Efficacy of Oral Tofacitinib in Alopecia Areata, Alopecia Totalis, and Alopecia Universalis

    April 2025 in “ Cureus
    Syeda Shahmoona Tirmizi, Munawwar Ahmed, Tayyaba Iqbal, Atif A Hashmi
    From the encyclopedia
    Tofacitinib →

    a JAK inhibitor for alopecia areata and other autoimmune conditions

    Alopecia Areata →

    autoimmune disorder causing patchy hair loss

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    Studysummary This study concluded that oral tofacitinib significantly improved hair growth in patients with alopecia areata, alopecia totalis, and alopecia universalis over a 24-week period, but longer studies are needed to assess long-term safety.
    Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer
    This study assessed the efficacy of oral tofacitinib in treating 50 patients with alopecia areata (AA), alopecia totalis (AT), and alopecia universalis (AU) over six months. Results indicated significant hair regrowth, with a mean regrowth rate of 88.9% and a reduction in scalp involvement from 62.48% to 10.5% at 24 weeks. All AA and AT patients experienced over 50% improvement in SALT scores, while 55.6% of AU patients showed similar improvement. No significant side effects were reported, suggesting tofacitinib as a potentially effective treatment for severe alopecia, though longer studies are needed for long-term safety assessment.
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