A Study of Baricitinib (LY3009104) in Participants With Severe or Very Severe Alopecia Areata

NCT ID: NCT03570749

Last Updated: 2025-10-01

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

764 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-24

Study Completion Date

2025-01-29

Brief Summary

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This study is designed to select up to two doses of baricitinib (referred to as low dose and high dose) and assess their efficacy and safety for the treatment of severe or very severe alopecia areata. An additional subpopulation of 60 participants in the US will enroll in the open-label addenda.

Detailed Description

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Conditions

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Alopecia Areata

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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4 Milligram (mg) Baricitinib Phase 2

Participants received one 4 mg Baricitinib tablet administered orally, every day (QD) and two placebo tablets (QD) administered orally to maintain the blind.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Placebo

Intervention Type DRUG

Administered orally.

2 mg Baricitinib Phase 2

Participants received one 2 mg Baricitinib tablet administered orally QD, and two placebo tablets administered orally QD to maintain the blind.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Placebo

Intervention Type DRUG

Administered orally.

1 mg Baricitinib Phase 2

Participants received one 1 mg Baricitinib tablet administered orally QD, and two placebo tablets administered orally QD to maintain the blind.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Placebo

Intervention Type DRUG

Administered orally.

Placebo Phase 2

Participants received three placebo tablets administered orally QD to maintain the blind.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered orally.

4 mg Baricitinib Phase 3

Participants received one 4 mg Baricitinib tablet administered orally QD, and one placebo tablet administered orally QD to maintain the blind.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Placebo

Intervention Type DRUG

Administered orally.

2 mg Baricitinib Phase 3

Participants received one 2 mg Baricitinib tablet administered orally QD, and one placebo tablet administered orally QD to maintain the blind.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Placebo

Intervention Type DRUG

Administered orally.

Placebo Phase 3

Participants received two placebo tablets administered orally QD.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administered orally.

Open-Label Addenda Baricitinib High Dose

Baricitinib will be administered orally during the open-label addenda.

Group Type EXPERIMENTAL

Baricitinib

Intervention Type DRUG

Administered orally.

Interventions

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Baricitinib

Administered orally.

Intervention Type DRUG

Placebo

Administered orally.

Intervention Type DRUG

Other Intervention Names

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LY3009104

Eligibility Criteria

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Inclusion Criteria

* Are at least 18 years and ≤60 years for males (≤70 years of age for females) at the time of informed consent.
* Must self-identify as either Black or African American in race in the open label addenda.
* Have severe or very severe AA, as determined by all of the following:

* Current AA episode of more than 6 months' duration and hair loss encompassing ≥50% of the scalp, as measured by -- SALT Alopecia Areata Investigator Global Assessment (AA-IGA) of 3 or 4) at screening and baseline.
* No spontaneous improvement over the past 6 months.
* Current episode of severe or very severe AA of less than 8 years.
* Male or nonpregnant, nonbreastfeeding female participants.

Exclusion Criteria

* Primarily "diffuse" type of AA.
* Are currently experiencing other forms of alopecia or any other concomitant conditions that would interfere with evaluations of the effect of study medication on AA.
* Previously treated with an oral Janus kinase (JAK) inhibitor and had an inadequate response (for example, absence of significant terminal hair growth after at least 12 weeks of treatment).
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Incyte Corporation

INDUSTRY

Sponsor Role collaborator

Eli Lilly and Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

Role: STUDY_DIRECTOR

Eli Lilly and Company

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Coastal Clinical Research, Inc

Mobile, Alabama, United States

Site Status

Johnson Dermatology

Fort Smith, Arkansas, United States

Site Status

California Dermatology & Clinical Research Institute

Encinitas, California, United States

Site Status

Alliance Research Centers

Irvine, California, United States

Site Status

University of CA, Irvine

Irvine, California, United States

Site Status

Dermatology Research Associates

Los Angeles, California, United States

Site Status

Stanford Health Care

Redwood City, California, United States

Site Status

University of California Davis-Dermatology

Sacramento, California, United States

Site Status

University Clinical Trials, Inc.

San Diego, California, United States

Site Status

Mosaic Dermatology

Santa Monica, California, United States

Site Status

Yale University School of Medicine

New Haven, Connecticut, United States

Site Status

Solutions Through Advanced Research, Inc.

