This study will assess the safety, tolerability, and efficacy of SM04554 at concentrations of 0.15% and 0.25%. Improved knowledge of the changes in hair counts and immunohistochemical analysis associated with androgenetic alopecia (AGA) before and after treatment with SM04554 and compared to placebo may lead to a greater understanding of the underlying mechanisms of action of SM04554.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
49
Research Site
Clinton Township, Michigan, United States
Research Site
Cleveland, Ohio, United States
Research Site
College Station, Texas, United States
Research Site
Houston, Texas, United States
Research Site
Change in number of terminal hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of terminal hair follicles over the treatment period.
Time frame: Baseline and Day 91
Change in number of anagen hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of anagen hair follicles over the treatment period.
Time frame: Baseline and Day 91
Change in number of telogen hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of telogen hair follicles over the treatment period.
Time frame: Baseline and Day 91
Change in number of catagen hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of catagen hair follicles over the treatment period.
Time frame: Baseline and Day 91
Change in number of vellus (vellus-like) miniaturized hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of vellus (vellus-like) miniaturized hair follicles over the treatment period.
Time frame: Baseline and Day 91
Change in number of indeterminate hair follicles
Scalp biopsies obtained prior to initiating therapy and after 90 days of therapy will be compared to determine the change in number of indeterminate hair follicles over the treatment period.
Time frame: Baseline and Day 91
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Lynchburg, Virginia, United States
Change in number of terminal hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of terminal hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in number of anagen hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of anagen hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in number of telogen hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of telogen hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in number of catagen hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of catagen hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in number of vellus (vellus-like) miniaturized hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of vellus (vellus-like) miniaturized hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in number of indeterminate hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in the number of indeterminate hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in density of hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in density of hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Ratio of terminal to miniaturized hair follicles (indeterminate hair and vellus hair follicles)
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be used to determine the ratio of terminal to miniaturized hair follicles during the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in nuclear expression of beta-catenin
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in nuclear expression of beta-catenin over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135
Change in Ki-67 index in epidermis and hair follicles
Scalp biopsies obtained prior to initiating therapy, after 90 days of therapy, and after an additional 45 days off therapy will be compared to determine the change in Ki-67 index in epidermis and hair follicles over the treatment and off-treatment periods.
Time frame: Baseline, Day 91 and Day 135