作者: Barbareschi, Mauro ; Gargiulo, Luigi ; Fulgione, Elisabetta ; Vignoli, Carlo A. ; Gallo, Giuseppe ; Boccaletti, Valeria ; Narcisi, Alessandra ; Balato, Anna ; Caposiena Caro, Raffaele D. ; Barruscotti, Stefania ; Giunipero di Corteranzo, Isotta ; Ferrucci, Silvia M. ; Quaglino, Pietro ; Gisondi, Paolo ; Fraghì, Alessandro ; Marzano, Angelo V. ; Ibba, Luciano ; Mercuri, Santo R. ; Bianchi, Vittoria G. ; Bazzacco, Giulia ; Ribero, Simone ; Costanzo, Antonio ; Bellinato, Francesco ; Orsini, Diego ; Malagoli, Piergiorgio
Purpose of the article: Baricitinib, a JAK 1/2 inhibitor, is approved for treating severe alopecia areata (AA).This study aimed to evaluate the long-term effectiveness and safety of baricitinib in a real-world setting over 52 wk.Materials and methods: This multicenter retrospective study included 96 adult patients diagnosed with severe AA from 11 Italian Dermatol. Units.All patients received 4 mg of baricitinib daily.Effectiveness was assessed using the Severity of Alopecia Tool (SALT) score, with the primary endpoint defined as achieving a SALT score ≤ 20 at week 52.Secondary endpoints included achieving a Clinician-Reported Outcome (ClinRO) score of 0 or 1 for eyebrow (ClinRO EB) and eyelash hair loss (ClinRO EL), with a ≥ 2-point improvement from baseline.Results: After 52 wk, 61.5% of patients achieved a SALT score ≤ 20.Addnl., 67.6% and 69.7% of patients attained ClinRO EB and ClinRO EL scores of 0 or 1, resp., with a ≥ 2-point improvement.No significant adverse safety events were reported during the study.Conclusions: The study confirms the long-term effectiveness and safety of baricitinib for severe AA in a real-world setting.These findings align with clin. trial results and reinforce baricitinib′s role as a viable treatment option for severe AA.