Jacksonville, Florida, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Park Avenue Dermatology

Orange Park, Florida, United States

Site Status

ForCare Clinical Research

Tampa, Florida, United States

Site Status

Skin Care Physicians of Georgia

Macon, Georgia, United States

Site Status

Medaphase Inc

Newnan, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Forefront Research

Louisville, Kentucky, United States

Site Status

Callender Center for Clinical Research, LLC / Research

Glenn Dale, Maryland, United States

Site Status

ActivMed Practices and Research

Beverly, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Clarkston Skin Research

Clarkston, Michigan, United States

Site Status

University of Minnesota Medical School

Minneapolis, Minnesota, United States

Site Status

ActivMed Practices and Research

Portsmouth, New Hampshire, United States

Site Status

University of Rochester School of Medicine

Rochester, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

OH State Univ College of Med

Gahanna, Ohio, United States

Site Status

NW Dermatology & Research Center, LLC

Portland, Oregon, United States

Site Status

Oregon Medical Research Center

Portland, Oregon, United States

Site Status

OHSU Center for Health and Healing

Portland, Oregon, United States

Site Status

Dermatology and Skin Surgery Center

Exton, Pennsylvania, United States

Site Status

Penn State Univ. Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Perelman Center for Advanced Medicine

Philadelphia, Pennsylvania, United States

Site Status

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status

Dermatology Associates of Plymouth Meeting

Plymouth Meeting, Pennsylvania, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Bellaire Dermatology

Bellaire, Texas, United States

Site Status

Modern Research Associates

Dallas, Texas, United States

Site Status

Center for Clinical Studies

Houston, Texas, United States

Site Status

Austin Institute for Clinical Research

Pflugerville, Texas, United States

Site Status

Texas Dermatology and Laser Specialists

San Antonio, Texas, United States

Site Status

Dermatology Clinical Research Center of San Antonio

San Antonio, Texas, United States

Site Status

Center for Clinical Studies

Webster, Texas, United States

Site Status

University of Utah MidValley Dematology

Murray, Utah, United States

Site Status

Dermatology Associates

Seattle, Washington, United States

Site Status

Kurume University Hospital

Kurume, Fukuoka, Japan

Site Status

Hamamatsu University School of Medicine, University Hospital

Hamamatsu, Shizuoka, Japan

Site Status

Tokyo Medical Univ. Hospital

Shinjuku-ku, Tokyo, Japan

Site Status

Osaka City University Hospital

Osaka, , Japan

Site Status

Clinica de Investigacion en Reumatologia y Obesidad S. C.

Guadalajara, Jalisco, Mexico

Site Status

Consultorio Privado de la Dra. Villanueva

Guadalajara, Jalisco, Mexico

Site Status

Hospital Universitario Dr. Jose Eleuterio Gonzalez

Monterrey, N.L., Mexico

Site Status

CRI Centro Regiomontano de Investigacion S.C.

Monterrey, Nuevo León, Mexico

Site Status

B&B Investigaciones Medicas, SC

Mazatlán, Sinaloa, Mexico

Site Status

Derma Norte del Bajío, S.C.

Aguascalientes, , Mexico

Site Status

RM Pharma Specialists S.A. de C.V.

Distrito Federal, , Mexico

Site Status

Instituto de Investigaciones Aplicadas a la Neurociencia A.C

Durango, , Mexico

Site Status

Ponce School of Medicine CAIMED Center

Ponce, PR, Puerto Rico

Site Status

GCM Medical Group, PSC- Hato Rey

San Juan, PR, Puerto Rico

Site Status

Seoul National University Bundang Hospital

Seongnam, Geonggi-do, South Korea

Site Status

Inha University Hospital

Jung-gu, Incheon, South Korea

Site Status

Chonbuk National University Hospital

Jeonju, Jeon Ra Buk-Do, Korea, South Korea

Site Status

Pusan National University Hospital

Busan, Korea, South Korea

Site Status

Kyung Pook National University Hospital

Daegu, Korea, South Korea

Site Status

Chungnam National University Hospital

Daejeon, Korea, South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Eunpyeong St. Mary's Hospital

Seoul, , South Korea

Site Status

Konkuk University Medical Center

Seoul, , South Korea

Site Status

Kyunghee University Hospital at Gangdong

Seoul, , South Korea

Site Status

Chungang University Hospital

Seoul, , South Korea

Site Status

Countries

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United States Japan Mexico Puerto Rico South Korea

References

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King B, Mostaghimi A, Shimomura Y, Piraccini BM, Blume-Peytavi U, Sontag A, Dutronc Y, Denning K, Kolodsick J, Lu X, Srivastava A, Sinclair R. Safety of Baricitinib in Adults with Severe Alopecia Areata from Two Phase III Trials Over a Median of 2.3 Years and Up to 4 Years of Treatment. Am J Clin Dermatol. 2025 Jul;26(4):611-622. doi: 10.1007/s40257-025-00932-0. Epub 2025 Apr 11.

