Fluridil, a Rationally Designed Topical Agent for Androgenetic Alopecia: First Clinical Experience

Authors: Sovak, Milos1; Seligson, Allen L.2; Kucerova, Renata3; Bienova, Marie3; Hajduch, Marian4; Bucek, Milan3

Source: Dermatologic Surgery, Volume 28, Number 8, August 2002 , pp. 678-685(8)

Publisher: Blackwell Publishing

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Abstract:

background.

Fluridil, a novel topical antiandrogen, suppresses the human androgen receptor. While highly hydrophobic and hydrolytically degradable, it is systemically nonresorbable. In animals, fluridil demonstrated high local and general tolerance. objective.

To evaluate the safety and efficacy of a topical anti- androgen, fluridil, in male androgenetic alopecia. methods.

In 20 men, for 21 days, occlusive forearm patches with 2, 4, and 6% fluridil, isopropanol, and/or vaseline were applied. In 43 men with androgenetic alopecia (AGA), Norwood grade II-Va, 2% fluridil was evaluated in a double-blind, placebo-controlled study after 3 months clinically by phototrichograms, hematology, and blood chemistry including analysis for fluridil, and at 9 months by phototrichograms. results.

Neither fluridil nor isopropanol showed sensitization/irritation potential, unlike vaseline. In all AGA subjects, baseline anagen/telogen counts were equal. After 3 months, the average anagen percentage did not change in placebo subjects, but increased in fluridil subjects from 76% to 85%, and at 9 months to 87%. In former placebo subjects, fluridil increased the anagen percentage after 6 months from 76% to 85%. Sexual functions, libido, hematology, and blood chemistry values were normal throughout, except that at 3 months, in the spring, serum testosterone increased within the normal range equally in placebo and fluridil groups. No fluridil or its decomposition product, BP-34, was detectable in the serum at 0, 3, or 90 days. conclusion.

Topical fluridil is nonirritating, nonsensitizing, nonresorbable, devoid of systemic activity, and anagen promoting after daily use in most AGA males.

Document Type: Research article

DOI: 10.1046/j.1524-4725.2002.02017.x

Affiliations: 1: Radiology Research, University of California, San Diego, and 2: Biophysica Foundation, La Jolla, California, 3: Department of Dermatology and 4: Laboratory for Experimental Medicine, Pediatrics Department, Palacky University of Olomouc, Czech Republic

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