{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:52:35Z","timestamp":1787500355530,"version":"build-2736575974"},"reference-count":70,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Allergy"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Alopecia areata (AA) is an autoimmune disease characterized by hair loss. This study examined changes in molecular signatures in lesional scalp of patients with AA subtypes (patchy\u2010type AA [AAP] or alopecia totalis\/alopecia universalis [AT\/AU]) in response to treatment with JAK3\/TEC family kinase inhibitor ritlecitinib and evaluated correlations between potential biomarker levels\/changes and scalp hair regrowth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a post hoc analysis of a biopsy substudy from a phase 2a trial of ritlecitinib in patients with AA and \u2265\u200950% scalp hair loss. Transcriptomic expression profiles from scalp samples of patients with AAP or AT\/AU were analyzed using microarray. Changes from baseline in transcriptional and serum protein expression were evaluated, as were correlations between both these changes and the baseline profile with clinical response (scalp hair regrowth).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Following 12 and 24\u2009weeks of treatment, ritlecitinib downregulated key Type I (\n                      <jats:italic>CCL5, CD8A<\/jats:italic>\n                      , and\n                      <jats:italic>GZMB<\/jats:italic>\n                      ) and Type II immunity\u2010related genes (\n                      <jats:italic>CCL13, CCL18<\/jats:italic>\n                      , and\n                      <jats:italic>IL13RA1<\/jats:italic>\n                      ), downregulated genes related to ritlecitinib's mechanism of action (\n                      <jats:italic>ITK, JAK3<\/jats:italic>\n                      , and\n                      <jats:italic>BTK<\/jats:italic>\n                      ), and upregulated hair keratin genes in AAP and AT\/AU lesions, with a lesser extent in AT\/AU than AAP lesions. Baseline expression levels and changes from baseline to Weeks 12 and\/or 24 in levels of genes and serum proteins related to Type I and II immunity, hair structure\/function, and ritlecitinib's mechanism of action significantly correlated with clinical response at Weeks 12 and\/or 24.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results provide support that treatment with ritlecitinib improves the gene expression profile in AA lesional scalp and is correlated with subsequent hair regrowth response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>NCT02974868<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/all.16659","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T10:49:45Z","timestamp":1752490185000},"page":"2348-2360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Multiomics Analysis of the Response to Ritlecitinib in Alopecia Areata Subtypes and Correlation With Efficacy"],"prefix":"10.1111","volume":"80","author":[{"given":"Li","family":"Xi","sequence":"first","affiliation":[{"name":"Pfizer Inc  Cambridge Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Peeva","sequence":"additional","affiliation":[{"name":"Pfizer Inc  Cambridge Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Pfizer Inc  Collegeville Pennsylvania 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