Kintor Pharmaceutical Starts Phase 3 Trials

Kintor Pharmaceutical (China) is definitely the real deal. They are moving faster than any other company in the history of the hair loss industry. Moreover, they are conducting hair loss trials for two separate androgen receptor targeting products, and that too in two countries. For both males and females. Hence my excuse for this post becoming very disjointed. Latest updates are on top.

Update: March 21, 2023

Kintor Pharma Presentation at AAD2023

At the just concluded American Academy of Dermatology Association (AAD) 2023 meeting in the US, there is an interesting update from Kintor Pharma. The renowned Dr. Ken Washenik made a presentation on both of Kintor’s androgenetic alopecia products: pyrilutamide (KX-826) and GT20029. His talk was titled: “The Emerging Potential of Topical Androgen Modulators in Androgenetic Alopecia”.

Besides discussing clinical trial data, Dr. Washenik highlighted the emerging potential of topical androgen receptor (AR) modulators in the treatment of pattern hair loss. Key quote:

“The potential of an effective topical AR blocker without systemic side-effects has long been promising.”

Latest Clinical Trial Status

Per this latest news release (and their pipeline page), Kintor’s latest status of trials is as follows:

  • Conducting Phase III clinical trials in China of KX-826 for male AGA.
  • Conducting Phase II clinical trials in the US of KX-826 for male AGA.
  • Planning Phase III clinical trials in China of KX-826 for female AGA.
  • Conducting global multi-center Phase III clinical trials of KX-826 for male and female AGA.
  • Analyzing results of completed Phase I clinical trials of GT20029 for the treatment of AGA in China and the US.

At the same AAD conference, Dr. Adelaide Hebert also discussed Kintor’s KX-826 for the treatment of acne. It works by competing with dihydrotestosterone (DHT) for binding to ARs. It inhibits gene expression that in turn reduces sebum production and inflammation.

Update: December 1, 2022

Kintor Phase 2 Results for KX-826 in Females

Not surprisingly, yet another positive Kintor update. Their Pyrilutamide (KX-826) phase 2 clinical trial results for females with androgenetic alopecia just got released. And the findings are positive. Total area hair count (TAHC) increased 11.39 hairs per cm2 compared with the placebo group after24 weeks of treatment. It seems like they are going with a dosage of KX-826 5mg (0.5%) once a day, even though twice a day was also tested.

The overall safety profile of Pyrilutamide in females was good, and no participant needed to drop out due to any adverse event. Note that these results, whilst encouraging, are less than half what was seen in men (22.73 hairs per cm2 increase). See further below for the prior updates on the male trials. Both these Phase 2 trial were conducted in China, and Kintor is expected to conduct Phase 3 trials for men and women in China too.

Update: November 24, 2022

Phase 1 Trials for GT20029 a Success

Kintor’s just announced positive top-line results for its Phase I clinical trial of GT20029 for the treatment of androgenetic alopecia (AGA) and acne. GT20029 is the world’s first topical Proteolysis Targeting Chimera (PROTAC) compound that has completed Phase I clinical trials. It works by degrading the androgen receptor (AR). The topical administration of GT20029 was safe and well-tolerated, with limited systemic exposure. Note that this study was in China.

Later on in February 2023, they got similar results in US Phase 1 trials.

Update: August 29, 2022

Kintor Releases KX-826 Phase 2 Trial Results in Males

Kintor just released the Phase 2 results from China on their website and they are positive. Note that this Pyrilutamide (KX-826) topical hair loss product is an androgen receptor antagonist. In contrast, existing hair loss products Finasteride and Dutasteride are both oral DHT inhibitors.

Key quote:

“The results showed that the KX-826 (0.5%) 5mg BID group demonstrated significant improvement in TAHC as compared with the baseline (increased by 22.73 hairs per cm2; and placebo group (increased by 15.34 hairs per cm2) after 24 weeks of treatment. The recommend phase III dose is determined as KX-826 (0.5%) 5mg BID.”

