Thinning HairNCT06920758
A 6-month, Randomized, Double-blind, Placebo Controlled Study Evaluating the Efficacy and Safety of USPlus DERM to Promote Hair Growth in Men and Women With Self-perceived Thinning Hair.
A study testing USPlus DERM Bioactive Fatty Acids 160 mg Softgels in people with Thinning Hair, run by Ablon Skin Institute Research Center at 1 site in United States.
Trial summary
The goal of this clinical trial is to substantiate the effectiveness and safety of USPlus® DERM for self-perceived thinning hair compared to placebo in healthy men and women ages 25-65 over the course of six months of continued use. Read more about this study
- Who is it for?
- Ages 25 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Thinning Hair
- What is being tested?
- USPlus DERM Bioactive Fatty Acids 160 mg Softgels
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- 1 siteUnited States
- Study dates
- 16 Dec 2024to Sep 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Healthy males and females of all Fitzpatrick Skin Types between 25 and 65 years of age.
- Subjects must be willing to provide verbal understanding and sign an Informed Consent Form, HIPAA Form and Photography Release Form approved by the Institutional Review Board.
- Subjects must be in general good health, as determined by the Investigator.
- Subjects with self-perceived hair thinning as determined on initial study assessment by the Investigator (excluding patients with medically diagnosed telogen effluvium).
- Subjects willing to undergo a brief physical exam to include height, weight, blood pressure, pulse, physical scalp exam and basic systems evaluation (Skin, Respiratory, Cardiovascular, Gastrointestinal, Endocrine, Neurological and Musculoskeletal systems) by the Investigator.
- Male subjects with frontal and/or vertex patterns I, II, IIA, III, III vertex and IV during the physical scalp exam by the Investigator rated based on the Norwood Classification Scale.
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- Female subjects with I-1, I-2 and I-3 during the physical scalp exam by the Investigator rated based on the Savin Pictorial Scale.
- Subjects willing to not substantially change their current diet, medications, dietary supplements and exercise routines for the duration of the study. If a subject receives physician guidance during the study to change diet, medications, supplements or exercise routine, the subject will need to notify the clinic as soon as possible.
- Females of child bearing potential (FOCBP) must be willing to have a urine pregnancy test and practice effective contraception for the duration of the study. (Effective contraception is defined as stabilized on oral contraceptive for at least 3 months as of the start of the study, intrauterine device, condom with spermicide, diaphragm with spermicide, implant, NuvaRing®, injection, transdermal patch or abstinence.) Females on birth control pills must have taken the same type of pill for at least 3 months prior to entering the study and must not change type during the study. Those who have used birth control pills in the past must have discontinued usage at least 3 months prior to the start of the study. The initiation of birth control should not have been associated with the initiation of hair loss/thinning.
- FOCBP must have a negative urine pregnancy test at the Baseline Visit.
- Subjects willing to have 2-D digital photography of the entire head/hair region for overall evaluation of general hair growth and quality by the Investigator.
- Subjects willing to have digital trichoscopy photography of the target site areas on the scalp for analysis of hair counts and other hair measurements.
- Subjects must be willing and able to complete and understand the rating questionnaires.
- Subjects must maintain a consistent length, cut, style and color throughout the six (6) month study period.
- Subjects who have color treated hair must be willing to have the color treatment performed at the same time interval prior to each visit (i.e. If on Visit 1 the color treatment was done one week prior then the color treatment is expected to occur at a similar interval of one week prior to Visits 2 and 3).
- Subjects willing to maintain their normal hair shampooing frequency, use a mild non-medicated shampoo and conditioner for the duration of the study and attend visits with clean and dry hair (shampoo must be done 24 hours or more prior to the visit).
- Subjects must be willing and able to attend all study visits and comply with the study product daily usage and lifestyle instructions.
Who cannot join
- Subjects who are pregnant, nursing mothers, planning a pregnancy during the course of the study, or become pregnant during the study.
- Male subjects with male pattern hair loss with frontal and/or vertex patterns IIIA, IVA, V, VA, VI, VII ratings using the Norwood Classification Scale as determined during the physical scalp exam by the Investigator.
- Female subjects with I-4, II-1,II-2, III Advanced and Frontal ratings using the Savin Pictorial Scale as determined during the physical scalp exam by the Investigator.
- Subjects who have had a hair transplant.
- Subjects with hair extensions or who are planning on getting hair extensions during the duration of the study.
