Evidence map›Paper›PMID 40192430›Full record

ArticleActa dermato-venereologica2025

Real-world Effectiveness and Safety of Janus Kinase Inhibitors in Alopecia Areata: A Retrospective Cohort Study of 72 Patients.

Sophie C Van Helmond, Mathias Willaert, Viet-Hoa Nguyen, Tamar Nijsten, Rick Waalboer-Spuij, DirkJan Hijnen

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Ritlecitinib: A Review in Severe Alopecia Areata.American journal of clinical dermatology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Alopecia Areata - Effects of Treatment with Upadacitinib - Two Case Reports.Clinical, cosmetic and investigational dermatology · 2026
    Article
  8. Review
  9. Review
  10. 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

6 authors.

Sophie C Van Helmond *Department of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Mathias Willaert *Department of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Viet-Hoa NguyenDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Tamar NijstenDepartment of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
Rick Waalboer-Spuij *Department of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. r.waalboer@erasmusmc.nl.
DirkJan Hijnen *Department of Dermatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands; Department of Dermatology, Radboud University Medical Center, Nijmegen, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alopecia areata (AA) is an autoimmune hair loss disorder characterized by sudden hair shedding due to immune dysregulation involving the Janus Kinase - Signal Transducer and Activator of Transcription (JAK-STAT) pathway. JAK inhibitors (JAKi) have demonstrated efficacy in clinical trials, but data from real-world settings remain scarce. This retrospective, single-centre cohort study evaluated the real-world effectiveness and safety of JAKi (abrocitinib, baricitinib, ritlecitinib, upadacitinib, and tofacitinib) in 72 patients treated between December 2017 and February 2024. Patients had a mean age of 34 years and a mean disease duration of 8 years. At time points 3, 6, 9, 12, and 18 months substantial regrowth was observed in 18 (25%), 28 (38.9%), 25 (34.7%), 22 (30.6%), and 19 (26.4%) patients respectively. Over a median follow-up of 16 months, 61% achieved substantial regrowth at a median time of 7 months. At 3, 6, 9, and 12 months, the cumulative regrowth rates were 11.1%, 40.2%, 55.6%, and 59.7%, respectively. Among non-responders who switched medications, 75% achieved substantial regrowth. Two serious adverse events occurred (sickle cell crisis and renal failure with pre-existing dysfunction). The findings indicate that JAKi are effective and safe for AA treatment in real-world settings. Further prospective studies are necessary to optimize treatment guidelines.

Indexed as

Alopecia AreataJanus Kinase InhibitorsAdolescentAdultAzetidinesFemaleHumansMaleMiddle AgedPiperidinesPurinesPyrazolesPyrimidinesRetrospective StudiesSulfonamidesTime FactorsAzetidinesbaricitinibJanus Kinase InhibitorsPiperidinesPurinesPyrazolesPyrimidinesSulfonamidestofacitinib

Identifiers

PMID40192430
PMCPMC11995430

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.