Note that BID means twice daily. A total of 120 Chinese adult male subjects with a mean age of 35.6 were enrolled in the study. All had a Hamilton-Norwood classification III or higher balding pattern. They were equally divided into four groups:

  • KX-826 2.5 mg (0.25% concentration) twice daily.
  • KX-826 5 mg (0.5% concentration) once daily.
  • KX-826 5 mg (0.5% concentration) twice daily.
  • Placebo.

The overall safety profile of KX-826 was good per these results. No serious adverse event (SAE), adverse drug reaction (ADR), or death occurred. After 14 days of topical application, the blood concentration of KX-826 was very low in all dose groups.

Kintor says that it will accelerate the clinical progress of KX-826 and GT20029 in order to:

“Bring more innovative and effective treatment options to the hundreds of millions of people suffering from AGA and acne vulgaris worldwide.”

Update: August 11, 2022

Pyrilutamide Phase 2 Clinical Trial Results

Great news per a Chinese contact. It looks like Kintor may finally present the results of its Phase 2 Chinese trials of Pyrilutamide (KX-826) for hair loss on September 3 at 8:20 pm . The presenter will be Dr. Zhou Cheng from Peking University People’s Hospital (where Kintor’s Phase 3 trials are also being conducted right now).

Note that Kintor is not named in the presentation. However, I noticed that the chairman of this group of presenters (from Peking University) is Dr. Zhang Jianzhong. This man is listed in Kintor’s press releases as the principal investigator. So I decided to update this post as it looks believable now after months of waiting and delays.

The possible presentation (after translation) is titled: “New progress in diagnosis and treatment of androgenetic alopecia.” Please note that this KX-826 androgen receptor antagonist product is unlikely to bring back long lost hair in totally bad areas of the scalp. All I am hoping for is something as good as Dutasteride, but with a different mechanism of action.

Kintor Pharma Presentation
Kintor Pharma presentation of Phase 2 clinical trials results will occur on September 3 in China at a Dermatology conference.

Kintor Pharmaceutical Update: Three Clinical Trials

Update: August 9, 2022 — Kintor just completed enrollment of 92 subjects in China for Phase 1 trials of its GT20029 hair loss product. This proprietary Proteolysis Targeting Chimera (AR-PROTAC) product is the world’s first topical androgen receptor (AR) degrader compound to enter clinical trials. They will test a gel or tincture per the press release, and results will be finalized at the end of 2022.

Update: August 3, 2022 — Kintor just completed patient enrollment of 121 subjects in its Phase 2 clinical trials of KX-826 (pyrilutamide) in the US. This topical androgen receptor antagonist product will be used to treat androgenetic alopecia.

Update: July 2022 — The China Phase 2 trial results for pyrilutamide for hair loss will occur at the postponed 28th Annual Meeting of the Chinese Society of Dermatology. It runs from August 31-September 4, 2022 in Shenyang.

Updates in April 2022

Some very unique updates in our Kintor channel in the hair loss chat this past week.

  1. Interesting new Powerpoint presentation.
  2. Kintor will present the results of its Phase 2 clinical trials (of KX-826, aka Pyrilutamide) for androgenetic alopecia at a “high-profile symposium” in June 2022.
  3. Some people managed to view a classified Phase 2 results slide that concluded Pyrilutamide’s hair growth effect to be similar to Dutasteride. This would be amazing if true, since Pyrilutamide (targets the AR receptor) is totally different from Dutasteride (targets DHT). Anecdotal reports for now, but seem to be causing a lot of excitement.
  4. A number of people are starting to report their results from using KX-826 via a Group Buy. I cannot encourage such experimental behavior, but I am following the reports keenly. Here is one I found on Reddit. Best of luck to these pioneers.

Kintor will Start Phase III Trials in China in January 2022

In the latest update from today (November 24th, 2021), Kintor Pharmaceutical announced that it will begin Phase 3 trials in China in January 2022! Update: Now begun.

The company’s IND application for the pivotal study (phase III) of pyrilutamide (KX-826) was cleared by China’s National Medical Products Administration. KX-826 is the first androgen receptor (AR) antagonist to enter phase III clinical trials anywhere in the world.

This is perhaps the best news in the hair loss world so far in 2021.