- Subjects with any known allergy or sensitivity to any shampoo and/or conditioner.
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- Subjects with a known stressful incident within the last six months (e.g. death in family, miscarriage).
- Subjects who have recently (within the last 3 months) started the use of hormones for birth control or hormone replacement therapy (HRT). Women currently using hormones for birth control or HRT must have been on a stable dose (3 months or longer) in order to be eligible for the study.
- Subjects using Low Level Laser Therapy (LLLT) or other light therapy to treat thinning hair in the last 3 months.
- Subjects who have regularly used Rogaine (Minoxidil), Nioxin and /or Finasteride or undergone any other hair or scalp treatments within the last 3 months.
- Subjects who have used prescription drugs known to affect the hair growth cycle within the last 3 months (e.g., hormone-based birth control for less than 3 months, cyproterone acetate, aldactone/spironolactone or any 5-alpha-reductase inhibitor).
- Subjects who have regularly used anti-androgenic therapies (i.e. spironolactone, flutamide, cyproterone acetate, progesterone and/or bicalutamide) or undergone any other hair or scalp treatments within the last 3 months.
- Subjects suffering from other hair loss disorders, such as alopecia areata, scarring alopecia, androgenetic alopecia and telogen effluvium as determined during initial study assessment and physical scalp exam by the Investigator.
- Subjects with self-reported uncontrolled diseases (i.e. diabetes, hypertension, hyperthyroidism, hypothyroidism, etc.). Whether medical conditions are under control with or without treatment will be assessed on an individual basis by the Investigator based on her medical and clinical expertise.
- Subjects with self-reported active hepatitis, immune deficiency, HIV or autoimmune disease.
- Subjects having a known active dermatologic condition of the scalp that may place the subject at a greater risk or interfere with clinical evaluations (ie. seborrheic dermatitis, psoriasis, atopic dermatitis, advanced skin cancer, etc.) as determined by the Investigator based on her medical and clinical expertise.
- Subjects who are unable to communicate or cooperate with the Investigator due to language problems, poor mental development, or impaired cerebral function.
- Subjects with any underlying disease that the Investigator deems uncontrolled, and poses a concern for the subject's safety while participating in the study.
- Subjects with use of any medications that are known to potentially cause hair loss or affect hair growth as determined by the Investigator based on her medical and clinical expertise.
Trial locations and contacts
1 site in 1 country.
United States1 site
Ablon Skin Institute and Research Center
Manhattan Beach, California, 90266
About this study
The goal of this clinical trial is to substantiate the effectiveness and safety of USPlus® DERM for self-perceived thinning hair compared to placebo in healthy men and women ages 25-65 over the course of six months of continued use. Participants will be asked to have attend three office visits, one phone call, have photos taken of their hair and answer questionnaires related to their thinning hair.
Read the detailed description
Hair shedding and thinning is presenting at alarming rates. It affects over 80% of men and 50% of women in the United States alone. As a multifactorial condition, while genetics is a small component, change in environmental exposures, nutrition, hormones, stress and lifestyle play significant roles. Currently, many individuals are looking for natural or prescription free options to combat challenges in hair thinning. One of the main ingredients added to current formulations is the natural supplement Saw Palmetto (Serenoa repens). To maintain thick full hair takes work, and prevention of hair thinning, shedding and hair loss requires early intervention. This study is performed to demonstrate the success of a long-standing supplement in the hair loss treatment armamentarium.
Oral medications come with significant side effects, and other modalities like laser and platelet rich plasma can be expensive to afford. Supplements therefore become a great natural alternative. Saw palmetto or Serenoa repens is a plant from the Areaceae family also known as Sabal serrulataa that acts as a competitive nonselective inhibitor of 5-alpha reductase (5αR) types I and II, which blocks the conversion of testosterone to its active metabolite, dihydrotestosterone. This process has been shown to help prevent miniaturization of hairs that lead to hair loss. Valensa International has analyzed the vast amount of science, as well as their own research data, to understand the impact of USPlus® DERM which contains concentrated lipidosterolic extracts of saw palmetto on hair health. The mechanism of action appears to prolong the anagen phase, tends to enhance dermal papilla, and maintains the follicle stem cell niche. USPlus® DERM is concentrated in bioactive free fatty acids (the building blocks of hair) and can help benefit hair health, the hair growth cycle and hair characteristics. Since hair loss has a multifactorial etiology, studying USPlus® DERM in the treatment
The purpose of this clinical research study is to evaluate the efficacy and safety of USPlus® DERM compared to placebo in sixty (60) healthy male and female subjects, 25-65 years of age with self-perceived hair thinning over the course of six (6) months of continued use.
