Histogen Update - Spencer Kobren Speaks With Dr. Craig L. Ziering

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  • debris
    Member
    • Jun 2011
    • 30

    Originally posted by RichardDawkins
    damage skin, and pour some stem cell enriched gel on it seems their plan
    where do u get the stemcell part from? all their human trials so far were about lithium 8%

    Comment

    • RichardDawkins
      Inactive
      • Jan 2011
      • 895

      WIld guess? COuld be possible because this gel is more of a consistent mass instead of just an liquid solution, so this could beneficial dht resistent stem cells.

      There are many possible solutions and ideas

      Comment

      • debris
        Member
        • Jun 2011
        • 30

        and thats exactly what i have been talking about on the page before.

        anyway. nevermind.

        Comment

        • UK_
          Senior Member
          • Feb 2011
          • 2744

          Originally posted by debris
          where do u get the stemcell part from? all their human trials so far were about lithium 8%
          Do you have a link to their clinical trial data for Phase II? Have they released hair counts or before/afters of any participants? I tried to do an advanced search on the trial search engine but couldn't find anything.

          Comment

          • debris
            Member
            • Jun 2011
            • 30

            Originally posted by UK_
            Do you have a link to their clinical trial data for Phase II? Have they released hair counts or before/afters of any participants? I tried to do an advanced search on the trial search engine but couldn't find anything.
            Its here:



            use advanced search and search for follica.

            heres the cut and paste of the info:

            Summary
            EudraCT Number: 2009-018191-34
            Sponsor's Protocol Code Number: FOL003
            National Competent Authority: Germany - BfArM
            Clinical Trial Type: EEA CTA
            Trial Status: Ongoing

            Index
            A. PROTOCOL INFORMATION
            B. SPONSOR INFORMATION
            C. APPLICANT IDENTIFICATION
            D. IMP IDENTIFICATION
            D.8 INFORMATION ON PLACEBO
            E. GENERAL INFORMATION ON THE TRIAL
            F. POPULATION OF TRIAL SUBJECTS
            G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
            N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTR(IES) CONCERNED
            P. END OF TRIAL

            Expand All Collapse All

            A. Protocol Information
            A.1 Member State Concerned Germany - BfArM
            A.2 EudraCT number 2009-018191-34
            A.3 Full title of the trial
            A Study to Explore the Effect of Controlled Cutaneous Perturbation and Pharmacologic Modulation for Inducing Follicular Neogenesis
            A.3.1 Title of the trial for lay people, in easily understood, i.e. non-technical, language
            A.3.2 Name or abbreviated title of the trial where available
            Lithium gluconate in hair follicle regrowth
            A.4.1 Sponsor's protocol code number FOL003
            A.7 Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
            A.8 EMEA Decision number of Paediatric Investigation Plan


            B. Sponsor Information
            B.Sponsor: 1
            B.1.1 Name of Sponsor Follica Inc.
            B.1.3.4 Country United States
            B.3.1 and B.3.2 Status of the sponsor Commercial
            B.4 Source(s) of Monetary or Material Support for the clinical trial:
            B.4.1 Name of organisation providing support
            B.4.2 Country
            B.5 Contact point designated by the sponsor for further information on the trial
            B.5.1 Name of organisation
            B.5.2 Functional name of contact point


