Lilly’s Olumiant Approved for Alopecia
FDA has approved an Eli Lilly supplemental NDA for Olumiant (baricitinib) oral tablets to treat adult patients with severe alopecia areata, an autoimmune disorder that presents with baldness patches. The Janus kinase (JAK) inhibitor works by blocking the “activity of one or more of a specific family of enzymes, interfering with the pathway that leads to inflammation,” an FDA release says.
Approval was based on data from two placebo-controlled trials (Trial AA-1 and Trial AA-2) in patients who had at least 50% scalp hair loss for more than six months. The efficacy measurement in both trials was the proportion of patients who achieved at least 80% scalp hair coverage at week 36, according to FDA.
“In Trial AA-1, 22% of the 184 patients who received 2 milligrams of Olumiant and 35% of the 281 patients who received 4 milligrams of Olumiant achieved adequate scalp hair coverage, compared to 5% of the 189 patients who received a placebo,” the agency says. “In Trial AA-2, 17% of the 156 patients who received 2 milligrams of Olumiant and 32% of the 234 patients who received 4 milligrams of Olumiant achieved adequate scalp hair coverage, compared to 3% of the 156 patients who received a placebo.”
Olumiant was first approved in 2018 for treating moderately to severely active rheumatoid arthritis and is also approved for the treatment of certain hospitalized adults with Covid-19. The therapy carries a boxed warning for serious infections, mortality, malignancy, major adverse cardiovascular events and thrombosis.