Pre-Study Procedures
- Candidate subjects will be screened with selected eligibility requirements by telephone prior to Visit 1. The questions include the following: (1) Are you between the ages of 25-65? (2) Do you feel that your hair is thinning? 3) Are you able to attend periodic visits at your study doctor's office (3 visits and one phone call over a 6 month period)?
- Candidate subjects will be assigned an appointment time for visiting the clinic.
VISIT PROCEDURES
Visit 1: Baseline, Day 0
- Individuals will be given an informed consent form (ICF) document, HIPAA form and Photography release form to read. They will have all of their study related questions answered by the Investigator and if they agree, they will sign the ICF, HIPAA and Photography release forms. Subjects will be given one copy of the signed ICF, HIPAA and Photography release forms to keep. The original documents will remain at Ablon Skin Institute and Research Center in the subject's file.
- Investigator and/or Study Coordinator will review with subject and complete the checklist for demographics, medical history and previous/concomitant medications.
- Investigator and/or Study Coordinator will review with subject and complete the checklist for all inclusion and exclusion criteria.
- Subjects will receive a brief physical exam, including examination of the scalp, to rule out any immediately observable medical issues and scalp disorders that are unacceptable for qualification in accordance with the study exclusion criteria. The physical will additionally include vital signs (blood pressure, heart rate, respiration rate, and temperature), weight and height. Subjects hair thinning will be rated by the Investigator using either the Norwood Scale for men or the Savin Pictorial Scale for women.
- Subjects who are female of childbearing potential will have a urine pregnancy test performed.
- Subjects who have completed all the initial paperwork and meet the inclusion/exclusion qualifications (including findings of the physical exam) will be assigned a unique subject number. Subjects will be randomized to a treatment group.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have two (2) target sites selected and measured by the Investigator.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will complete the Hair Thinning Quality of Life Questionnaire.
- Subjects will be dispensed a three (3) month supply of the Active or Placebo and given written and verbal Usage and Lifestyle instructions.
- Subjects will be given their next appointment date and time, and instructed to bring back all Study IP, including empty bottles.
Phone Call: Day 56 ± 2 days
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The subjects will be asked about the amount of unused Study IP that they have in their current bottles to determine subject compliance with the protocol and usage instructions. Subjects found to be consistently out of compliance will be reminded of the correct usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- Subjects will be asked a series of hair self-assessment questions and hair thinning quality of life questions. The answers to the questionnaires will be recorded in the subject file by the Study Coordinator.
- Subjects will be reminded of their next appointment date and time, and instructed to bring back all Study IP, including empty bottles to their next appointment.
Visit 2: Day 90 (± 7 days)
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The unused Study IP will be collected and counted to determine subject compliance with the protocol and usage instructions. Subjects found to be consistently out of compliance will be reminded of the correct usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- The subject will have their weight, blood pressure, heart rate, respiratory rate and temperature monitored and recorded in the source.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will have their hair assessed by the Investigator for Hair Growth and Hair Quality.
- Subjects will complete the Hair Self-Assessment Questionnaire and the Hair Thinning Quality of Life Questionnaire.
- Subjects will be dispensed a three (3) month supply of the Active or Placebo and given written and verbal Usage and Lifestyle instructions.
- Subjects will be given their next appointment date and time, and instructed to bring back all Study IP, including empty bottles.
Visit 3: Day 180 (± 7 days)
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The unused Study IP will be collected and counted to determine subject compliance with the protocol and usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- The subject will have their weight, blood pressure, heart rate, respiratory rate and temperature monitored and recorded in the source.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will have their hair assessed by the Investigator for Hair Growth and Hair Quality.
- Subjects will complete the Hair Self-Assessment Questionnaire, Hair Thinning Quality of Life Questionnaire and the Hair Product Subject Satisfaction Questionnaire.
- Subjects will be compensated for their participation in the study.
- Conditions
- Thinning Hair
- Being tested
- USPlus DERM Bioactive Fatty Acids 160 mg Softgels, Placebo softgel
- Keywords
- Thinning hair, hair loss, hair shedding
- Medical subject headings
- Alopecia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
USPlus DERM Bioactive Fatty Acids 160 mg SoftgelsDietary supplement
USPlus® DERM Bioactive Fatty Acids (160 mg) Ingredient List (Per Softgel)
Active: 100% Concentrated Lipidosterolic Extract of Saw Palmetto (Serenoa repens).