            D. IMP Identification
            D.IMP: 1
            D.1.2 and D.1.3 IMP Role Test
            D.2 Status of the IMP to be used in the clinical trial
            D.2.1 IMP to be used in the trial has a marketing authorisation Yes
            D.2.1.1.1 Trade name LITHIODERM 8% Gel
            D.2.1.1.2 Name of the Marketing Authorisation holder LABCATAL
            D.2.1.2 Country which granted the Marketing Authorisation France
            D.2.5 The IMP has been designated in this indication as an orphan drug in the Community No
            D.2.5.1 Orphan drug designation number
            D.3 Description of the IMP
            D.3.4 Pharmaceutical form Gel
            D.3.4.1 Specific paediatric formulation Information not present in EudraCT
            D.3.7 Routes of administration for this IMP Cutaneous use
            Topical use (Noncurrent)
            D.3.8 to D.3.10 IMP Identification Details (Active Substances)
            D.3.9.1 CAS number 35941970
            D.3.9.3 Other descriptive name LITHIUM GLUCONATE
            D.3.10 Strength
            D.3.10.1 Concentration unit % (W/W) percent weight/weight
            D.3.10.2 Concentration type equal
            D.3.10.3 Concentration number 8
            D.3.11 The IMP contains an:
            D.3.11.1 Active substance of chemical origin Yes
            D.3.11.2 Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
            The IMP is a:
            D.3.11.3 Advanced Therapy IMP (ATIMP) Information not present in EudraCT
            D.3.11.3.1 Somatic cell therapy medicinal product No
            D.3.11.3.2 Gene therapy medical product No
            D.3.11.3.3 Tissue Engineered Product Information not present in EudraCT
            D.3.11.3.4 Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
            D.3.11.3.5 Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
            D.3.11.4 Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
            D.3.11.5 Radiopharmaceutical medicinal product No
            D.3.11.6 Immunological medicinal product (such as vaccine, allergen, immune serum) No
            D.3.11.7 Plasma derived medicinal product No
            D.3.11.8 Extractive medicinal product No
            D.3.11.9 Recombinant medicinal product Information not present in EudraCT
            D.3.11.10 Medicinal product containing genetically modified organisms No
            D.3.11.11 Herbal medicinal product No
            D.3.11.12 Homeopathic medicinal product No
            D.3.11.13 Another type of medicinal product Yes
            D.3.11.13.1 Other medicinal product type Lithium containing gel for treatment of seborrheic dermatitis


            D8. Information on Placebo
            D.8 Placebo: 1
            D.8.1 Is a Placebo used in this Trial? Yes
            D.8.3 Pharmaceutical form of the placebo Gel
            D.8.4 Route of administration of the placebo Topical use (Noncurrent)


