Ritlecitinib Efficacy in Adolescents With Alopecia Areata: A Real-World Experience

    P. Franzese, Anna Balato, Eugenia Veronica Di Brizzi, Elvira Moscarella, Vincenzo Piccolo, Giuseppe Argenziano, Elisabetta Fulgione
    TLDR Ritlecitinib shows promise in improving hair regrowth in adolescents with alopecia areata.
    This study evaluated the efficacy of ritlecitinib, a selective JAK3 and TEC family inhibitor, in treating adolescents with moderate-to-severe alopecia areata (AA). Conducted as a single-center, retrospective observational study, it included 11 patients aged ≥ 12 years, treated with ritlecitinib 50 mg daily for 24 weeks. Results showed that 27.3% of patients achieved near-complete hair regrowth (SALT ≤ 10), and 45.5% showed substantial improvement (SALT ≤ 20) by Week 24. Significant reductions in SALT scores were observed as early as Week 8. Eyebrow and eyelash improvements were also noted, with no serious adverse events reported. These findings align with previous trial data, suggesting ritlecitinib as a promising treatment for adolescent AA, though larger studies are needed to confirm these results.
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