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Subcutaneous efalizumab is not effective in the treatment of alopecia areata. | LitMetric

AI Article Synopsis

  • Alopecia areata (AA) is an autoimmune disease affecting hair growth, and efalizumab, a therapy for psoriasis, was tested for its effects on AA.
  • The study involved 62 patients over three 12-week periods, comparing efalizumab to a placebo with a focus on hair regrowth and safety.
  • Results showed no significant benefits from efalizumab, with both groups experiencing a low 8% response rate for hair regrowth, indicating it was not effective in this small trial.

Article Abstract

Background: Alopecia areata (AA) is a T-cell-mediated autoimmune disease. Efalizumab is a T-cell-targeted therapy approved for the treatment of psoriasis.

Objective: To assess the efficacy and safety of efalizumab in the treatment of moderate-to-severe AA.

Methods: Sixty-two patients were enrolled into this phase II, placebo-controlled trial. The trial consisted of three 12-week periods-a double-blind treatment period, an open-label efalizumab treatment period, and a safety follow-up.

Results: There were no statistical differences between treatment groups in percent hair regrowth, quality-of-life measures, or changes in biologic markers of disease severity after 12 or 24 weeks. In both groups, there was an approximately 8% response rate for hair regrowth (at 12 weeks). Efalizumab was well tolerated.

Limitations: Numbers were too small for certain analyses.

Conclusion: A 3- to 6-month trial of efalizumab was not effective in promoting hair regrowth in this small cohort of patients with moderate-to-severe AA.

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Source
http://dx.doi.org/10.1016/j.jaad.2007.10.645DOI Listing

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