            E. General Information on the Trial
            E.1 Medical condition or disease under investigation
            E.1.1 Medical condition(s) being investigated
            Male subjects with androgenetic alopecia
            MedDRA Classification
            E.1.2 Medical condition or disease under investigation
            E.1.2 Version 12.1
            E.1.2 Level LLT
            E.1.2 Classification code 10068168
            E.1.2 Term Androgenetic alopecia
            E.1.3 Condition being studied is a rare disease No
            E.2 Objective of the trial
            E.2.1 Main objective of the trial
            Primary: To compare changes from Baseline to Day 84 in the number
            of photographically detected hairs in subjects treated with
            controlled cutaneous perturbation using dermabrasion (DA –
            a more superficial perturbation) plus the topical application of
            lithium gluconate 8% gel, to those subjects treated with
            controlled cutaneous perturbation plus the topical application
            of placebo gel.
            E.2.2 Secondary objectives of the trial
            Secondary:
            1) To compare the changes from Baseline to Day 168 in the number of photographically detected hairs in subjects treated with controlled cutaneous perturbation using dermabrasion (DA) plus the topical application of lithium
            gluconate 8% gel, to those treated with controlled cutaneous perturbation plus the topical application of placebo gel;
            2) To compare the number of histologically detected neogenic-like hair follicles in biopsies taken on Day 14 from subjects treated with controlled cutaneous perturbation using dermabrasion (DA) plus topical lithium gluconate 8% gel, to those from subjects treated with dermabrasion plus topical placebo gel;
            3) To compare the number of histologically detected hair follicles in biopsies taken on Day 168 from subjects treated with controlled cutaneous perturbation using a
            4 mm punch biopsy (BX – a deeper perturbation) plus topical lithium gluconate 8% gel, to those from subjects treated with a 4 mm punch biopsy plus topical placebo gel.
            E.2.3 Trial contains a sub-study No
            E.3 Principal inclusion criteria
            1. Be able to understand the consent;
            2. Sign and date the written informed consent form prior to any study-related activity;
            3. Be Caucasian male subjects aged between 20 and 65 years of age who have;
            a. androgenetic alopecia with the presence of a vertex transition zone defined as an
            area possessing both normal and miniaturized hairs, Hamilton Norwood type 3V,
            4, 5, 5A or 5V with a vertex area large enough to accommodate all 3 treatment sites; and
            b. a Fitzpatrick skin type 1-4 (higher Fitzpatrick skin type ratings are excluded from
            the trial due to the increased risk of keloid formation and hypopigmentation in
            these subjects);
            4. Be willing and able to comply with the study procedures;
            5. Have no foreseeable reason to prevent completion of the study;
            6. Be willing to cover the head with a hat or similar protection during exposure to sun;
            7. Agree not to take 5-alpha-reductase inhibitors, such as finasteride (PROPECIA), at any time throughout the duration of this clinical study.
            E.4 Principal exclusion criteria
            1. Participation in another clinical trial within the 30 days directly preceding the study, or earlier participation in the study;
            2. Simultaneous participation in another clinical trial;
            3. Any suspicion of drug and/or alcohol abuse;
            4. A clinical history suggestive of intolerance, allergies or idiosyncrasies to the study drug(s) or the ingredients of the product(s), or to agents that may be used in any of the trial procedures;
            5. A psychiatric condition that might limit the participation in the trial and/or that lead to the assumption that the ability to completely understand the consequences of consent is missing;
            6. Is an employee of the study site or of the Sponsor’s company;
            7. Any disease or circumstances on account of which the subject should not participate in the study in the opinion of the investigator. This includes any clinically significant medical condition that may interfere with the interpretation of the study results, including an uncontrolled chronic disease including, but not exclusive of, history of clinically significant diseases e.g. cardiovascular, haematological, endocrine, hepatic, renal, immunodeficiency disorder, coagulation abnormalities or malignancy.
            Specific exclusions:
            8. Female hair pattern (female pattern alopecia)
            9. History of keloids or hypertrophic scarring;
            10. History of poor wound healing;
            11. History of diabetes mellitus;
            12. History of coagulopathy/bleeding diathesis;
            13. History of hypersensitivity to lidocaine
            14. Immune compromise or undergoing therapy to treat an immune disorder;
            15. Serum creatinine, blood urea nitrogen (BUN) or HGB-A1C above the upper limits of normal (ULN), clinically significant abnormalities in liver function tests (3 times the upper limit of normal); gamma glutamyl transpeptidase (GGT), alkaline phosphatase, aspartate aminotransferase (AST) or alanine aminotransferase (ALT); or the presence of proteinuria (greater than a trace on urine dipstick); results to be confirmed by Day -14. All these values are based on the ULN for the laboratory performing the safety labs;
            16. Clinically significant abnormalities in vital signs or ECG results, in the opinion of the
            investigator;
            17. HIV, hepatitis B, hepatitis C positivity (negative status for each must be confirmed by Day -14);
            18. Diagnosis of any active skin condition that would interfere with study procedures or
            evaluations;
            19. Sunburned skin;
            20. Previous hair transplant surgery;
            21. Current or recent use (within preceding 6 months) of isoretinoin (ROACCUTANE);
            22. Current or recent use (within preceding 6 months) of minoxidil (ROGAINE);
            23. Unwillingness to abstain from the personal use of hair dye from the start of screening through and including the last study visit;
            24. Started, stopped, changed dose or changed regimen of 5 alpha reductase inhibitors, such as finasteride (PROPECIA), within the preceding 12 months;
            25. Current or recent use (within preceding 30 days) of hormone therapy, corticosteroids (except inhaled steroids or topical steroids to non-scalp areas) or other
            immunomodulators;
            26. Current or recent use (within preceding 30 days) of any lithium-containing product;
            27. Current or recent use (within preceding 14 days) of an anticoagulant or antiplatelet agent, including acetylsalicylic acid.
            28. Current or recent use (within preceding 30 days) of caffeine containing shampoo or other treatments applied to scalp to increase hair growth.
            E.5 End points
            E.5.1 Primary end point(s)
            Primary endpoint: The change from Baseline to Day 84 in the number of hairs
            captured by photography in the Target Analysis Area (DA – a
            more superficial perturbation).

            Secondary endpoint:
            1) the change from Baseline to Day 168 in the number of hairs captured by photography in the Target Analysis Area (DA);
            2) the number of neogenic-like hair follicles detected histologically in a first skin punch biopsy taken 14 days after the dermabrasion and topical treatment (Day 14);
            3) the number of hair follicles detected histologically in a second skin punch biopsy, which is taken approximately 5.5 months after the first biopsy (Day 168), at the site of
            the first biopsy (BX – a deeper perturbation) that was
            allowed to heal by secondary intention.

