Minoxidil topique 3 % face à Finastéride topique 0,25 % + minoxidil 3 %
2 essais les comparent directement, sur les mêmes patients. Voir Minoxidil topique 3 % · Voir Finastéride topique 0,25 % + minoxidil 3 %
Deux petits essais bien conduits, l'un chez 40 hommes, l'autre chez 30 femmes ménopausées, ont comparé le minoxidil topique 3 % seul à son association avec le finastéride topique 0,25 %. Chez l'homme, l'association fait nettement mieux en 24 semaines : +61,84 cheveux gagnés par cm² contre +34,88 et 63,1 % d'améliorés sur photos contre 22,2 % (Suchonwanit 2018). Dans les deux sexes, elle épaissit davantage le cheveu, avec des preuves modérées (+11,9 contre +7 µm chez la femme, Suchonwanit 2019), mais chez la femme l'amélioration jugée sur photos ne diffère pas significativement. Les démangeaisons restent aussi rares d'un côté que de l'autre.
Suchonwanit 2019
Essai randomisé, risque de biais faible. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study
| Critère | Minoxidil topique 3 % | Finastéride topique 0,25 % + minoxidil 3 % | Écart |
|---|---|---|---|
| Gain de diamètre depuis le départ | +7 µmVoir la citationbut was significantly superior with FMX compared with MX at 24 weeks after treatment. The mean increase at 24 weeks was 11.9 μm for FMX and 7 μm for MX (p = 0.02, according to ANOVA; Fig. 2). Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | +11,9 µmVoir la citationbut was significantly superior with FMX compared with MX at 24 weeks after treatment. The mean increase at 24 weeks was 11.9 μm for FMX and 7 μm for MX (p = 0.02, according to ANOVA; Fig. 2). Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Probablement réel |
| Patients améliorés (panel photo en aveugle) | 85,7 % (12 sur 14)Voir la citationAfter 24 weeks of treatment, 14 (93.3%) of 15 FMX-treated participants and 12 (85.7%) of 14 MX-treated participants were rated as improved by three dermatologists using the Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 93,3 % (14 sur 15)Voir la citationAfter 24 weeks of treatment, 14 (93.3%) of 15 FMX-treated participants and 12 (85.7%) of 14 MX-treated participants were rated as improved by three dermatologists using the Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
| Patients se jugeant nettement améliorés | 92,9 % (13 sur 14)Voir la citationinvestigators. In total, 14 (93.3%) of 15 participants in the FMX group and 13 (92.9%) of 14 in the MX group reported improvement in their condition via self-evaluation on a Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 93,3 % (14 sur 15)Voir la citationinvestigators. In total, 14 (93.3%) of 15 participants in the FMX group and 13 (92.9%) of 14 in the MX group reported improvement in their condition via self-evaluation on a Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
| Prurit | 2 sur 14Voir la citationMinimal local side effects were reported, but this did not differ significantly between the groups. Two patients from each group reported pruritus, and one patient in the MX Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 2 sur 15Voir la citationMinimal local side effects were reported, but this did not differ significantly between the groups. Two patients from each group reported pruritus, and one patient in the MX Suchonwanit P, Iamsumang W, Rojhirunsakool S. Efficacy of topical combination of 0.25% finasteride and 3% minoxidil versus 3% minoxidil solution in female pattern hair loss: a randomized, double-blind, controlled study. American Journal of Clinical Dermatology 2019, DOI 10.1007/s40257-018-0387-0. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
Suchonwanit 2018
Essai randomisé, risque de biais faible. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia
| Critère | Minoxidil topique 3 % | Finastéride topique 0,25 % + minoxidil 3 % | Écart |
|---|---|---|---|
| Gain de densité depuis le départ vertex | +34,88 cheveux par cm²Voir la citationThe mean change from baseline in total hair density at week 24 was 61.84 ± 15.65 hairs/cm2 in the FMX group and 34.88 ± 10.24 hairs/cm2 in the MX group, with an amount of superiority at about 27 hairs/cm2. Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Citation complémentaire (significativite) Changes from baseline to week 24 in hair density and hair diameter between FMX and MX group showed a significant difference (P = 0.003 and 0.04, respectively). Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | +61,84 cheveux par cm²Voir la citationThe mean change from baseline in total hair density at week 24 was 61.84 ± 15.65 hairs/cm2 in the FMX group and 34.88 ± 10.24 hairs/cm2 in the MX group, with an amount of superiority at about 27 hairs/cm2. Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Citation complémentaire (significativite) Changes from baseline to week 24 in hair density and hair diameter between FMX and MX group showed a significant difference (P = 0.003 and 0.04, respectively). Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Probablement réel |
