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CTRI Number  CTRI/2017/05/008472 [Registered on: 03/05/2017] Trial Registered Prospectively
Last Modified On: 22/04/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   Hairsteticsâ„¢ Anchoring System and Hair Extensions with female hair loss 
Scientific Title of Study   Prospective Safety and Efficacy Evaluation of Hairsteticsâ„¢ Anchoring System for Hair Extensions in Female Pattern Hair Loss. 
Trial Acronym  HAS-FPHL 
Secondary IDs if Any  
Secondary ID  Identifier 
HET-11; Version 1.00 Dated 03 Nov 2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manjul Agrawal 
Designation  Consultant Dermatology and Hair Restoration 
Affiliation  Fortis Hospital 
Address  A-Block, Shalimar Bagh, New Delhi, India

North West
DELHI
110088
India 
Phone  919811282516  
Fax  911145302122  
Email  drmanjulagarwal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjul Agrawal 
Designation  Consultant Dermatology and Hair Restoration 
Affiliation  Fortis Hospital 
Address  A-Block, Shalimar Bagh, New Delhi, India


DELHI
110088
India 
Phone  919811282516  
Fax  911145302122  
Email  drmanjulagarwal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shariq Anwar 
Designation  Head Operations 
Affiliation  JSS Medical Research India Private Ltd 
Address  6th Floor, Vatika Mindscapes Tower -B, Plot 12/2, Sector 27D

Faridabad
HARYANA
121003
India 
Phone  1296613500  
Fax  911296613520  
Email  shariq.anwar@jssresearch.com  
 
Source of Monetary or Material Support  
Hairstetics ltd. 4 Haomanut street, Poleg industrial zone, Netanya, 4250438 Israel.  
 
Primary Sponsor  
Name  Hairstetics Ltd 
Address  4 Haomanut street, Poleg industrial zone, Netanya,4250438 Israel.  
Type of Sponsor  Pharmaceutical industry-Global 
 
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 Manjul Agarwal  Fortis Hospital  A-Block, Shalimar Bagh, New Delhi- 110088, India
North West
DELHI 
919811282516

drmanjulagarwal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee Fortis Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Female pattern hairloss 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Hairsteticsâ„¢  The Hairsteticsâ„¢ anchoring system is comprised of a disposable cartridge pre-loaded, depending on the cartridge configuration, with 12-36 short prosthetic hair units, or implants. Each implant consists of a prosthetic hair fiber connected to a miniature anchor and is placed in a separate needle of the cartridge. The miniature dimensions and the self-deployment design of the anchor allow for a simple minimally invasive hair implantation process. The Hairsteticsâ„¢ implant makes use of biocompatible fibers of varying color, made of polymers widely used in surgical sutures. The proprietary Hairsteticsâ„¢ anchor that affixes the prosthetic hair fiber to the scalp is made of nitinol, a metal alloy of nickel and titanium with a long history of safe use in implants. The Hairsteticsâ„¢ anchoring system is supplied sterile. Subjects will be implanted with Hairsteticsâ„¢ anchoring system cartridges holding up to a total of 360 of the Hairsteticsâ„¢ prosthetic hair units. The implantation will be performed intracutaneously into the scalp. Maximal number of implants may not be surpassed throughout the trial. Implantation may be delayed by up to a total elapsed time of 7 days.  
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  1.Age greater than equal to 19 yrs.
2.Female patients with androgenetic alopecia (FPHL).
3.Pre-treatment hematology and coagulation values within the limits:
a.Hemoglobin ≥ 10 g/dl (g/100 ml)
b.Platelets ≥ 150 x 109/L (103/mm3)
c. WBC ≥ 3.0 x 109/L (103/mm3)
d.INR 0.8 - 1.2
e. PTT 25” - 35”
f.Serum creatinine < 2 mg/dl
g.SGOT < 1.5 x ULN (Upper Limit of Norm)
h.SGPT < 1.5 x ULN
i.Alkaline phosphatase < 1.5 x ULN
4.A life expectancy at least of the duration of the trial.
Signed informed consent and post-implantation protocol.
 