            Exploratory Efficacy, and Safety and PK Endpoints:
            1) the number of hairs captured by photography in the Circular Biopsy Area (BX) a) at Day 84 and b) at Day 168;
            2) the hair shaft thickness captured by photography a) at Day 84 and b) at Day 168 in the Circular Biopsy Area (BX);
            3) the difference in hair shaft thickness captured by photography a) from Baseline to Day 84 and b) from Baseline to Day 168 in the Target Analysis Area (DA);
            4) the histological characteristics in a second skin punch biopsy on Day 168;
            5) clinical evaluation using the Vancouver Scar Scale (VSS) on Day 84 and Day 168, versus Baseline;
            6) photographic evaluation of scar attributes on Day 84 and Day 168, versus Baseline.
            E.6 and E.7 Scope of the trial
            E.6 Scope of the trial
            E.6.1 Diagnosis No
            E.6.2 Prophylaxis No
            E.6.3 Therapy No
            E.6.4 Safety Yes
            E.6.5 Efficacy Yes
            E.6.6 Pharmacokinetic Yes
            E.6.7 Pharmacodynamic No
            E.6.8 Bioequivalence No
            E.6.9 Dose response No
            E.6.10 Pharmacogenetic No
            E.6.11 Pharmacogenomic No
            E.6.12 Pharmacoeconomic No
            E.6.13 Others No
            E.7 Trial type and phase
            E.7.1 Human pharmacology (Phase I) No
            E.7.1.1 First administration to humans No
            E.7.1.2 Bioequivalence study No
            E.7.1.3 Other No
            E.7.2 Therapeutic exploratory (Phase II) Yes
            E.7.3 Therapeutic confirmatory (Phase III) No
            E.7.4 Therapeutic use (Phase IV) No
            E.8 Design of the trial
            E.8.1 Controlled Yes
            E.8.1.1 Randomised Yes
            E.8.1.2 Open No
            E.8.1.3 Single blind No
            E.8.1.4 Double blind Yes
            E.8.1.5 Parallel group Yes
            E.8.1.6 Cross over No
            E.8.1.7 Other No
            E.8.2 Comparator of controlled trial
            E.8.2.1 Other medicinal product(s) No
            E.8.2.2 Placebo Yes
            E.8.2.3 Other No
            E.8.3 The trial involves single site in the Member State concerned No
            E.8.4 The trial involves multiple sites in the Member State concerned Yes
            E.8.4.1 Number of sites anticipated in Member State concerned 2
            E.8.5 The trial involves multiple Member States No
            E.8.6 Trial involving sites outside the EEA
            E.8.6.1 Trial being conducted both within and outside the EEA No
            E.8.6.2 Trial being conducted completely outside of the EEA Information not present in EudraCT
            E.8.7 Trial has a data monitoring committee No
            E.8.8 Definition of the end of the trial and justification where it is not the last visit of the last subject undergoing the trial
            End of study is the last visit of the last subject.
            E.8.9 Initial estimate of the duration of the trial
            E.8.9.1 In the Member State concerned years 1
            E.8.9.1 In the Member State concerned months 0
            E.8.9.1 In the Member State concerned days 0
            E.8.9.2 In all countries concerned by the trial years 0
            E.8.9.2 In all countries concerned by the trial months 0
            E.8.9.2 In all countries concerned by the trial days 0


            F. Population of Trial Subjects
            F.1 Age Range
            F.1.1 Trial has subjects under 18 No
            F.1.1.1 In Utero No
            F.1.1.2 Preterm newborn infants (up to gestational age < 37 weeks) No
            F.1.1.3 Newborns (0-27 days) No
            F.1.1.4 Infants and toddlers (28 days-23 months) No
            F.1.1.5 Children (2-11years) No
            F.1.1.6 Adolescents (12-17 years) No
            F.1.2 Adults (18-64 years) Yes
            F.1.3 Elderly (>=65 years) No
            F.2 Gender
            F.2.1 Female No
            F.2.2 Male Yes
            F.3 Group of trial subjects
            F.3.1 Healthy volunteers Yes
            F.3.2 Patients No
            F.3.3 Specific vulnerable populations No
            F.3.3.1 Women of childbearing potential not using contraception No
            F.3.3.2 Women of child-bearing potential using contraception No
            F.3.3.3 Pregnant women No
            F.3.3.4 Nursing women No
            F.3.3.5 Emergency situation No
            F.3.3.6 Subjects incapable of giving consent personally No
            F.3.3.7 Others No
            F.4 Planned number of subjects to be included
            F.4.1 In the member state 62
            F.4.2 For a multinational trial
            F.4.2.1 In the EEA 0
            F.4.2.2 In the whole clinical trial 0
            F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
            No treatment or care is planned after the subject has ended his participation in the trial.