Shell: Bovine Gelatin, Glycerin, Water
Placebo softgelOther
Placebo Ingredient List:
Palm oil Gelatin Glycerin Water Caramel color
| Study group | Role | What they receive |
|---|---|---|
| USPlus DERM softgels | Active comparator | USPlus® DERM Bioactive Fatty Acids 160 mg Softgels Receives: Dietary Supplement: USPlus DERM Bioactive Fatty Acids 160 mg Softgels |
| Placebo softgels | Placebo comparator | Placebo Softgels Receives: Other: Placebo softgel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in terminal hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Change in terminal hair counts from Baseline to Day 180 using the Canfield HairMetrix system. A statistically significant increase in count at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Change in vellus hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Change in vellus hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Measured: Baseline to Day 180
Change in total hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Change in total hair counts from Baseline to Day 180 using the Canfield HairMetrix system. A statistically significant increase in count at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Secondary outcomes (11)
Change in terminal to vellus ratio using the Canfield HairMetrix system from Baseline to Day 180.
A statistically significant increase in terminal to vellus ratio at Day 180 in comparison to Baseline for subjects who were assigned to Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Change in average hairs per follicular unit using the Canfield HairMetrix system from Baseline to Day 180.
A statistically significant increase in average hairs per follicular unit at Day 180 in comparison to Baseline for subjects who were assigned to Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameters.
Measured: Baseline to Day 180
Change in average hair width (μm) using the Canfield HairMetrix system from Baseline to Day 180.
A statistically significant increase in score of average hair width (μm) at Day 180 in comparison to Baseline for subjects who were assigned to Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameters.
Measured: Baseline to Day 180
Change in follicular units per cm² using the Canfield HairMetrix system from Baseline to Day 180.
A statistically significant increase in score of follicular units per cm² at Day 180 in comparison to Baseline for subjects who were assigned to Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameters.
Measured: Baseline to Day 180
Change in inter-follicular mean distance (mm) using the Canfield HairMetrix system from Baseline to Day 180.
A statistically significant decrease in score of inter-follicular mean distance (mm) at Day 180 in comparison to Baseline for subjects who were assigned to Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Investigator Hair Quality Global Improvement Scale
Investigator Hair Quality Global Improvement Scale scores assessed by Investigator using Canfield Intellistudio standardized 2D photographs to assess changes from Baseline to Day 180. A positive score at Day 180 for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameters.
Measured: Baseline to Day 180
Investigator Hair Growth Global Improvement Scale
Investigator Hair Growth Global Improvement Scale scores assessed by Investigator using Canfield Intellistudio standardized 2D photographs to assess changes from Baseline to Day 180. A positive score at Day 180 for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameters.
Measured: Baseline to Day 180
Change in Hair Shedding Pull Test scores
Change in Hair Shedding Pull Test scores from Baseline to Day 180. A statistically significant decrease in count at Day 180 in comparison to Baseline for subjects for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Improvement in Hair Self-Assessment Questionnaire
Improvement in Hair Self-Assessment Questionnaire from Baseline to Day 180. A statistically significant increase in score at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Improvement in Hair Thinning Quality of Life Questionnaire
Improvement in Hair Thinning Quality of Life Questionnaire from Baseline to Day 180. A statistically significant decrease in score at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Measured: Baseline to Day 180
Favorable Analysis of the Hair Product Subject Satisfaction Questionnaire
at Day 180. Favorable analysis at Day 180 for subjects who were assigned to the Active compared to subjects who were assigned to the placebo would be indicated by high response values.
Measured: Baseline to Day 180
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Apr 2025
- Study start16 Dec 2024
- Primary completionSep 2025 (estimated)
- Study completionSep 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Thinning HairStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ablon Skin Institute Research Center
- Sponsor type
- University, hospital or other
- Collaborators
- U.S. Nutraceuticals, Inc. dba Valensa International
- Responsible party
- Sponsor
- Investigators
- Glynis Ablon, MD, FAAD, PI, Principal investigator, Ablon Skin Institute Research Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06920758
- Sponsor's protocol ID
- VAL-HT-002
- Status last verified
- Apr 2025
- First submitted
- 3 Apr 2025
- Last updated
- 10 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ablon G. The Safety and Efficacy of a Proprietary Bioactive Fatty Acids Extract From Saw Palmetto (Serenoa repens) for Promoting Hair Growth and Reducing Hair Loss in Adults With Self-Perceived Thinning Hair: 90-Day Results. J Cosmet Dermatol. 2025 Dec;24(12):e70585. doi: 10.1111/jocd.70585.
