Table 1.
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