            G. Investigator Networks to be involved in the Trial



            N. Review by the Competent Authority or Ethics Committee in the countr(ies) concerned
            N. Competent Authority Decision Authorised
            N. Date of Competent Authority Decision or Application withdrawal 2010-05-18
            N. Ethics Committee Opinion of the trial application Favourable
            N. If an unfavorable opinion or withdrawal, give reasons for the unfavorable opinion/withdrawal
            N. Date of Ethics Committee Opinion or Application withdrawal 2010-07-21


            P. End of Trial
            P. End of Trial Status

            Comment

            • debris
              Member
              • Jun 2011
              • 30

              There is a guy on the other site who supposedly tried pretty much exactly this protocol (deep wounding + lithium 8&#37 and then he also tried again with immuno suppresion. he followed the articles and patents as closely as he could.

              He grew absolutely no hair what so ever in both cases.

              Comment

              • UK_
                Senior Member
                • Feb 2011
                • 2744

                So have they abandoned their "wnt"/gene therapy approach?

                If they've failed on their previous approaches then we're all pretty much screwed b/c this lithium treatment doesn't look at all promising.

                I really wanna find out what they spoke of at that conference, they must have mentioned something about the trial, good or bad.

                Comment

                • debris
                  Member
                  • Jun 2011
                  • 30

                  Originally posted by UK_
                  So have they abandoned their "wnt"/gene therapy approach?
                  no one rly knows. their research shows that lithium is the wnt modulator that they use. or thats how i understood it. there are some papers around so if youre interested you can read them. lithium + wounding grew most of hair in mice experiments. thats what i remember from one of the papers.

                  Comment

                  • UK_
                    Senior Member
                    • Feb 2011
                    • 2744

                    Oh right thanks, yeah sorry im a bit lazy to read up on all their latest releases lol.

                    Thanks for the information though.

                    Comment

                    • UK Boy
                      Senior Member
                      • Apr 2011
                      • 244

                      Follica's wounding

                      Reading through that whole patent thing makes me feel less comfortable with Follica's treatment. I knew they were using wounding but I always thought it would be very superficial. They say it's dermabrasion which I've heard of before and didn't think caused scaring cos people have it done to re-juvinate the skin on their faces. When you read the conditions to be a test subject it mentions that you can't be susceptible to keloid scaring or hyper-pigmentation though and I've always associated these kinds of scaring with full depth wounds like the type you get from a traditional transplant. The whole reason I'm interested in the new generation of treatments is in part due to the fact that they talk about being minimally invasive - no scaring - so if there's gonna be a risk of getting scars all over your scalp with Follica's treatment then I'm gonna count it out anyway.

                      Comment

                      • Follicle Death Row
                        Senior Member
                        • May 2011
                        • 1066

                        I'd agree with that. Doesn't sound like a runner to me. I'm now wondering if Histogen and Aderans will supplement each other. That's my hope anyway. Also hopefully Aderans compounds. I was initially under the impression that they would inject the cellular 'seeds' so to speak for individual follicles, as in 90 small injections in 1 square centimetre for 90 follicles, but now I'm not so sure that that's what they're doing. The last presentation I saw made it seem quite similiar to HSC albeit using you're own cells.

                        Comment

                        • UK_
                          Senior Member
                          • Feb 2011
                          • 2744

                          Well the treatment would fail clinical trial if it created scar tissue, so you wouldn't even have the chance to use it. I doubt we can just write it off on the basis of our 'clinical knowledge'.

                          Follica are a highly secretive company, I doubt anyone could even come close to mimicking the process they have spent all this time working on, I do believe they have something.

                          Comment

                          • Flowers
                            Senior Member
                            • Feb 2011
                            • 254

                            Originally posted by UK_
                            Well the treatment would fail clinical trial if it created scar tissue, so you wouldn't even have the chance to use it. I doubt we can just write it off on the basis of our 'clinical knowledge'.

                            Follica are a highly secretive company, I doubt anyone could even come close to mimicking the process they have spent all this time working on, I do believe they have something.
                            Have they given us any type of time frame at all? I know histogen and aderans say 2014-15 (but who knows with them...)

                            Comment

                            • UK_
                              Senior Member
                              • Feb 2011
                              • 2744

                              Originally posted by Flowers
                              Have they given us any type of time frame at all? I know histogen and aderans say 2014-15 (but who knows with them...)
                              Not too sure on that one, God knows when/if they will make public the results of their Phase II.

                              Comment

                              • Flowers
                                Senior Member
                                • Feb 2011
                                • 254

                                Originally posted by UK_
                                Not too sure on that one, God knows when/if they will make public the results of their Phase II.
                                Oh alright. And are they doing phase II now? Sorry I'm not completely up to date on all of these companies

                                Comment

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