PubMed 41319217
Study at a glance
From the registry record, last updated by the sponsor on 10 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A 6-month, Randomized, Double-blind, Placebo Controlled Study Evaluating the Efficacy and Safety of USPlus DERM to Promote Hair Growth in Men and Women With Self-perceived Thinning Hair.
- ClinicalTrials.gov ID
- NCT06920758
- Acronym / sponsor ID
- VAL-HT-002
- Conditions
- Thinning Hair
- Keywords
- Thinning hair, hair loss, hair shedding
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Ablon Skin Institute Research CenterUniversity, hospital or other
- Collaborators
- U.S. Nutraceuticals, Inc. dba Valensa International
- Study start
- 16 Dec 2024 (actual)
- Primary completion
- Sep 2025 (estimated)
- Study completion
- Sep 2025 (estimated)
- First posted
- 10 Apr 2025 (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.
The goal of this clinical trial is to substantiate the effectiveness and safety of USPlus® DERM for self-perceived thinning hair compared to placebo in healthy men and women ages 25-65 over the course of six months of continued use. Participants will be asked to have attend three office visits, one phone call, have photos taken of their hair and answer questionnaires related to their thinning hair.
Detailed description
Hair shedding and thinning is presenting at alarming rates. It affects over 80% of men and 50% of women in the United States alone. As a multifactorial condition, while genetics is a small component, change in environmental exposures, nutrition, hormones, stress and lifestyle play significant roles. Currently, many individuals are looking for natural or prescription free options to combat challenges in hair thinning. One of the main ingredients added to current formulations is the natural supplement Saw Palmetto (Serenoa repens). To maintain thick full hair takes work, and prevention of hair thinning, shedding and hair loss requires early intervention. This study is performed to demonstrate the success of a long-standing supplement in the hair loss treatment armamentarium.
Oral medications come with significant side effects, and other modalities like laser and platelet rich plasma can be expensive to afford. Supplements therefore become a great natural alternative. Saw palmetto or Serenoa repens is a plant from the Areaceae family also known as Sabal serrulataa that acts as a competitive nonselective inhibitor of 5-alpha reductase (5αR) types I and II, which blocks the conversion of testosterone to its active metabolite, dihydrotestosterone. This process has been shown to help prevent miniaturization of hairs that lead to hair loss. Valensa International has analyzed the vast amount of science, as well as their own research data, to understand the impact of USPlus® DERM which contains concentrated lipidosterolic extracts of saw palmetto on hair health. The mechanism of action appears to prolong the anagen phase, tends to enhance dermal papilla, and maintains the follicle stem cell niche. USPlus® DERM is concentrated in bioactive free fatty acids (the building blocks of hair) and can help benefit hair health, the hair growth cycle and hair characteristics. Since hair loss has a multifactorial etiology, studying USPlus® DERM in the treatment
The purpose of this clinical research study is to evaluate the efficacy and safety of USPlus® DERM compared to placebo in sixty (60) healthy male and female subjects, 25-65 years of age with self-perceived hair thinning over the course of six (6) months of continued use.
Pre-Study Procedures
- Candidate subjects will be screened with selected eligibility requirements by telephone prior to Visit 1. The questions include the following: (1) Are you between the ages of 25-65? (2) Do you feel that your hair is thinning? 3) Are you able to attend periodic visits at your study doctor's office (3 visits and one phone call over a 6 month period)?
- Candidate subjects will be assigned an appointment time for visiting the clinic.
VISIT PROCEDURES
Visit 1: Baseline, Day 0
- Individuals will be given an informed consent form (ICF) document, HIPAA form and Photography release form to read. They will have all of their study related questions answered by the Investigator and if they agree, they will sign the ICF, HIPAA and Photography release forms. Subjects will be given one copy of the signed ICF, HIPAA and Photography release forms to keep. The original documents will remain at Ablon Skin Institute and Research Center in the subject's file.
- Investigator and/or Study Coordinator will review with subject and complete the checklist for demographics, medical history and previous/concomitant medications.
- Investigator and/or Study Coordinator will review with subject and complete the checklist for all inclusion and exclusion criteria.
