Comparative Efficacy and Safety of Baricitinib Against Traditional Therapies in Severe Alopecia Areata: A Retrospective Cohort Study

    November 2024 in “ Journal of Cosmetic Dermatology
    Athanasios J. Stefanis, Tomáš Doležal, Spyridon Gkalpakiotis, Petr Arenberger
    This retrospective cohort study compared the efficacy and safety of baricitinib, a Janus kinase inhibitor, to traditional therapies for severe alopecia areata over a 6-month period. The study included 75 patients, with 19 receiving baricitinib. Results showed that baricitinib was more effective, with 32% and 26% of patients achieving SALT scores of ≤ 20 and ≤ 10, respectively, compared to 12% and 9% in the other treatment groups. Baricitinib also led to better secondary outcomes, with significant reductions in SALT scores. All treatments had mild-to-moderate side effects, but weight gain was noted in 16% of baricitinib-treated patients, a side effect not previously reported in clinical trials for alopecia areata. Overall, baricitinib was found to be superior to traditional treatments for severe alopecia areata.
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