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. 2020 Jan 19;26(4):542–557. doi: 10.1111/srt.12827

Table 4.

Entire values of hair parameters in the combined oral finasteride and topical minoxidil 5% (same group as in Table 2; n = 7; MPHL) recorded at baseline (no‐treatment baseline; m0) and after 3 mo of combined drug treatment (MPHL on‐topical; change m3 vs m0) followed by healthy male controls (Normal males; n = 33) and finally by MPHL values expressed relative to the values recorded in healthy males (MPHL as % of Normals; Nl = 100%) at m0, baseline and at m3 on combined drugs (Fin + MTS)

Units Parameter

MPHL (n = 7)

Group topical

MPHL MPHL on‐topical Controls MPHL as % of normals
No‐treatment Change m3 vs m0 Normal males (n = 33) At m0 At m3
Baseline (m0)   P       Baseline Fin + MTS
Mean SD     ABS Mean SD    
n/cm2 Nano‐hair <20 µm MTS‐5% 35 26 8   26 4 4 944 716
n/cm2 Anagen ≥20 µm MTS‐5% 129 65 81 *** 210 227 47 57 93
  Telogen ≥20 µm MTS‐5% 105 36 −33 * 71 37 23 281 192
n/cm2 Anagen ≥30 µm MTS‐5% 109 62 69 ** 177 221 47 49 80
  Telogen ≥30 µm MTS‐5% 67 40 −14   53 32 23 207 163
n/cm2 Anagen ≥40 µm MTS‐5% 82 57 58 ** 140 206 40 40 68
  Telogen ≥40 µm MTS‐5% 35 20 −5 * 30 25 21 137 118
n/cm2 Anagen ≥50 µm MTS‐5% 68 51 44 ** 112 189 33 36 59
  Telogen ≥50 µm MTS‐5% 21 11 −5 * 16 22 20 95 73
n/cm2 Exogen MTS‐5% 10 5 0   10 1 1 792 769
LHGR Hair diameter (D; µm)                  
µm/24 h 30 µm ≤ D <60 µm MTS‐5% 256 53 19   275 319 32 80 86
µm/24 h D ≥ 60 µm MTS‐5% 369 39 −65   305 380 34 97 80

At baseline, the anagen hair densities (bold) ranged from 57% to 36% of controls, while telogen densities ranged from 281% to 95% depending on the diameter categories (from ≥20 µm till ≥50 µm). Nano‐hair and exogen hair counts exceeded 7‐fold control values (respectively, 944% and 792%). When values recorded after 3 mo of combined drug treatment are displayed (last column) in regard to baseline performance of MPHL subjects, the therapeutic result (improvement) may seem encouraging (almost doubling of anagen for diameters including 20‐ and 30‐µm hair). However, taking into account only the terminal hair (diameter ≥50 µm), the persistent slow growth rates and the rather moderate changes of anagen/telogen, point to short duration of anagen which is disappointing from the clinical perspective. The trend for slowing down of LHGR in intermediate‐terminal hair (dropping from 97% of controls at baseline to 80% at m3) points towards reactivation of functionally deficient hair follicles. Therefore, new approaches are being developed aiming at an objective parameter that might have more consistent clinical relevance (see Figure 7 based on the methodology detailed in Figures 5 and 6).