Evidence map›Paper›PMID 39254890›Full record

ArticleDermatology and therapy2024

Impact of Previous Alopecia Areata Treatment on Efficacy Responses up to Week 48 Following Ritlecitinib Treatment: A Post Hoc Analysis.

Jennifer Fu, Alexander Egeberg, Susan Holmes, Sergio Vano-Galvan, Martin Steinhoff, Roger Edwards, Gianluca Bonfanti, Ranjit Nagra, Robert Wolk, Helen Tran and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Dermatology and therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03732807 (A PHASE 2B/3 RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, DOSE-RANGING STUDY TO INVESTIGATE THE EFFICACY AND SAFETY OF PF-06651600 IN ADULT AND ADOLESCENT ALOPECIA AREATA), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03732807 phase2 / phase3completednot on this map

A phase 2b/3 randomized, double-blind, placebo-controlled, dose-ranging study to investigate the efficacy and safety of pf-06651600 in adult and adolescent alopecia areata (aa) subjects with 50% or greater scalp hair loss

TypeinterventionalSponsorPfizerRan2018 to 2021Enrolled718ConditionsAlopecia AreataArmsPF-06651600 Induction Dose, PF-06651600 Maintenance Dose #1, PF-06651600 Maintenance Dose #2, PF-06651600 Maintenance Dose #3, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Jennifer FuDepartment of Dermatology, University of California, San Francisco, San Francisco, CA, USA.
Alexander EgebergDepartment of Dermatology, Bispebjerg University Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0001-8257-1816
Susan HolmesAlan Lyell Centre for Dermatology, Glasgow Royal Infirmary, Glasgow, UK.ORCID http://orcid.org/0000-0001-8571-2653
Sergio Vano-GalvanDermatology Department, Ramón y Cajal University Hospital, Instituto Ramón y Cajal de Investigación Sanitaria, University of Alcalá, Madrid, Spain.ORCID http://orcid.org/0000-0003-2773-7494
Martin SteinhoffDepartment of Dermatology and HMC Translational Research Institute, Hamad Medical Corporation, Doha, Qatar.ORCID http://orcid.org/0000-0002-7090-2187
Roger EdwardsHealth Services Consulting Corporation, Boxborough, MA, USA.
Gianluca BonfantiEngineering Ingegneria Informatica, Milan, Italy.
Ranjit NagraPfizer Inc, New York, NY, USA.
Robert WolkPfizer Inc, New York, NY, USA.
Helen TranPfizer Inc, New York, NY, USA.ORCID http://orcid.org/0009-0007-6053-6703
Ernest LawPfizer Inc, New York, NY, USA. ernest.law@pfizer.com.ORCID http://orcid.org/0000-0002-6111-8008

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatients with alopecia areata (AA) may have received several therapies for management of AA during their lives. In the ALLEGRO phase 2b/3 (NCT03732807) study, the oral JAK3/TEC family kinase inhibitor ritlecitinib demonstrated efficacy and an acceptable safety profile in patients aged ≥ 12 years with AA and ≥ 50% scalp hair loss. This post hoc analysis investigated associations between prior use of AA therapies and Severity of Alopecia Tool (SALT) responses in patients receiving ritlecitinib for AA.

methodsPatients receiving ritlecitinib 30 mg or 50 mg once daily with or without an initial 4-week 200-mg daily loading dose were grouped by previous exposure to AA treatments, including topicals, intralesional corticosteroids (ILCS), topical immunotherapy, and systemic immunosuppressants or any prior AA treatment. Multivariable logistic regression analyses evaluated the association between response based on a SALT score of ≤ 20 and any prior treatment for AA at weeks 24 and 48.

resultsOf 522 patients, 360 (69.0%) had previous exposure to any AA treatment. At Week 24, SALT ≤ 20 response was positively associated with prior use of ILCS (odds ratio [OR], 2.12; 95% confidence interval [CI], 1.23-3.65; P < 0.05) and negatively associated with prior use of systemic immunosuppressants (OR 0.50; 95% CI 0.28-0.88; P < 0.05). Prior use of topicals or topical immunotherapy was not associated with SALT ≤ 20 response at Week 24. By Week 48, no association was identified between SALT ≤ 20 response and prior use of topicals, ILCS, topical immunosuppressants, or systemic immunosuppressants (all P > 0.05). Previous exposure to any AA therapy was not associated with SALT ≤ 20 response at weeks 24 or 48 (all P > 0.05).

conclusionsPrior AA treatment history had no effect on longer-term treatment response to ritlecitinib. TRIAL REGISTRATION NUMBER: NCT03732807.

Indexed as

Alopecia areataJAK inhibitorPost hoc analysisRitlecitinibSALTTreatment

Identifiers

PMID39254890
PMCPMC11480292

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Registered trials

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.