{"id":23420578,"date":"2026-02-09T11:48:09","date_gmt":"2026-02-09T10:48:09","guid":{"rendered":"https:\/\/www.desouches-chirurgien-esthetique.com\/?p=23420578"},"modified":"2026-02-09T11:48:09","modified_gmt":"2026-02-09T10:48:09","slug":"clascoterone-dutasteride-dutexome-alopecia-treatment-without-side-effects","status":"publish","type":"post","link":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/actualites\/clascoterone-dutasteride-dutexome-traitement-alopecie-sans-effets-secondaires\/","title":{"rendered":"Alopecia: Heading towards &quot;Zero Side Effects&quot; with Clascoterone and Dutexome"},"content":{"rendered":"<p><img decoding=\"async\" class=\"alignnone wp-image-23420580\" src=\"https:\/\/www.desouches-chirurgien-esthetique.com\/wp-content\/uploads\/2026\/02\/Clascoterone-et-Dutexome-traitements-alopecie-sans-effets-secondaires-300x201.jpg\" alt=\"Clascoterone and Dutexome alopecia treatments without side effects\" width=\"1000\" height=\"671\" srcset=\"https:\/\/www.desouches-chirurgien-esthetique.com\/wp-content\/uploads\/2026\/02\/Clascoterone-et-Dutexome-traitements-alopecie-sans-effets-secondaires-300x201.jpg 1000w, https:\/\/www.desouches-chirurgien-esthetique.com\/wp-content\/uploads\/2026\/02\/Clascoterone-et-Dutexome-traitements-alopecie-sans-effets-secondaires-980x658.jpg 980w, https:\/\/www.desouches-chirurgien-esthetique.com\/wp-content\/uploads\/2026\/02\/Clascoterone-et-Dutexome-traitements-alopecie-sans-effets-secondaires-480x322.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) 1000px, 100vw\" \/><\/p>\n<p>By 2026, the management of androgenetic alopecia will undergo a profound transformation. The focus will no longer be solely on efficacy, but also on selectivity. Increasingly informed patients will reject systemic (oral) treatments for <strong>prioritize local approaches, without impacting overall hormonal balance<\/strong>.<br \/>\nTwo major developments dominate the news: <strong>Clascoterone and Dutexome<\/strong>.<\/p>\n<h2>Clascoterone (Breezula): a promising prospect at +539 %<\/h2>\n<p>This is the molecule that&#039;s causing a stir in the scientific and general press. Clascoterone is a topical androgen receptor antagonist.<br \/>\nUnlike finasteride, which reduces DHT production throughout the body, it acts locally: it prevents DHT from attaching to the hair follicle, without ever passing through the bloodstream.<\/p>\n<p><strong>The striking figure<\/strong> According to recent phase III data reported by Midi Libre, this molecule could <a href=\"https:\/\/www.midilibre.fr\/2025\/12\/17\/jusqua-539-de-cheveux-en-plus-cette-nouvelle-molecule-pourrait-revolutionner-la-lutte-contre-la-calvitie-13114599.php\" target=\"_blank\" rel=\"noopener\">generate up to 539 % more hairs compared to the placebo group<\/a>.<\/p>\n<p><strong>Availability<\/strong> Clascoterone is not yet available in pharmacies. Marketing authorization applications are being finalized with the FDA and EMA, with availability expected in 2027.<br \/>\nIt is a molecule of the future, but for now it remains a clinical hope.<\/p>\n<p><strong>For who ?<\/strong> Men and women with early to moderate androgenetic alopecia, especially those who refuse or cannot tolerate oral treatments.<br \/>\nAlso a possible complement to a hair transplant to stabilize native hair.<\/p>\n<h2>The Dutexome (C.PROF 231): the solution available now<\/h2>\n<p>For patients wishing to act immediately without waiting for marketing authorizations for new molecules, Mesoestetic&#039;s Dutexome has established itself as the reference protocol in practice.<\/p>\n<p>This formula combines Dutasteride (0.05 %), aloe vera plant exosomes, copper tripeptide, biotin and B vitamins.<br \/>\nThis cocktail targets hair miniaturization while improving the quality of the follicular environment.<\/p>\n<h3>Application by microneedling<\/h3>\n<p>Dutexome is administered by microneedling: an electric pen equipped with microneedles makes thousands of controlled micro-perforations on the scalp.<br \/>\nThis technique offers a dual action: mechanical regeneration (stimulation of growth factors by the natural healing process) and transdermal passage (homogeneous penetration of active ingredients via the micro-channels created).<br \/>\nMicro-needling combined with the C.PROF 231 solution allows a large area to be treated uniformly, with an excellent tolerance profile.<\/p>\n<p><strong>For who ?<\/strong> Men and women with androgenetic alopecia, patients who have stopped or refuse oral finasteride\/dutasteride, preparation of the donor area before FUE transplantation, protection of native hair after transplantation.<\/p>\n<h2>In summary<\/h2>\n<ul>\n<li><strong>Clascoterone<\/strong> (Breezula): currently being validated (2027+), blocks receptors (anti-DHT shield)<\/li>\n<li><strong>Dutexome<\/strong> (C.PROF 231): Available in-office, blocks the 5-alpha reductase enzyme + regeneration<\/li>\n<\/ul>\n<h2>Why these local approaches?