Pediatric and Adolescent Alopecia Areata Treated With JAK Inhibitors: Balancing Efficacy and Safety Across Clinical Trials

    January 2025
    Briana Neidig, Sherrie Caldwell, Chris Meretsky, Khanh Nguyen, Rohit Sharma, Aleks Petroysan
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    TLDR JAK inhibitors effectively regrow hair in children with alopecia areata and are safe to use.
    The document reviews 11 clinical trials with over 5,000 participants, assessing the efficacy and safety of JAK inhibitors for treating pediatric and adolescent alopecia areata. The trials showed that 17–31% of adolescents and 20–40% of mixed-age groups achieved significant hair regrowth by Week 24, outperforming placebo. Most responders maintained regrowth through Week 48. Common side effects included headache, nasopharyngitis/URTI, and acne, with serious adverse events being rare. The study concludes that JAK inhibitors are a promising treatment for pediatric AA, offering durable hair regrowth and a manageable safety profile, better than traditional therapies.
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