Alopecia, AndrogeneticPhase 3NCT05296863
Adipose-derived Stem Cell Conditioned Media as a Novel Approach for Hair Regrowth in Male Androgenetic Alopecia
A Phase 3 study testing Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil and Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil in people with Alopecia, Androgenetic and Hair Loss/Baldness, run by Dr. dr. Lili Legiawati, SpKK(K) at 1 site in Indonesia.
Trial summary
This study investigated the efficacy of adipose derived stem cell conditioned media (ADSC-CM) combined with minoxidil for hair regeneration therapy in male AGA. Read more about this study
- Who is it for?
- Ages 25 to 58 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Alopecia, Androgenetic, Hair Loss/Baldness
- What is being tested?
- Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil and Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 37 participants
- Where
- 1 siteIndonesia
- Study dates
- 11 Oct 2021to 3 Dec 2021
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 58 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- males aged 25-58 years old
- Hamilton-Norwood criteria grades II to VI
- cessation of anti-androgens and minoxidil treatment for at least one month
Who cannot join
- patients with hair loss other than AGA, such as alopecia areata, chemotherapy-induced alopecia, autoimmune-induced alopecia, and scalp malignancies;
- patients receiving 5-alpha reductase inhibitor therapy;
- patients who had received growth factor treatment (platelet-rich plasma or microneedling) for at least six months prior to the study; and
- history of hypertrophic scars or blood clotting disorders.
Trial locations and contacts
1 site in 1 country.
Indonesia1 site
Universitas Indonesia
Jakarta Pusat, Jakarta Special Capital Region, 10430
About this study
Official title: Adipose-derived Stem Cell Conditioned Media as a Novel Approach for Hair Regrowth in Male Androgenetic Alopecia: A Randomized, Double-blind Clinical Trial
This study investigated the efficacy of adipose derived stem cell conditioned media (ADSC-CM) combined with minoxidil for hair regeneration therapy in male AGA.
Read the detailed description
This study was a double-blind, randomized clinical trial (RCT). Two concentrations of ADSC-CM were utilized: concentrated and non-concentrated ADSC-CM. The scalp was divided vertically in half; one side was injected with 2 ml of ADSC-CM, while the control side received 2 ml of NaCl 0,9%. After the injection, patients applied topical 5% minoxidil twice daily. Clinical improvements were assessed using photographic evaluation and trichoscan every two weeks.
- Conditions
- Alopecia, Androgenetic, Hair Loss/Baldness
- Being tested
- Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil, Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil, Placebo and 5% Minoxidil
- Keywords
- Stem cell therapy, Adipose derived stem cell conditioned media, Hair regeneration
- Medical subject headings
- Alopecia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Non-concentrated adipose-derived stem cell conditioned media and 5% MinoxidilCombination product
Non-concentrated ADSC-CM is given during week 0, 2, 4, and 6 on the left side of the scalp.
Minoxidil is applied twice using a spray, in the morning and at night.
Concentrated adipose-derived stem cell conditioned media and 5% MinoxidilCombination product
Intervention is given during week 0, 2, 4, and 6 on the left side of the scalp. Minoxidil is applied twice using a spray, in the morning and at night.
Placebo and 5% MinoxidilCombination product
Intervention is given during week 0, 2, 4, and 6 on the right side of the scalp.
Minoxidil is applied twice using a spray, in the morning and at night.
| Study group | Role | What they receive |
|---|---|---|
| Non-concentrated ADSC-CM | Experimental | 2 ml intradermal injection of non-concentrated ADSC-CM + 1 ml of 5% topical Minoxidil daily Receives: Combination Product: Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil; Combination Product: Placebo and 5% Minoxidil |
| Concentrated ADSC-CM | Experimental | 2 ml intradermal injection of concentrated ADSC-CM + 1 ml of 5% topical Minoxidil daily Receives: Combination Product: Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil; Combination Product: Placebo and 5% Minoxidil |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hair count
Sum of hair
Measured: Within 6 weeks
Hair density
count/cm2
Measured: Within 6 weeks
Terminal rate
Percentage of terminal hairs
Measured: Within 6 weeks
Vellus rate
Percentage of terminal hairs
Measured: Within 6 weeks
Mean thickness
In centimeters
Measured: Within 6 weeks
Total follicular units
Unit of hair follicles
Measured: Within 6 weeks
Secondary outcomes (1)
7-point scale
In order to assess patient satisfaction of the research process and treatment outcome
Measured: Within 6 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Mar 2022
- Study start11 Oct 2021
- Primary completion3 Dec 2021
- Study completion3 Dec 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (31)Papers the sponsor has linked to this study.
