Alopecia drug approved in the United States

The American Medicines Agency (FDA) authorized on Monday June 13 a drug against a severe form of alopecia, a disease causing hair loss or body hair and affecting more than 300,000 people each year in the United States.

Baricitinib is the first oral tablet to combat this condition, thealopecia areata, where the immune system attacks the hair follicles and causes the temporary or permanent loss of hair or hair in certain areas of the body, which can lead to emotional distress. This disease recently gained notoriety in the United States when public figures such as actress Jada Pinkett Smith or elected Democrat Ayanna Pressley revealed themselves to be familiar with it.

“It is critical that the significant number of Americans affected by a severe form of alopecia have access to safe and effective treatment options”, Kendall Marcus, an FDA official, revealed in a statement. Baricitinib, manufactured by the American pharmaceutical company Eli Lilly and marketed under the name “Olumiant”, belongs to a class of drugs that block inflammation.

The authorization of this remedy by the FDA followed two clinical trials corresponding to a total of 1,200 adults with severe forms of alopecia who participated. For each trial, the participants were divided into three groups: one third received a placebo, one third received a daily dose of 2 mg and one third received a daily dose of 4 mg. After 36 weeks, almost 40% of patients on the highest dose had seen 80% hair growth, compared with around 23% of people on the low dose and 5% of people on placebo. About 45% of people who received 4 mg also saw their eyelashes and eyebrows grow back significantly.

The most common side effects are upper respiratory tract infections, headaches, acne, high cholesterol and an increase in the presence of the enzyme called creatine kinase. Other treatments had been tested but none were cleared by the FDA. Baricitinib had already been authorized for the treatment of rheumatoid arthritis, and its authorization was extended to patients with a severe form of Covid-19.

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