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Phase 3 N=120 Treatment

A Long-term Study to Determine Safety and Efficacy of Dutasteride in Male Subjects With Androgenetic Alopecia

Alopecia

Enrolled (actual)
120
Serious AEs
1.7%
Results posted
Mar 2015
Primary outcome: Primary: Number of Participants With Any Adverse Events (AEs) and Any Serious Adverse Events (SAEs) — 64; 2 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Dutasteride 0.5 mg (Drug)
Age
Adult · 20+ yrs
Sex
Male
Sponsor
GlaxoSmithKline
Primary completion
Jul 2014

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Any Adverse Events (AEs) and Any Serious Adverse Events (SAEs)
64; 2
PRIMARY
Number of Participants With Drug-related, Treatment-emergent AEs and AE Leading to Premature Study Drug Discontinuation and Possible Suicidality-related Adverse Event (PSRAE)
20; 64; 0; 3
PRIMARY
Number of Participants With Change From Baseline in Breast Examination Results Any Time Post-Baseline Visit
0; 0; 0; 1; 1; 0
PRIMARY
Mean Change From Baseline in Hemoglobin, Albumin and Total Protein at the Indicated Time Points
0.61; -0.94; -0.69; -0.64; -1.42; -1.31
PRIMARY
Mean Change From Baseline in Hematocrit at the Indicated Time Points
-0.01; 0.00; -0.00
PRIMARY
Mean Change From Baseline in Platelet Count and White Blood Cell Count at the Indicated Time Points
3.41; -1.48; -1.12; 0.05; 0.17; 0.13
PRIMARY
Mean Change From Baseline in Red Blood Cells Count at the Indicated Time Points
-0.01; 0.01; 0.01
PRIMARY
Mean Change From Baseline in Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST) at the Indicated Time Points
5.58; 1.51; 1.14; 0.30; 0.24; 0.24
PRIMARY
Mean Change From Baseline in Total Bilirubin and Creatinine at the Indicated Time Points
-0.99; -0.23; -0.26; -1.14; 1.73; 1.29
PRIMARY
Mean Change From Baseline in Potassium, Sodium, Glucose and Urea/Blood Urea Nitrogen (BUN) at the Indicated Time Points
0.08; 0.02; 0.02; 1.22; 1.01; 1.02
PRIMARY
Mean Change From Baseline in Prostate-specific Antigen at the Indicated Time Points
-0.29; -0.32; -0.32
PRIMARY
Number of Participants With Any Laboratory Value Shifts From Baseline at Any Time Post-baseline
8; 8; 0; 11; 3; 0
PRIMARY
Mean Change From Baseline in Systolic Blood Pressure and Diastolic Blood Pressure at the Indicated Time Points
-0.3; 0.9; 0.9; -1.3; -1.0; -1.3
PRIMARY
Mean Change From Baseline in Heart Rate at the Indicated Time Points
0.3; 0.6; 2.7; -0.3; -0.6
PRIMARY
Number of Participants Experiencing Suicidal Ideation or Suicidal Behavior Based on Columbia-Suicide Severity Rating Scale (C-SSRS)
2; 0; 2; 1; 0; 0
SECONDARY
Mean Change From Baseline (BL) in Target Area Hair Count Within a 2.54 Centimeter (cm) Diameter Circle at Week 26 and Week 52
87.3; 68.1
SECONDARY
Mean Change From Baseline (BL) in Target Area Hair Width Within a 2.54 cm Diameter Circle at Week 26 and Week 52
6.7; 6.5
SECONDARY
Mean Change From Baseline (BL) in Terminal Hair Count Within a 2.54 cm Diameter Circle at Week 26 and Week 52
60.8; 76.9
SECONDARY
Mean of Median Score for Panel Global Assessment of Improvement From Baseline to 26 Weeks and 52 Weeks for Vertex and Frontal Views
1.34; 1.21; 1.50; 1.40
SECONDARY
Number of Participants With the Indicated Change From Baseline (BL) in the Stage of Androgenic Alopecia (AGA) According to the Norwood-Hamilton Scale at 26 Weeks and 52 Weeks
0; 0; 2; 4; 0; 45
SECONDARY
Change From Baseline in Sexual Problems as Assessed by the Problem Assessment Scale of the Sexual Function Inventory (PAS SFI) at Week 13, Week 26, Week 39, and Week 52
-0.6; -0.7; -0.3; -0.3
SECONDARY
Change From Baseline in Quality of Life as Assessed by Dermatology Life Quality Index (DLQI) at Week 13, Week 26, Week 39, and Week 52
-0.15; -0.25; -0.27; -0.23
SECONDARY
Serum Concentrations of Dihydrotestosterone (DHT) at Baseline, and After 26 Weeks and 52 Weeks
1.55; 0.19; 0.17

