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. 2020 Sep 19;12(4):147–155. doi: 10.4103/ijt.ijt_19_20

Table 1.

Characteristics of selected articles and its summary

First author Country and Sample Study design and trial duration (months) Type of alopecia and assessment tool (diagnosis and follow-up) Intervention (treatment) Control (comparator) Measured outcomes Findings
I. alopecia androgenetic
Beach[26] Canada and 18 Case series; patients’ average duration of prescription was 6 months Androgenetic and traction alopecia; clinical diagnosis and patients’ report OM* 1.25 mg, QD Patients after therapy were compared to baseline condition Patient’s report (hair shedding and scalp hair) and side effects 33% of patients reported decreased hair shedding28% of patients reported increased scalp hair
Jimenez-Cauhe[27] Spain and 41 Quasi-experimental; mean duration of treatment was 53 weeks Androgenetic alopeciaClinical diagnosis and trichoscopy OM of 2.5 mg-5.0 mg Patients after therapy were compared to baseline condition Photographic documentation pre- and posttreatment and side effects 14.6% of patients showed marked improvement24.3% had mild improvement (monotherapy group)
Lueangarun[28] Thailand and 30 Quasi-experimental; duration of treatment was 24 weeks Androgenetic alopecia; clinical diagnosis, Norwood-Hamilton scale, patient’s report OM 5.0 mg, QD Patients after therapy were compared to baseline condition 7-point scale photography documentation, hair count, hair diameter, patient’s self-assessment Photographic assessment revealed 100% improvementIncreased total hair count at the vertex from baseline to 26.0 hairs/cm2 (14.25%) and 35.1 hairs/cm2 (19.23%) (P=0.007) at week 12 and 24, respectively
Ramos[29] Brazil and 50 Randomized controlled study; duration of treatment was 24 weeks Female-pattern hair loss; clinical diagnosis and trichoscopy OM 1. 0 mg, QD Topical minoxidil 5%, one a day Pre- and post-treatment photographic documentation, Sinclair’s hair-shedding score, hair density, WAA-WoL and side effects Slight/great photographic evaluation improvement in 70% of patients using OMIncreased total hair count from baseline (164.6 hairs/cm2) to 184.7 hairs/cm2 at week 24Increased total terminal hair count from baseline (106. hairs/cm2) to 112.6 hairs/cm2 at week 24Improvement in the WAA-WoL
Tanaka[30] Japan and 18.918 Quasi-experimental; duration ranged from 6 to 12 months Androgenetic alopecia; clinical diagnosis and patients’ report Combination therapy (OF** 1.0 mg, QD + OM 2.5 mg + TM§, BID + injectable treatment) Patients after therapy were compared to baseline condition Patients’ report, pre- and posttreatment photographic documentation, and side effects 60% and 80% of patients reported satisfaction with the results of the treatment after 6 and 12 months, respectively;
Sinclair[31] Australia and 100 Case series; treatment duration of 12 months Female-pattern hair loss; clinical diagnosis OM 0.25 mg, QD and spironolactone 25 mg, QD Patients after therapy were compared to baseline condition Sinclair’s hair-shedding score, hair density, blood pressure, side effects Reduction in hair loss severity score was perceived for the treatment period (12 months)
II. Alopecia areata
Fiedler-Weiss[32] USA and 65 Quasi-experimental; mean time for cosmetic response 34.8 weeks Alopecia areata; clinical diagnosis and scalp biopsy OM 5.0mg, BID‡ Patients after therapy were compared to baseline condition Cosmetic response (terminal hair regrowth) and side effects Cosmetic response was seen in 18% of patients
Wambier[33] USA and 12 Quasi-experimental; at least 6 months Alopecia areata; clinical diagnosis, SALT OT|| 5.0 mg-20 mg, BID, and OM 2.5 mg, QD (women) and BID (men) Patients after therapy were compared to baseline condition SALT# and side effects 67% of patients achieved SALT75 (≥75% scalp hair regrowth) and 4 achieved SALT 11-74 (11%-74% scalp hair regrowth)
III. Telogen effluvium
Perera[34] Australia and 36 Quasi-experimental; duration ranged from 6 to 12 months Telogen effluvium; clinical diagnosis, patients’ report and scalp biopsy Compounding OM 0.25 mg-2.5 mg, QD Patients after therapy were compared to baseline condition Sinclair’s hair shedding score and side effects Reduction in hair shedding score from baseline to 6 months of 1.7 (P<0.001) and to 12 months of 2.58 (P<0.001)

*Oral minoxidil, Quaque die (once a day), Bis in die (twice a day), §Topical minoxidil, ||Oral tofacitinib, WAA-WoL: Women’s Androgenetic Alopecia Quality of Life Questionnaire, #SALT: Severity of Alopecia Tool, **Oral finasteride