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Minoxidil (topical)

The over-the-counter standard since 1988, and the benchmark every new topical is measured against.

ApprovedTopicalPotassium channel opener
Developed by
Unknown
Current phase
Approved

Cleared for sale for a hair-loss indication in at least one market.

Indications
Androgenetic alopecia, Female pattern hair loss
Also known as
Regaine, minoxidil topical solution, minoxidil foam, topical minoxidil
Last public activity
August 2026
Record confidence
High

How it is meant to work

Minoxidil is a potassium channel opener that was developed as an oral antihypertensive; hair growth was an observed side effect, and the topical formulation followed from it. It prolongs the growth phase of follicles that are still working. It does not create new follicles, which is the ceiling on what it can do and the gap most of the programmes in this register are aiming at.

Why it matters

Read the rest of the pipeline against this row. The label is unusually frank about the limits: results may take four months, it is not intended for a receding hairline, regrowth has not been shown to last beyond 48 weeks in the large trials, and stopping means losing the regrown hair within three to four months. Any new programme claiming to matter has to beat that, in public, on measured density.

Where it is approved

Marketing authorisation is granted country by country, for a specific indication. A drug approved for hair loss in one market may be approved only for something else — or not at all — in another.

  • FranceANSMApprovedAlostil· over the counter

    Alopécie androgénétique de l'adulte

    National procedure, held by Kenvue France. Sold without prescription.

    Regulator filing
  • United StatesFDAApprovedRogaine· over the counter

    Androgenetic alopecia; sold over the counter

    Approval date not yet sourced to a primary document.

    Regulator filing

Development history

No phase changes recorded yet.

Registered trials

Pulled automatically from ClinicalTrials.gov. Matching is by name and development code, so occasional gaps are possible — tell us if you spot one.

  • NCT07529977Phase 3NOT YET RECRUITING

    Phase 3 Study to Evaluate the Efficacy and Safety of Oral Minoxidil (N1087) in Men With Androgenetic Alopecia.

    Eurofarma Laboratorios S.A. · n=372 · January 2027

  • NCT07594678Phase 2NOT YET RECRUITING

    Minoxidil With or Without Low-Level Red-Light Therapy for Improving Chemotherapy-Induced Alopecia in Breast Cancer Patients

    Ohio State University Comprehensive Cancer Center · n=50 · July 2026

  • NCT07536100UnknownRECRUITING

    VENEZE Peptide Factor Hair Serum Compared With Topical 2% Minoxidil for Androgenetic Alopecia

    Institute of Dermatology, Thailand · n=80 · May 2026

  • NCT07459933ApprovedNOT YET RECRUITING

    Topical Methotrexate vs Minoxidil for Localized Alopecia Areata

    Jinnah Postgraduate Medical Centre · n=268 · March 2026

  • NCT07563036UnknownRECRUITING

    JAK2 Expression in Androgenetic Alopecia Before and After Topical Minoxidil

    Kasr El Aini Hospital · n=25 · February 2026

  • NCT07502976UnknownRECRUITING

    Topical 2-Deoxy-D-ribose Hydrogel Versus Minoxidil 5% Solution for Androgenetic Alopecia

    Kasr El Aini Hospital · n=60 · January 2026

  • NCT07273799Phase 3NOT YET RECRUITING

    Comparison of Outcomes Between Topical Minoxidil Versus Oral Minoxidil for the Treatment of Androgenetic Alopecia

    Sheikh Zayed Federal Postgraduate Medical Institute · n=200 · December 2025

  • NCT06924632Phase 3COMPLETED

    Efficacy & Safety of Minoxidil SL Tablets in Men With AGA

    Samson Clinical Operations Pty Ltd · n=142 · July 2025

  • NCT07056933UnknownNOT YET RECRUITING

    Effect of Minoxidil Solution Iontophoresis on Androgenic Alopecia

    Cairo University · n=25 · July 2025

  • NCT07080931Phase 3RECRUITING

    Efficacy and Safety of 5% Minoxidil Foam in Female Androgenetic Alopecia

    Zhejiang Sunshine Mandi Pharmaceutical Co.,Ltd. · n=294 · February 2025

  • NCT05989165Phase 3COMPLETED

    Effectiveness of Combination Therapy of Microneedling and Minoxidil in Androgenetic Alopecia of Indonesian Men

    Indonesia University · n=36 · June 2023

  • NCT06043349ApprovedUNKNOWN

    Effectiveness and Safety of Platelet-rich Plasma and Topical 5% Minoxidil Combination in Male Androgenetic Alopecia

    Indonesia University · n=36 · June 2023

  • NCT07776015UnknownCOMPLETED

    Exosome Injection Versus Topical Minoxidil for Androgenetic Alopecia

    Tanta University · n=40 · April 2023

  • NCT04721548Phase 3COMPLETED

    Treatment of Androgenetic Alopecia in Men for 24 Weeks

    Eurofarma Laboratorios S.A. · n=336 · March 2023

  • NCT05587257UnknownUNKNOWN

    Role of Minoxidil in Alopecia Areata Transepidermal Drug Delivery of Minoxidil Via Either Fractional Carbon Dioxide Laser or Microneedling Versus Its Topical Nanoparticles Preparation for Treatment of Alopecia Areata

