Evidence map›Paper›PMID 34090959›Full record

Trial reportJournal of the American Academy of Dermatology2021

Efficacy and safety of the oral Janus kinase inhibitor baricitinib in the treatment of adults with alopecia areata: Phase 2 results from a randomized controlled study.

Brett King, Justin Ko, Seth Forman, Manabu Ohyama, Natasha Mesinkovska, Guanglei Yu, Jill McCollam, Margaret Gamalo, Jonathan Janes, Emily Edson-Heredia and 2 more

Open access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of the American Academy of Dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 11 pooled it
20.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 11 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Systematic review and indirect treatment comparisons of ritlecitinib against baricitinib in alopecia areata.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Brett KingDepartment of Dermatology, Yale School of Medicine, New Haven, Connecticut. Electronic address: brett.king@yale.edu.
Justin KoDepartment of Dermatology, Stanford University, Stanford, California.
Seth FormanForCare Clinical Research, Tampa, Florida.
Manabu OhyamaDepartment of Dermatology, Kyorin University Faculty of Medicine, Tokyo, Japan.
Natasha MesinkovskaDepartment of Dermatology and Dermatopathology, University of California, Irvine, California.
Guanglei YuEli Lilly and Company, Indianapolis, Indiana.
Jill McCollamEli Lilly and Company, Indianapolis, Indiana.
Margaret GamaloGlobal Biometrics and Data Management, Pfizer Inc., Collegeville, Pennsylvania.
Jonathan JanesEli Lilly and Company, Indianapolis, Indiana.
Emily Edson-HerediaEli Lilly and Company, Indianapolis, Indiana.
Katrin HolzwarthEli Lilly and Company, Indianapolis, Indiana.
Yves DutroncEli Lilly and Company, Indianapolis, Indiana.
Eli Lilly (United States) · USKyorin University · JPPfizer (United States) · USStanford University · USUniversity of California, Irvine · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no treatments approved by the Food and Drug Administration for alopecia areata.

objectiveTo evaluate the efficacy and safety of baricitinib in patients with ≥50% scalp hair loss in a phase 2 study of adults with alopecia areata (BRAVE-AA1).

methodsPatients were randomized 1:1:1:1 to receive placebo or baricitinib 1 mg, 2 mg, or 4 mg once daily. Two consecutive interim analyses were performed after all patients completed weeks 12 and 36 or had discontinued treatment prior to these time points. The primary endpoint was the proportion of patients achieving a Severity of Alopecia Tool (SALT) score ≤20 at week 36. Logistic regression was used with nonresponder imputation for missing data.

resultsA total of 110 patients were randomized (placebo, 28; baricitinib 1-mg, 28; 2-mg, 27; 4-mg, 27). The baricitinib 1-mg dose was dropped after the first interim analysis based on lower SALT LIMITATIONS: Small sample size limits generalizability of results.

conclusionThese results support the efficacy and safety of baricitinib in patients with ≥50% scalp hair loss.

Indexed as

Alopecia AreataJanus Kinase InhibitorsAdultAzetidinesHumansPurinesPyrazolesSulfonamidesTreatment OutcomeAzetidinesbaricitinibJanus Kinase InhibitorsPurinesPyrazolesSulfonamidesAAalopecia areatabaricitinibclinician-reportedCTP-543efficacyhair lossJAKJanus kinasepatient-reportedrandomizedruxolitinibsafetySALTtofacitinibtrial

Identifiers

PMID34090959
OpenAlexW3171539837

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.