Evidence map›Paper›PMID 40214720›Full record

Trial reportAmerican journal of clinical dermatology2025

Safety of Baricitinib in Adults with Severe Alopecia Areata from Two Phase III Trials Over a Median of 2.3 Years and Up to 4 Years of Treatment.

Brett King, Arash Mostaghimi, Yutaka Shimomura, Bianca Maria Piraccini, Ulrike Blume-Peytavi, Angelina Sontag, Yves Dutronc, Karen Denning, Jill Kolodsick, Xiaoyu Lu and 2 more

2 registry-linked trialsAbstract readClinical Trial, Phase III
In one paragraph

Trial report in American journal of clinical dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

NCT03570749 phase2 / phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo-Controlled, Operationally Seamless, Adaptive Phase 2/3 Study to Evaluate the Efficacy and Safety of Baricitinib in Adult Patients With Severe or Very Severe Alopecia Areata

TypeinterventionalSponsorEli Lilly and CompanyRan2018 to 2025Enrolled784ConditionsAlopecia AreataArmsBaricitinib, Placebo
NCT03899259 phase3completednot on this map

A Multicenter, Randomized, Double-Blind, Placebo- Controlled, Phase 3 Study to Evaluate the Efficacy and Safety of Baricitinib in Adult Patients With Severe or Very Severe Alopecia Areata

TypeinterventionalSponsorEli Lilly and CompanyRan2019 to 2024Enrolled606ConditionsAlopecia AreataArmsBaricitinib, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
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

12 authors.

Brett KingDepartment of Dermatology, Yale School of Medicine, New Haven, CT, USA. brett.aking@gmail.com.ORCID http://orcid.org/0000-0002-4576-4616
Arash MostaghimiDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Yutaka ShimomuraDepartment of Dermatology, Yamaguchi University Graduate School of Medicine, Ube, Japan.
Bianca Maria PiracciniDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Ulrike Blume-PeytaviDepartment of Dermatology, Venereology and Allergology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Angelina SontagEli Lilly and Company, Indianapolis, IN, USA.
Yves DutroncEli Lilly and Company, Indianapolis, IN, USA.
Karen DenningEli Lilly and Company, Indianapolis, IN, USA.
Jill KolodsickEli Lilly and Company, Indianapolis, IN, USA.
Xiaoyu LuTechData Service Company, King of Prussia, PA, USA.
Ayush SrivastavaEli Lilly and Company, Indianapolis, IN, USA.
Rodney SinclairUniversity of Melbourne, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report pooled safety data for baricitinib treatment of severe alopecia areata in patients in BRAVE-AA1 (phase II/III) and BRAVE-AA2 (phase III), including data from the long-term extension and bridging extension periods.

methodsData are reported from the extended dataset (patients receiving continuous baricitinib 2 mg or 4 mg) and the all-baricitinib dataset (all patients receiving any dose of baricitinib at any time during the trials). Safety outcomes include treatment-emergent adverse events, adverse events of special interest, and abnormal changes in laboratory test results. Incidence rates (IRs) per 100 patient-years were calculated based on time at risk. Data cutoff dates were 22 May, 2023, for BRAVE-AA1 and 8 May, 2023, for BRAVE-AA2 and included follow-up through at least 152 weeks.

resultsData were collected for 1303 patients treated with baricitinib, reflecting 2789.7 patient-years of exposure (median, 825 days; maximum, 1460 days). Most treatment-emergent adverse events were mild to moderate in severity. Incidence rates of serious adverse events (IR = 2.6) and treatment discontinuations because of adverse events (IR = 1.7) were generally low and remained similar to data presented through at least 104 weeks of follow-up. In an additional 1 year of follow-up, no new cases of serious infections, opportunistic infections, major adverse cardiovascular events, deep vein thromboses, or pulmonary embolisms were observed. The IRs for non-melanoma skin cancer (IR = 0.1) and other malignancies (IR = 0.2) remained stable over time. The IR of herpes zoster was comparable to previously reported IRs (IR = 1.9). Laboratory changes were generally consistent over time. No deaths were reported in either study.

conclusionsLong-term safety data from BRAVE-AA1 and BRAVE-AA2 are consistent with previously reported data from the baricitinib alopecia areata clinical trial program and demonstrate no new safety concerns or signals for baricitinib through a maximum exposure of 4 years. CLINICAL

trial registrationBRAVE-AA1 (NCT03570749) and BRAVE-AA2 (NCT03899259) were registered on 18 June, 2018, and 1 April, 2019, respectively.

Indexed as

Alopecia AreataAzetidinesPyrazolesSulfonamidesAdultAgedClinical Trials, Phase III as TopicFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPurinesSeverity of Illness IndexTime FactorsAzetidinesbaricitinibPurinesPyrazolesSulfonamides

Identifiers

PMID40214720
PMCPMC12227460

What OpenQuestion holds

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LicenceCC BY-NC
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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.