TLDR Apremilast did not work for treating severe alopecia areata.
A study involving 9 patients with severe alopecia areata (AA) tested the efficacy of apremilast, a phosphodiesterase 4 inhibitor known to suppress IFN-γ production. Despite the theoretical basis for its use, the study concluded that apremilast was not effective in treating AA. This finding was significant as it contrasted with the successful use of Janus kinase (JAK) inhibitors, which target similar pathways and have shown positive results in treating AA.
Cited in this study
3 / 3 results
238 citations
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January 2017 in “Journal of The American Academy of Dermatology” Tofacitinib is effective and safe for severe hair loss, but full regrowth is less likely after 10 years of hair loss.
176 citations
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November 2015 in “The journal of allergy and clinical immunology/Journal of allergy and clinical immunology/The journal of allergy and clinical immunology” Alopecia areata involves immune activation in the scalp, suggesting treatments targeting TH1, TH2, and IL-23 pathways.
701 citations
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August 2014 in “Nature medicine” Alopecia areata can be reversed by JAK inhibitors, promoting hair regrowth.
1 citations
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January 2022 in “International Journal of Trichology” Tofacitinib can be effective in treating hair loss caused by alopecia areata.
4 citations
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July 2018 in “PubMed” Oral and topical tofacitinib can help regrow hair in people with severe alopecia areata.