Kobal Inbar, Ramot Yuval
Abteilung für Dermatologie, Hadassah-Klinik und Medizinische Fakultät, Hebräische Universität Jerusalem, PO Box 12000, 9112001, Jerusalem, Israel.
Hautarzt. 2022 May;73(5):336-343. doi: 10.1007/s00105-022-04982-x. Epub 2022 Apr 28.
Alopecia areata is a common condition that leads to nonscarring hair loss. It can be severe and lead to complete hair loss of the scalp or the whole body. In more severe cases, the disease can be very recalcitrant to treatment and result in a significant impairment of the quality of life of the patients. In recent years, there is increasing evidence on the potential of janus kinase (JAK) inhibitors to treat alopecia areata. In the beginning, this was based on case reports, but later, this potential was further established by large case series and in vitro and in vivo data. It is on this basis that JAK inhibitors are being tested specifically for the treatment of alopecia areata in phase 3, randomized, placebo-controlled trials, raising hopes that there will soon be a JAK inhibitor approved by the US Food and Drug Administration (FDA) for the treatment of alopecia areata. Here we provide a review of the information available on the use of JAK inhibitors to treat alopecia areata, and the potential benefits and risks of this class of medications.
斑秃是一种导致非瘢痕性脱发的常见病症。它可能很严重,会导致头皮或全身毛发完全脱落。在更严重的情况下,该疾病对治疗可能非常顽固,会严重损害患者的生活质量。近年来,越来越多的证据表明, Janus激酶(JAK)抑制剂有治疗斑秃的潜力。起初,这是基于病例报告,但后来,通过大量病例系列以及体外和体内数据,这种潜力得到了进一步证实。基于此,JAK抑制剂正在3期随机安慰剂对照试验中专门用于治疗斑秃的测试,这让人们燃起希望,即很快会有一款JAK抑制剂获得美国食品药品监督管理局(FDA)批准用于治疗斑秃。在此,我们综述了关于使用JAK抑制剂治疗斑秃的现有信息,以及这类药物的潜在益处和风险。