Hair loss drug shows promise in major trial
NCT ID NCT03570749
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested baricitinib, an anti-inflammatory pill, in 784 adults with severe or very severe alopecia areata, a condition causing extensive hair loss. Participants received either baricitinib or a placebo for up to 52 weeks. The main goal was to see if baricitinib could regrow scalp hair to 80% or more of normal coverage. The trial also included an open-label part for some U.S. participants.
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 provide a new treatment option for people with severe alopecia areata, helping them regrow significant scalp hair.
- What could go wrong
- This is a completed trial, but results may not apply to all patients. Baricitinib can have side effects like infections or blood clots, and not everyone may respond.
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 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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784 people
The number who actually took part.
- Started
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Sep 2018
- Finished
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Jan 2025
- 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. * Must self-identify as either Black or African American in race in the open label addenda. * 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 -- Severity of Alopecia Tool (SALT) Alopecia Areata (AA) Investigator Global Assessment (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. * 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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ActivMed Practices and Research
Beverly, Massachusetts, 01915, United States
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ActivMed Practices and Research
Portsmouth, New Hampshire, 03801, United States
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Alliance Research Centers
Irvine, California, 92612, United States
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Austin Institute for Clinical Research
Pflugerville, Texas, 78660, United States
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B&B Investigaciones Medicas, SC
Mazatlán, Sinaloa, 82140, Mexico
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Bellaire Dermatology
Bellaire, Texas, 77401, United States
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Brigham and Women's Hospital
Boston, Massachusetts, 02115, United States
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CRI Centro Regiomontano de Investigacion S.C.
Monterrey, Nuevo León, 64060, Mexico
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California Dermatology & Clinical Research Institute
Encinitas, California, 92024, United States
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Callender Center for Clinical Research, LLC / Research
Glenn Dale, Maryland, 20769, United States
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Center for Clinical Studies
Houston, Texas, 77004, United States
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Center for Clinical Studies
Webster, Texas, 77598, United States
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Chonbuk National University Hospital
Jeonju, Jeon Ra Buk-Do, Korea, 54907, South Korea
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Chungang University Hospital
Seoul, 06973, South Korea
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Chungnam National University Hospital
Daejeon, Korea, 35015, South Korea
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Clarkston Skin Research
Clarkston, Michigan, 48346, United States
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Clinica de Investigacion en Reumatologia y Obesidad S. C.
Guadalajara, Jalisco, 44650, Mexico
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Coastal Clinical Research, Inc
Mobile, Alabama, 36608, United States
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Consultorio Privado de la Dra. Villanueva
Guadalajara, Jalisco, 44657, Mexico
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Derma Norte del Bajío, S.C.
Aguascalientes, Mexico
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Dermatology Associates
Seattle, Washington, 98101, United States
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Dermatology Associates of Plymouth Meeting
Plymouth Meeting, Pennsylvania, 19462, United States
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Dermatology Clinical Research Center of San Antonio
San Antonio, Texas, 78229, United States
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Dermatology Research Associates
Los Angeles, California, 90045, United States
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Dermatology and Skin Surgery Center
Exton, Pennsylvania, 19341, United States
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Eunpyeong St. Mary's Hospital
Seoul, 03312, South Korea
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ForCare Clinical Research
Tampa, Florida, 33613-1244, United States
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Forefront Research
Louisville, Kentucky, 40241, United States
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GCM Medical Group, PSC- Hato Rey
San Juan, PR, 00917, Puerto Rico
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Hamamatsu University School of Medicine, University Hospital
Hamamatsu, Shizuoka, 431-3192, Japan
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Hospital Universitario Dr. Jose Eleuterio Gonzalez
Monterrey, N.L., 64460, Mexico
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Inha University Hospital
Jung-gu, Incheon, 22332, South Korea
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Instituto de Investigaciones Aplicadas a la Neurociencia A.C
Durango, 34000, Mexico
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Johnson Dermatology
Fort Smith, Arkansas, 72916, United States
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Konkuk University Medical Center
Seoul, 05030, South Korea
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Kurume University Hospital
Kurume, Fukuoka, 830 0011, Japan
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Kyung Pook National University Hospital
Daegu, Korea, 41944, South Korea
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Kyunghee University Hospital at Gangdong
Seoul, 05278, South Korea
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Medaphase Inc
Newnan, Georgia, 30263, United States
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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Modern Research Associates
Dallas, Texas, 75231, United States
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Montefiore Medical Center
The Bronx, New York, 10467-2490, United States
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Mosaic Dermatology
Santa Monica, California, 90403, United States
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NW Dermatology & Research Center, LLC
Portland, Oregon, 97210, United States
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Northwestern University
Chicago, Illinois, 60611, United States
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OH State Univ College of Med
Gahanna, Ohio, 43230, United States
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OHSU Center for Health and Healing
Portland, Oregon, 97239, United States
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Oregon Medical Research Center
Portland, Oregon, 97223, United States
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Osaka City University Hospital
Osaka, 545-8586, Japan
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Park Avenue Dermatology
Orange Park, Florida, 32073, United States
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Penn State Univ. Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033, United States
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Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104, United States
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Ponce School of Medicine CAIMED Center
Ponce, PR, 00716, Puerto Rico
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Pusan National University Hospital
Busan, Korea, 49241, South Korea
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RM Pharma Specialists S.A. de C.V.
Distrito Federal, 3100, Mexico
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Seoul National University Bundang Hospital
Seongnam, Geonggi-do, 13620, South Korea
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Seoul National University Hospital
Seoul, 03080, South Korea
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Skin Care Physicians of Georgia
Macon, Georgia, 31217, United States
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Solutions Through Advanced Research, Inc.
Jacksonville, Florida, 32256, United States
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Stanford Health Care
Redwood City, California, 94063, United States
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Texas Dermatology and Laser Specialists
San Antonio, Texas, 78218, United States
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Tokyo Medical Univ. Hospital
Shinjuku-ku, Tokyo, 160-0023, Japan
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University Clinical Trials, Inc.
San Diego, California, 92123, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of CA, Irvine
Irvine, California, 92617, United States
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University of California Davis-Dermatology
Sacramento, California, 95816, United States
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University of Miami
Miami, Florida, 33125, United States
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University of Minnesota Medical School
Minneapolis, Minnesota, 55455, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213, United States
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University of Rochester School of Medicine
Rochester, New York, 14642, United States
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University of Utah MidValley Dematology
Murray, Utah, 84107, United States
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Yale University School of Medicine
New Haven, Connecticut, 06519, United States
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?