Merck, Sharp and Dohme

Library References

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Library References

   
Author(s) Kaufman, K.D.
Title Long-term (5-year) multinational experience with finasteride 1mg in the treatment of men with androgenetic alopecia / The finasteride male pattern hair loss study group
Journal Name European Journal of Dermatology
Journal Citation  Eur J Dermatol 2002; 12: 38-49
Date Published January-February 2002
   
Author(s) Kaufman
Title Finasteride in the Treatment of Men with Androgenetic Alopecia
Journal Name Finasteride Male Pattern Hair Loss Study Group
Journal Citation  Journal of the American Academy of Dermatology
Date Published 1998 Oct.; 39(4 Pt 1): 578-89 October 1998
   
Author(s) Leyden
Title Finasteride in the Treatment of Men with Frontal Male Pattern Hair Loss
Journal Name Journal of the American Academy of Dermatology
Journal Citation Vol. 40, No. 6 Part 1, June 1999; Page(s) 930-7
Date Published June 1999
Summary The "Frontal" data demonstrate the efficacy of PROPECIA in the treatment of men with frontal male pattern hair loss (MPHL). This is a key differentiating advantage over minoxidil, which has not been shown to affect frontal hair growth. After two years of treatment with PROPECIA:
  • 70 percent of men had no further frontal/mid-area hair loss.
  • A significant increase in frontal hair count from baseline was achieved (P<0.01).
42 percent of men showed slight or moderate visible improvement in the frontal area, based on photographic assessment.
   
Author(s) Kaufman
Title Androgen Metabolism As It Affects Hair Growth in Androgenetic Alopecia
Journal Name Dermatologic Clinics
Journal Citation Vol. 14, No. 4, Oct. 1996, 697-711
Date Published 1996
   
Author(s) Sawaya
Title Different Levels of 5A-Reductase Type I and II Aromatase, And Androgen
Journal Name Receptor In Hair Follicles of Women And Men With Androgenetic Alopecia
Journal Citation Journal of Investigative Dermatology
Date Published Vol. 109, No. 3, Sept. 1997, 296-300 1997
   
Author(s) Passchier
Title Quality of Life Issues in Male Pattern Hair Loss
Journal Name Dermatology
Journal Citation Vol. 197, 1998, Page(s) 217-218
Date Published 1998
Summary Although not a serious disease, male pattern hair loss (MPHL) is quite common and can have a significant negative imapct on the quality of life (QOL) of those men who experience it. Hair growth and hair style are important elements of an individual's identity as perceived by themselves as well as by others. Considering the fact that through history, hair has been associated with social importance, it is not surprising that hair loss may have a potentially adverse impact on a person's QOL. Unfortunately, sometimes the impact on QOL is trivialised or even ignored by those affected by it. Studies have shown that men with visible hair loss are generally seen by others as being significantly older, less physically or socially attractive, weaker, and less potent than their peers. this article discusses the importance and impact of hair loss on the QOL of individuals that experience MPHL, as well as some misconceptions shared by the  general public.
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Author(s) Whiting
Title Male Pattern Hair Loss; Current Understanding
Journal Name International Journal of Dermatology
Journal Citation Vol. 37: 8, 1998, Pages(s) 561-566
Date Published 1998
Summary Androgenetic alopecia is the most common form of human hair loss. It affects at least 50 percent of men by the age of 50 years and close to 50 percent of women by the age of 60 years. This article reviews the history and current understanding of male pattern hair loss (MPHL). Historically, observations have suggested that androgenetic alopecia/MPHL results from a combination of heredity and hormones. Scientific observations have been obscured by anecdote and speculation, and not all medical and dermatologic textbooks have given hair loss serious consideration. Now, however, a better understanding of the molecular biology of hair growth in MPHL has indicated a new approach to treatment. This new approach involves the inhibition of 5 alpha-reductase, the enzyme that reduces testosterone to its more active form, dihydrotestosterone (DHT). DHT is currently thought to be the most potent androgen affecting the human hair growth cycle, with adverse effects in MPHL. This article summarizes the current knowledge of normal scalp hair growth, hormonal and enzyme mediators, and the changes that occur in androgenetic alopecia, which may be modulated by 5 alpha-reductase inhibition.
   
Author(s) Girman
Title Effects of Self-Perceived Hair Loss in a Community Sample of Men
Journal Name Dermatology
Journal Citation 1998: 197(3): 223-9
Date Published 1998
Summary Men with male pattern hair loss (MPHL) are more dissatisfied with the appearance of their hair and are more self-conscious about their hair than men with little or no hair loss. This is the finding of Girman et al in a cross-sectional survey of a community sample of men not seeking medical treatment for hair loss.

