Evidence map›Paper›PMID 38810065›Full record

ArticleDermatology practical & conceptual2024

Real-World Experience of Tofacitinib and Baricitinib Use in Alopecia Areata in Greek Population: A Retrospective Analysis With Focus on Safety.

Zoe Apalla, Efterpi Zafiriou, Effimia Zagkliverinou, Angeliki-Viktoria Roussaki-Schulze, Polyxeni Gidarokosta, Niki Ntavari, Stella Sakellaropoulou, Maria Boziou, Anastasia Emvalomati, Eirini Kyrmanidou and 1 more

Abstract read
In one paragraph

Article in Dermatology practical & conceptual, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
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  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zoe ApallaSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Efterpi ZafiriouDepartment of Dermatology, University General Hospital Larissa, University of Thessaly, Larissa, Greece.
Effimia ZagkliverinouInternal Medicine Department, "Theagenio" Hospital, Thessaloniki, Greece.
Angeliki-Viktoria Roussaki-SchulzeDepartment of Dermatology, University General Hospital Larissa, University of Thessaly, Larissa, Greece.
Polyxeni GidarokostaDepartment of Dermatology, University General Hospital Larissa, University of Thessaly, Larissa, Greece.
Niki NtavariDepartment of Dermatology, University General Hospital Larissa, University of Thessaly, Larissa, Greece.
Stella SakellaropoulouSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Maria BoziouSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Anastasia EmvalomatiSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eirini KyrmanidouSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Elizabeth LazaridouSecond Dermatology Department, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe introduction of Janus Kinase inhibitors (JAKi) seems to revolutionize the field of alopecia areata (AA) therapeutics. However, real-world data are still missing.

objectivesTo provide evidence about effectiveness and safety of tofacitinib and baricitinib in AA in real-world settings and describe baseline disease characteristics and patients profiles that are considered good candidates for JAKi in the daily practice. Furthermore, we intended to investigate potential correlations between baseline characteristics and treatment outcomes.

methodsWe retrospectively reviewed the databases of two tertiary Hospitals in Greece, to identify individuals of any age currently being treated with systemic JAKi for severe AA.

resultsWe identified 42 individuals, including 3 adolescents. In our cohort, 52.3% (22/42) were under tofacitinib and 47.6% (20/42) under baricitinib treatment. Efficacy analysis was performed on the subgroup of 30 patients that had completed at least a 3-month follow-up on treatment. In the latter group, mean time on treatment was 10 months. Mean Severity of Alopecia Tool and mean Dermatology Life Quality Index scores decreased from 84.46% and 12.86 at baseline, to 43.26% and 6.63, respectively. Complete response (CR) was recorded in 4 (13.33%), partial in 12 (40%) and no response in 14 patients (46.66%), correspondingly. Seventeen out of 42 (40.5%) individuals in total, reported at least 1 adverse event. No patient required hospitalization. Among 15 patients (35.7%) who got COVID-19, one suffered from serious infection. The 3 adolescents achieved CR with no significant adverse events.

conclusionsReal-world data suggest efficacy and safety of JAKi in severe forms of AA. Tolerability is optimal in younger individuals.

Identifiers

PMID38810065
PMCPMC11136076

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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.