Update: November 12, 2021 — Kintor Pharma just started Phase II clinical trials in women in China with a first dose of pyrilutamide (KX-826). This trial pertains to androgenetic alopecia in women (i.e., female pattern hair loss).

Update: September 8, 2021 — Kintor Pharma just announced that its Phase II clinical study for KX-826 to treat androgenetic alopecia was a success. Primary endpoint was met. More detailed results will be released later per CEO Dr. Youzhi Tong. Phase III clinical trials in China will commence in the fourth quarter of 2021. Even better, Phase II trials are also currently taking place in the US. And Phase II trials for women will take place in China

Update: July 11, 2021 — The US FDA just approved Kintor’s Phase II clinical trial for pyrilutamide (KX-826) to treat androgenetic alopecia. Note that the company’s trials in China are already mid-way through Phase II per their pipeline page.

They area also working on another hair loss product named GT200029 that is an “AR-PROTAC” compound. Its Phase 1 trials will start in China this month.

April 15, 2021

Kintor Pharma: AR Antagonist and AR Degrader

Earlier today, it was announced that Kintor received approval in China to begin clinical trials for GT20029. This product will be in tincture or gel format, and will be tested for the treatment of androgenetic alopecia and acne.

  • The GT20029 product is an androgen receptor degrader (AR Degrader). It is developed using Kintor’s proprietary Proteolysis Targeting Chimera (PROTAC) platform. According to the press release, this is the world’s first topical androgen receptor (AR) compound (AR-PROTAC) to enter clinical trials. GT20029 degrades the AR protein via the E3 ubiquitin ligase pathway. During preclinical studies, GT20029 did not cause any notable side effects or systemic drug accumulation.
  • Note that Kintor’s main product for treating male pattern hair loss is KX-826 (Pyrilutamide) and is an androgen receptor antagonist (AR Antagonist). I covered the latter in prior updates to this post if you read till the end. KX-826 is currently in Phase 2 clinical trials in China and in Phase 1 trials in the US.

Note that Cassiopea’s Breezula (Clascoterone) is an AR antagonist that is well ahead of KX-826 when it comes to clinical trial stage. Kintor’s website has a very interesting article discussing both AR antagonist products and hair loss in China in general.

Make sure to also read my related past post on destroying the androgen receptor to reverse hair loss.

Feb 2, 2021

Clinical Trial Status

Kintor’s investigational new drug (IND) application of GT20029 for androgenetic alopecia and acne vulgaris was accepted by the National Medical Products Administration (NMPA) of China.

Kintor has moved forward with its trials faster than any other hair loss company. I am glad to see a Chinese company finally entering the hair loss cure market. Scientific and technological progress seem to happen faster in China than in the west. Hopefully, clinical trials for hair loss products will follow the same pattern.

Side note: In July 2020, Kintor and Applied Biology (US) collaborated on using Proxalutamide for the Treatment of COVID-19. There is a school of thought that suggests anti-androgens could help reduce Coronavirus fatalities. To date, more men have died from the disease then have women.

Below is the pipeline from Kintor’s website:

Kintor Pharmaceutical Pyrilutamide Pipeline
Kintor Pharmaceutical Pyrilutamide Androgenetic Alopecia Pipeline.

 

Kintor Pharmaceutical (China) also recently completed the enrollment of 120 patients in its Phase II clinical trials for pyrilutamide for hair loss. See the bottom half of this post for my original discussion on Kintor. Their stock is traded on the Hong Kong Hang Seng Index.

Key quote from CEO Dr. Youzhi Tong:

“We will accelerate the progress of its phase II/III clinical study so as to bring benefits to the people suffering from alopecia as soon as possible.”

May 26, 2020

A new Chinese company named Kintor Pharmaceutical is working on an interesting hair loss drug called pyrilutamide . It is extremely rare to hear about any Chinese company involved in hair loss cure research. Very strange, considering the country’s rapid pace of scientific advancement and massive population. Moreover, Chinese men and women are nowadays balding at much faster rates than in the past.

Update: August 4, 2020 — Phase Ib trials are now complete.

