Référence | Formulation type | Sample size | Experimental conditions | Results |
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… WESSMAN C. & al (2000) | Shampoo containing 0.75% piroctone olamine and 2% salicylic acid versus shampoo containing 1% zinc pyrithione | 19 volunteers suffering from dandruff | Twice weekly for 4 weeks; Contact time: 3 - 4 minutes per side | Significant reduction in dandruff condition was observed with both shampoos. The piroctone olamine + salicylic acid combination was slightly more effective than zinc pyrithione in reducing both the severity and the area affected by scaling. |
`…` PIERARD G. E. & al (2002) | 1% piroctone olamine shampoo versus 1% ketoconazole shampoo or 1% zinc pyrithione shampoo | 150 men afflicted with dandruff | 2 to 3 times per week for 6 months | Itching and dandruff disappeared within 2 to 6 weeks using all three shampoos (no statistical data available) |
KHANMOHAMMAD R. & al (2009) | Shampoo with plant extracts containing piroctone olamine versus shampoo with climbazole | Two groups of 60 men presenting with dandruff of similar severity (n = 120) | Three times per week for five weeks; scalp massage with 7.5 mL for five minutes | Complete resolution of dandruff in 55% of patients (versus 80% in the climbazole group) and reduction of dandruff in 45% of subjects in the piroctone olamine group (versus 20% in the climbazole group) - elimination of scalp itching and redness in 100% of patients |
FEY S. et al. (2011) | Shampoo containing 0.5% piroctone olamine and 0.45% climbazole versus shampoo containing 1% zinc pyrithione | In vitro test: 5 pig skins; in vivo test: 88 subjects with a moderate to severe dandruff condition | 3 times per week for 4 weeks | Antifungal efficacy equivalent to zinc pyrithione in vitro - Comparable dandruff reduction after 3 to 4 weeks - Itch reduction observed in 90% of subjects after 4 weeks |
` and ` BAINES F. L. & al (2013) | Shampoo containing 1% piroctone olamine + 0.5% climbazole versus shampoo containing 1% piroctone olamine alone | In vitro test: Malassezia sp. yeast strains. In vivo test: 69 male subjects with dandruff. | In vitro test: Inoculation of fungal strains with sample-soaked discs for 24 hours at 32 °C In vivo test: Three times per week for 4 weeks, followed by a 2-week regression period | Significant in vitro inhibition of Malassezia furfur proliferation by both shampoos, with greater efficacy for the piroctone olamine + climbazole shampoo – significant reduction in dandruff with both shampoos, more pronounced with the piroctone olamine/climbazole formulation, with its superiority maintained during the regression phase |
MAX H. & al (2013) | Shampoo (piroctone olamine + climbazole) combined with a leave-on aqueous tonic (piroctone olamine + licochalcone A) | 102 participants exhibiting moderate to very severe dandruff | Administered by experienced hairdressers three times per week for four weeks; 2–5 mL of tonic was applied directly to multiple sites on the scalp, followed by massage and hair drying | Significant reduction in dandruff levels and in Malassezia growth following treatment with the anti-dandruff shampoo alone or in combination with the tonic; significant decrease in associated micro-inflammation with both anti-dandruff products, more pronounced with the shampoo/tonic combination |
SHARIFI-RAD J. & al (2015) | Shampoo with plant extracts containing 1% piroctone olamine + zinc PCA | 30 patients suffering from dandruff | Three times per week for two months | Complete dandruff elimination occurred in 15 patients by the second week, in 12 after four weeks, and in 3 by the end of the fifth week. |
ZIANE S. et al. (2016) | Alternating use of anti-dandruff shampoo (0.5% piroctone olamine) and a neutral shampoo (same cleansing base without active ingredient) | 41 subjects presenting a flaky scalp condition ranging in severity from mild to severe | 12-week study divided into three phases: (1) three applications per week of a neutral shampoo during the first two weeks; (2) three applications per week of an anti-dandruff shampoo during the following four weeks; (3) three applications per week of a neutral shampoo during the remaining six weeks. | Reduction in scaling, itching, greasiness, and redness observed over the 4-week treatment period |
AKBABA G. & al (2024) | 7 formulations of different concentrations of piroctone olamine (PRO) and climbazole (CLZ) (0.1% PRO, 1% PRO, 0.1% CLZ, 0.5% CLZ), or both combined (0.1%/0.1% PRO/CLZ, 0.1%/0.5% PRO/CLZ, and 1%/0.1% PRO/CLZ), compared to a standard medicated shampoo containing 2% ketoconazole | Malassezia sp. yeast strains (in vitro) | Inoculation of fungal strains with sample-soaked disks for 4 days under humid conditions at 33°C | Reduction in colony counts; The seven tested formulations were as effective as ketoconazole against the three strains Malassezia furfur, Malassezia globosa, and Malassezia sympodialis |
`…` BOSSLET M. (2025) | Pre-application gel (topical salicylic acid + piroctone olamine + zinc PCA) in combination with a cleansing lotion (salicylic acid + piroctone olamine + antimicrobial peptide) | 20 participants presenting with moderate-to-severe seborrheic dermatitis of the scalp | Pre-application gel (pre-shampoo): once weekly for 4 weeks + scalp massage Cleansing lotion (during shampooing): every 1 to 3 days for 12 weeks (dwell time: 3 to 5 minutes) | Clinical improvement rate of 80% at week 16, with significant improvement in dandruff, itching, erythema, and greasiness |