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CTRI Number  CTRI/2025/10/096113 [Registered on: 15/10/2025] Trial Registered Prospectively
Last Modified On: 07/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   Trichoscopic features of female pattern hair loss and their association with metabolic syndrome and fatty liver: a hospital-based case–control study. 
Scientific Title of Study   A case control study of trichoscopic evaluation of female pattern hair loss and its corelation with metabolic syndrome and fatty liver 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pooja Aggarwal 
Designation  First Year Dermatology Post graduate 
Affiliation  Kasturba medical college, Mangalore 
Address  Department of Dermatology, 203,Light House Hill Rd, Hampankatta, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9811331053  
Fax    
Email  paggarwal519@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Deepti Dsouza 
Designation  Associate Professor 
Affiliation  Kasturba medical college, Mangalore 
Address  Department of Dermatology, KMC Attavar Hospital,Nandigudda Rd, Attavar, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9811331053  
Fax    
Email  deepti.dsouza@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Pooja Aggarwal 
Designation  First year Dermatology Post graduate 
Affiliation  Kasturba medical college, Mangalore 
Address  Kasturba Medical College,203,Light House Hill Rd, Hampankatta, Mangaluru

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9811331053  
Fax    
Email  paggarwal519@gmail.com  
 
Source of Monetary or Material Support  
The Indian Association of Dermatologists, Venereologists, and Leprologists (IADVL) , 314-315, 3rd Floor KM Trade Tower, H 3, Sector 14, Kaushambi, Ghaziabad, Uttar Pradesh, 201010 
 
Primary Sponsor  
Name  IADVL 
Address  314-315, 3rd Floor KM Trade Tower, H 3, Sector 14, Kaushambi, Ghaziabad,Uttar Pradesh. 201010 
Type of Sponsor  Other [DERMATOLOGISTS ASSOCIATION] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr POOJA AGGARWAL  KASTURBA MEDICAL COLLEGE, MANGALORE  Room no. 9,Department of Dermatology,KMC Attavar Hospital, Nandigudda Rd, Attavar, Mangaluru, Karnataka 575001
Dakshina Kannada
KARNATAKA 
9811331053

paggarwal519@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KMC, MANGALORE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L64||Androgenic alopecia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  Females more than 18 years of age .
Patients willing to give consent.
For cases Patients clinically diagnosed with FPHL.
For control Healthy females without any signs of alopecia or scalp disorders matched for age and gender.
 
 
ExclusionCriteria 
Details  Patients less than 18 years of age.
Patients who are not willing to participate.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Prevalence of Metabolic Syndrome and hepatic steatosis in FPHL patients.  At the first visit 
 
Secondary Outcome  
Outcome  TimePoints 
Correlation between FPHL severity (clinical & trichoscopic grading) & metabolic parameters.  at time of data analysis that at the end of data collection 
 
Target Sample Size   Total Sample Size="116"
Sample Size from India="116" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   19/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Public title: Trichoscopic features of female pattern hair loss and their association with metabolic syndrome and fatty liver a hospital based case control study

Scientific title: A case control study of trichoscopic evaluation of female pattern hair loss and its correlation with metabolic syndrome and nonalcoholic fatty liver disease

Health condition studied: Female pattern hair loss metabolic syndrome fatty liver

Study design: Observational analytical hospital based case control with one to one matching cases are FPHL and controls are age matched women without alopecia

Study setting and site: Dermatology outpatient department teaching hospitals attached to Kasturba Medical College Mangalore Manipal Academy of Higher Education India

Participants: Females aged 18 years and above
Cases: Clinical diagnosis of female pattern hair loss
Controls: Age matched females without clinical hair loss

Inclusion criteria: Women 18 years or older willing to give consent for cases clinical female pattern hair loss for controls no alopecia or scalp disorder
Exclusion criteria: Age below 18 years unwilling to participate conditions that may confound scalp assessment

Sample size: Total 112 with 56 cases and 56 controls

Study duration: 18 months anticipated first enrolment June 2025 and anticipated completion November 2026
Recruitment status: Not yet recruiting

Assessments and procedures:
Clinical data demographics body mass index waist circumference blood pressure and grading of female pattern hair loss using Ludwig and Sinclair scales
Trichoscopy at ten times polarized magnification over central frontal and parietal scalp recording hair shaft diameter diversity yellow dots peripilar signs and follicular unit changes
Biochemistry fasting glucose lipid profile fasting insulin by ELISA with calculation of HOMA IR
Ultrasound abdomen for fatty liver grading from 0 to 3
Definition of metabolic syndrome by NCEP ATP III at least three of five components

Primary outcomes: Prevalence of metabolic syndrome in cases versus controls and prevalence of fatty liver in cases versus controls

Secondary outcomes: Correlation of female pattern hair loss severity clinical and trichoscopic with metabolic parameters waist circumference blood pressure lipids glucose insulin HOMA IR and ultrasound fatty liver grade

Data analysis: Descriptive statistics chi square test for categorical variables t test or Mann Whitney U test for continuous variables significance level 0 point 05 software IBM SPSS version 29

Ethics: Institutional Ethics Committee approval will be obtained before enrolment written informed consent will be taken confidentiality will be maintained

Funding and sponsor: IADVL GRANT 

Keywords: female pattern hair loss trichoscopy metabolic syndrome fatty liver HOMA IR case control India

 
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