 
ExclusionCriteria 
Details  1.Prosthetic hair implantation or hair transplantation in the 6 months preceding enrollment to this study.
2.Skin conditions that might affect the procedure and/or its outcome.
NOTE: Such conditions are not necessarily restricted to or involve the prospective implantation site and/or its vicinity.
3.Patients currently receiving, or that have received within the past 3 months, radio- and/or chemotherapy.
4.Patients on anticoagulant treatment.
5.More than a maintenance dose of oral corticosteroids (maintenance dose is defined as the same dose regimen over the past 6 months for a condition requiring continual ‎corticosteroid treatment) or patients with an immunocompromised state for any reason.
6.Bleeding disorder.
7.Patient presenting with a health condition that may affect compliance with the study protocol, either by itself or combined with other conditions present in the patient.
8.Use of illegal substances.
9.Participation in another interventional study, unless discussed with and approved by the Sponsor or Sponsor’s authorized representative.
10.Quantitative Beta-HCG greater than equal to 5 mIU/mL (IU/L) in women of childbearing potential.
11.Lactating and/or breastfeeding women.
12.Known hypersensitivity (e.g., to nitinol, nickel or titanium) or adverse event that would prevent a prospective study participant from being administered the trial treatment or non-investigational medicinal product(s), as detailed in the protocol.
13.Patients with implanted electronic devices (such as cardiac pacemakers) unless they receive permission from their treating physician (e.g., cardiologist) and are monitored by a treating physician during the treatment session.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To provide evidence of safety and preliminary performance of the Hairsteticsâ„¢ anchoring system in female subjects affected with androgenetic alopecia (FPHL).  At the 6-month follow up 
 
Secondary Outcome  
Outcome  TimePoints 
To determine whether the Hairsteticsâ„¢ anchoring system, in conjunction with attachment of hair extensions, is efficacious in improving patient and physician aesthetic satisfaction with the treated scalp appearance in female patients with androgenetic alopecia.  At the 6-month follow up 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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)   22/05/2017 
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="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is a single-center, prospective, single-arm study for female subjects affected with androgenetic alopecia (FPHL).

 

The study will consist of three periods: 1) Screening; 2) Implantation treatment and attachment of hair extensions; and 3) Follow-up.

 

Screening period

After signing informed consent, patients will be screened for study eligibility by assessment of inclusion and exclusion criteria.  Screening procedures will include collection of demographic data, medical history, physical examination, vital signs, and laboratory evaluations.  

 

Implantation Period

For subject data to be evaluable, implantation is to be performed.

Subjects will be implanted with Hairsteticsâ„¢ anchoring system cartridges holding up to a total of 360 of the Hairsteticsâ„¢ prosthetic hair units.  Complete blood count (CBC), biochemistry and coagulation panel and a quantitative β-HCG, as specified in the eligibility criteria, will be required before treatment and the test requirements specified in the inclusion criteria must be met. Implantation will be carried out unless the patient’s participation in the trial is terminated due to one of the following:

·         non-study treatment in or within 3 cm of the area implanted with the study prosthetic hair;

·         occurrence of a serious adverse event which necessitates a change in treatment;

·         withdrawal of consent;

·         Investigator’s decision;

·         malignancies and/or other health conditions that require treatment that might affect the procedure and/or its outcome;

·         significant protocol deviation/violation or noncompliance, either on the part of the subject or Investigator;

·         device failure;

·         other ethical or clinical considerations at the discretion of Investigator;

·         subject lost to follow-up;

·         subject refusal to continue follow-up;

Patients will be followed a week after the study implantation procedure, to ensure proper monitoring of safety events.

Hair extensions will be attached four weeks after the implantation.

 

Follow-up

Patients will be followed at 3 and 6 months after the attachment of hair extensions.

This protocol will allow excision of implants. The following considerations for implant(s) retrieval will apply in this study:

Implants removed in a revision intervention following a safety event, if deemed necessary by the Investigator, or if requested by the subject are referred to as retrievals.

Retrieval analyses:

Retrievals will be collected by the respective site Investigator and;

a.     number of prosthetic fibers retrieved will be comprehensively documented by the Investigator;

b.     further, the Investigator will record the number of prosthetic fibers excised with their bulb and with or without the anchor,

c.     retrieval assessment will be documented;

This protocol does not provide arrangements for long-term follow-up of study participants beyond primary endpoint. 
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