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Not yet recruitingNCT07758400Updated Aug 11, 2026

A Study on the Efficacy and Safety of Microneedling for Male Androgenetic Alopecia

An interventional study of Minoxidil 5 % and Microneedling in Androgenetic Alopecia, sponsored by Cheng Zhou. Not yet recruiting at 1 site in China. Open to male participants aged 18 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-08-11.

Sponsored by Cheng Zhou · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
190
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
Male
01

Study summary

Androgenetic alopecia (AGA) is the most prevalent hair-loss disorder in clinical practice. With a high incidence rate, it not only severely impairs patients' appearance and quality of life, but may also trigger varying degrees of depression and compromise mental health, highlighting the critical importance of standardized management for AGA. Current therapeutic options for AGA include oral finasteride, topical minoxidil, physical therapies and others. Nevertheless, safety concerns over oral medications remain prominent. Finasteride, a first-line agent, is associated with adverse reactions such as decreased libido, erectile dysfunction and reduced ejaculate volume, which limits patient acceptance. In recent years, microneedling for AGA has attracted attention, clinical adoption and recognition among dermatologists, demonstrating favorable safety profiles and promising therapeutic outcomes in real-world clinical practice. Minoxidil is an effective hair-growth-promoting drug. Topical 2% or 5% minoxidil exhibits satisfactory efficacy and safety for AGA and is frequently combined with other interventions to enhance treatment benefits.

Microneedling combined with topical minoxidil represents a commonly-used regimen for AGA in clinical settings. However, substantial heterogeneity exists regarding microneedling parameters including needle depth, treatment frequency and total treatment duration across medical institutions and clinical studies. Needle depth is closely correlated with patient perception, therapeutic efficacy and adverse events such as bleeding; treatment frequency is strongly linked to patient compliance and clinical outcomes. Despite the widespread clinical use of microneedling, standardized treatment protocols are still lacking, which greatly undermines the standardization, treatment efficacy and patient compliance of physical therapy for androgenetic alopecia.

This study plans to enroll 190 male patients with AGA. Participants will be stratified into different groups according to microneedling depth and treatment frequency, and receive standardized intervention for 24 weeks. The primary objective is to explore the optimal microneedling regimen (including needle depth and treatment frequency). We will also evaluate how disease course, hair-loss classification and severity grading influence therapeutic efficacy and safety among AGA patients. Findings from this trial will provide evidence-based references for dermatologists to deliver precise and individualized AGA care, support the development of clinical guidelines, and facilitate standardized clinical implementation of this combination therapy.

02

Conditions studied

  • Androgenetic Alopecia

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03

In context

Alopecia

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

This study's planned enrollment of 190 is above the median of 50 across 430 interventional studies indexed under Alopecia.

Browse Alopecia studies →

Lead sponsor

This is the only study on the registry with Cheng Zhou as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
Male
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

  • Male subjects aged 18-55 years.
  • Diagnosed with androgenetic alopecia (AGA)
  • Hamilton-Norwood hair-loss grade: Ⅲ vertex, Ⅳ, Ⅴ, or Ⅵ.
  • Willing to receive scalp photography for assessment, and maintain consistent hairstyle, hair color and hair length at each follow-up visit.
  • Understand the trial objectives, voluntarily provide written , and be willing and able to comply with the study protocol including scheduled follow-up visits and outcome evaluations.

Exclusion criteria

Exclusion Criteria:

  • Presence of other hair-loss disorders, including telogen effluvium, alopecia areata, lichen planopilaris, discoid lupus erythematosus, tinea capitis, and chemotherapy- or radiotherapy-induced alopecia.
  • Subjects with prior anti-hair-loss treatments: oral finasteride or dutasteride within 1 year before screening; other oral or topical hair-growth-promoting agents (e.g., minoxidil) within 6 months before screening; physical therapies for hair loss within 6 months before screening, including low-level laser therapy, microneedling, fractional laser, injection of PRP/PRF/CGF, scalp botulinum toxin injection; hair-growth-promoting cosmetic hair-care products, nutritional supplements, medicinal shampoos, serums or solutions that may interfere with efficacy evaluation within 1 month before screening; prior hair-transplantation surgery or hair-extension history.
  • Major surgery within 3 months planned major surgery during the trial period.
  • Participation in other drug or medical-device clinical trials within 3 months prior to screening.
  • Hair perming and/or hair dyeing within 3 months prior to screening.
  • Uncontrolled chronic or systemic diseases (e.g., hypertension, diabetes, bleeding disorders, severe infection, immune-system diseases, , hepatitis, thyroid disorders).
  • Co-existing diseases affecting hair growth, such as connective-tissue diseases, inflammatory bowel disease, moderate-to-severe anemia, significant weight loss (>5 kg within 3 months).
  • Keloid predisposition: history of keloid/hypertrophic scars or clinically confirmed hypertrophic scars/keloids at any body site.
  • Known allergy to any components of microneedling devices or minoxidil.
  • Psychiatric disorders or emotional instability.
  • Any other conditions that, in the investigator's opinion, make the subject unsuitable for trial participation.
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
190 participants (estimated)

Study arms

  • Experimental
    Microneedling 0.5 mm every 2 weeks plus 5% topical minoxidil

    Drug: Minoxidil 5 % · Procedure: Microneedling

  • Experimental
    Microneedling 0.5 mm every 1 week plus 5% topical minoxidil

    Drug: Minoxidil 5 % · Procedure: Microneedling

  • Experimental
    Microneedling 1mm every 2 weeks plus 5% topical minoxidil

    Drug: Minoxidil 5 % · Procedure: Microneedling

  • Experimental
    Microneedling 1mm every 1 week plus 5% topical minoxidil

    Drug: Minoxidil 5 % · Procedure: Microneedling

  • Experimental
    Microneedling 0.5 mm every 2 weeks

    Procedure: Microneedling

  • Experimental
    Microneedling 1 mm every 2 weeks

    Procedure: Microneedling

  • Active comparator
    5% topical minoxidil alone

    Drug: Minoxidil 5 %

Interventions

  • This trial adopts standardized microneedling parameters with defined needle depths and treatment frequencies combined with fixed-dose 5% topical minoxidil for 24 consecutive weeks.

  • ProcedureMicroneedling

    This trial adopts standardized microneedling parameters with defined needle depths and treatment frequencies combined with fixed-dose 5% topical minoxidil for 24 consecutive weeks.

06

What researchers measure

Primary outcomes

  1. Target area non-vellus hair count

    The change in the number of target area non-vellus hair count compared to the baseline at 24 weeks of treatment

    Time frame: 24 weeks

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07758400
Lead sponsor
Cheng Zhou
Responsible party
Cheng Zhou (Chief physician, Peking University People's Hospital) — Sponsor-investigator
First posted
Aug 11, 2026
Start date
Jan 1, 2027 (estimated)
Primary completion
Jan 1, 2030 (estimated)
Completion
Jun 1, 2030 (estimated)
Last update
Aug 11, 2026

Study contacts

Cheng Zhou, Chief physician
Contact
rmpkzc@163.com
010 88325470

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Minoxidil

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