- Other trials for Alopecia, AndrogeneticStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Dr. dr. Lili Legiawati, SpKK(K)
- Sponsor type
- University, hospital or other
- Collaborators
- Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia, PT. Kimia Farma (Persero) Tbk
- Responsible party
- Sponsor-investigator, Dr. dr. Lili Legiawati, SpKK(K), Universitas Indonesia
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05296863
- Sponsor's protocol ID
- KET-19UN2.F1ETIKPPM00022020
- Status last verified
- Mar 2022
- First submitted
- 18 Feb 2022
- Last updated
- 25 Mar 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Syed HA, Zito PM. Alopecia. 2024 Feb 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK538178/
PubMed 30844205Salman KE, Altunay IK, Kucukunal NA, Cerman AA. Frequency, severity and related factors of androgenetic alopecia in dermatology outpatient clinic: hospital-based cross-sectional study in Turkey. An Bras Dermatol. 2017 Jan-Feb;92(1):35-40. doi: 10.1590/abd1806-4841.20175241.
PubMed 28225954Nestor MS, Ablon G, Gade A, Han H, Fischer DL. Treatment options for androgenetic alopecia: Efficacy, side effects, compliance, financial considerations, and ethics. J Cosmet Dermatol. 2021 Dec;20(12):3759-3781. doi: 10.1111/jocd.14537. Epub 2021 Nov 6.
PubMed 34741573Huang CH, Fu Y, Chi CC. Health-Related Quality of Life, Depression, and Self-esteem in Patients With Androgenetic Alopecia: A Systematic Review and Meta-analysis. JAMA Dermatol. 2021 Aug 1;157(8):963-970. doi: 10.1001/jamadermatol.2021.2196.
PubMed 34232264Varothai S, Bergfeld WF. Androgenetic alopecia: an evidence-based treatment update. Am J Clin Dermatol. 2014 Jul;15(3):217-30. doi: 10.1007/s40257-014-0077-5.
PubMed 24848508Ferreira JR, Teixeira GQ, Santos SG, Barbosa MA, Almeida-Porada G, Goncalves RM. Mesenchymal Stromal Cell Secretome: Influencing Therapeutic Potential by Cellular Pre-conditioning. Front Immunol. 2018 Dec 4;9:2837. doi: 10.3389/fimmu.2018.02837. eCollection 2018.
PubMed 30564236Khandpur S, Gupta S, Gunaabalaji DR. Stem cell therapy in dermatology. Indian J Dermatol Venereol Leprol. 2021 Nov-Dec;87(6):753-767. doi: 10.25259/IJDVL_19_20.
PubMed 34245532Owczarczyk-Saczonek A, Wocior A, Placek W, Maksymowicz W, Wojtkiewicz J. The Use of Adipose-Derived Stem Cells in Selected Skin Diseases (Vitiligo, Alopecia, and Nonhealing Wounds). Stem Cells Int. 2017;2017:4740709. doi: 10.1155/2017/4740709. Epub 2017 Aug 21.
PubMed 28904532Tsuji W, Rubin JP, Marra KG. Adipose-derived stem cells: Implications in tissue regeneration. World J Stem Cells. 2014 Jul 26;6(3):312-21. doi: 10.4252/wjsc.v6.i3.312.
PubMed 25126381Kim WS, Park BS, Sung JH, Yang JM, Park SB, Kwak SJ, Park JS. Wound healing effect of adipose-derived stem cells: a critical role of secretory factors on human dermal fibroblasts. J Dermatol Sci. 2007 Oct;48(1):15-24. doi: 10.1016/j.jdermsci.2007.05.018. Epub 2007 Jul 23.
PubMed 17643966Fukuoka H, Suga H. Hair Regeneration Treatment Using Adipose-Derived Stem Cell Conditioned Medium: Follow-up With Trichograms. Eplasty. 2015 Mar 26;15:e10. eCollection 2015.
PubMed 25834689Shin H, Ryu HH, Kwon O, Park BS, Jo SJ. Clinical use of conditioned media of adipose tissue-derived stem cells in female pattern hair loss: a retrospective case series study. Int J Dermatol. 2015 Jun;54(6):730-5. doi: 10.1111/ijd.12650. Epub 2015 Mar 16.
PubMed 25777970Narita K, Fukuoka H, Sekiyama T, Suga H, Harii K. Sequential Scalp Assessment in Hair Regeneration Therapy Using an Adipose-Derived Stem Cell-Conditioned Medium. Dermatol Surg. 2020 Jun;46(6):819-825. doi: 10.1097/DSS.0000000000002128.
