Expecting Scalp Hair Regrowth During Severe Alopecia Areata Treatment with Baricitinib: Insights from Patient Trajectories in Phase III Trials

    September 2023 in “ British Journal of Dermatology
    Brett King, Jerry Shapiro, Manabu Ohyama, Alexander Egeberg, Bianca Maria Piraccini, Brittany G. Craiglow, Rodney Sinclair, Yunfei Chen, Wen‐Chi Wu, Yuxin Ding, Najwa Somani, Yves Dutronc
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    TLDR Hair regrowth from severe alopecia areata treatment with baricitinib can vary, with faster results in those with shorter hair loss duration.
    The study analyzed 855 severe alopecia areata (AA) patients from two phase III trials, BRAVE-AA1 and BRAVE-AA2, who were treated with either 4mg or 2mg of baricitinib. Patients were categorized into early, gradual, and late responders based on when they first achieved ≥ 30% improvement from baseline in Severity of Alopecia Tool (SALT) score. Among patients treated with 4mg baricitinib, 33% were early responders, 28% were gradual, and 8% were late. For those treated with 2mg, the proportions were 20%, 23%, and 9% respectively. Early responders had a shorter trajectory to maximal clinical outcomes. Responders were more frequent in patients with short (< 4 years) episodes of hair loss. The study concluded that these subgroups are influenced by baseline characteristics and will help inform treatment expectations for scalp hair regrowth.
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