Androgenetic alopecia (AGA) is the most common type of
progressive
hair loss in both men and women that severely reduces life quality
and affects patients’ self-esteem. Due to the shortcomings
of traditional therapeutic formulations (e.g., topical minoxidil and
oral finasteride), such as low bioavailability, frequent dosing, and
significant side effects, there is an urgent need to develop a safe
and effective strategy for AGA treatment. Here, we report a water-soluble
microneedle (MN) patch integrated with biodegradable minoxidil (MXD)-loaded
microspheres for long-acting AGA treatment with reduced administration
frequency and improved patient compliance. When the patch pierces
the skin, the MNs rapidly dissolve and deliver MXD-encapsulated polylactic-co-glycolic acid (PLGA) microspheres into the skin, which,
subsequently act as drug reservoirs for the sustained release of the
therapeutics for over 2 weeks. Additionally, the application of the
MN patch provided a mechanical stimulation on mouse skin, which was
also helpful for hair regrowth. Compared with the topical MXD solutions
that have been commercialized on the market and require daily application,
the long-acting MN patch contains a much lower drug amount and shows
a similar or superior hair regeneration effect in AGA mice while only
requiring monthly or weekly administration. These encouraging results
suggest a simple, safe, and effective strategy for long-acting hair
regeneration in clinics.