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Compare peptides

Two to four compounds, field by field: identity, United States regulatory status, and what kinds of documents are on file. The table records differences. It does not rank them.

No winner, no score, no recommendation. Counts describe how many documents of each kind Therapept has indexed — not how well a compound works, and not how much has been published overall.

Link to this comparison: /compare?peptides=clascoterone,pyrilutamide,finasteride

Side-by-side comparison of Clascoterone, Pyrilutamide, Finasteride
ClascoteronePyrilutamideFinasteride
Identity
ClassTopical androgen-receptor inhibitor (cortexolone 17α-propionate), supplied as a 1% creamInvestigational topical nonsteroidal androgen-receptor antagonistSmall-molecule 5-alpha-reductase type II inhibitor, supplied as oral tablets
Also listed asWinlevi, CB-03-01, Cortexolone 17α-propionate, BreezulaKX-826, KX826, Pyrilutamide topicalPropecia, Proscar, MK-906
Molecular formulaC24H34O5Not recordedC23H36N2O2
Molecular weight402.5 g/molNot recorded372.55 g/mol
CASNot recordedNot recorded98319-26-7
PubChem CIDNot recordedNot recorded57363
Sequence lengthNot recordedNot recordedNot recorded
Data caveatNone recordedNone recordedNone recorded
United States regulatory status
StatusFDA-approved drug substanceInvestigationalFDA-approved drug substance
FDA applicationNDA 213433 (WINLEVI) — approved 26 August 2020None recordedNDA 020788 (PROPECIA) — approved 19 December 1997
CompoundingNo FDA compounding entry recordedNo FDA compounding entry recordedNo FDA compounding entry recorded
WADANot named in this recordNot named in this recordNot named in this record
Research profile
Research purposeTopical androgen-receptor inhibition for AGATopical androgen-receptor blockadeApproved oral androgen-pathway treatment
Proposed mechanismBlocks androgen receptors in the skin. The hair-loss hypothesis is that local blockade reduces follicular androgen signalling. The acne approval does not establish a hair-growth mechanism.A nonsteroidal androgen-receptor antagonist applied to the scalp, intended to reduce androgen signalling in follicle cells. The clinical advantage over existing treatments is not established.Inhibits type II 5-alpha-reductase, reducing conversion of testosterone to dihydrotestosterone. Lower scalp DHT slows follicular miniaturisation in responders.
Human evidenceA Phase 3, vehicle-controlled trial in men with androgenetic alopecia completed in January 2026. No peer-reviewed hair-loss results were indexed at this review.Phase 2 trials in men and women and a Phase 3 trial in Chinese men are registered; the Phase 2 studies are listed as completed. No approved product.Randomised trials in men with mild-to-moderate androgenetic alopecia support the approved indication. It is not approved for women.
Evidence tierPhase 3 trials registered or reportedPhase 3 trials registered or reportedApproved drug product in the United States
Known safety concerns
  • The acne label lists local skin reactions; the product is applied to the skin, not injected.
  • Systemic androgen suppression is a theoretical concern with any topical antiandrogen; the hair-loss trial was designed to measure it.
  • Hair-loss safety data are not available here as a peer-reviewed report.
  • Topical androgen-receptor blockade may still produce systemic effects; the trials are designed to measure this.
  • Phase 3 safety data are not available here as a peer-reviewed report.
  • Long-term safety is unknown.
  • The label carries warnings and precautions, including sexual adverse experiences and effects on prostate-specific antigen.
  • Finasteride is not indicated for women; the label addresses pregnancy risk.
  • This record is not a complete safety profile or a prescribing guide.
Evidence gaps
  • Peer-reviewed Phase 3 efficacy and safety results in androgenetic alopecia.
  • Whether scalp androgen blockade produces hair benefit without meaningful systemic effects.
  • Long-term safety and durability.
  • Peer-reviewed Phase 3 efficacy and safety results.
  • Whether topical delivery avoids meaningful systemic androgen blockade.
  • Durability and any regulatory decision.
  • Reliable prediction of who will respond.
  • The natural history of reported persistent sexual adverse effects after stopping.
  • Long-term outcomes beyond the trial periods.
Head-to-head evidenceNo published head-to-head trial against finasteride, minoxidil or pyrilutamide.No published head-to-head trial against finasteride or minoxidil.Dutasteride and finasteride have been compared in trials and reviews, but dutasteride is not FDA-approved for hair loss in the United States.
Named pathwaysAndrogen receptor · DHT signalling · Follicular miniaturisationAndrogen receptor · DHT signalling · Follicular miniaturisation5-alpha-reductase type II · DHT synthesis · Androgen receptor signalling
Evidence on file
Records
Human-interventional records120
Human-observational records000
Animal records000
In-vitro records000
Reviews000
Regulatory documents101
Earliest indexed202220222022
Latest indexed202620242022

Every identity and regulatory value above is taken from the compound’s record, where its sources are listed. Evidence counts are derived from the published evidence file at build time. A missing class means no document of that kind is indexed — not that none exists.

Overlapping pathways

Named in the mechanism discussion for at least two of these compounds: Androgen receptor · DHT signalling · Follicular miniaturisation.

Shared biology is not shared evidence. No claim of synergy is made here, and overlapping pathways do not mean the compounds have been studied together.