PubMed 31490301Lee SB, Shin HT, Byun JW, Shin J, Choi GS. Clinical efficacy of adipocyte-derived stem cells conditioned media combined with micro-injury in refractory patch of alopecia areata. Arch Dermatol Res. 2022 Aug;314(6):527-532. doi: 10.1007/s00403-021-02252-9. Epub 2021 Jun 15.
PubMed 34131795Tak YJ, Lee SY, Cho AR, Kim YS. A randomized, double-blind, vehicle-controlled clinical study of hair regeneration using adipose-derived stem cell constituent extract in androgenetic alopecia. Stem Cells Transl Med. 2020 Aug;9(8):839-849. doi: 10.1002/sctm.19-0410. Epub 2020 May 18.
PubMed 32420695
Study at a glance
From the registry record, last updated by the sponsor on 25 Mar 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adipose-derived Stem Cell Conditioned Media as a Novel Approach for Hair Regrowth in Male Androgenetic Alopecia: A Randomized, Double-blind Clinical Trial
- ClinicalTrials.gov ID
- NCT05296863
- Acronym / sponsor ID
- KET-19UN2.F1ETIKPPM00022020
- Conditions
- Alopecia, Androgenetic, Hair Loss/Baldness
- Keywords
- Stem cell therapy, Adipose derived stem cell conditioned media, Hair regeneration
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 37 participants (actual)
- Lead sponsor
- Dr. dr. Lili Legiawati, SpKK(K)University, hospital or other
- Collaborators
- Kementerian Riset dan Teknologi / Badan Riset dan Inovasi Nasional, Indonesia, PT. Kimia Farma (Persero) Tbk
- Study start
- 11 Oct 2021 (actual)
- Primary completion
- 3 Dec 2021 (actual)
- Study completion
- 3 Dec 2021 (actual)
- First posted
- 25 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study investigated the efficacy of adipose derived stem cell conditioned media (ADSC-CM) combined with minoxidil for hair regeneration therapy in male AGA.
Detailed description
This study was a double-blind, randomized clinical trial (RCT). Two concentrations of ADSC-CM were utilized: concentrated and non-concentrated ADSC-CM. The scalp was divided vertically in half; one side was injected with 2 ml of ADSC-CM, while the control side received 2 ml of NaCl 0,9%. After the injection, patients applied topical 5% minoxidil twice daily. Clinical improvements were assessed using photographic evaluation and trichoscan every two weeks.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Non-concentrated ADSC-CM | Experimental | Combination Product: Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil, Combination Product: Placebo and 5% Minoxidil2 ml intradermal injection of non-concentrated ADSC-CM + 1 ml of 5% topical Minoxidil daily |
| Concentrated ADSC-CM | Experimental | Combination Product: Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil, Combination Product: Placebo and 5% Minoxidil2 ml intradermal injection of concentrated ADSC-CM + 1 ml of 5% topical Minoxidil daily |
Who may qualify
- Ages
- 25 to 58 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- males aged 25-58 years old
- Hamilton-Norwood criteria grades II to VI
- cessation of anti-androgens and minoxidil treatment for at least one month
Key exclusion criteria (4 listed)
- patients with hair loss other than AGA, such as alopecia areata, chemotherapy-induced alopecia, autoimmune-induced alopecia, and scalp malignancies;
- patients receiving 5-alpha reductase inhibitor therapy;
- patients who had received growth factor treatment (platelet-rich plasma or microneedling) for at least six months prior to the study; and
- history of hypertrophic scars or blood clotting disorders.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Non-concentrated adipose-derived stem cell conditioned media and 5% MinoxidilNon-concentrated ADSC-CM is given during week 0, 2, 4, and 6 on the left side of the scalp. Minoxidil is applied twice using a spray, in the morning and at night. | Combination product | Non-concentrated ADSC-CM |
| Concentrated adipose-derived stem cell conditioned media and 5% MinoxidilIntervention is given during week 0, 2, 4, and 6 on the left side of the scalp. Minoxidil is applied twice using a spray, in the morning and at night. | Combination product | Concentrated ADSC-CM |
| Placebo and 5% MinoxidilIntervention is given during week 0, 2, 4, and 6 on the right side of the scalp. Minoxidil is applied twice using a spray, in the morning and at night. | Combination product | Concentrated ADSC-CM, Non-concentrated ADSC-CM |
Primary outcome
Hair count
Time frame: Within 6 weeks
Sum of hair
Hair density
Time frame: Within 6 weeks
count/cm2
Terminal rate
Time frame: Within 6 weeks
Percentage of terminal hairs
Vellus rate
Time frame: Within 6 weeks
Percentage of terminal hairs
Mean thickness
Time frame: Within 6 weeks
In centimeters
Total follicular units
Time frame: Within 6 weeks
Unit of hair follicles
1 secondary outcome
7-point scale
Time frame: Within 6 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Mar 2022.
