New pill shows promise for regrowing hair in severe alopecia
NCT ID NCT03899259
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested the drug baricitinib in 606 adults with severe or very severe alopecia areata, a condition causing significant hair loss. Participants took either baricitinib or a placebo pill daily for up to 36 weeks. The main goal was to see if baricitinib could regrow enough scalp hair to reach a SALT score of 20 or less (meaning 80% or more hair coverage). Results showed that baricitinib helped many people regrow hair compared to placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Baricitinib (a pill that targets inflammation)
- What this could lead to
- If successful, this could offer a new treatment option for people with severe alopecia areata, helping regrow scalp hair.
- What could go wrong
- This is a completed Phase 3 trial, but baricitinib may not work for everyone and has potential side effects like infections or blood clots. Long-term safety data are still limited.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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606 people
The number who actually took part.
- Started
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Jul 2019
- Finished
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Nov 2024
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Are at least 18 years and ≤60 years for males (≤70 years of age for females) at the time of informed consent. * Have severe or very severe AA, as determined by all of the following: * Current AA episode of more than 6 months' duration and hair loss encompassing ≥50% of the scalp, as measured by SALT (AA-IGA of 3 or 4) at screening and baseline. * No spontaneous improvement over the past 6 months. * Current episode of severe or very severe AA of less than 8 years. Note: participants who have severe or very severe AA for ≥8 years may be enrolled if episodes of regrowth, spontaneous or under treatment, have been observed on the affected areas over the past 8 years. * Male or nonpregnant, nonbreastfeeding female participants. Exclusion Criteria: * Primarily "diffuse" type of AA. * Are currently experiencing other forms of alopecia or any other concomitant conditions that would interfere with evaluations of the effect of study medication on AA. * Previously treated with an oral Janus kinase (JAK) inhibitor and had an inadequate response (for example, absence of significant terminal hair growth after at least 12 weeks of treatment).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Affiliated Hospital of Jiangsu University
Zhenjiang, Jiangsu, 212000, China
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Ajou University Hospital
Suwon, Gyeonggi-do, 16499, South Korea
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Associated Skin Care Specialists
New Brighton, Minnesota, 55112, United States
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Beijing Chao-Yang Hospital, Capital Medical University
Beijing, Beijing Municipality, 100020, China
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Beijing Friendship Hospital Affiliate of Capital University
Beijing, Beijing Municipality, 100050, China
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Bexley Dermatology Research
Bexley, Ohio, 43209, United States
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Boramae Medical Center
Dongjak-gu, Seoul-teukbyeolsi [Seoul], 07061, South Korea
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Buenos Aires Skin
Buenos Aires, Buenos Aires F.D., 1055, Argentina
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Center For Dermatology Clinical Research, Inc.
Fremont, California, 94538, United States
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Centro de Investigaciones Metabólicas (CINME)
Ciudad Autónoma de Buenos Aires, Buenos Aires, 1027, Argentina
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Centro de Investigaciones Médicas Tucuman
SAN M. de Tucuman, Tucumán Province, T4000AXL, Argentina
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Centro de Pesquisa Sao Lucas
Campinas, São Paulo, 13034-685, Brazil
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Chang Gung Medical Foundation-Linkou Branch
Taoyuan, 333, Taiwan
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Chinese PLA General Hospital
Beijing, Beijing Municipality, 100853, China
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Chung Shan Medical University Hospital
Taichung, Taichung, 402, Taiwan
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Clinical Research Institute of Michigan, LLC
Chesterfield, Michigan, 48047, United States
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Clinical Research Puerto Rico
San Juan, 00909, Puerto Rico
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Clinical Trials SA Pty Ltd
Campbelltown, South Australia, 5073, Australia
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Dankook University Hospital
Cheonan, Chungcheongnam-do, 31116, South Korea
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Dawes Fretzin Clinical Research Group, LLC
Indianapolis, Indiana, 46250, United States
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Dermatologists of Southwest Ohio
Mason, Ohio, 45040, United States
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Dermatology Specialists of Charlotte
Charlotte, North Carolina, 28211, United States
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Dermatology and Skin Cancer Specialists
Rockville, Maryland, 20850, United States
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Emek Medical Center
Afula, Northern District, 1834111, Israel
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Faculdade de Medicina do ABC
Santo André, São Paulo, 09060-870, Brazil
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First Affiliated Hospital of Shanxi Medical University
Taiyuan, Shanxi, 30001, China
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Florida Academic Centers Research and Education, LLC
Coral Gables, Florida, 33134, United States
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ForCare Clinical Research
Tampa, Florida, 33613-1244, United States
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Fremantle Dermatology
Fremantle, Western Australia, 6160, Australia
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Fundacion Respirar
Buenos Aires, Ciudad Autonoma Buenos Aires, C1426ABO, Argentina
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Great Lakes Research Group, Inc.
