Long-Term Effectiveness and Safety of Dutasteride versus Finasteride in Patients with Male Androgenic Alopecia in South Korea: A Multicentre Chart Review Study

Background: Dutasteride improves hair growth compared with finasteride in male androgenic alopecia (AGA) and is well tolerated. However, real-world evidence for longterm dutasteride use in AGA is lacking. Objective: To describe baseline characteristics, treatment patterns and long-term safety and ef...

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Veröffentlicht in:Annals of dermatology 2022-10, Vol.34 (5), p.349
Hauptverfasser: Gwang-seong Choi, Woo-young Sim, Hoon Kang, Chang Hun Huh, Yang Won Lee, Sumitra Shantakumar, Yu-fan Ho, Eun-jeong Oh, Mei Sheng Duh, Wendy Y. Cheng, Priyanka Bobbili, Philippe Thompson-leduc, Gary Ong
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container_issue 5
container_start_page 349
container_title Annals of dermatology
container_volume 34
creator Gwang-seong Choi
Woo-young Sim
Hoon Kang
Chang Hun Huh
Yang Won Lee
Sumitra Shantakumar
Yu-fan Ho
Eun-jeong Oh
Mei Sheng Duh
Wendy Y. Cheng
Priyanka Bobbili
Philippe Thompson-leduc
Gary Ong
description Background: Dutasteride improves hair growth compared with finasteride in male androgenic alopecia (AGA) and is well tolerated. However, real-world evidence for longterm dutasteride use in AGA is lacking. Objective: To describe baseline characteristics, treatment patterns and long-term safety and effectiveness of dutasteride versus finasteride. Methods: This was a multicentre, retrospective medical chart review study conducted in South Korea. The index date was the first prescription of dutasteride or finasteride. Baseline characteristics were assessed 6 months prior to index. Safety and effectiveness (improvements in basic and specific [BASP] classification) data were collected from index throughout the observation period. Results: Overall, 600 male adult patients were included (dutasteride, n=295; finasteride, n=305). Dutasteride-treated patients were older (p
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Cheng ; Priyanka Bobbili ; Philippe Thompson-leduc ; Gary Ong</creator><creatorcontrib>Gwang-seong Choi ; Woo-young Sim ; Hoon Kang ; Chang Hun Huh ; Yang Won Lee ; Sumitra Shantakumar ; Yu-fan Ho ; Eun-jeong Oh ; Mei Sheng Duh ; Wendy Y. Cheng ; Priyanka Bobbili ; Philippe Thompson-leduc ; Gary Ong</creatorcontrib><description>Background: Dutasteride improves hair growth compared with finasteride in male androgenic alopecia (AGA) and is well tolerated. However, real-world evidence for longterm dutasteride use in AGA is lacking. Objective: To describe baseline characteristics, treatment patterns and long-term safety and effectiveness of dutasteride versus finasteride. Methods: This was a multicentre, retrospective medical chart review study conducted in South Korea. The index date was the first prescription of dutasteride or finasteride. Baseline characteristics were assessed 6 months prior to index. Safety and effectiveness (improvements in basic and specific [BASP] classification) data were collected from index throughout the observation period. Results: Overall, 600 male adult patients were included (dutasteride, n=295; finasteride, n=305). Dutasteride-treated patients were older (p&lt;0.001) and more likely to have moderate/ severe BASP classification at baseline (p=0.010) compared with finasteride-treated patients. Among patients treated with recommended, on-label dosing exclusively (n=535: dutasteride, n=250; finasteride, n=285), dutasteride-treated patients showed greater improvement in hair growth than finasteride-treated patients, as measured by the BASP basic M classification (adjusted incidence rate ratio [95% confidence interval]: 2.06 [1.08, 3.95]; p=0.029). Among this same subset, overall occurrence of adverse events (AEs) during the observation period were not statistically equivalent between groups (dutasteride 7.6%, finasteride 10.5%; p=0.201), although reports of AEs of special interest were equivalent (p&lt;0.001). Conclusion: Dutasteride showed greater effectiveness than finasteride in improving BASP classification in treating male AGA and had a similar or possibly lower occurrence of overall AEs. Dutasteride may provide an effective and safe treatment option for male patients with AGA.</description><identifier>ISSN: 1013-9087</identifier><identifier>EISSN: 2005-3894</identifier><language>kor</language><publisher>대한피부과학회</publisher><subject>Alopecia ; Androgenic alopecia ; Dutasteride ; Epidemiology ; Finasteride ; Retrospective studies</subject><ispartof>Annals of dermatology, 2022-10, Vol.34 (5), p.349</ispartof><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Gwang-seong Choi</creatorcontrib><creatorcontrib>Woo-young Sim</creatorcontrib><creatorcontrib>Hoon Kang</creatorcontrib><creatorcontrib>Chang Hun Huh</creatorcontrib><creatorcontrib>Yang Won Lee</creatorcontrib><creatorcontrib>Sumitra Shantakumar</creatorcontrib><creatorcontrib>Yu-fan Ho</creatorcontrib><creatorcontrib>Eun-jeong Oh</creatorcontrib><creatorcontrib>Mei Sheng Duh</creatorcontrib><creatorcontrib>Wendy Y. Cheng</creatorcontrib><creatorcontrib>Priyanka Bobbili</creatorcontrib><creatorcontrib>Philippe