- Background: PubMed 30844205Syed HA, Zito PM. Alopecia. 2024 Feb 26. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK538178/
- Background: PubMed 28225954Salman KE, Altunay IK, Kucukunal NA, Cerman AA. Frequency, severity and related factors of androgenetic alopecia in dermatology outpatient clinic: hospital-based cross-sectional study in Turkey. An Bras Dermatol. 2017 Jan-Feb;92(1):35-40. doi: 10.1590/abd1806-4841.20175241.
- Background: PubMed 34741573Nestor MS, Ablon G, Gade A, Han H, Fischer DL. Treatment options for androgenetic alopecia: Efficacy, side effects, compliance, financial considerations, and ethics. J Cosmet Dermatol. 2021 Dec;20(12):3759-3781. doi: 10.1111/jocd.14537. Epub 2021 Nov 6.
- Background: PubMed 34232264Huang CH, Fu Y, Chi CC. Health-Related Quality of Life, Depression, and Self-esteem in Patients With Androgenetic Alopecia: A Systematic Review and Meta-analysis. JAMA Dermatol. 2021 Aug 1;157(8):963-970. doi: 10.1001/jamadermatol.2021.2196.
- Background: PubMed 24848508Varothai S, Bergfeld WF. Androgenetic alopecia: an evidence-based treatment update. Am J Clin Dermatol. 2014 Jul;15(3):217-30. doi: 10.1007/s40257-014-0077-5.
- Background: PubMed 30564236Ferreira JR, Teixeira GQ, Santos SG, Barbosa MA, Almeida-Porada G, Goncalves RM. Mesenchymal Stromal Cell Secretome: Influencing Therapeutic Potential by Cellular Pre-conditioning. Front Immunol. 2018 Dec 4;9:2837. doi: 10.3389/fimmu.2018.02837. eCollection 2018.
- Background: PubMed 34245532Khandpur S, Gupta S, Gunaabalaji DR. Stem cell therapy in dermatology. Indian J Dermatol Venereol Leprol. 2021 Nov-Dec;87(6):753-767. doi: 10.25259/IJDVL_19_20.
- Background: PubMed 28904532Owczarczyk-Saczonek A, Wocior A, Placek W, Maksymowicz W, Wojtkiewicz J. The Use of Adipose-Derived Stem Cells in Selected Skin Diseases (Vitiligo, Alopecia, and Nonhealing Wounds). Stem Cells Int. 2017;2017:4740709. doi: 10.1155/2017/4740709. Epub 2017 Aug 21.
- Background: PubMed 25126381Tsuji W, Rubin JP, Marra KG. Adipose-derived stem cells: Implications in tissue regeneration. World J Stem Cells. 2014 Jul 26;6(3):312-21. doi: 10.4252/wjsc.v6.i3.312.
- Background: PubMed 17643966Kim WS, Park BS, Sung JH, Yang JM, Park SB, Kwak SJ, Park JS. Wound healing effect of adipose-derived stem cells: a critical role of secretory factors on human dermal fibroblasts. J Dermatol Sci. 2007 Oct;48(1):15-24. doi: 10.1016/j.jdermsci.2007.05.018. Epub 2007 Jul 23.
- Background: PubMed 25834689Fukuoka H, Suga H. Hair Regeneration Treatment Using Adipose-Derived Stem Cell Conditioned Medium: Follow-up With Trichograms. Eplasty. 2015 Mar 26;15:e10. eCollection 2015.
- Background: PubMed 25777970Shin H, Ryu HH, Kwon O, Park BS, Jo SJ. Clinical use of conditioned media of adipose tissue-derived stem cells in female pattern hair loss: a retrospective case series study. Int J Dermatol. 2015 Jun;54(6):730-5. doi: 10.1111/ijd.12650. Epub 2015 Mar 16.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Non-concentrated adipose-derived stem cell conditioned media and 5% Minoxidil and Concentrated adipose-derived stem cell conditioned media and 5% Minoxidil in people with Alopecia, Androgenetic and Hair Loss/Baldness, run by Dr. dr. Lili Legiawati, SpKK(K) at 1 site in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Hair count (time frame: Within 6 weeks). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05296863, which also lists 31 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Mar 2022.