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SM-04554
Samumed/Biosplice's topical small-molecule Wnt/β-catenin pathway activator (dalosirvat) — designed to drive hair follicle stem cells back into anagen by amplifying endogenous Wnt signaling. Modest hair-count gains in Phase 2 (the lower 0.15% concentration unexpectedly outperformed 0.25%), and Phase 3 results were never publicly disclosed before the program was effectively shelved.
Aliases (7)
Overview
What is SM-04554?
SM-04554 (INN: dalosirvat) is an investigational topical small-molecule Wnt/β-catenin pathway activator developed by Samumed (later Biosplice Therapeutics) for androgenetic alopecia. It completed Phase 1, 2, and 3 trials between roughly 2014 and early 2021. Phase 3 results were never publicly disclosed and Biosplice subsequently removed the asset from active development, signaling almost certain trial failure. Not FDA-approved and not marketed anywhere.
Key Benefits
In trials: modest, statistically significant increase in non-vellus hair count (~9.5% from baseline at the 0.15% concentration) over 90 days, with continued gains during a 45-day washout — consistent with a 'reactivate dormant stem cells' mechanism rather than an ongoing-suppression mechanism like finasteride. Mostly mild local side effects, no serious systemic events.
Mechanism of Action
Activates canonical Wnt/β-catenin signaling (IC50 ~28-29 nM in reporter assays), stabilizing nuclear β-catenin in hair follicle bulge stem cells and dermal papilla. Drives quiescent follicle stem cells back into anagen and induces follicular neogenesis in animal models — a mechanism distinct from minoxidil's anagen prolongation and finasteride's DHT suppression. Despite the elegant mechanism, Phase 3 efficacy did not translate.
Research Protocols
Disclaimer: These are commonly discussed research protocols and not medical advice.
Peptide Interactions
DHT suppression de-represses Wnt/β-catenin in susceptible follicles; SM-04554 directly activates β-catenin downstream. Pathway-converging combo, mechanistica…
Mechanistically distinct (anagen prolongation + vasodilation + minor Wnt activation by minoxidil sulfate) vs primary Wnt activation. Plausible additive on di…
topical AR antagonist, mechanistically orthogonal to Wnt. Theoretically combinable in the same way minoxidil + RU58841 is combined. Never tested.
different next-generation "wake stem cells" thesis (mitochondrial pyruvate carrier inhibitor → glycolytic shift in follicle stem cells). Mechanistically para…
redundant amplification of a developmental pathway with off-target proliferation risk. Theoretical only; no documented case.
vehicle/penetration interactions unstudied; if combined, separate by hours.
Quality Indicators
Clinical-trial-grade or research-chem CoA
If sourced (research-only), look for HPLC purity ≥98%, 1H NMR consistent with C18H16O4 1,4-diketone, third-party CoA. CAS 1360540-81-3 verified.
Compounded research-chem from gray-market vendor
Topical formulations sold online (Umbrella Labs, NutraBiotech, MedChemExpress) are research-grade — vehicle composition, sterility, and concentration accuracy are not GMP-controlled. Bioactivity in a real-world topical preparation is unproven outside Samumed's vehicle.
No vendor-provided HPLC / CoA
Without a third-party purity assay, you have no idea whether you're applying SM-04554, the inactive enantiomer/regioisomer, or degradation products.
Cloudy, separated, or off-color topical solution
1,4-diketones are reasonably stable in alcohol vehicles but discoloration / phase separation suggests degradation or contamination.
What to Expect
- Week 1Tolerability and dose-response.
- Week 2-4Early effect window.
- Week 4-8Peak benefit assessment.
- Week 8+Cycle decision point.