- Subjects will receive a brief physical exam, including examination of the scalp, to rule out any immediately observable medical issues and scalp disorders that are unacceptable for qualification in accordance with the study exclusion criteria. The physical will additionally include vital signs (blood pressure, heart rate, respiration rate, and temperature), weight and height. Subjects hair thinning will be rated by the Investigator using either the Norwood Scale for men or the Savin Pictorial Scale for women.
- Subjects who are female of childbearing potential will have a urine pregnancy test performed.
- Subjects who have completed all the initial paperwork and meet the inclusion/exclusion qualifications (including findings of the physical exam) will be assigned a unique subject number. Subjects will be randomized to a treatment group.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have two (2) target sites selected and measured by the Investigator.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will complete the Hair Thinning Quality of Life Questionnaire.
- Subjects will be dispensed a three (3) month supply of the Active or Placebo and given written and verbal Usage and Lifestyle instructions.
- Subjects will be given their next appointment date and time, and instructed to bring back all Study IP, including empty bottles.
Phone Call: Day 56 ± 2 days
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The subjects will be asked about the amount of unused Study IP that they have in their current bottles to determine subject compliance with the protocol and usage instructions. Subjects found to be consistently out of compliance will be reminded of the correct usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- Subjects will be asked a series of hair self-assessment questions and hair thinning quality of life questions. The answers to the questionnaires will be recorded in the subject file by the Study Coordinator.
- Subjects will be reminded of their next appointment date and time, and instructed to bring back all Study IP, including empty bottles to their next appointment.
Visit 2: Day 90 (± 7 days)
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The unused Study IP will be collected and counted to determine subject compliance with the protocol and usage instructions. Subjects found to be consistently out of compliance will be reminded of the correct usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- The subject will have their weight, blood pressure, heart rate, respiratory rate and temperature monitored and recorded in the source.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will have their hair assessed by the Investigator for Hair Growth and Hair Quality.
- Subjects will complete the Hair Self-Assessment Questionnaire and the Hair Thinning Quality of Life Questionnaire.
- Subjects will be dispensed a three (3) month supply of the Active or Placebo and given written and verbal Usage and Lifestyle instructions.
- Subjects will be given their next appointment date and time, and instructed to bring back all Study IP, including empty bottles.
Visit 3: Day 180 (± 7 days)
- The Study Coordinator will ask subjects if they have experienced any changes in their health or taken new/adjusted current medications since the last visit. If an AE or SAE is reported, the examining Investigator will be informed and the appropriate forms will be completed.
- The unused Study IP will be collected and counted to determine subject compliance with the protocol and usage instructions. Non-compliance will be noted in the Subject IP Compliance Log.
- The subject will have their weight, blood pressure, heart rate, respiratory rate and temperature monitored and recorded in the source.
- Subjects will have Canfield Intellistudio 2-D digital photography of their entire head/hair region to assess overall general hair growth and fullness.
- Subjects will have Canfield HairMetrix trichoscopy imaging of the two (2) target site areas taken for hair analysis.
- Subjects will have a Hair Shedding Pull test in four regions of the hair by the Investigator.
- Subjects will have their hair assessed by the Investigator for Hair Growth and Hair Quality.
- Subjects will complete the Hair Self-Assessment Questionnaire, Hair Thinning Quality of Life Questionnaire and the Hair Product Subject Satisfaction Questionnaire.
- Subjects will be compensated for their participation in the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| USPlus DERM softgels | Active comparator | Dietary Supplement: USPlus DERM Bioactive Fatty Acids 160 mg SoftgelsUSPlus® DERM Bioactive Fatty Acids 160 mg Softgels |
| Placebo softgels | Placebo comparator | Other: Placebo softgelPlacebo Softgels |
Who may qualify
- Ages
- 25 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (17 listed)
- Healthy males and females of all Fitzpatrick Skin Types between 25 and 65 years of age.
- Subjects must be willing to provide verbal understanding and sign an Informed Consent Form, HIPAA Form and Photography Release Form approved by the Institutional Review Board.
- Subjects must be in general good health, as determined by the Investigator.
- Subjects with self-perceived hair thinning as determined on initial study assessment by the Investigator (excluding patients with medically diagnosed telogen effluvium).
- Subjects willing to undergo a brief physical exam to include height, weight, blood pressure, pulse, physical scalp exam and basic systems evaluation (Skin, Respiratory, Cardiovascular, Gastrointestinal, Endocrine, Neurological and Musculoskeletal systems) by the Investigator.