Summary

This is a multicentre, open-label study to assess the safety, tolerability, and efficacy of 0.5 mg Dutasteride administered once daily for 52 weeks in men with Androgenetic Alopecia types III vertex, IV and V per the Norwood-Hamilton classification. The study consists of a Screening Phase (3 weeks prior to Baseline) and a Treatment Phase (52 weeks). A subject who completes the full course of study treatment and the final study visit (Week 52; Visit 7) will be considered as study completion.

Eligibility Criteria

Inclusion Criteria

  • Male outpatient, 20 to 50-years-old, inclusive (at the time of obtaining consent).
  • AGA classified as Type III vertex, IV, or V (excluding Type IV anterior and V anterior) utilizing the Norwood-Hamilton classification.
  • Fluent and literate in Japanese with the ability to comprehend and record information on the PAS SFI and DLQI questionnaires.
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) 1.5 x ULN is acceptable if bilirubin is fractionated and direct bilirubin is =2 cm (0.75 inch) around the vertex region of the head at the time of study visits.
  • Able to swallow and retain oral medication

Exclusion Criteria

  • Evidence of hypogonadism defined as serum testosterone 1.5 x ULN at Screening.
  • History of malignancy within the past 5 years, except basal cell or squamous cell carcinoma of the skin.
  • History of prostate cancer before the age of 50 years in a first degree relative.
  • Serum PSA level >2.0 nanogram/millilitre (ng/mL) at Screening.
  • History of breast cancer or clinical breast examination suggestive of malignancy.
  • Active unstable thyroid disease, including subjects on therapy for either hyperthyroidism or hypothyroidism unless their dose of thyroid medication has been stable for at least 3 months.
  • Any unstable, serious co-existing medical condition(s) including, but not limited to, myocardial infarction, coronary bypass surgery, unstable angina, cardiac arrhythmias, clinically evident congestive heart failure, or cerebrovascular accident within 6 months prior to Screening; uncontrolled diabetes or peptic ulcer disease which is uncontrolled by medical management, and subjects who are known to be acquired immunodeficiency syndrome [AIDS](including subjects with a diagnosis of human immunodeficiency virus (HIV) positive).
  • History or current evidence of any serious and/or unstable pre-existing medical or psychiatric disorder, or other conditions that could, in the opinion of the investigator or GSK medical monitor, interfere with the subject's safety, obtaining informed consent, or compliance with study procedures. Note: the investigator may consult with GSK medical monitor if a condition could interfere with the subject's safety.
  • Clinically relevant abnormal finding on the Screening electrocardiogram (ECG).
  • Global scalp hair thinning, including occipital areas.
  • Scarring of the scalp, including prior hair transplant or scalp reduction, or any other condition or disease of the scalp or hair, including diseases of the hair shaft (e.g., tinea infection, nonandrogenetic-cause of alopecia, psoriatic dermatitis or other psoriatic lesions, or uncontrolled seborrheic dermatitis).
  • History of hair transplantation at any time to correct AGA or use of hair weaving within 6 months prior to Screening.
  • History or evidence of hair loss other than AGA (e.g., due to an auto-immune, endocrine, mechanical or infectious process, or secondary to a scalp dermatological disorder).
  • Use of any cosmetic product aimed at improving or correcting the signs of hair loss (e.g., scalp preparations with claims aiming at improved hair growth) within 2 weeks prior to Screening.
  • Use of light or laser treatments on the scalp (e.g., light emitting diode [LED] lamps) within 3 months prior to Screening.
  • Hypersensitivity to any 5 alpha-reductase (5AR) inhibitor or drugs chemically related to the study treatment.
  • Use of Dutasteride within 18 months prior to Screening, or use of finasteride within 12 months prior to Screening.
  • Previous use of systemic cytotoxic agents.
  • Use of glucocorticoids (inhaled glucocorticoids are allowed; topical corticosteroids are allowed provided that they are not used on the scalp) within 3 months prior to Screening.
  • Use of the following during the 6 months prior to Screening: Minoxidil (oral or topical), Carpronium chloride, Systemic drugs with anti-androgenic properties (e.g., cyproterone acetate, spironolactone, ketoconazole, flutamide, and bicalutamide).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01831791). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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