Low-Dose IL-2 for Treating Moderate to Severe Alopecia Areata: A 52-Week Multicenter Prospective Placebo-Controlled Study Assessing Its Impact on T Regulatory Cell and NK Cell Populations

    F. Le Duff, Jean‐David Bouaziz, Éric Fontas, Michel Ticchioni, Manuelle Viguier, O. Dereure, P. Reygagne, H. Montaudié, Jean‐Philippe Lacour, S. Monestier, M.‐A. Richard, Thierry Passeron
    TLDR The study's results on the effectiveness of low-dose IL-2 for alopecia areata and its impact on immune cells were not provided.
    This 52-week multicenter prospective placebo-controlled study assessed the impact of low-dose IL-2 on T regulatory (Treg) and NK cell populations in 43 patients with severe alopecia areata (AA). Despite a significant increase in peripheral Tregs, the treatment did not significantly stimulate hair regrowth, with only 14.3% of the IL-2 group achieving a 50% reduction in the Severity of Alopecia Tool score compared to 9.1% in the placebo group (P = 0.66). The study found no significant improvement in body hair, nails, or patient satisfaction. Adverse events, primarily flu-like symptoms and eosinophilia, were more frequent in the IL-2 group. The lack of clinical efficacy was attributed to the increase being limited to naive Tregs without expansion of effector and memory populations with skin homing capabilities.
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