Trial Outcomes & Findings for STYLE -- A Trial of Cell Enriched Adipose For Androgenetic Alopecia (NCT NCT02503852)

NCT ID: NCT02503852

Last Updated: 2020-01-13

Results Overview

Safety \& Tolerability of Experimental Treatment (ADRC) Assessment of SAE/AE

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

71 participants

Primary outcome timeframe

Enrollment to 52 weeks

Results posted on

2020-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Fat + High Dose ADRC
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Overall Study
STARTED
16
22
24
9
Overall Study
COMPLETED
12
19
21
8
Overall Study
NOT COMPLETED
4
3
3
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

STYLE -- A Trial of Cell Enriched Adipose For Androgenetic Alopecia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fat + High Dose ADRC
n=16 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
n=22 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
n=24 Participants
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
n=9 Participants
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Total
n=71 Participants
Total of all reporting groups
Age, Customized
Age(Years)
40.0 years
STANDARD_DEVIATION 9.1 • n=99 Participants
43.1 years
STANDARD_DEVIATION 13.3 • n=107 Participants
40.5 years
STANDARD_DEVIATION 12.7 • n=206 Participants
36.1 years
STANDARD_DEVIATION 5.4 • n=7 Participants
40.7 years
STANDARD_DEVIATION 11.5 • n=31 Participants
Sex: Female, Male
Female
2 Participants
n=99 Participants
5 Participants
n=107 Participants
7 Participants
n=206 Participants
3 Participants
n=7 Participants
17 Participants
n=31 Participants
Sex: Female, Male
Male
14 Participants
n=99 Participants
17 Participants
n=107 Participants
17 Participants
n=206 Participants
6 Participants
n=7 Participants
54 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=99 Participants
6 Participants
n=107 Participants
12 Participants
n=206 Participants
4 Participants
n=7 Participants
28 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
8 Participants
n=99 Participants
16 Participants
n=107 Participants
12 Participants
n=206 Participants
5 Participants
n=7 Participants
41 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
2 Participants
n=31 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
0 Participants
n=7 Participants
1 Participants
n=31 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
0 Participants
n=7 Participants
3 Participants
n=31 Participants
Race (NIH/OMB)
White
15 Participants
n=99 Participants
21 Participants
n=107 Participants
22 Participants
n=206 Participants
9 Participants
n=7 Participants
67 Participants
n=31 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants

PRIMARY outcome

Timeframe: Enrollment to 52 weeks

Safety \& Tolerability of Experimental Treatment (ADRC) Assessment of SAE/AE

Outcome measures

Outcome measures
Measure
Fat + High Dose ADRC
n=16 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
n=22 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
n=24 Participants
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
n=9 Participants
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Safety & Tolerability Assessment of SAE/AE
Unanticipated Adverse Eventss
0 events
0 events
0 events
0 events
Safety & Tolerability Assessment of SAE/AE
Serious Adverse Events
0 events
0 events
0 events
0 events
Safety & Tolerability Assessment of SAE/AE
Total Number of Adverse Events
5 events
9 events
12 events
2 events

SECONDARY outcome

Timeframe: Enrollment to 52 weeks

Population: mITT, Baseline Norwood-Hamilton III

Terminal (Non-Vellus) Hair Count Assessment by Macrophotography

Outcome measures

Outcome measures
Measure
Fat + High Dose ADRC
n=6 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
n=11 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
n=5 Participants
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
n=4 Participants
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Terminal (Non-Vellus) Hair Count--Change From Baseline
-5.62 Hairs
Standard Error 6.09
16.2 Hairs
Standard Error 4.98
-0.57 Hairs
Standard Error 7.53
-7.92 Hairs
Standard Error 8.98

SECONDARY outcome

Timeframe: Enrollment to 24 weeks

Population: The Baseline NW3 subgroup included all male subjects with baseline Norwood Scale III, III-A and III-V.

Percent of positive responses, defined by increase of 1 or more from baseline, on specific written assessment of treatment outcome by Investigators scored 1-5, value 1 is lowest, value of 5 is highest, higher values represent more positive responses

Outcome measures

Outcome measures
Measure
Fat + High Dose ADRC
n=6 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
n=7 Participants
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
n=12 Participants
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
n=3 Participants
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Hair Satisfaction Questionnaire Responses at Week 24 for Questions 1 Through 4
12.5 % of participants with + responses
34.4 % of participants with + responses
20.8 % of participants with + responses
4.1 % of participants with + responses

Adverse Events

Fat + High Dose ADRC

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Fat + Low Dose ADRC

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Fat Alone

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

No Fat Control

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fat + High Dose ADRC
n=16 participants at risk
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 1,000,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat + Low Dose ADRC
n=22 participants at risk
Kerastem Therapy includes micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System + 500,000 ADRC prepared with the Celution System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Celution System: The Celution System prepares adipose derived regenerative cells (ADRCs) for subcutaneous scalp injection. Kerastem Therapy: The Kerastem Therapy is the subcutaneous scalp injection of purified adipose prepared with the Puregraft System enriched with ADRCs prepared from the Celution System. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Fat Alone
n=24 participants at risk
Micro-liposuction followed by subcutaneous scalp injection of purified adipose prepared with the Puregraft System per square centimeter of scalp. Puregraft System: The Puregraft System prepares purified adipose tissue for subcutaneous scalp injection. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
No Fat Control
n=9 participants at risk
Micro-liposuction followed by subcutaneous scalp injection of normal saline per square centimeter of scalp. Liposuction: Tissue collection involving the micro-harvest of subcutaneous adipose tissue.
Skin and subcutaneous tissue disorders
Brusing or Edema
31.2%
5/16 • Number of events 5 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
36.4%
8/22 • Number of events 8 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
45.8%
11/24 • Number of events 11 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
22.2%
2/9 • Number of events 2 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
Immune system disorders
Shilgles
0.00%
0/16 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
0.00%
0/22 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
4.2%
1/24 • Number of events 1 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
0.00%
0/9 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
Respiratory, thoracic and mediastinal disorders
Hickups
0.00%
0/16 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
4.5%
1/22 • Number of events 1 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
0.00%
0/24 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.
0.00%
0/9 • From Enrollment through 52 Weeks
Events were reported by Investigators, which was supplemented by information from study subjects to Investigators. Attribution was performed by study Medical Director. No adverse Events were attributed to the experimental procedure / product.

Additional Information

Eric Daniels, M.D., Chief Medical Officer

Kerastem

Phone: 858.348.8050

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place