dNovo: De Novo Hair Regeneration

A new biotech startup named dNovo is all over the news this week when it comes to the hair loss world. They have already grown reprogrammed human hair on mice.

Update: They raised $2.7 million in seed funding.

dNovo stem cell hair loss cure
Stem cell hair loss cure from dNovo. Proven in mice so far.

I am no longer keen to cover startup hair loss cure related companies that have yet to even commence pre-clinical trials. In all past such cases, we have always been left with major disappointment. Such companies waste years of our time before ending up in situations such as the below:

  • Fail or see minimal results during Phase 2 or Phase 3 clinical trials (e.g., Follicum) despite significant hopes after Phase 1. Then they discontinue further product development. In the case of Histogen and Samumed (Biosplice), 10 plus years of false hopes culminating in the end of their hair loss operations.
  • Cannot raise sufficient funds at some point very late in the process. (e.g., Riken/Tsuji and Intercytex/Aderans).
  • Close down their hair loss program abruptly with no clear explanation (e.g., Aclaris). In many cases, despite decent hair growth results.
  • Keep announcing minor new developments even ten plus years after inception, with no end in sight. e.g., Follica just released a poster.
  • Get involved in licensing and other partnership disputes (e.g., Shiseido/Replicel).

I increasingly feel that most new companies are all money-making schemes to raise investor funds or boost share prices. But the hope for someone legitimate never ends (at least not till I finally shave my head).

dNovo: Hair Growth with Stem Cells

However, for the past three days, dNovo has been in the news every day and several readers commented and e-mailed about the company. “De novo” stands for “anew” or “from the beginning”. i.e., brand new hair follicle formation in this case. Note that there is another company named “denovo hair” (but their site suggests it is no longer in business).

The initial detailed article on dNovo was published in MIT Technology Review. Then came Fortune. Followed by BoingBoing. Today, I finally gave in after Slashdot also got in on the game. The comments underneath their article are funny.

I am covering dNovo despite major reservations. Assuming they even succeed in humans, I do not think that dNovo’s hair cell regeneration product can come to market before 2030. And Stemson will likely beat them to the game.

dNovo Cell Reprogramming Process

dNovos’s lab-grown hair process is outlined on their site in five steps:

  1. Collect human hair cells at their facility. Per several articles, they might even use skin cells and convert them to hair cells.
  2. Add proprietary reprogramming factors.
  3. General hair producing cells.
  4. Seed these cells into the balding recipient’s scalp.
  5. See visible hair growth in 1-3 months post implantation.

As of second quarter 2021, dNovo had successfully developed the reprogramming system to generate human dermal papilla cells (patent pending). These reprogrammed dermal papilla cells perform biochemically as expected of human dermal papilla cells.

At the end of 2020, the company successfully transplanted reprogrammed human hair stem cells onto mice. These then turned into actual human hair (image at the top of this post).

Dr. Ernesto Lujan

dNovo was founded in 2018 by Stanford University educated biologist Dr. Ernesto Lujan. He has a PhD in genetics, and has many other accomplishments per his bio on YCombinator. dNovo’s team consist of PhDs and MDs trained at Stanford, Harvard, and Caltech.

Dr. Lujan was a co-author of a 2012 paper in which his team  converted mouse skin cells into cells that become the three main parts of the nervous system. So it seems like he has been interested in this type of cell reprogramming work for at least ten years.

I love this quote on YCombinator:

“After hair, we envision using our cellular reprogramming technique to make any cell, any tissue or any organ on demand to replace what is lost as we age.”

Per Dr. Lujan (in Fortune magazine):

“We are currently in the preclinical stage of development. We have shown the results in laboratory mice and are very excited with those. We hope to eventually demonstrate the efficacy in human trials and make our product commercially available, but at the moment we are in the early stages of the whole process.”

Generic Dutasteride Cost

The cost of generic dutasteride is drastically cheaper than the cost of brand name dutastride (Avodart).