Key exclusion criteria (19 listed)
- Subjects who are pregnant, nursing mothers, planning a pregnancy during the course of the study, or become pregnant during the study.
- Male subjects with male pattern hair loss with frontal and/or vertex patterns IIIA, IVA, V, VA, VI, VII ratings using the Norwood Classification Scale as determined during the physical scalp exam by the Investigator.
- Female subjects with I-4, II-1,II-2, III Advanced and Frontal ratings using the Savin Pictorial Scale as determined during the physical scalp exam by the Investigator.
- Subjects who have had a hair transplant.
- Subjects with hair extensions or who are planning on getting hair extensions during the duration of the study.
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 |
|---|---|---|
| USPlus DERM Bioactive Fatty Acids 160 mg SoftgelsUSPlus® DERM Bioactive Fatty Acids (160 mg) Ingredient List (Per Softgel) Active: 100% Concentrated Lipidosterolic Extract of Saw Palmetto (Serenoa repens). Shell: Bovine Gelatin, Glycerin, Water | Dietary supplement | USPlus DERM softgels |
| Placebo softgelPlacebo Ingredient List: Palm oil Gelatin Glycerin Water Caramel color | Other | Placebo softgels |
Primary outcome
Change in terminal hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Time frame: Baseline to Day 180
Change in terminal hair counts from Baseline to Day 180 using the Canfield HairMetrix system. A statistically significant increase in count at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
Change in vellus hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Time frame: Baseline to Day 180
Change in vellus hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Change in total hair counts from Baseline to Day 180 using the Canfield HairMetrix system.
Time frame: Baseline to Day 180
Change in total hair counts from Baseline to Day 180 using the Canfield HairMetrix system. A statistically significant increase in count at Day 180 in comparison to Baseline for subjects who were assigned to the Active compared to subjects who were assigned to the placebo indicates an improvement for the indicated parameter.
11 secondary outcomes
Change in terminal to vellus ratio using the Canfield HairMetrix system from Baseline to Day 180.
Time frame: Baseline to Day 180
Change in average hairs per follicular unit using the Canfield HairMetrix system from Baseline to Day 180.
Time frame: Baseline to Day 180
Change in average hair width (μm) using the Canfield HairMetrix system from Baseline to Day 180.
Time frame: Baseline to Day 180
Change in follicular units per cm² using the Canfield HairMetrix system from Baseline to Day 180.
Time frame: Baseline to Day 180
Change in inter-follicular mean distance (mm) using the Canfield HairMetrix system from Baseline to Day 180.
Time frame: Baseline to Day 180
Investigator Hair Quality Global Improvement Scale
Time frame: Baseline to Day 180
Investigator Hair Growth Global Improvement Scale
Time frame: Baseline to Day 180
Change in Hair Shedding Pull Test scores
Time frame: Baseline to Day 180
Improvement in Hair Self-Assessment Questionnaire
Time frame: Baseline to Day 180
Improvement in Hair Thinning Quality of Life Questionnaire
Time frame: Baseline to Day 180
Favorable Analysis of the Hair Product Subject Satisfaction Questionnaire
Time frame: Baseline to Day 180
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Apr 2025.
- Derived from this study: PubMed 41319217Ablon G. The Safety and Efficacy of a Proprietary Bioactive Fatty Acids Extract From Saw Palmetto (Serenoa repens) for Promoting Hair Growth and Reducing Hair Loss in Adults With Self-Perceived Thinning Hair: 90-Day Results. J Cosmet Dermatol. 2025 Dec;24(12):e70585. doi: 10.1111/jocd.70585.
- Individual participant dataSharing planned: No
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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.
Glynis Ablon, MD, FAAD, PI principal investigator
Ablon Skin Institute Research Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing USPlus DERM Bioactive Fatty Acids 160 mg Softgels in people with Thinning Hair, run by Ablon Skin Institute Research Center at 1 site in United States.
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 17 inclusion and 19 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: under way, not looking for participants, as of the sponsor's last update on 10 Apr 2025. 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 United States. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Change in terminal hair counts from Baseline to Day 180 using the Canfield HairMetrix system. (time frame: Baseline to Day 180). The study lists 3 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 NCT06920758, which also lists 1 linked publication.
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 10 Apr 2025; AzTrials last refreshed its copy on 27 Oct 2026.