<\/h2>\n<p>For patients concerned about side effects on their libido or hormonal balance, these local solutions offer a credible alternative to oral treatments.<br \/>\nThe product works where it is applied: on the scalp.<br \/>\nThe serum concentration remains almost zero, which allows alopecia to be treated safely, whether as a preventative measure or in conjunction with a hair transplant.<\/p>\n<p><em>Key takeaway: the earlier treatment is started, the higher the chances of stabilization. <\/em><br \/>\n<em>Clascoterone represents the near future. <\/em><br \/>\n<em>Dutexome via micro-needling allows action to be taken today.<\/em><\/p>\n<h2>Scientific studies<\/h2>\n<h3>Clascoterone<\/h3>\n<p><span style=\"font-weight: 400;\">These studies constitute the current scientific basis (2025-2026) for the use of clascoterone in androgenetic alopecia (AGA).<\/span><\/p>\n<h4><b>1. The pivotal phase III studies (SCALP-1 and SCALP-2)<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The most recent and largest studies (1,465 patients) have validated the effectiveness of the 5% solution.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reference: Cosmo Pharmaceuticals, \u201cCosmo Announces Breakthrough Phase III Topline Results from SCALP-1 and SCALP-2\u201d (December 2025).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Link to the scientific press release:<\/span><a href=\"https:\/\/www.google.com\/search?q=https:\/\/www.cosmopharma.com\/news\/cosmo-announces-breakthrough-phase-iii-topline-results-from-scalp-1-and-scalp-2-for-clascoterone-5-solution-in-male-hair-loss\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> Cosmo Pharmaceuticals \u2013 Phase III Results<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Details on ClinicalTrials.gov:<\/span><a href=\"https:\/\/clinicaltrials.gov\/study\/NCT05914805\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> NCT05914805 (SCALP-2)<\/span><\/a><span style=\"font-weight: 400;\"> and<\/span><a href=\"https:\/\/clinicaltrials.gov\/study\/NCT05910450\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> NCT05910450 (SCALP-1)<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<\/ul>\n<h4><b>2. Phase IIb Study (Dose-Ranging Study)<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This study determined that the concentration at 5% twice daily was the most effective compared to placebo and lower dosages.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reference: Mazzarella F, et al. \u201cA Phase 2b randomized, double-blind, vehicle-controlled, dose-ranging study of clascoterone solution in males with androgenetic alopecia.\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">PubMed link:<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31136802\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> Journal of the American Academy of Dermatology (JAAD)<\/span><\/a><span style=\"font-weight: 400;\"> (Note: This initial study from 2019\/2020 laid the foundations for the 5% solution).<\/span><\/li>\n<\/ul>\n<h4><b>3. Safety data and FDA approval (Winlevi)<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Although for acne, these data confirm the systemic safety profile and the absence of impact on the hormonal axis (HPA axis).<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reference: FDA, \u201cWinlevi (clascoterone) Cream 1% Label and Approval Data\u201d (2020).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Link to the FDA:<\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2020\/213433s000lbl.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> FDA Access Data \u2013 Winlevi<\/span><\/a><\/li>\n<\/ul>\n<h4><b>4. Comparative analysis and pharmacology<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">An article detailing why clascoterone does not cause sexual side effects unlike finasteride.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reference: Rosette C, et al. \u201cCortexolone 17\u03b1-Propionate (Clascoterone) is a Novel Androgen Receptor Antagonist that Inhibits Follicular Miniaturization.\u201d<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Link :<\/span><a href=\"https:\/\/www.google.com\/search?q=https:\/\/www.researchgate.net\/publication\/331317544_Cortexolone_17a-Propionate_Clascoterone_is_a_Novel_Androgen_Receptor_Antagonist_that_Inhibits_Follicular_Miniaturization\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> ResearchGate \u2013 Clascoterone Mechanism<\/span><\/a><\/li>\n<\/ul>\n<h3>Dutexome \/ Dutasteride<\/h3>\n<h4><b>1. Studies on Dutasteride (efficacy and safety)<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Dutasteride is widely documented, although its use for alopecia is often \u201coff-label\u201d.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meta-analysis (2025) \u2013 Efficacy of Dutasteride: A recent systematic review confirms the superiority of dutasteride over finasteride in increasing hair density.