Generic Dutasteride from Epic Pharma (via Humanwell PuraCap)
Generic Dutasteride manufactured by Humanwell PuraCap Pharmaceutical of China. Via Epic Pharma of the US.

Update: January 9, 2022 — Yesterday, for the first time ever, I purchased my generic dutasteride 0.5 mg using GoodRx. Please note that you can sort on their site by number of pills as well as branded versus generic. My cost for 90 pills was just $23.31 via Safeway (my closest pharmacy). This is a lot less than what one would pay with regular health insurance coverage (see table at bottom — not updated recently). I get my prescription from Medical Wellness Center.

In the past, I used to go to Costco, but I ended my membership there last year. GoodRx will save you 95 percent of the cost of your pills (or capsules) if you do not have any health insurance. The product I purchased was made in China (see image on right) via Epic Pharma and its local partner Humanwell PuraCap Pharmaceutical. In the past, I have purchased my generic dutasteride from various other company names, including Breckenridge, Apotex and Camber.

Generic Dutasteride Price

After I wrote a post on the cost of generic finasteride last year, I received several requests to write one on the cost of generic dutasteride. However, the reason for my not being able to do that right away was because the patent for Avodart (the original brand name dutasteride that is made by GlaxoSmithKline) only ran out late last year. It took a few more months before generic Avodart became readily available.

Low-Cost Generic Dutasteride.
Generic Dutasteride. Far less costly than brand name Avodart.

Note that dutasteride is only approved to treat hair loss in South Korea and Japan as of the time of writing this post. In the US and EU, it is approved to treat enlarged prostates, but not yet for hair loss. I am optimistic that this situation will change in the next several years, but no guarantees. Edit: No longer optimistic.

As I have mentioned many times on this blog before, dutasteride (see positive and negative reviews and testimonials) is likely to give substantially superior results in comparison to finasteride when it comes to treating hair loss. But at the same time, likely to cause more frequent side effects.

Do your research carefully before deciding to proceed with such a strong drug and always discuss taking it with your doctor before proceeding.  In rare cases, it seems like the side effects from both finasteride and dutasteride can be permanent.

GoodRx Discounts

Note that various online sites now offer coupons for drug purchases if you are buying them with cash and not paying via insurance. Perhaps the most popular one is GoodRx, which has coupons for numerous drugs, including for dutasteride. For those not in the US, feel free to provide your country’s prices and discount options in the comments to this post.

Note: Prices and brands at the same pharmacy chains may vary by US state. Also keep in mind that many stores may price match or have internal savings plans.

Generic Dutasteride Cost Table

Country of manufacture entries in the below table could be off and I have not tried to go through product brochure attachments on company websites for now to try to find out.

Teva Pharmaceuticals is headquartered in Israel, but a pharmacist told me that their generic dutasteride was made in the US. The Breckenridge Pharmaceuticals website says it is based in the US, but a Costco employee told me that the packaging on their generic dutasteride says its made in New Zealand.

Amneal Pharmaceuticals website says that 95 percent of its products are made in the US and 5 percent are made in India. GSK is headquartered in the UK, but it seems like the company’s Avodart is made in the US. Please let me know country of manufacture if you purchase any of the below and find errors in my table.

Pharmacy NameAvodart (0.5 mg) — 30 pillsCompany Name (Country of Manufacture)Generic Dutasteride (0.5 mg) — 30 pillsCompany Name (Country of Manufacture)
Costco$190GSK (US)$21Breckenridge
Pharmaceuticals (New Zealand)
CVS (Target now seems to house CVS)$207GSK (US)$172Teva Pharmaceuticals (US/Israel)
Rite Aid$222GSK (US)$173Amneal Pharmaceuticals (US)
Safeway$232GSK (US)$203Amneal Pharmaceuticals (US)
Sam’s Club$190GSK (US)$100Teva Pharmaceuticals (US/Israel)
Walgreens$206GSK (US)$182Amneal Pharmaceuticals (US)
Walmart$195GSK (US)$157Teva Pharmaceuticals (US/Israel)