Bay City, Michigan, 48706, United States
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Guangdong Province Dermatology Hospital
Guangzhou, Guangdong, 510018, China
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Hadassah Medical Center
Jerusalem, Jerusalem, 9112001, Israel
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Hamamatsu University Hospital
Hamamatsu, Shizuoka, 431-3192, Japan
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Hamzavi Dermatology
Fort Gratiot, Michigan, 48059, United States
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Hospital de Clínicas Da Universidade Estadual de Campinas
Campinas, São Paulo, 13083-888, Brazil
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HuaShan Hospital Affiliated To Fudan University
Shanghai, Shanghai Municipality, 200040, China
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IBPClin - Instituto Brasil de Pesquisa Clínica
Rio de Janeiro, 22241-180, Brazil
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IDERJ - Instituto de Dermatologia e Estética do Brasil
Rio de Janeiro, Rio de Janeiro, 22470-220, Brazil
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IPITEC
São Paulo, 01223-001, Brazil
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Instituto de Neumonología y Dermatología
Capital Federal, Buenos Aires, 1425, Argentina
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Investigate MD
Scottsdale, Arizona, 85255, United States
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Irmandade da Santa Casa de Misericordia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90050-170, Brazil
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Jiangsu Province Hospital
Nanjing, Jiangsu, 210029, China
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Joseph J. Schwartz, M.D.
Troy, New York, 12180, United States
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Juntendo Tokyo Koto Geriatric Medical Center
Koto-ku, Tokyo, 136-0075, Japan
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Juntendo University Hospital
Bunkyo-ku, Tokyo, 113-8431, Japan
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Kaiser Permanente Hospital
San Francisco, California, 94118, United States
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Kyorin University Hospital
Mitaka, Tokyo, 181-8611, Japan
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Kyunghee University Hospital at Gangdong
Seoul, Seoul-teukbyeolsi [Seoul], 134-090, South Korea
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M3-Emerging Medical Research
Raleigh, North Carolina, 27612, United States
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MediSearch Clinical Trials
Saint Joseph, Missouri, 64506, United States
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National Cheng Kung University Hospital
Tainan, 704, Taiwan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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New England Research Associates
Bridgeport, Connecticut, 06606, United States
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New Horizon Research Center
Miami, Florida, 33165, United States
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Northwest Dermatology Institute
Portland, Oregon, 97210, United States
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Oregon Dermatology and Research Center
Portland, Oregon, 97210, United States
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Osaka City University Hospital
Osaka, 545-8586, Japan
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Parra Dermatología
Mendoza, 5500, Argentina
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Peking University Third Hospital
Beijing, Beijing Municipality, 100191, China
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Progressive Clinical Research
San Antonio, Texas, 78213, United States
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Qualmedica Research, LLC
Owensboro, Kentucky, 42303, United States
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Quest Dermatology Research
Northridge, California, 91324, United States
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Rabin Medical Center
Petah Tikva, Central District, 4941492, Israel
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Rambam Medical Center
Haifa, Northern District, 3109601, Israel
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Servidor Público Estadual - IAMSPE - centro de estudos urológicos
São Paulo, 04039-901, Brazil
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Severance Hospital, Yonsei University Health System
Seoul, 03722, South Korea
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Shanghai Skin Disease Hospital
Shanghai, Shanghai Municipality, 200071, China
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Sheba Medical Center
Ramat Gan, Central District, 5262100, Israel
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Sinclair Dermatology
Melbourne, Victoria, 3002, Australia
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Skin & Cancer Foundation Australia
Westmead, New South Wales, 2045, Australia
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Skin Health Institute Inc.
Carlton, Victoria, 3053, Australia
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Soonchunhyang University Bucheon Hospital
Bucheon-si, Gyeonggi-do, 14584, South Korea
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Soroka Medical Center
Beersheba, Southern District, 8410101, Israel
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Sourasky Medical Center
Tel Aviv, Tell Abīb, 6423906, Israel
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Stat Research
CABA, Buenos Aires, C1023AAB, Argentina
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Suzanne Bruce and Associates, PA
Houston, Texas, 77056, United States
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The Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710004, China
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The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310052, China
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The South Bend Clinic Center for Research
South Bend, Indiana, 46617, United States
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The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27516, United States
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Tianjin Medical University General Hospital
Tianjin, Tianjin Municipality, 300052, China
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Tokyo Medical Univ. Hospital
Shinjuku-ku, Tokyo, 160-0023, Japan
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Total Skin and Beauty Dermatology Center, PC
Birmingham, Alabama, 35205, United States
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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Velocity Clinical Research, Providence
East Greenwich, Rhode Island, 02818, United States
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Veracity Clinical Research Pty Ltd
Woolloongabba, Queensland, 4102, Australia
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Virginia Clinical Research, Inc.
Norfolk, Virginia, 23502, United States
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Vital Prospects Clinical Research Institute, P.C.
Tulsa, Oklahoma, 74136, United States
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Woden Dermatology
Phillip, Australian Capital Territory, 2606, Australia
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Xiangya Hospital Central South University
Changsha, Hunan, 410008, China
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Yamaguchi University Hospital
Ube, Yamaguchi, 755-8505, Japan
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Yokohama Rosai Hospital
Yokohama, Kanagawa, 222-0036, Japan
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Zhejiang Provincial People's Hospital
Hangzhou, Zhejiang, 310014, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can an oral drug tame hair loss? 7,500-Patient study tracks ritlecitinib in real life
- A glow of hope: UV imaging may reveal how well hair loss treatment will work
- Can we predict the path of chronic skin disease?
- Can a new pill help teens regrow hair lost to alopecia?
- Can allergy and glaucoma drugs regrow hair when delivered by microneedling?
- Can a daily pill bring back hair in severe alopecia?