Janus kinase inhibitors: An innovative treatment for alopecia areata

J Dermatol. 2019 Aug;46(8):724-730. doi: 10.1111/1346-8138.14986. Epub 2019 Jun 25.

Abstract

Alopecia areata (AA) is a relatively common disease, but no satisfactory treatment has yet been developed. Recently, research progress has been made in the pathogenesis of AA, revealing that autoreactive cytotoxic T cells are important and that the Janus kinase (JAK) pathway is involved. Therefore, the potential of JAK inhibitors as therapeutic agents for AA is attracting attention. Several single-arm clinical trials and retrospective studies demonstrated that oral JAK inhibitors are effective and tolerable treatments for moderate to severe AA. Although JAK inhibitors are emerging as an innovative treatment for AA, further placebo-controlled clinical trials are required to confirm their efficacy and long-term safety.

Keywords: Janus kinase inhibitors; alopecia areata; baricitinib; ruxolitinib; tofacitinib.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Administration, Oral
  • Alopecia Areata / drug therapy*
  • Alopecia Areata / immunology
  • Azetidines / pharmacology
  • Azetidines / therapeutic use
  • Clinical Trials as Topic
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Humans
  • Janus Kinase Inhibitors / pharmacology
  • Janus Kinase Inhibitors / therapeutic use*
  • Janus Kinases / antagonists & inhibitors*
  • Janus Kinases / metabolism
  • Middle Aged
  • Nitriles
  • Piperidines / pharmacology
  • Piperidines / therapeutic use
  • Purines
  • Pyrazoles / pharmacology
  • Pyrazoles / therapeutic use
  • Pyrimidines / pharmacology
  • Pyrimidines / therapeutic use
  • Pyrroles / pharmacology
  • Pyrroles / therapeutic use
  • Signal Transduction / drug effects
  • Signal Transduction / immunology
  • Sulfonamides / pharmacology
  • Sulfonamides / therapeutic use
  • T-Lymphocytes, Cytotoxic / immunology*
  • T-Lymphocytes, Cytotoxic / metabolism
  • Treatment Outcome

Substances

  • Azetidines
  • Janus Kinase Inhibitors
  • Nitriles
  • Piperidines
  • Purines
  • Pyrazoles
  • Pyrimidines
  • Pyrroles
  • Sulfonamides
  • ruxolitinib
  • tofacitinib
  • Janus Kinases
  • baricitinib