For an Investigator-led Hair Study Comparing Between Healthy and Hair Loss Volunteers
Beyond the Scalp: A Multi-Omic Microbiome Analysis in Androgenetic Alopecia Patients at Baseline and After Oral Minoxidil Treatment Versus Healthy Controls
1 other identifier
observational
66
0 countries
N/A
Brief Summary
This study is to evaluate differences in the gut and follicle/scalp microbiome signature in AGA compared to a non-AGA population. Also, to investigate differences in inflammation and other biomarkers in AGA compared to non-AGA population at baseline and after a successful treatment
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Aug 2026
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 1, 2026
CompletedFirst Posted
Study publicly available on registry
July 21, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2028
July 21, 2026
July 1, 2026
1.4 years
July 1, 2026
July 16, 2026
Conditions
Outcome Measures
Primary Outcomes (9)
Norwoord-Hamiton scale hairloss severity
Scale from 1 (no hair loss) to 7 (severe hair loss)
6 months
Change in hair density
Change from baseline in hair density at the vertex, crown and occipital zones Unit: u/cm2
6 months
Metabolomic profiling of the stool
Change in concentration of metabolites in the stool of AGA vs healthy cohorts.
6 months
Gut and Scalp/Follicle Microbiome Signature Differences at Baseline
Taxonomic and functional composition of the gut and scalp/hair follicle microbiome. Units: relative abundance
Baseline
Change in proteomic profile
Change in protein expression levels in scalp swabs samples, and differences between AGA and healthy cohorts.
6 months
Change in Gene Expression Profiles (Transcriptomics)
Evaluation of differentially expressed genes via spatial transcriptomics and single-cell RNA sequencing (scRNA-seq) from scalp biopsy samples comparing AGA participants to healthy controls. Units: Log2 Fold Change (or "Normalized Gene Expression Counts")
6 months
Metabolomic profile in blood/plasma
Change in concentration of metabolites in blood/plasma
6 months
Proteomic profiling of the blood
Change in proteins concentration levels in blood/plasma
6 months
Change in hair diameter distribution
Change from baseline in hair shaft diameter. Unit: µm
6 months
Secondary Outcomes (6)
Eyebrow to hairline measurement
6 months
Dandruff scoring
6 months
Change in Subject-Reported Hair Density
6 months
Measurement of sebum levels
6 months
Gut Microbiome in Oral Minoxidil Treatment Response
6 months
- +1 more secondary outcomes
Study Arms (2)
Healthy
With no hair loss
AGA patients
With hairloss
Eligibility Criteria
AGA volunteers will be referred by clinicians from National Skin Centre Healthy volunteers will be recruited by recruitment posters at National Skin Centre
You may qualify if:
- Male volunteer from 21 to 45 years old
- Volunteer with BMI between 18.5 to 30 kg/m2
- Volunteer willing and able to fulfill the study requirements and schedule
- Volunteer willing to give their stool sample, as well as swabs, follicles, and blood.
- Volunteer informed about the study objectives and procedures, and able to understand them
- Volunteer who has given written informed consent
- Volunteers in the healthy control panel must satisfy the following criteria:
- Volunteer in overall good health
- Volunteer with no diagnosis of hair loss or other condition or treatment susceptible to impact hair count and microbiome.
- Volunteers in the AGA panel must satisfy the following criteria:
- Volunteer diagnosed with Androgenetic Alopecia grade III Vertex to V on the Hamilton-Norwood scale
- Volunteer willing to restrain from the use of any additional hair loss oral and topical pharmaceuticals (ex: topical minoxidil) over the course of the study
- Volunteer eligible to undergo oral minoxidil treatment, with no contra-indication
You may not qualify if:
- Volunteer with severe gastro-intestinal symptoms (including gluten and lactose intolerance)
- Volunteer with auto-immune disease, diabetes; hyper or hypo-thyroidism ; chronic kidney failure
- Volunteer with diagnosis of scalp-related disease such as folliculitis, lichen planopilaris, folliculitis decalvans, tinea capitis, head lice, or seborrheic dermatitis
- Volunteer undergoing hypertension treatment
- Volunteer who undertook any oral anti-hair loss pharmaceutical treatment in the past 3 months (e.g. Finasteride)
- Volunteer who undertakes any hormone-disrupting drug
- Volunteer who used topical minoxidil or other pharmaceutical-grade topical hair restorers in the past 3 months
- Volunteer with a total dandruff score above 1 on the L'Oreal Dandruff scale.
- Volunteer who used perms or hair dyes in the past 2 months
- Volunteer who underwent scalp reduction or hair transplant procedures
- Volunteer who declares to be deprived of freedom by administrative or legal decision
- Volunteer who cannot be contacted by phone in case of emergency
- Volunteer having currently participating in another clinical study
- Volunteer who used antibiotics or antifungal medication (topical to scalp and systemic) in the past 4 weeks
- Volunteer who used probiotics supplements in the past 4 weeks. (dietary probiotics such as yogurt, kefir, and kimchi are acceptable)
- +19 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Biospecimen
Blood samples Hair follicles Swabs Punch biopsy Stools
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 1, 2026
First Posted
July 21, 2026
Study Start
August 1, 2026
Primary Completion (Estimated)
January 1, 2028
Study Completion (Estimated)
January 1, 2028
Last Updated
July 21, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR
Non-identifiable data will be shared with funding/research partners.