A Comparative Study of Topical Procapil With Platelet-Rich Plasma Therapy Versus Topical Redensyl, Saw Palmetto, and Biotin With Platelet-Rich Plasma Therapy in the Treatment of Androgenetic Alopecia.
Study Design
- Тип исследования
- RCT
- Размер выборки
- 54
- Длительность
- 12 weeks
- Вмешательство
- A Comparative Study of Topical Procapil With Platelet-Rich Plasma Therapy Versus Topical Redensyl, Saw Palmetto, and Biotin With Platelet-Rich Plasma Therapy in the Treatment of Androgenetic Alopecia. Group A: Procapil + PRP (3-week intervals, 4 sessions); Group B: Redensyl + Saw Palmetto + Biotin +
- Препарат сравнения
- Placebo
- Направление эффекта
- Positive
- Риск систематической ошибки
- Moderate
Abstract
Background and aim Androgenetic alopecia (AGA) is a well-known hair loss disorder in both men and women affecting approximately 80% and 50% of the population, respectively. Various treatment options for AGA are available with varying efficacy. Combination therapy is a new dictum to combat AGA. Hence, this study aimed to compare the efficacy of commonly used topical therapies such as Procapil with platelet-rich plasma (PRP) and redensyl, saw palmetto (SP), and biotin (RSB) with PRP. Materials and methods This was a randomized controlled trial conducted on 54 male patients with AGA attending the outpatient department in a tertiary care hospital. Participants were randomly assigned into two equal groups (A and B). Group A participants were treated with Procapil with PRP, and group B participants were treated with redensyl, saw palmetto, and biotin with PRP at three weeks intervals for a total period of four sessions. Clinical improvement was assessed by serial hair photography by a third blinded observer and was recorded. Results A total of 54 individuals were included and were distributed into 27 each in group A and group B. AGA grading score was found significant between the groups with P < 0.05. Conclusion PRP with adjuvants redensyl, saw palmetto, and biotin can be a better alternative to the current therapies of PRP.
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Figures
Tables
Table 1
| Age group (years) | Number of patients (%) | Total (N = 54) (%) | |
| Group A (n = 27) | Group B (n = 27) | ||
| 21-30 years | 17 (63%) | 12 (44.4%) | 29 (53.7%) |
| 31-40 years | 6 (22.2%) | 13 (48.1%) | 19 (35.2%) |
| 41-50 years | 4 (14.8%) | 2 (7.4%) | 6 (11.1%) |
Table 2
| Norwood-Hamilton grade at baseline | Group A (n = 27) (%) | Group B (n = 27) (%) | Total (N = 54) (%) |
| Grade I | 1 (3.7%) | 0 (0%) | 1 (1.8%) |
| Grade II | 12 (44.4%) | 6 (22.2%) | 18 (33.3%) |
| Grade III | 8 (29.6%) | 16 (59.3%) | 24 (44.4%) |
| Grade IV | 6 (22.2%) | 5 (18.5%) | 11 (20.4%) |
Table 3
| BL | 1 | 2 | 3 | 4 | FU1 | FU2 | Mean AGA improvement (%) | |
| Group A | 2.9 | 2.7 | 2.44 | 2.7 | 2.44 | 2.37 | 2.51 | 11.9% |
| Group B | 2.74 | 2.81 | 2.85 | 2.96 | 2.33 | 2.77 | 2.14 | 21.9% |
| P-value | <0.00001 | |||||||
Table 4
| 1 | 2 | 3 | 4 | FU1 | FU2 | |
| Group A | 0 | 0.44 | 0.81 | 1.22 | 1.44 | 1.48 |
| Group B | 0 | 0.51 | 1 | 1.42 | 1.73 | 2.03 |
| P-value | <0.00001 | <0.00001 | <0.00001 | <0.00001 | <0.00001 | |
Table 5
| No side effects | Pruritus | Seborrheic dermatitis | Allergic contact dermatitis | |
| Group A | 16 | 5 | 2 | 4 |
| Group B | 18 | 3 | 3 | 3 |
| Total | 34 (63%) | 8 (14.8%) | 5 (9.2%) | 7 (13%) |
References
- Trichoscopic findings in androgenetic alopecia Med Arch, 2021
- Androgenetic alopecia: an update Indian J Dermatol Venereol Leprol, 2013
- A comparative study between topical 5% minoxidil and topical “Redensyl, Capixyl, and Procapil” combination in men with androgenetic alopecia J Cosmo Trichol, 2019
- Treatment options for androgenetic alopecia: efficacy, side effects, compliance, financial considerations, and ethics J Cosmet Dermatol, 2021
- Antioxidative effects of green tea polyphenols on free radical initiated and photosensitized peroxidation of human low density lipoprotein Chem Phys Lipids, 2000
- Serum biotin levels in women complaining of hair loss Int J Trichology, 2016
- [Regulation of cell activity by the extracellular matrix: the concept of matrikines] (Article in French) J Soc Biol, 1999
- Natural hair supplement: friend or foe? Saw palmetto, a systematic review in alopecia Skin Appendage Disord, 2020
- Randomization.com
- Systematic review of platelet-rich plasma use in androgenetic alopecia compared with Minoxidil(®), Finasteride(®), and adult stem cell-based therapy Int J Mol Sci, 2020
- A review of the use of biotin for hair loss Skin Appendage Disord, 2017
- Efficacy of platelet-rich plasma in androgenetic alopecia patients J Cosmet Dermatol, 2019
- A comparative study of efficacy of 5% minoxidil and 5% minoxidil plus platelet-rich plasma in same patient for treatment of androgenetic alopecia J Cutan Aesthet Surg, 2022
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