Minoxidil topique 2 % face à Cétirizine topique 1 %
1 essai les comparent directement, sur les mêmes patients. Voir Minoxidil topique 2 % · Voir Cétirizine topique 1 %
Minoxidil topique 2 % et cétirizine topique 1 % font jeu égal chez 60 femmes atteintes d'alopécie de type féminin, dans un seul essai de fiabilité limitée (Alavi 2023). En 13 semaines, le stade de l'alopécie passe de 2,92 à 2,33 sous minoxidil et de 2,73 à 2,59 sous cétirizine, et l'intensité de la chute ressentie de 4,27 à 3,2 contre 4,18 à 3,71 ; ces écarts peuvent être dus au hasard (221 et). Les arrêts de traitement sont proches à 26 semaines : 2 sur 30 contre 3 sur 30.
Alavi 2023
Essai randomisé, risque de biais élevé. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.
| Critère | Minoxidil topique 2 % | Cétirizine topique 1 % | Écart |
|---|---|---|---|
| Grade de Sinclair (sévérité) | 2,92 → 2,33 gradeVoir la citationIn the minoxidil group, the average of Sinclair and shedding indices were 2.92 ± 0.81 and 4.27 ± 1.24 at the baseline, which was significantly decreased to 2.33 ± 0.90 and 3.20 ± 1.25 after 3 months (p-value of 0.076 and 0.026, respectively). In the cetirizine group, significant improvement was observed in the shedding scale. At the baseline, the average of Sinclair and shedding indices were 2.73 ± 0.75 and 4.18 ± 0.92, respectively, which decreased to 2.59 ± 0.90 and 3.71 ± 0.96 after 3 months (p-value of 0.185 and 0.032, respectively). According to ITT analysis, the two groups were not sig- nificantly different after 3 months of therapy, based on Sinclair and shedding scales (p value of 0.221 and 0.161, respectively). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 2,73 → 2,59 gradeVoir la citationIn the minoxidil group, the average of Sinclair and shedding indices were 2.92 ± 0.81 and 4.27 ± 1.24 at the baseline, which was significantly decreased to 2.33 ± 0.90 and 3.20 ± 1.25 after 3 months (p-value of 0.076 and 0.026, respectively). In the cetirizine group, significant improvement was observed in the shedding scale. At the baseline, the average of Sinclair and shedding indices were 2.73 ± 0.75 and 4.18 ± 0.92, respectively, which decreased to 2.59 ± 0.90 and 3.71 ± 0.96 after 3 months (p-value of 0.185 and 0.032, respectively). According to ITT analysis, the two groups were not sig- nificantly different after 3 months of therapy, based on Sinclair and shedding scales (p value of 0.221 and 0.161, respectively). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Peut être dû au hasard |
| Score de chute de Sinclair | 4,27 → 3,2 gradeVoir la citationIn the minoxidil group, the average of Sinclair and shedding indices were 2.92 ± 0.81 and 4.27 ± 1.24 at the baseline, which was significantly decreased to 2.33 ± 0.90 and 3.20 ± 1.25 after 3 months (p-value of 0.076 and 0.026, respectively). In the cetirizine group, significant improvement was observed in the shedding scale. At the baseline, the average of Sinclair and shedding indices were 2.73 ± 0.75 and 4.18 ± 0.92, respectively, which decreased to 2.59 ± 0.90 and 3.71 ± 0.96 after 3 months (p-value of 0.185 and 0.032, respectively). According to ITT analysis, the two groups were not sig- nificantly different after 3 months of therapy, based on Sinclair and shedding scales (p value of 0.221 and 0.161, respectively). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 4,18 → 3,71 gradeVoir la citationIn the minoxidil group, the average of Sinclair and shedding indices were 2.92 ± 0.81 and 4.27 ± 1.24 at the baseline, which was significantly decreased to 2.33 ± 0.90 and 3.20 ± 1.25 after 3 months (p-value of 0.076 and 0.026, respectively). In the cetirizine group, significant improvement was observed in the shedding scale. At the baseline, the average of Sinclair and shedding indices were 2.73 ± 0.75 and 4.18 ± 0.92, respectively, which decreased to 2.59 ± 0.90 and 3.71 ± 0.96 after 3 months (p-value of 0.185 and 0.032, respectively). According to ITT analysis, the two groups were not sig- nificantly different after 3 months of therapy, based on Sinclair and shedding scales (p value of 0.221 and 0.161, respectively). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Peut être dû au hasard |
| Arrêt pour effet indésirable | 6,66 % (2 sur 30)Voir la citationDuring the 6-month treatment period, two patients in the minoxidil group (6.66%) were excluded due to hypertricho- sis. In the cetirizine group, three patients (10.00%) were excluded due to pruritus. One patient in cetirizine group and four patients in the minoxidil group noticed mild itch- ing but fulfilled the study protocol. Withdrawal of consent took place mainly due to the COVID-19 pandemic limita- tions. Although cetirizine’s side effects were higher than minoxidil’s, there was no statistically significant difference between the two groups (p = 0.444). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 10 % (3 sur 30)Voir la citationDuring the 6-month treatment period, two patients in the minoxidil group (6.66%) were excluded due to hypertricho- sis. In the cetirizine group, three patients (10.00%) were excluded due to pruritus. One patient in cetirizine group and four patients in the minoxidil group noticed mild itch- ing but fulfilled the study protocol. Withdrawal of consent took place mainly due to the COVID-19 pandemic limita- tions. Although cetirizine’s side effects were higher than minoxidil’s, there was no statistically significant difference between the two groups (p = 0.444). Alavi SMK, Layegh P, Vahabi-Amlashi S et al.. Therapeutic effects of topical cetirizine in the treatment of female pattern hair loss: a randomized controlled noninferiority trial.. Expert Rev Clin Pharmacol 2023, DOI 10.1080/17512433.2023.2243813. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Peut être dû au hasard |