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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=pyrilutamide,finasteride,dutasteride

Side-by-side comparison of Pyrilutamide, Finasteride, Dutasteride
PyrilutamideFinasterideDutasteride
Identity
ClassInvestigational topical nonsteroidal androgen-receptor antagonistSmall-molecule 5-alpha-reductase type II inhibitor, supplied as oral tabletsSmall-molecule inhibitor of both type I and type II 5-alpha-reductase, supplied as oral capsules
Also listed asKX-826, KX826, Pyrilutamide topicalPropecia, Proscar, MK-906Avodart, GI-198745, GG-745
Molecular formulaNot recordedC23H36N2O2C27H30F6N2O2
Molecular weightNot recorded372.55 g/mol528.53 g/mol
CASNot recorded98319-26-7164656-23-9
PubChem CIDNot recorded573636918296
Sequence lengthNot recordedNot recordedNot recorded
Data caveatNone recordedNone recordedNone recorded
United States regulatory status
StatusInvestigationalFDA-approved drug substanceFDA-approved drug substance
FDA applicationNone recordedNDA 020788 (PROPECIA) — approved 19 December 1997None recorded
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 blockadeApproved oral androgen-pathway treatmentDual 5-alpha-reductase inhibition
Proposed mechanismA 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.Inhibits type I and type II 5-alpha-reductase, reducing DHT. The longer half-life means effects and adverse events persist longer after stopping than with finasteride.
Human evidencePhase 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.Trials and reviews support off-label use in male androgenetic alopecia; Japan and South Korea have approved it for that indication. It is not FDA-approved for hair loss.
Evidence tierPhase 3 trials registered or reportedApproved drug product in the United StatesApproved drug product in the United States
Known safety concerns
  • 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.
  • The approved label carries warnings and precautions, including sexual adverse experiences and prostate-cancer considerations.
  • The long half-life means adverse effects may persist after discontinuation.
  • Off-label status means the hair-loss risk-benefit discussion is not covered by an approved label.
Evidence gaps
  • 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.
  • Long-term hair outcomes in a United States regulatory context.
  • The clinical significance of the greater DHT suppression.
  • Persistent adverse effects after discontinuation.
Head-to-head evidenceNo 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.Comparative trials and reviews exist, but they do not establish that dutasteride's greater DHT suppression produces a proportionally greater clinical benefit.
Named pathwaysAndrogen receptor · DHT signalling · Follicular miniaturisation5-alpha-reductase type II · DHT synthesis · Androgen receptor signalling5-alpha-reductase type I · 5-alpha-reductase type II · DHT synthesis
Evidence on file
Records
Human-interventional records200
Human-observational records000
Animal records000
In-vitro records000
Reviews001
Regulatory documents010
Earliest indexed202220222022
Latest indexed202420222022

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: 5-alpha-reductase type II · DHT synthesis.

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.