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一项关于局部活性混合物治疗雄激素性脱发的随机、单盲、赋形剂对照研究。

A randomized, single-blinded, vehicle-controlled study of a topical active blend in the treatment of androgenetic alopecia.

作者信息

Katoulis Alexander C, Liakou Aikaterini I, Koumaki Dimitra, Vakirlis Efstratios, Tsantes Andreas G, Mortaki Despina, Bozi Evangelia, Ioannides Demetrios

机构信息

Department of Dermatology and Venereology, National and Kapodistrian University of Athens Medical School, "Attikon" General University Hospital, Athens, Greece.

Department of Dermatology and Venereology, Aristotle University of Thessaloniki, Skin and Venereal Diseases Hospital, Thessaloniki, Greece.

出版信息

Dermatol Ther. 2020 Jul;33(4):e13734. doi: 10.1111/dth.13734. Epub 2020 Jul 13.

Abstract

Αndrogenetic alopecia (AGA) is the most common hair disorder, affecting approximately 50% of men and women. A topical lotion that contains two patented formulas (Redensyl and Sepicontrol A5), has been introduced as an alternative approach to standard therapies for AGA. Forty-four patients with AGA were randomized either to apply the active lotion or the vehicle, twice daily for 24 weeks. Subjects were evaluated at 0, 12, and 24 weeks by clinical examination, photographic documentation, quality of life evaluation (DLQI), and trichogram (anagen-to-telogen ratio). Forty-one patients, 18 males and 23 females, completed the study. Among patients receiving active treatment (n = 26), 7.7% had great improvement, 73.1% had moderate improvement, and 19.2% remained stable. The median self-assessment score increased from 4 at baseline to 6 at 24 weeks (P < .001), while the DLQI improved from 4 to 3, respectively (P < .001). The median anagen-to-telogen ratio increased from 2.25 to 4.00 to 6.02 at weeks 0, 12, and 24, respectively. No significant adverse events were reported. This new topical active blend is effective in the treatment of AGA, with high degree of patients' satisfaction, improvement of quality of life, and an excellent safety profile. Thus, it may represent a useful alternative therapeutic approach for AGA.

摘要

雄激素性脱发(AGA)是最常见的毛发疾病,影响约50%的男性和女性。一种含有两种专利配方(Redensyl和Sepicontrol A5)的外用洗剂已被引入,作为AGA标准疗法的替代方法。44例AGA患者被随机分为两组,分别每日两次涂抹活性洗剂或赋形剂,持续24周。在第0、12和24周通过临床检查、照片记录、生活质量评估(DLQI)和毛发检查(生长期与休止期比例)对受试者进行评估。41例患者(18例男性和23例女性)完成了研究。在接受活性治疗的患者(n = 26)中,7.7%有显著改善,73.1%有中度改善,19.2%保持稳定。自我评估得分中位数从基线时的4分增加到24周时的6分(P < .001),而DLQI分别从4分改善到3分(P < .001)。生长期与休止期比例中位数在第0、12和24周分别从2.25增加到4.00再到6.02。未报告显著不良事件。这种新的外用活性混合物对AGA治疗有效,患者满意度高,生活质量得到改善,且安全性良好。因此,它可能是AGA一种有用的替代治疗方法。

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