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12690437\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PubMed link: Effectiveness and Safety of Intralesional Dutasteride in Patients With Androgenic Alopecia (2025)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Long-term comparative study: Analysis of the safety and efficacy of dutasteride versus finasteride in a large cohort.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9561294\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PMC link: Long-Term Effectiveness and Safety of Dutasteride (South Korea Study)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Topical Dutasteride and Nanocarriers (2025): Review of new targeted delivery methods to reduce systemic absorption.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39641480\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PubMed link: Topical dutasteride for androgenic alopecia: current state and prospects<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><b>2. Studies on exosomes in hair regeneration<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">Exosomes are the new frontier of \u201ccell-free\u201d therapy.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Systematic Review (2025): Analysis of clinical evidence concerning exosomes (mesenchymal and plant sources) in the treatment of alopecia.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40955427\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PubMed link: Exosomes and Hair Regeneration: A Systematic Review (2025)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mechanism of action of Exosomes: How these nanovesicles influence the follicular cycle and the dermal papilla.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/www.researchgate.net\/publication\/375247280_The_role_of_exosomes_in_follicle_regeneration_of_androgenic_alopecia\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">ResearchGate link: The role of exosomes in follicle regeneration<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h4><b>3. Specific documentation: c.prof 231 Dutexome<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">The data for this specific product comes primarily from the manufacturer (Mesoestetic Pharma Group).<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Official Tricology \/ Dutexome page: Presentation of the complex and mention of internal studies (Study on 60 patients, 2024).<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/www.mesoestetic.fr\/lignes\/tricology\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Official Website Link: Tricology and c.prof 231 product range<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Technical and Medical Protocol (PDF): Details on microneedling depth (0.25mm \u2013 0.5mm) and recommended doses.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/mesoestetic-uk.co.uk\/wp-content\/uploads\/2024\/10\/c.prof-231-dutexome-1.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Document Link: Dutexome Clinical Protocol<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Informed Consent Form: A useful document for practices, listing risks and limitations.<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><a href=\"https:\/\/mesoestetic-uk.co.uk\/wp-content\/uploads\/2024\/10\/Treatment-Consent-Form-DUTEXOME.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Document link: Informed Consent \u2013 Dutexome<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>En 2026, la prise en charge de l&#8217;alop\u00e9cie androg\u00e9n\u00e9tique conna\u00eet une mutation profonde. L&#8217;enjeu n&#8217;est plus seulement l&#8217;efficacit\u00e9, mais la s\u00e9lectivit\u00e9. Les patients, de plus en plus inform\u00e9s, refusent les traitements syst\u00e9miques (oraux) pour privil\u00e9gier des approches locales, sans impact sur l&#8217;\u00e9quilibre hormonal global. Deux avanc\u00e9es majeures dominent l&#8217;actualit\u00e9 : la Clascot\u00e9rone et le Dutexome. [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[72,158],"tags":[155,156,157],"dipi_cpt_category":[],"class_list":["post-23420578","post","type-post","status-publish","format-standard","hentry","category-actualites","category-traitements-capillaires","tag-clascoterone","tag-dutasteride","tag-dutexome"],"_links":{"self":[{"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/posts\/23420578","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/comments?post=23420578"}],"version-history":[{"count":2,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/posts\/23420578\/revisions"}],"predecessor-version":[{"id":23420581,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/posts\/23420578\/revisions\/23420581"}],"wp:attachment":[{"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/media?parent=23420578"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/categories?post=23420578"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/tags?post=23420578"},{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/www.desouches-chirurgien-esthetique.com\/en\/wp-json\/wp\/v2\/dipi_cpt_category?post=23420578"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}