ClinicalTrials.gg
CompletedNCT03346668Updated Mar 25, 2024

Role of Neurogenic Inflammation and Topical 6% Gabapentin Therapy in Symptomatic Scarring Alopecia

An Early Phase 1 interventional study of Topical gabapentin in Scarring Alopecia, Frontal Fibrosing Alopecia and Lichen Planopilaris, sponsored by University of Minnesota. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-25.

Sponsored by University of Minnesota · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Oct 2021, 5 years 1 month ago, and no results have been posted to the registry.
  • Registered 1 year 7 months after the study started (first participant enrolled Jan 2016, registered Sep 2017).
Phase
Early Phase 1
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This study will serve as a pilot study to determine the efficacy and safety of topical gabapentin in the treatment of symptomatic scarring alopecia.

Read the detailed description

Primary scarring alopecias (PSAs) are poorly understood dermatologic disorders that result in permanent hair loss. Most of the scarring alopecias involve a painful course, with individuals reporting scalp pain, burning, itching, or tingling/crawling sensations that can ultimately impact physical and psychological health. There has been no study of topical neurogenic agents, such as gabapentin, to treat scarring alopecia. However topical gabapentin has been safely used in other conditions associated with chronic pain, burning, irritation, itch, or tingling, such as vulvodynia. This study will serve as a pilot study to determine the efficacy and safety of topical gabapentin in the treatment of symptomatic scarring alopecia. In this study, 10 subjects with symptomatic lymphocytic-type scarring alopecia will be recruited and treated with topical gabapentin. Disease burden will be evaluated before and after 12 weeks of treatment through reporting of subjective symptomatology via surveys/questionnaire, neurometer study, clinical assessment, and biopsies measuring levels of CGRP before and after treatment.

02

Conditions studied

  • Scarring Alopecia
  • Frontal Fibrosing Alopecia
  • Lichen Planopilaris
  • Central Centrifugal Cicatricial Alopecia
  • Central Centrifugal Scarring Alopecia
03

In context

Alopecia

511 studies on the registry are indexed under Alopecia; 128 are open to participants now.

This study's enrollment of 5 is below the median of 50 across 430 interventional studies indexed under Alopecia.

Browse Alopecia studies →

Lead sponsor

University of Minnesota is the lead sponsor of 1,216 studies on the registry; 197 are open to participants now.

Of its 136 completed or terminated interventional studies of FDA-regulated products, 95 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Male and female adults, greater than 18 years of age
  2. -proven diagnosis of primary scarring alopecia of lymphocytic inflammatory infiltrate type, indicated as one of the following conditions: lichen planopilaris, frontal fibrosing alopecia, or central centrifugal cicatricial alopecia
  3. At least one persistent scalp symptom associated with inflammation: pain, burning, itch, tingling/crawling, stinging, or tenderness
  4. Able to complete survey and questionnaire subjectively
  5. Consents to participate in neurometer study and scalp biopsy acquisition
  6. Willingness to adhere to study protocol
  7. If subject is taking a neuromodulatory medication (including capsaicin cream, tricyclic antidepressants, carbamazepine, phenytoin, topiramate, oxcarbazepine, lamotrigine, morphine, Botox, etc), he or she must be a stable dose for at least 6 months prior to study enrollment

Exclusion criteria

Exclusion Criteria:

  1. Allergy or intolerance to gabapentin or the substances used in its compounding
  2. Underlying disease that might be adversely affected by topical gabapentin
  3. Application of topical immunomodulatory or agent to the scalp in the preceding 2 weeks
  4. Systemic administration of or other systemic treatment (i.e., methotrexate, phototherapy) that has immunomodulatory or other immunosuppressive mechanism of action, in the preceding 8 weeks
  5. Clinical evidence of secondary skin infection
  6. Individuals who have undergone scalp reduction surgery or hair transplantation
  7. Asymptomatic disease
  8. Immunosuppression due to disease state or use of systemic/topical biological agents (, chemotherapy, immunomodulators, history of transplantation)
  9. Any medications within the past 30 days, including those for migraines or scarring alopecias (anti-CGRP agents)
  10. Use of GABAergic medications (including gabapentin and pregabalin) in the preceding 2 months
  11. Use of illicit drugs or opioid medications
  12. Evidence of anemia, thyroid disease, sarcoidosis or other medical condition that could impact hair growth and adversely impact the outcome of the study
  13. Implantable Cardioverter Defibrillator (ICD) or pacemaker
  14. Subject has any medical condition that, in the judgment of the Investigator, would jeopardize the subject's safety following exposure to the administered medications
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Topical gabapentin

    gabapentin 6% solution, 1mL applied twice daily for 12 weeks

    Drug: Topical gabapentin

Interventions

06

What researchers measure

Primary outcomes

  1. Neurogenic inflammation-QOL

    Complete a QOL (Quality of Life) survey Scale= (Not relevant to Extremely Relevant)

    Time frame: Change from Baseline to 14 weeks

  2. Neurogenic inflammation-Short Form (36) Health Survey

    Complete Short Form (36) Health Survey Scale Scale=1-5 1 being the best and 5 being the worse

    Time frame: Change from Baseline to 14 weeks

  3. Neurogenic inflammation- Visual Analog pain Scale

    Visual Analog Pain scale Scale = 1-10 1 being the least pain and 10 being the worse pain

    Time frame: Change from Baseline to 14 weeks

Secondary outcomes

  1. Safety and efficacy of topical 6% gabapentin -Medication side Effects

    Subjects will have Medication side effects collected at day 0 and ending week 12

    Time frame: Change from Baseline to 12 weeks

  2. Safety and efficacy of topical 6% gabapentin -Blood levels

    Subjects will have blood levels measured at Day 0 and 12 weeks

    Time frame: Change from Baseline to 12 weeks

  3. Safety and efficacy of topical 6% gabapentin -Adverse Events

    Subjects will have adverse events collected on day 0 and 12 weeks

    Time frame: Change from Baseline to 12 weeks

07

Study locations

1 site
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2016 to primary completion in Oct 2021, 68 months.

Of 33 phase 1 interventional studies under Alopecia, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 57. This study's 68 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 8, 2017
First posted
Nov 17, 2017
StartActual
Jan 28, 2016
Primary completionActual
Oct 11, 2021
CompletionActual
Oct 11, 2021
Last update
Mar 25, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03346668
Responsible party
Sponsor
First posted
Nov 17, 2017
Start date
Jan 28, 2016
Primary completion
Oct 11, 2021
Completion
Oct 11, 2021
Last update
Mar 25, 2024

Study contacts

Maria K Hordinsky, MD
principal investigator · University of Minnesota

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Gabapentin

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