Thompson-leduc</creatorcontrib><creatorcontrib>Gary Ong</creatorcontrib><title>Long-Term Effectiveness and Safety of Dutasteride versus Finasteride in Patients with Male Androgenic Alopecia in South Korea: A Multicentre Chart Review Study</title><title>Annals of dermatology</title><addtitle>Annals of Dermatology</addtitle><description>Background: Dutasteride improves hair growth compared with finasteride in male androgenic alopecia (AGA) and is well tolerated. However, real-world evidence for longterm dutasteride use in AGA is lacking. Objective: To describe baseline characteristics, treatment patterns and long-term safety and effectiveness of dutasteride versus finasteride. Methods: This was a multicentre, retrospective medical chart review study conducted in South Korea. The index date was the first prescription of dutasteride or finasteride. Baseline characteristics were assessed 6 months prior to index. Safety and effectiveness (improvements in basic and specific [BASP] classification) data were collected from index throughout the observation period. Results: Overall, 600 male adult patients were included (dutasteride, n=295; finasteride, n=305). Dutasteride-treated patients were older (p&lt;0.001) and more likely to have moderate/ severe BASP classification at baseline (p=0.010) compared with finasteride-treated patients. Among patients treated with recommended, on-label dosing exclusively (n=535: dutasteride, n=250; finasteride, n=285), dutasteride-treated patients showed greater improvement in hair growth than finasteride-treated patients, as measured by the BASP basic M classification (adjusted incidence rate ratio [95% confidence interval]: 2.06 [1.08, 3.95]; p=0.029). Among this same subset, overall occurrence of adverse events (AEs) during the observation period were not statistically equivalent between groups (dutasteride 7.6%, finasteride 10.5%; p=0.201), although reports of AEs of special interest were equivalent (p&lt;0.001). Conclusion: Dutasteride showed greater effectiveness than finasteride in improving BASP classification in treating male AGA and had a similar or possibly lower occurrence of overall AEs. 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Cheng</creator><creator>Priyanka Bobbili</creator><creator>Philippe Thompson-leduc</creator><creator>Gary Ong</creator><general>대한피부과학회</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>20221005</creationdate><title>Long-Term Effectiveness and Safety of Dutasteride versus Finasteride in Patients with Male Androgenic Alopecia in South Korea: A Multicentre Chart Review Study</title><author>Gwang-seong Choi ; Woo-young Sim ; Hoon Kang ; Chang Hun Huh ; Yang Won Lee ; Sumitra Shantakumar ; Yu-fan Ho ; Eun-jeong Oh ; Mei Sheng Duh ; Wendy Y. 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Cheng</creatorcontrib><creatorcontrib>Priyanka Bobbili</creatorcontrib><creatorcontrib>Philippe Thompson-leduc</creatorcontrib><creatorcontrib>Gary Ong</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>Annals of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gwang-seong Choi</au><au>Woo-young Sim</au><au>Hoon Kang</au><au>Chang Hun Huh</au><au>Yang Won Lee</au><au>Sumitra Shantakumar</au><au>Yu-fan Ho</au><au>Eun-jeong Oh</au><au>Mei Sheng Duh</au><au>Wendy Y. Cheng</au><au>Priyanka Bobbili</au><au>Philippe Thompson-leduc</au><au>Gary Ong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Effectiveness and Safety of Dutasteride versus Finasteride in Patients with Male Androgenic Alopecia in South Korea: A Multicentre Chart Review Study</atitle><jtitle>Annals of dermatology</jtitle><addtitle>Annals of Dermatology</addtitle><date>2022-10-05</date><risdate>2022</risdate><volume>34</volume><issue>5</issue><spage>349</spage><pages>349-</pages><issn>1013-9087</issn><eissn>2005-3894</eissn><abstract>Background: Dutasteride improves hair growth compared with finasteride in male androgenic alopecia (AGA) and is well tolerated. However, real-world evidence for longterm dutasteride use in AGA is lacking. Objective: To describe baseline characteristics, treatment patterns and long-term safety and effectiveness of dutasteride versus finasteride. Methods: This was a multicentre, retrospective medical chart review study conducted in South Korea. The index date was the first prescription of dutasteride or finasteride. Baseline characteristics were assessed 6 months prior to index. Safety and effectiveness (improvements in basic and specific [BASP] classification) data were collected from index throughout the observation period. Results: Overall, 600 male adult patients were included (dutasteride, n=295; finasteride, n=305). Dutasteride-treated patients were older (p&lt;0.001) and more likely to have moderate/ severe BASP classification at baseline (p=0.010) compared with finasteride-treated patients. 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source KoreaMed Synapse; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Alopecia
Androgenic alopecia
Dutasteride
Epidemiology
Finasteride
Retrospective studies
title Long-Term Effectiveness and Safety of Dutasteride versus Finasteride in Patients with Male Androgenic Alopecia in South Korea: A Multicentre Chart Review Study
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