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Dermatology and therapy · 2026

How Long to Treat to Achieve Desired Treatment Outcomes with Baricitinib 4 mg in Severe Alopecia Areata: Evidence-based Approach.

СтатьяНазвание и аннотация: Перевод в очереди
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King Brett, Senna Maryanne, Ohyama Manabu, Sinclair Rodney, Somani Najwa, Lu Na, Chen Yun-Fei, Jedynak Jakub, Buchanan Andrew, Piraccini Bianca Maria

Аннотация

INTRODUCTION: Scalp hair regrowth in severe alopecia areata (AA) can occur rapidly or take up to 2 years in some patients. Baseline factors influence the likelihood and/or timing of treatment response with Janus kinase inhibitors. We evaluated initial evidence of improvement (Severity of Alopecia Tool30) and subsequent treatment success (SALT score ≤ 20) in four subgroups defined by baseline disease severity and AA episode duration to inform the treatment length required before assessing failure, based on disease presentation.

METHODS: In a post hoc analysis of BRAVE-AA1/2 (NCT03570749/NCT03899259), baricitinib 4 mg treatment subgroups were assessed for SALT30 and subsequent SALT score ≤ 20 over time.

RESULTS: In severe AA (SALT score 50-94), SALT30 occurred in 70% of those with short duration and 61% with long duration by Week 24, leading to 75% and 65% achieving treatment success (SALT score ≤ 20) by Week 52. In very severe AA (SALT score 95-100), regrowth varied by short/long episode duration with SALT30 achieved in 42%/25% of patients by Week 24, leading to SALT score ≤ 20 in 58%/43% at Week 52, respectively.

CONCLUSIONS: Severe subgroups usually achieve SALT30 by Week 24. In very severe AA, proportions achieving SALT30 increased through Week 52; therefore, treatment should be given for ≥ 1 year before assessing treatment failure.

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

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