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CompletedNCT06157905Updated Dec 6, 2023

Efficacy and Safety of Oral Tofacitinib in the Treatment of Alopecia Areata

An Early Phase 1 interventional study of Oral Tofacitinib citrate in Extensive Alopecia Areata, sponsored by Services Institute of Medical Sciences, Pakistan. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2023-12-06.

Sponsored by Services Institute of Medical Sciences, Pakistan · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Aug 2022, registered Nov 2023).
Phase
Early Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This clinical trial was conducted at the Dermatology department of Services hospital Lahore. Patients of extensive and treatment resistant Alopecia areata were enrolled after ethical approval and informed consent by non-probability consecutive sampling. Inclusion criteria: Treatment with oral tofacitinib citrate was initiated at 5 mg twice daily for six months. Scalp hair loss was calculated at 4, 12 and 24 weeks using the validated Severity of Alopecia Tool (SALT) score, which ranges from 0% to 100%. Regrowth rate: (initial SALT score - final SALT score)/(initial SALT score) × 100 was noted. Response time (time from initiation of treatment to any sign of hair regrowth) was noted. DLQI of patients before and after treatment were noted. Side effects were noted. Pre- and post-treatment photographs were taken. Patients were followed up for another 6 months to look for relapse.

Data were entered and analyzed using SPSS 20. Means were calculated for quantitative variables, frequencies for qualitative data. Data were stratified for the role of effect modifiers.

Read the detailed description

This clinical trial was conducted at the Dermatology department of Services hospital Lahore. Patients of extensive and treatment resistant Alopecia areata were enrolled after ethical approval and informed consent by non-probability consecutive sampling. Treatment with oral tofacitinib citrate was initiated at 5 mg twice daily for six months after labs and ruling out contraindications. Scalp hair loss was calculated at 4, 12 and 24 weeks using the validated Severity of Alopecia Tool (SALT) score, which ranges from 0% to 100%. Regrowth rate: (initial SALT score - final SALT score)/(initial SALT score) × 100 was noted. Response time (time from initiation of treatment to any sign of hair regrowth) was noted. DLQI of patients before and after treatment were noted. Side effects were noted. Pre- and post-treatment photographs were taken. Patients were followed up for another 6 months to look for relapse.

Data were entered and analyzed using SPSS 20. Means were calculated for quantitative variables, frequencies for qualitative data. Data were stratified for the role of effect modifiers.

02

Conditions studied

  • Extensive Alopecia Areata

Keywords

  • alopecia areata
  • Tofacitinib
  • Efficacy
  • Safety
  • Hair loss
03

In context

Alopecia

609 studies on the registry are indexed under Alopecia; 131 are open to participants now.

This study's enrollment of 9 is below the median of 45 across 513 interventional studies indexed under Alopecia.

Browse Alopecia studies →

Lead sponsor

Services Institute of Medical Sciences, Pakistan is the lead sponsor of 33 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Either gender Age 18 to 60 years Extensive disease (SALT > 24)

Exclusion criteria

Exclusion Criteria:

  • Patients taking immunosuppressants or DMARDs Recent live vaccination Active or latent TB, Hepatitis B or C, HIV Malignancy Hypersensitivity to the drug Pregnant or lactating mothers
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Patients of Extensive alopecia areata

    Patients of either gender, age between 18-60 years, having extensive alopecia areata (SALT\>24)

    Drug: Oral Tofacitinib citrate

Interventions

  • DrugOral Tofacitinib citrate

    oral tofacitinib citrate was initiated at 5 mg twice daily after ruling out contraindications

06

What researchers measure

Primary outcomes

  1. 50% reduction in Severity of Alopecia Tool (SALT)

    atleast 50% reduction of SALT score from baseline (pre-treatment)

    Time frame: within 24 weeks

  2. 50% reduction in Dermatology Life Quality Index (DLQI)

    Atleast 50% improvement in quality of life of patients by reduction in DLQI from baseline (pre-treatment)

    Time frame: within 24 weeks

Other outcomes

  1. Regrowth rate

    (initial SALT score - final SALT score)/(initial SALT score) × 100

    Time frame: within 24 weeks

  2. Response time

    time from initiation of treatment to any sign of hair regrowth

    Time frame: within 24 weeks

07

Study locations

1 site
  • Services Institute of Medical Sciences
    Lahore, Punjab 54000, Pakistan
08

References and documents

Publications

  • Xing L, Dai Z, Jabbari A, Cerise JE, Higgins CA, Gong W, de Jong A, Harel S, DeStefano GM, Rothman L, Singh P, Petukhova L, Mackay-Wiggan J, Christiano AM, Clynes R. Alopecia areata is driven by cytotoxic T lymphocytes and is reversed by JAK inhibition. Nat Med. 2014 Sep;20(9):1043-9. doi: 10.1038/nm.3645. Epub 2014 Aug 17. PubMed 25129481 ↗
  • Jabbari A, Nguyen N, Cerise JE, Ulerio G, de Jong A, Clynes R, Christiano AM, Mackay-Wiggan J. Treatment of an alopecia areata patient with tofacitinib results in regrowth of hair and changes in serum and skin biomarkers. Exp Dermatol. 2016 Aug;25(8):642-3. doi: 10.1111/exd.13060. No abstract available. PubMed 27119625 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 6, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06157905
Lead sponsor
Services Institute of Medical Sciences, Pakistan
Responsible party
Hira Tariq (Principal Investigator, Services Institute of Medical Sciences, Pakistan) — Principal investigator
First posted
Dec 6, 2023
Start date
Aug 6, 2022
Primary completion
Feb 5, 2023
Completion
Aug 4, 2023
Last update
Dec 6, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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