Clinical Outcomes of Ritlecitinib in Treatment-Refractory Alopecia Areata: A Single-Center Real-World Study

    July 2026 in “ Skin Appendage Disorders
    Ting Guo, Wenyu Li, Sijian Wen
    TLDR Ritlecitinib effectively regrows hair in treatment-resistant alopecia areata with mild side effects.
    This study evaluated the effectiveness of ritlecitinib, a selective JAK3/TEC inhibitor, in 19 patients with moderate-to-severe, treatment-refractory alopecia areata (AA). The results showed significant hair regrowth, with 89.5% of patients achieving at least a 50% reduction in their Severity of Alopecia Tool (SALT) score, and 52.6% experiencing complete scalp regrowth. The treatment was well tolerated, with only mild and transient side effects reported. These findings suggest that ritlecitinib is a promising therapeutic option for patients with treatment-resistant AA, offering substantial and lasting hair regrowth with a favorable safety profile.
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