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The objective of this clinical study is to investigate and compare the safety and efficacy of the Restoration Robotics Computer-Assisted Harvesting System to the manual hair follicle harvesting method following a nine-month period of post-procedural evaluation.
A major technical step in hair transplantation is harvesting of the hair follicles. There are two accepted techniques for obtaining the hair grafts that are transplanted during the procedure. The first is donor strip harvest and stereomicroscopic dissection of the follicular unit grafts. The second is dissection and extraction of the follicular unit graft directly from the patient's scalp referred to as Follicular Unit Extraction or "FUE". Potential benefits of the FUE technique may be less scalp scarring in the Donor Area, less patient discomfort and faster wound healing. Although the FUE approach to harvest has highly desirable attributes, it is technically difficult to perform, labor intensive, tedious and requires an excessive amount of time to harvest follicular units. These procedural factors have prevented the FUE approach from gaining wider adoption.
Restoration Robotics, Inc. has developed the Restoration Robotics ARTAS™ Computer-Assisted Harvesting System to assist physicians in the harvest of hair follicles during hair transplantation procedures. The System mimics the manual FUE approach to harvesting follicular units and has the potential to solve the technical challenges inherent in the manual FUE technique. The ARTAS™ System is capable of identifying and harvesting hair follicles directly from the patient's scalp through a semi-automated process. The goal of the ARTAS™ System is to harvest the hair follicles while maintaining their critical anatomic structures intact.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Computer-Assisted | Experimental | Hair harvest using the computer-assisted system |
|
| Manual Harvest | Active Comparator | Hair harvesting via manual technique |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARTAS™ System | Device | Hair harvest using a computer-assisted system |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Increase in Hair Follicles Present | The increase in the number of hair follicles present at follow-up in each region compared to the number present at baseline. | Change from Baseline at 9 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of Harvested Follicles Transected | The proportion of harvested hair follicles that were transected by each harvest method. | Time of harvest (Baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Miguel Canales, M.D. | Restoration Robotics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Berman Skin Institute | Palo Alto | California | 94304 | United States | ||
| A Practice of Hair Restoration |
Once enrolled, subjects were scheduled for the treatment procedure. Subjects were randomized at the time of the treatment procedure.
Subjects were recruited from June 19, 2009 to September 23, 2010 at hair restoration clinics.
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| ID | Title | Description |
|---|---|---|
| FG000 | Computer-Assisted and Manual Harvest | Each subject has a region of their scalp randomly assigned to be harvested by each method, the computer-assisted system or manual. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Computer-Assisted and Manual Harvest | Each subject has a region of their scalp randomly assigned to be harvested by each method, the computer-assisted system or manual. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Increase in Hair Follicles Present | The increase in the number of hair follicles present at follow-up in each region compared to the number present at baseline. | The analysis was based on intention to treat (ITT). Imputation technique was based LOCF. | Posted | Mean | Standard Deviation | Hair follicles | Change from Baseline at 9 Months |
|
9 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Computer-Assisted and Manual Harvest | Each subject has a region of their scalp randomly assigned to be harvested by each method, the computer-assisted system or manual. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Miguel Canales, M.D. | Restoration Robotics | 650-965-3612 | 206 | miguel@restorationrobotics.com |
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| ID | Term |
|---|---|
| D000505 | Alopecia |
| ID | Term |
|---|---|
| D007039 | Hypotrichosis |
| D006201 | Hair Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| Manual Hair Harvest |
| Procedure |
Hair harvesting via the manual technique |
|
| Walnut Creek |
| California |
| 94596 |
| United States |
| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
| Secondary | Proportion of Harvested Follicles Transected | The proportion of harvested hair follicles that were transected by each harvest method. | Posted | Mean | Standard Deviation | Proportion of transected follicles | Time of harvest (Baseline) |
|
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|
| 0 |
| 36 |
| 0 |
| 36 |
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| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |