Baricitinib Effectiveness in JAKi-Naïve and Tofacitinib-Exposed Patients: A Prospective Study in Alopecia Areata

    January 2025 in “ Dermatologic Therapy
    Daniel Muñoz‐Barba, Carmen García‐Moronta, Sofía Haselgruber, Manuel Sánchez‐Díaz, Salvador Arias‐Santiago
    TLDR Baricitinib works better for alopecia areata in patients not previously treated with tofacitinib.
    This study evaluated the effectiveness of baricitinib in 44 patients with severe alopecia areata (AA), comparing those previously treated with tofacitinib to JAKi-naïve individuals. Results showed that baricitinib significantly reduced Severity of Alopecia Tool (SALT) scores in JAKi-naïve patients (p = 0.007), while no significant changes were observed in those previously exposed to tofacitinib. However, 75% of patients with residual disease after tofacitinib responded to baricitinib. Adverse event rates were similar across both groups. The study concludes that baricitinib is more effective in JAKi-naïve patients, and switching JAKi can be beneficial, though further research is needed due to the study's limited sample size and noncontrolled design.
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