Reference Type DERIVED
PMID: 40214720 (View on PubMed)

King B, Ko J, Kwon O, Vano-Galvan S, Piraccini BM, Dutronc Y, Yu G, Liu C, Somani N, Ball S, Mesinkovska NA. Baricitinib Withdrawal and Retreatment in Patients With Severe Alopecia Areata: The BRAVE-AA1 Randomized Clinical Trial. JAMA Dermatol. 2024 Oct 1;160(10):1075-1081. doi: 10.1001/jamadermatol.2024.2734.

Reference Type DERIVED
PMID: 39141364 (View on PubMed)

Craiglow B, Lee YW, Vano-Galvan S, Egeberg A, Dutronc Y, Durand F, Pierce E, Yu G, Chen YF, Mostaghimi A. Improvement in Measures of Quality of Life and Symptoms of Anxiety and Depression in Patients with Severe Alopecia Areata Achieving Sustained Scalp Hair Regrowth with Baricitinib. Dermatol Ther (Heidelb). 2024 Jul;14(7):1959-1968. doi: 10.1007/s13555-024-01208-x. Epub 2024 Jun 21.

Reference Type DERIVED
PMID: 38904749 (View on PubMed)

Senna MM, Kwon O, Piraccini BM, Sinclair R, Ball S, Ding Y, Chen YF, Dutronc Y, King B. Clinical Benefits of Baricitinib Therapy According to Scalp Hair Regrowth in Patients with Severe Alopecia Areata. Dermatol Ther (Heidelb). 2023 Dec;13(12):3209-3220. doi: 10.1007/s13555-023-01063-2. Epub 2023 Nov 22.

Reference Type DERIVED
PMID: 37991697 (View on PubMed)

Ko JM, Mayo TT, Bergfeld WF, Dutronc Y, Yu G, Ball SG, Somani N, Craiglow BG. Clinical Outcomes for Uptitration of Baricitinib Therapy in Patients With Severe Alopecia Areata: A Pooled Analysis of the BRAVE-AA1 and BRAVE-AA2 Trials. JAMA Dermatol. 2023 Sep 1;159(9):970-976. doi: 10.1001/jamadermatol.2023.2581.

Reference Type DERIVED
PMID: 37556146 (View on PubMed)

Piraccini BM, Ohyama M, Craiglow B, Bewley A, Ding Y, Chen YF, Dutronc Y, Pierce E, Durand F, Mostaghimi A. Scalp hair regrowth is associated with improvements in health-related quality of life and psychological symptoms in patients with severe alopecia areata: results from two randomized controlled trials. J Dermatolog Treat. 2023 Dec;34(1):2227299. doi: 10.1080/09546634.2023.2227299.

Reference Type DERIVED
PMID: 37381691 (View on PubMed)

Kwon O, Senna MM, Sinclair R, Ito T, Dutronc Y, Lin CY, Yu G, Chiasserini C, McCollam J, Wu WS, King B. Efficacy and Safety of Baricitinib in Patients with Severe Alopecia Areata over 52 Weeks of Continuous Therapy in Two Phase III Trials (BRAVE-AA1 and BRAVE-AA2). Am J Clin Dermatol. 2023 May;24(3):443-451. doi: 10.1007/s40257-023-00764-w. Epub 2023 Mar 1.

Reference Type DERIVED
PMID: 36855020 (View on PubMed)

King B, Mostaghimi A, Shimomura Y, Zlotogorski A, Choi GS, Blume-Peytavi U, Passeron T, Holzwarth K, Dutronc Y, McCollam J, Yang FE, Stanley S, Wu WS, Sinclair R. Integrated safety analysis of baricitinib in adults with severe alopecia areata from two randomized clinical trials. Br J Dermatol. 2023 Feb 10;188(2):218-227. doi: 10.1093/bjd/ljac059.

Reference Type DERIVED
PMID: 36763878 (View on PubMed)

King B, Ohyama M, Kwon O, Zlotogorski A, Ko J, Mesinkovska NA, Hordinsky M, Dutronc Y, Wu WS, McCollam J, Chiasserini C, Yu G, Stanley S, Holzwarth K, DeLozier AM, Sinclair R; BRAVE-AA Investigators. Two Phase 3 Trials of Baricitinib for Alopecia Areata. N Engl J Med. 2022 May 5;386(18):1687-1699. doi: 10.1056/NEJMoa2110343. Epub 2022 Mar 26.

Reference Type DERIVED
PMID: 35334197 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://trials.lilly.com/ext/trial?id=I4V-MC-JAHO

A Study of Baricitinib (LY3009104) in Participants With Severe or Very Severe Alopecia Areata (Hair Loss)

Other Identifiers

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I4V-MC-JAHO

Identifier Type: OTHER

Identifier Source: secondary_id

16582

Identifier Type: -

Identifier Source: org_study_id

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