NCT07529977

Brief Summary

This study is a Phase 3 clinical trial designed to evaluate the efficacy and safety of N1087 compared with placebo in adult men with androgenetic alopecia (male pattern hair loss). The study will include male participants aged 18 to 60 years who have a clinical diagnosis of androgenetic alopecia classified as stages 3V, 4, or 5 on the Norwood-Hamilton scale. Participants will be randomly assigned, in a 2:1 ratio, to receive either N1087 or placebo. Neither the participants nor the study team will know which treatment each participant receives. The study treatment will be taken orally once daily for a total of 24 weeks. During the first 8 weeks, the dose will be gradually increased (titration period) up to a maximum tolerated dose, not exceeding 5 mg. Participants will then continue treatment at the maximum tolerated dose for the remaining 16 weeks. The main purpose of the study is to assess whether oral minoxidil improves hair growth. The primary outcome measure is the change from baseline in the density of non-vellus hairs in a defined target area of the scalp (vertex) after 24 weeks of treatment, measured using digital phototrichogram analysis. Secondary objectives include evaluating changes in hair density at earlier time points, hair thickness, the proportion of terminal hairs, clinical improvement assessed by the investigator, quality of life related to hair loss, and participant satisfaction with treatment. The safety and tolerability of oral minoxidil will also be evaluated by monitoring adverse events, vital signs, and events of special interest throughout the study. An independent Data and Safety Monitoring Committee will oversee participant safety during the trial. This is a multicenter study conducted in Brazil, with approximately 372 participants expected to be enrolled.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
372

participants targeted

Target at P50-P75 for phase_3

Timeline
21mo left

Started Jan 2027

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

April 8, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

April 14, 2026

Completed
10 months until next milestone

Study Start

First participant enrolled

January 31, 2027

Expected
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 30, 2028

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 30, 2028

Last Updated

April 14, 2026

Status Verified

April 1, 2026

Enrollment Period

1.7 years

First QC Date

April 8, 2026

Last Update Submit

April 8, 2026

Conditions

Keywords

Androgenetic alopeciaMale pattern hair lossN1087Hair growthPhototrichogramPhase 3 clinical trial

Outcome Measures

Primary Outcomes (1)

  • Change from baseline in non-vellus hair density in the target area of the scalp (vertex)

    Change from baseline in the density of non-vellus hairs (≥ 0.03 mm in diameter) in the target area of the scalp (vertex) after 24 weeks of treatment, expressed as hairs per square centimeter (hairs/cm²). Hair density is assessed using digital phototrichogram analysis.

    Baseline to Week 24

Study Arms (2)

N1087

EXPERIMENTAL
Drug: Minoxidil oral solution

Placebo

PLACEBO COMPARATOR
Drug: Placebo oral solution

Interventions

Minoxidil 5 mg/mL oral solution administered once daily. Treatment includes a dose titration period starting at 0.75 mg and gradually increasing to 1.25 mg, 2.5 mg, and up to a maximum dose of 5 mg or the maximum tolerated dose. The titration period lasts 8 weeks, followed by maintenance at the maximum tolerated dose through Week 24.

N1087

Placebo oral solution drops administered once daily. The placebo follows the same dose titration schedule and treatment duration as the experimental intervention, for a total treatment duration of 24 weeks.

Placebo

Eligibility Criteria

Age18 Years - 60 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Male participants aged 18 to 60 years at the time of signing the informed consent form.
  • Clinical diagnosis of androgenetic alopecia classified as stages 3V, 4, or 5 according to the Norwood-Hamilton scale, based on the investigator's clinical assessment.
  • No specific treatment for androgenetic alopecia in the last 6 months, or history of specific treatment for androgenetic alopecia for up to 30 days within the last 6 months.
  • Willingness to comply with all study procedures and assessments, including permanent scalp tattooing and shaving of the target area.
  • Willingness to maintain hairstyle, hair length, and hair color throughout the study.
  • Willingness to maintain consistent use of hair products and general hair care routine throughout the study.
  • Global scalp photograph obtained at Screening Visit validated centrally prior to randomization.

You may not qualify if:

  • Presence of other causes of alopecia, such as alopecia areata, scarring alopecia, traction alopecia, nutritional deficiency-related alopecia, monilethrix, trichotillomania, trichodystrophy, or chemotherapy-induced alopecia.
  • History of telogen effluvium within the last 6 months.
  • Presence of other dermatological conditions affecting the scalp, such as seborrheic dermatitis, psoriasis, eczema, or fungal infections.
  • Clinically relevant uncontrolled endocrine disorders that may affect the hair cycle.
  • Uncontrolled thyroid disease.
  • History of autoimmune diseases or collagen vascular diseases.
  • Use of testosterone, its analogues, anabolic steroids, or other systemic androgen therapies within the last 6 months.
  • History of organ transplantation.
  • Physical treatments for hair loss within the last 6 months, such as microneedling, laser therapy, or platelet-rich plasma.
  • History of hair transplantation or use of hairpieces.
  • Severe uncontrolled systemic arterial hypertension or hypotension.
  • History of significant cardiovascular disease, including myocardial infarction, unstable angina, or congestive heart failure (NYHA class III or IV).
  • History or suspicion of pulmonary hypertension associated with mitral stenosis or pheochromocytoma.
  • History of peripheral edema, lymphedema, ascites, or pericardial effusion.
  • Resting tachycardia (heart rate ≥100 bpm).
  • +8 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Alopecia

Interventions

Minoxidil

Condition Hierarchy (Ancestors)

HypotrichosisHair DiseasesSkin DiseasesSkin and Connective Tissue DiseasesPathological Conditions, AnatomicalPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

PiperidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPyrimidines

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 8, 2026

First Posted

April 14, 2026

Study Start (Estimated)

January 31, 2027

Primary Completion (Estimated)

October 30, 2028

Study Completion (Estimated)

October 30, 2028

Last Updated

April 14, 2026

Record last verified: 2026-04