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 |
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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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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<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<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<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<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><subject>Alopecia</subject><subject>Androgenic alopecia</subject><subject>Dutasteride</subject><subject>Epidemiology</subject><subject>Finasteride</subject><subject>Retrospective studies</subject><issn>1013-9087</issn><issn>2005-3894</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9i8FKw0AURQdRMFq_wM37gcBM0prGXagtghbEdF-G5KV9ms6UeW9S8jX-qhXEpasL55x7oZJM61maz8vppUqMNnla6nlxrW6YP7R-MFlhEvX16t0u3WA4wLLrsBEa0CEzWNdCbTuUEXwHT1EsCwZqEQYMHBlW5P4QOXizQuiE4USyh7XtESrXBr9DRw1UvT9iQ_anrH08Fy8-oH2ECtaxF2rO14Cw2Nsg8I4D4Qlqie04UVed7RnvfvdW3a-Wm8Vz-knM22Oggw3jNi8LM81M_r_9BrNEVxo</recordid><startdate>20221005</startdate><enddate>20221005</enddate><creator>Gwang-seong Choi</creator><creator>Woo-young Sim</creator><creator>Hoon Kang</creator><creator>Chang Hun Huh</creator><creator>Yang Won Lee</creator><creator>Sumitra Shantakumar</creator><creator>Yu-fan Ho</creator><creator>Eun-jeong Oh</creator><creator>Mei Sheng Duh</creator><creator>Wendy Y. 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. Cheng ; Priyanka Bobbili ; Philippe Thompson-leduc ; Gary Ong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kiss_primary_39714213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2022</creationdate><topic>Alopecia</topic><topic>Androgenic alopecia</topic><topic>Dutasteride</topic><topic>Epidemiology</topic><topic>Finasteride</topic><topic>Retrospective studies</topic><toplevel>online_resources</toplevel><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><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<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<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.</abstract><pub>대한피부과학회</pub><tpages>11</tpages></addata></record> |
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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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