| Gain de diamètre depuis le départ vertex | +13 µmVoir la citationThe mean change from baseline in hair diameter at week 24 was 17 ± 5.24 μm in the FMX group and 13 ± 4.15 μm in the MX group, with an amount of superiority at 4 μm. Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Citation complémentaire (significativite) Changes from baseline to week 24 in hair density and hair diameter between FMX and MX group showed a significant difference (P = 0.003 and 0.04, respectively). Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | +17 µmVoir la citationThe mean change from baseline in hair diameter at week 24 was 17 ± 5.24 μm in the FMX group and 13 ± 4.15 μm in the MX group, with an amount of superiority at 4 μm. Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Citation complémentaire (significativite) Changes from baseline to week 24 in hair density and hair diameter between FMX and MX group showed a significant difference (P = 0.003 and 0.04, respectively). Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Probablement réel |
| Patients améliorés (panel photo en aveugle) vertex | 22,2 %Voir la citationGlobal photographic assessment by investigators: There was substantial agreement on individual scores rated by a panel of 3 dermatologists (Fleiss’ Kappa = 0.62). FMX showed significant superiority over MX in promoting hair growth at week 24 (P = 0.026) (Fig. 2(a)). About two-thirds of FMX-treated subjects, accounting for 63.1%, were rated as showing marked improvement, compared to 22.2% of MX-treated subjects. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 63,1 %Voir la citationGlobal photographic assessment by investigators: There was substantial agreement on individual scores rated by a panel of 3 dermatologists (Fleiss’ Kappa = 0.62). FMX showed significant superiority over MX in promoting hair growth at week 24 (P = 0.026) (Fig. 2(a)). About two-thirds of FMX-treated subjects, accounting for 63.1%, were rated as showing marked improvement, compared to 22.2% of MX-treated subjects. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Probablement réel |
| Patients se jugeant nettement améliorés vertex | 16,7 %Voir la citationGlobal photographic assessment by patients: FMX also showed significant superiority over MX in promoting hair growth at week 24 (P = 0.032) (Fig. 2(b)). Similarly, 52.6% of FMX-treated subjects were rated as showing marked improvement, compared to 16.7% of MX-treated subjects. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 52,6 %Voir la citationGlobal photographic assessment by patients: FMX also showed significant superiority over MX in promoting hair growth at week 24 (P = 0.032) (Fig. 2(b)). Similarly, 52.6% of FMX-treated subjects were rated as showing marked improvement, compared to 16.7% of MX-treated subjects. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Probablement réel |
| Incidence d'un effet indésirable sexuel | 0 % (0 sur 18)Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 0 % (0 sur 19)Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
| Incidence d'une sécheresse ou desquamation du cuir chevelu | 2 sur 18Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 3 sur 19Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
| Prurit | 2 sur 18Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | 2 sur 19Voir la citationThere were neither serious adverse events nor sexual problems reported in both groups. One patient in the MX group complained of headache, possibly related to study medication. A dry and flaky scalp was developed in 3 patients and 2 patients in the FMX and MX group, respectively. Two patients in each group also experienced scalp pruritus. All adverse effects were rated mild in severity, and there were no differences between treatment groups. Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Non testé |
| Variation du DHT sérique | −7,4 %Voir la citationThe median percent decrease from baseline in plasma DHT levels at week 24 was 5.7% in the FMX group and 7.4% in the MX group, without a significant difference between groups (P = 0.92) Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | −5,7 %Voir la citationThe median percent decrease from baseline in plasma DHT levels at week 24 was 5.7% in the FMX group and 7.4% in the MX group, without a significant difference between groups (P = 0.92) Citation complémentaire (inclusion) FMXGroup MX Group N = 19 N = 18 39.3 (11.9) 44.4 (12.5) 32.3 (2.7) 35.1 (2.7) 8.1 (5.5) 10 (8) 4 (21.1) 4 (22.2) 8 (42.1) 10 (55.6) 7 (36.8) 4 (22.2) 100.3 (16.2) 105 (18.4) 47 (10) 49 (10) 511 483 63-1,273 257-978 Citation complémentaire (methode) Table 1 Demographics and baseline characteristics Suchonwanit P, Srisuwanwattana P, Chalermroj N et al.. A randomized, double-blind controlled study of the efficacy and safety of topical solution of 0.25% finasteride admixed with 3% minoxidil versus 3% minoxidil solution in the treatment of male androgenetic alopecia. Journal of the European Academy of Dermatology and Venereology 2018, DOI 10.1111/jdv.15171. Citation reproduite au titre du droit de courte citation (article L122-5 du Code de la propriété intellectuelle). | Peut être dû au hasard |