All therapiesEvidence snapshot 2026-09-13
Research program

Clascoterone 5%

Male pattern hair loss: pivotal scalp-trial results and planned U.S. and European filings.

At a glance

Selected evidence in this atlas
Studied use & population

Male pattern hair loss: pivotal scalp-trial results and planned U.S. and European filings.

Study context
Approval & development

The hair-loss solution remains investigational in the U.S. Cosmo targets a U.S. application in Q1 2027 and a European application in Q2 2027. Winlevi's approved 1% acne cream is a different formulation and indication.

Status & indications
Selected efficacy evidence

Across 1,465 men, Cosmo reports significant hair-count effects in both trials. The patient-reported endpoint is significant in one trial and shows a positive trend in the other; the pooled analysis is significant.

3 Dec 2025 · sponsor-reported phase 3 topline

Evidence & limitations
Important safety context

Study-specific safety is not summarized in this timeline entry. See the research notes and primary source; missing safety data do not establish safety.

Safety context
Next milestone

Q1 2027 · Submit the U.S. application

Explicit quarter in Cosmo's July 23, 2026 release; the H1 report describes early 2027.

Milestone details

Study results apply to their own population, dose and analysis. They do not establish a ranking between therapies.

Evidence in the atlas

0 results

Each result belongs to its own study population, dose and analysis. Open a result for its chart, comparator, safety findings and limitations.

sponsor-reported phase 3 topline · 3 Dec 2025

Hair-count endpoints improve; perception is mixed

Across 1,465 men, Cosmo reports significant hair-count effects in both trials. The patient-reported endpoint is significant in one trial and shows a positive trend in the other; the pooled analysis is significant.

The sponsor's 539% and 168% relative-effect headlines are not absolute hairs/cm² or percentage scalp regrowth. The release does not provide the full absolute treatment effects needed to judge the visible size of benefit.

Safety context

Study-specific safety is not summarized in this timeline entry. See the research notes and primary source; missing safety data do not establish safety.

Research notes

Detailed trial charts have not been added for this program. See its sourced development timeline and research notes.

Biology & identity

Status in this atlas: The hair-loss solution remains investigational in the U.S. Cosmo targets a U.S. application in Q1 2027 and a European application in Q2 2027. Winlevi's approved 1% acne cream is a different formulation and indication.

Chemical connectivity and stereochemistry of Clascoterone.

Uses, doses and availability depend on the formulation, indication and country. Study doses below describe research; they are not prescribing instructions.

The molecule

2D chemical structure

Clascoterone · 2D chemical structure

Chemical connectivity and stereochemistry of Clascoterone.

Shown: Active compound as represented in the named PubChem record; formulation excipients excluded.

A two-dimensional chemical diagram shows bonds and stereochemistry, not a measured three-dimensional shape.

PubChem, National Library of Medicine

PubChem CID 11750009

Development timeline

Next milestone

Q1 2027 · Submit the U.S. application

Explicit quarter in Cosmo's July 23, 2026 release; the H1 report describes early 2027.

Cosmo targets a U.S. regulatory application in Q1 2027. This is a sponsor filing forecast, not an FDA decision deadline or a launch commitment.

Cosmo Reports H1 2026 Results and Advances Clascoterone 5% Toward Regulatory Submission · Cosmo Half-Year Report 2026

The hair-loss solution remains investigational in the U.S. Cosmo targets a U.S. application in Q1 2027 and a European application in Q2 2027. Winlevi's approved 1% acne cream is a different formulation and indication. The headline relative hair-count percentages do not describe percentage scalp regrowth. Patient-reported results were mixed across the two pivotal trials, and the 12-month extension selected initial responders. Full absolute effects and formulation-specific long-term safety remain important.

Explore the interactive Clascoterone 5% timeline
  1. The 5% hair-loss program enters phase 3

    Cosmo announces the start of SCALP1 and SCALP2 for men with androgenetic alopecia. The program compares twice-daily 5% solution with vehicle and evaluates hair counts alongside participants' assessment of coverage.

    Actual sponsor program-start announcement; individual trial start dates differ. · pivotal trial launch Source Source Source
  2. Hair-count endpoints improve; perception is mixed

    Across 1,465 men, Cosmo reports significant hair-count effects in both trials. The patient-reported endpoint is significant in one trial and shows a positive trend in the other; the pooled analysis is significant.

    Actual sponsor topline disclosure. · sponsor-reported phase 3 topline Source
  3. Continued dosing preserves gains in responders

    Cosmo reports continued hair-count improvement with ongoing treatment and declining gains after switching to vehicle. Reported tolerability is comparable to vehicle through 12 months.

    Actual sponsor 12-month disclosure; extension design checked against both registries. · sponsor-reported extension and safety data Source Source Source
  4. Submit the U.S. application

    Cosmo targets a U.S. regulatory application in Q1 2027. This is a sponsor filing forecast, not an FDA decision deadline or a launch commitment.

    Explicit quarter in Cosmo's July 23, 2026 release; the H1 report describes early 2027. · planned regulatory submission Source Source
  5. Submit the European application

    Cosmo separately targets a European application in Q2 2027. Submission, acceptance, approval and commercial availability are distinct milestones.

    Explicit sponsor target in the July 23, 2026 H1 results release. · planned regulatory submission Source
  6. Review the full phase 3 dataset

    Cosmo plans publication and congress presentation of the full results. No firm date was verified. Absolute hair-count changes, photographs, patient-reported outcomes and safety will clarify the size and durability of benefit.

    Sponsor publication plan without a verified release date; registries checked September 13, 2026. · planned evidence disclosure Source Source Source