Kintor Pharmaceutical and Hair Loss

Four days ago, China-based Kintor Pharmaceutical (also known as Suzhou Kintor Pharmaceuticals) got significant Chinese media coverage. This interest was related to the company’s prostate cancer, breast cancer and hair loss drugs.

Earlier this month, Kintor Pharmaceutical also had a very successful IPO in Hong Kong.

While the company’s main focus seems to be its prostate cancer and breast cancer drugs, its androgenetic alopecia drug trials are also advancing rapidly. Their main androgen receptor blocking drug candidate is called Pyrilutamide (KX-826) and it is applied to the scalp topically. The company’s Proxalutamide drug slows or stops cancer cell growth by entirely inhibiting androgens.

Pyrilutamide

The one disappointing news is that Kintor aims to take on Johnson & Johnson’s Minoxidil. This could mean that topical Pyrilutamide is unlikely to be much better than Minoxidil. I hope I am wrong. Recently completed phase one trials in China proved that pyrilutamide is safe and causes no major side effects in humans.

Kintor is currently conducting phase 2 clinical trials for pyrilutamide on 160 men in China, and phase 1 trials on 30 men in the US. Phase 3 trials on 600 people in China, the US and Japan are planned for as soon as 2021. I would guess that the US FDA and Japanese PMDA will never accept Phase 2 results from China as any kind of proof to proceed to Phase 3 trials in the US and Japan.

So how can the company proceed so fast in the US and Japan?

Alma TED (TransEpidermal Delivery) for Hair Growth

Alma TED System
Alma TED™ System.

Over the past year, I have kept hearing about the Alma TED™ ultrasound-based system for hair growth. The TED stands for “TransEpidermal Delivery”, meaning past the epidermis upper skin layer.

This device is made by Alma and it improves medication and growth factor delivery to the hair follicles. It was only in March 2022 that the company announced the launch of its new ultrasound based system Alma TED.

The device benefits hair growth via improving drug delivery as well as blood flow. On a somewhat related note, even sound therapy by itself can benefit hair growth per some findings.

Alma TED for Hair Loss

I decided to finally write this post after seeing that there is a presentation on Alma TED at this week’s AAD2023 meeting.

Alma TED Presentation
Alma TED Presentation at AAD2023.

I covered a few of these American Academy of Dermatology (AAD) conferences in the past. This time, I leave it up to the readers to go through the various hair related sessions.

The above presenter Lady Christine Cheng Dy, MD has been at the forefront of using this technology. On her website, she has a video of herself getting the painless non-invasive Alma TED treatment. It works by “using acoustic sound waves and air pressure to drive active components deeper into the skin”. This leads to better and greater absorption.

Dr. Alan Bauman, another pioneer in the use of this technology has some great videos of this treatment on his site. He is upfront that Alma TED will not grow new hair follicles, but can make existing ones stronger. He uses a growth factor serum in combination with the ultrasound delivery.

Alma TED comes with a propriety tip that is engineered with Impact Delivery™ patented technology. Unlike PRP, this non-invasive, non-traumatic treatment does not require the use of injections or needles.

Better Drug Delivery

A few weeks ago, Dr. John Cole (see his site’s section on TED), mentioned something interesting to me:

“I am very curious about using Alma TED to deliver dutasteride and finasteride. TED opens a 3 micrometer channel in the skin. According to their chief scientific director, anything up to 800 daltons should go in. Finasteride is around 400 daltons and dutasteride is 500 plus daltons.”

Dr. Cole says that he has seen great patient results from TED. On his site, he elaborates that cavitation from the ultrasound separates the skin’s collagen network of fibers. This enables the delivery of a hair care formula at up to 4mm depth into the skin via the air pressure.

He further elaborates that TED is a two step process:

  1. First you open the channels.
  2. Then, at a higher intensity, you deliver the product.

Update: It seems like Dr. Cole did a self-experiment and used Alma TED to deliver Dutasteride, Latanoprost and Minoxidil to his scalp. I did not know this when I wrote this post.

Make sure to also read my past post on topical finasteride delivery mechanisms.

Hair loss cure and treatment news updates.