The objective of this study was to characterize the relationship of self-perception to hair loss with the degree of bother, concern about getting older, perceived noticeability to others , and dissatisfaction with hair appearance to hair loss, using a standardized instrument addressing these specific concerns. The study used community sampling to reduce the potential bias associated with studying the effects of hair loss in men seeking medical treatment. Key Findings:
  • Men reporting greater hair loss were negatively affected in terms of bother, concern about getting older due to hair loss, thinning or shedding, noticeability to others, and dissatisfaction with their appearance.
  • Although apparent across all age groups, the negative effects were more pronounced in younger men.
Despite this, very few men reported having sought treatment for hair loss.
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Author(s) Cash
Title The Psychological Effects of Androgenetic Alopecia in Men
Journal Name Journal of the American Academy of Dermatology
Journal Citation Vol. 26, No. 6, June 1992, Page(s): 926-931
Date Published 1992
   
Author(s) Sasmaz S.
Title The Risk of Coronary Heart Disease in Men with Androgenetic Alopecia
Journal Name Journal of the European Academy of Dermatology and Venereology
Journal Citation 1999 Mar.; 12(2): 123-5
Date Published March 1999
Summary This study determines the significance of certain lipid parameters on this relationship between AGA and coronary heart disease. It focuses on the importance of lipid parameters like total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, lipoprotein (a), apolipoprotein A1, and apolipoprotein B in patients with androgenetic alopecia. The study consisted of 41 men with vertex-type androgenetic alopecia and 36 men (same ages) with normal hair status. The most remarkable result of this study is the significantly higher levels of lipoprotein (a) in patients with androgenetic alopecia, because lipoprotein (a) is an important independent and genetically determined risk factor for coronary heart disease. The results of the study indicate that men with androgenetic alopecia present a higher risk for coronary heart disease than men with normal hair status. In conclusion, the study suggests that dermatologists investigate lipid profiles of patients with androgenetic alopecia and consider advising them to consult a cardiologist if necessary.
   
Author(s) Paus R.
Title The Biology of Hair Follicles
Journal Name New England Journal of Medicine
Journal Citation 1999 Aug.; 12:34(7): 491-7
Date Published August 1999
Summary In this discussion of the biology of hair, the pathobiology of androgenetic alopecia is discussed, along with the two currently available treatments: PROPECIA and topical minoxidil. PROPECIA is described as an effective means of slowing or reversing the progression of androgenetic alopecia due to inhibition of 5-alpha reductase, resulting in the inhibition of androgen-dependent miniaturization of hair follicles. The 24-month data are cited as supporting evidence of the efficacy of PROPECIA in men with male pattern hair loss (MPHL). In contrast, the effects of minoxidil are described as variable and occurring in only a minority of patients.
   
Author(s) Overstreet
Title Chronic Treatment with Finasteride Daily Does Not Affect
Journal Name Spermatogenesis of Semen Production in Young Men
Journal Citation Journal of Urology
Date Published 1999 Oct.; 162(4): 1295-300 October 1999
Summary Key findings in the study show that finasteride 1 mg did not affect spermatogenesis or semen production in young men. Its effects on prostate volume and serum PSA in these men were small and reversible on discontinuation of the drug. The study is the longest placebo-controlled trial evaluating semen parameters using strict quality-controlled methodology. 181 healthy men participated in a semen analysis subset. The protocol consisted of a single-blind, 2-week placebo run-in period followed by a randomized double-blind, placebo-controlled period of 48 weeks in which 91 men received finasteride 1 mg daily and 90 received placebo for 48 weeks, followed by a 60-week off-drug reversibility period. The absence of any clinically relevant effects of finasteride 1 mg on semen parameters, despite significant changes in serum DHT, indicates that testosterone, not dihydrotestosterone appears to be the primary androgen regulating spermatogenesis and sperm quality (sperm concentration, morphology, motility, and fertilizing capability). Sexual adverse experiences occurred in a small number of men, consistent with results observed in a similar population in larger clinical trials.
   
Author(s) Lutufo P.
Title Male pattern baldness and coronary heart disease:
The Physician's Health Study.
Journal Name Archives of internal Medicine
Journal Citation 2000 Jan 24; 160(2): 165-71
Date Published 2000
Summary Vertex pattern baldness appears to be a marker for increased risk of coronary events, especially in men with hypertension or hypercholesterolemia. This finding is reported by investigators from the Physicians' Health Study, a retrospective cohort study among 22,071 US male physicians 40 to 84 years of age. Of these, 19,112 were free of coronary heart disease (CHD) (nonfatal myocardial infarction [MI], angina pectoris, and/or coronary revascularization) at baseline and completed a questionnaire at the 11-year follow-up concerning their pattern of hair loss at age 45. Response options included no hair loss, frontal baldness only, or frontal baldness with mild, moderate, or severe vertex baldness. Results: During 11 years of follow-up, 1446 CHD events were documented. Compared with men with no hair loss, those with frontal baldness had an age-adjusted relative risk of CHD of 1.09, while those with mild, moderate, or severe vertex baldness had a relative risk of 1.23, 1.32, and 1.36, respectively. Multivariate adjustment for age, parental history of MI, height, body mass index, smoking, history of hypertension, diabetes, high cholesterol level, physical activity, and alcohol intake did not materially alter these associations. Results were similar when nonfatal MI, angina, and coronary revascularization were examined separately, and when events were analyzed among men older and younger than 55 years at baseline. Vertex baldness was more strongly associated with CHD risk among men with hypertension or high cholesterol levels.