dermatological conditions affecting the scalp such as alopecia areata, seborrheic dermatitis, psoriasis, mycosis, lichenoid lesions, etc.
7. Women of childbearing age and/or pregnant women
Date of first enrolment20/06/2024
Date of final enrolment06/05/2025

Locations

Countries of recruitment

  • Italy

Study participating centre

Cantabria Labs Difa Cooper
Via Milano, 160
Caronno Pertusella
21042
Italy

Sponsor information

Cantabria Labs Difacooper
Industry

Via Milano 160
Presso Cantabria Labs Difacooper
Caronno Pertusella
21042
Italy

Phone +39 3802607820
Email massimo.milani@difacooper.com

Funders

Funder type

Industry

Cantabria Labs Difa Cooper

No information available

Results and Publications

Intention to publish date06/05/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planData are being analysed for a future publication in an international journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from Dr. Stefano Alfano, stefano.alfano@difacooper.com

Editorial Notes

06/05/2025: Trial's existence confirmed by Medizioni