Side Effects & Safety
From human trials (low burden)
- Common (>10%): Mild scalp irritation / minor erythema, generally vehicle-related rather than active-drug-related
- Less common (1-10%): Minor scalp burning or stinging on application; minor itching
- Rare: Eye irritation if accidentally splashed (one Phase 1 case at 0.45%); no systemic AEs of any frequency reported in published trial materials
- Serious AEs: None reported in Phase 1 or Phase 2 publications
Theoretical / mechanism-derived concerns (not observed clinically)
- Wnt activation is pleiotropic. Wnt/β-catenin drives proliferation across many tissues — skin, gut, breast, colon. Topical exposure with minimal systemic absorption is the design rationale for keeping this localized, but chronic topical activation of a developmental proliferation pathway is not a long-term-validated safety profile. Phase 3 silence may or may not reflect a long-term safety finding (we have no public data on this).
- β-catenin pathway is implicated in tumorigenesis (colon cancer, hepatocellular carcinoma, basal cell carcinoma drivers). Local scalp exposure is not the same as systemic exposure, but a multi-year topical-application profile has not been characterized.
- Hair-cycle artifact: Like minoxidil, theoretical possibility of a transient telogen effluvium ("shed") at treatment start as quiescent follicles synchronize into a new anagen. Phase 2 trials at 90 days probably weren't long enough to capture and document this.
Specific watch periods
- First 2 weeks: Vehicle reactions, eye exposure precaution
- Weeks 4-12: Hypothetical shed phase; hair count change emerges (if any)
- Long-term: Unknown — no >135-day published data
References
Yazici Y, Smith SR, Swearingen CJ, et al. — Safety and efficacy of a topical treatment (SM04554) for androgenetic alopecia (AGA): Results from a phase 1 trial — JAAD 2016
00674-5/abstract) — Phase 1 first-in-human safety + tolerability publication
View StudySamumed Phase 2 — Safety and biopsy outcomes of a topical treatment (SM04554) for male androgenetic alopecia (AGA): Results from a phase 2, multicenter, randomized, double-blind, vehicle-controlled trial — JAAD 2017
31355-5/abstract) — Phase 2 biopsy + follicle count publication
View StudyClinicalTrials.gov NCT03742518
Phase 2/3 SM04554 efficacy + safety, n=625, completed Jan 2021, results undisclosed
View StudyCain CJ et al. — A small molecule modulator of the Wnt pathway (SM04554) as a potential topical treatment for androgenetic alopecia (AGA) — J Invest Dermatol 2017 (SID Annual Meeting abstract 712)
30917-X/fulltext) — preclinical mouse + mini-pig mechanism
View StudySamumed press release — Doses First Subject in Phase 2/3 Trial of SM04554 (Nov 19 2018)
Phase 3 initiation
View StudyDalosirvat — PubChem CID 56837361
chemical record (C18H16O4, MW 296.32, CAS 1360540-81-3)
View StudyDalosirvat — IUPHAR/BPS Guide to Pharmacology Ligand 11188
pharmacology curation
View StudyLim X et al. — Distinct functions for Wnt/β-catenin in hair follicle stem cell proliferation and survival — Cell Stem Cell 2013 (PMID 24315444)
foundational hair-follicle Wnt biology
View StudyVeltri A, Lang C, Lien WH — Concise Review: Wnt Signaling Pathways in Skin Development and Epidermal Stem Cells — Stem Cells 2018 (PMID 29086457)
Wnt pathway review in hair follicle context
View StudyPelage Pharmaceuticals Announces Positive Phase 2a Clinical Trial Results for PP405 (June 2025)
successor "wake stem cells" thesis with different mechanism (MPC inhibitor)
View StudyMedChemExpress — Dalosirvat (SM-04554) product page
research-chem vendor reference, IC50 28-29 nM Wnt activator characterization
View StudyHairguard — SM04554 hair loss study summary
third-party trial summary including Phase 1/2/3 outcomes
View StudyFollicle Thought — What About Samumed Phase II?
community-derived hair count data points (104.9 → 115 / 110.8 → 118.5 / 114 → 111.5 at day 90)
View StudyHow was your experience with this compound?
Anonymous · one vote per session · results below at 5+ votes.
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