    Assiut University · n=60 · January 2023

  • NCT03852992Phase 2WITHDRAWN

    Laser Assisted Delivery of Minoxidil in Androgenetic Alopecia

    University of Minnesota · September 2022

  • NCT05369481UnknownUNKNOWN

    Comparison Between Efficacy of Topical Sildenafil 2% and Topical Minoxidil 5% in Treatment of Androgenic Alopecia

    Mohammed Abd El Mawgoud Amer · n=50 · March 2022

  • NCT04293822ApprovedUNKNOWN

    Topical Cetirizine 1% vs Minoxidil 5% Gel in Treatment of Androgenetic Alopecia

    Assiut University · n=60 · June 2020

  • NCT03753113Phase 3COMPLETED

    Evaluating the Topical Herbal Solution on the Treatment of Male Pattern Hair Loss and Comparison With Minoxidil 5%

    Farid Masoud · n=24 · November 2018

  • NCT03488108Phase 1/2COMPLETED

    Platelet Rich Plasma Versus Minoxidil Foam for Treatment of Androgenic Alopecia in Women

    Mayo Clinic · n=20 · January 2017

  • NCT02486848UnknownWITHDRAWN

    Minoxidil Dose Response Study in Females Identified Through IVD Testing as Non-Responders to 5% Topical Minoxidil

    Maja Kovacevic, MD · June 2016

  • NCT03535233ApprovedCOMPLETED

    Topical 5% Minoxidil and Potent Topical Corticosteroid Versus Intralesional Corticosteroid in the Treatment of Alopecia Areata

    Cairo University · n=40 · March 2016

  • NCT04090801ApprovedCOMPLETED

    Comparison of Topical Minoxidil 5% in Ethanol Plus Propylene Glycol Versus Minoxidil 5% in Ethanol Alone in Treatment of Women With Female Pattern Hair Loss

    Sohag University · n=60 · May 2015

  • NCT02460497UnknownCOMPLETED

    Minoxidil 2% Solution and Botanical Hair Regimen in Women With Thinning Hair and Female Pattern Hair Loss/Androgenic Alopecia

    Galderma R&D · n=61 · May 2015

  • NCT02460289UnknownCOMPLETED

    Minoxidil 5% / Botanical Hair Regimen in Men With Thinning Hair and Male Pattern Hair Loss/Androgenic Alopecia

    Galderma R&D · n=63 · May 2015

  • NCT02198261UnknownCOMPLETED

    Minoxidil Response Testing in Males With Androgenetic Alopecia

    Applied Biology, Inc. · n=300 · July 2014

  • NCT02206802UnknownCOMPLETED

    Minoxidil Response Testing in Females With Female Pattern Hair Loss

    Applied Biology, Inc. · n=300 · July 2014

  • NCT02154503Phase 1UNKNOWN

    Evaluating the Efficacy of Microneedling in the Treatment of Androgenetic Alopecia

    Vancouver General Hospital · n=20 · April 2014

  • NCT01650272Phase 1/2UNKNOWN

    Efficacy and Safety Comparing 5% Monoxidil Milky Lotion Versus 5% Minoxidil Solution in Androgenetic Alopecia

    Siriraj Hospital · n=20 · June 2012

  • NCT01900041Phase 2COMPLETED

    A Study to Evaluate the Superiority, Efficacy and Tolerability of Combination Pantovigar With 2% Minoxidil vs 2% Minoxidil in Women With Female Pattern Hair Loss

    Merz Pharmaceuticals GmbH · n=74 · April 2012

  • NCT01655108Phase 3UNKNOWN

    Efficacy and Safety of Mesotherapy With Minoxidil 0.5%/2ml for Androgenetic Alopecia in Female Patients

    Brasilia University Hospital · n=60 · March 2012

  • NCT01662089Phase 1/2UNKNOWN

    The Efficacy in Treatment of Female Pattern Hair Loss Using 5% Minoxidil Solution Combinded With Zinc Supplement

    Siriraj Hospital · n=20 · January 2012

  • NCT01309191UnknownCOMPLETED

    Microarray Analysis of Scalp Biopsies After Minoxidil Treatment

    University Hospitals Cleveland Medical Center · n=14 · April 2011

  • NCT01391156Phase 3COMPLETED

    Efficacy Study of Minoxidil Lotion Versus Combined Minoxidil and Finasteride Lotion to Treat Male Pattern Hair Loss

    Mae Fah Luang University Hospital · n=40 · March 2011

  • NCT01319370Phase 2COMPLETED

    Effectiveness and Safety of Minoxidil Foam Versus Placebo Foam for Androgenetic Alopecia

    Natalie GARCIA BARTELS · n=70 · November 2010

  • NCT00958750Phase 3COMPLETED

    Efficacy and Safety Study to Compare Two Minoxidil Formulations on Women With Androgenetic Alopecia

    Charite University, Berlin, Germany · n=113 · June 2008

  • NCT00175617Phase 2COMPLETED

    Efficacy of Therapy With the Spironolactone Pills Compared to Minoxidil Lotion in Female Pattern Hair Loss

    University of British Columbia · n=40 · September 2005

  • NCT00151515Phase 3COMPLETED

    A Study to Evaluate the Effectiveness and Safety of 5 Percent Minoxidil Foam in the Treatment of Male Pattern Hair Loss

    Johnson & Johnson Consumer and Personal Products Worldwide · n=352 · October 2003

Listing a trial is not a recommendation to join one. Eligibility, risks and costs vary enormously — discuss any trial with your own doctor first.

Sources