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Trial · NCT03570749

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

NCT03570749, Phase 2, Phase 3, Completed, Eli Lilly and Company; results first posted 2025-10-01

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Study of Baricitinib (LY3009104) in Participants With Severe or Very Severe Alopecia Areata. Trials, record NCT03570749. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03570749

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Study of Baricitinib (LY3009104) in Participants With Severe or Very Severe Alopecia Areata
NCT number
NCT03570749
Status
Completed
Phases
Phase 2, Phase 3
Enrollment
784 participants, actual
Lead sponsor
Eli Lilly and Company
Conditions
Alopecia Areata
Interventions
Baricitinib, Placebo
First posted
2018-06-27
Last updated
2026-04-16
Results first posted
2025-10-01

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants Achieving Severity of Alopecia Tool (SALT) ≤ 20 - Phase 3Week 36
The SALT uses a visual aid showing the division of the scalp hair into 4 areas with the top of the head constituting 40% of total surface, the posterior/back of head 24%, right side and left side of head 18% each. The percentage of hair loss in each area is determined and is multiplied by the percentage of scalp covered by that area. The total sum of the 4 products of each area will give the SALT score, as developed by the National Alopecia Areata Foundation Working Committee. Only terminal hair is included in the SALT; vellus hair or any fine downy hair is not taken into account in the SALT scoring process. The SALT score will range from 0% to 100%, with lower score indicating better health outcomes.
PrimaryPercent Change From Baseline in SALT Score - Phase 3 Open-Label AddendumBaseline, Week 52
The SALT uses a visual aid showing the division of the scalp hair into 4 areas with the top of the head constituting 40% of total surface, the posterior/back of head 24%, right side and left side of head 18% each. The percentage of hair loss in each area is determined and is multiplied by the percentage of scalp covered by that area. The total sum of the 4 products of each area will give the SALT score, as developed by the National Alopecia Areata Foundation Working Committee. Only terminal hair is included in the SALT; vellus hair or any fine downy hair is not taken into account in the SALT scoring process. The SALT score will range from 0% to 100, with lower score indicating better health outcomes.
SecondaryPercent Change From Baseline in SALT Score - Phase 3Baseline, Week 36
The SALT uses a visual aid showing the division of the scalp hair into 4 areas with the top of the head constituting 40% of total surface, the posterior/back of head 24%, right side and left side of head 18% each. The percentage of hair loss in each area is determined and is multiplied by the percentage of scalp covered by that area. The total sum of the 4 products of each area will give the SALT score, as developed by the National Alopecia Areata Foundation Working Committee. Only terminal hair is included in the SALT; vellus hair or any fine downy hair is not taken into account in the SALT scoring process. The SALT score will range from 0% to 100, with lower score indicating better health outcomes. Least Squares Mean (LSM) was calculated using analysis of covariance (ANCOVA) with geographic region duration of current episode at baseline (\< 4 years versus ≥4 years), treatment group, and baseline value in the model.
SecondaryPercentage of Participants Achieving 50% Improvement of SALT (SALT50) - Phase 3Week 12
SALT uses a visual aid showing the division of the scalp hair into 4 areas with the top of the head constituting 40% of total surface, the posterior/back of head 24%, right side and left side of head 18% each. The percentage of hair loss in each area is determined and is multiplied by the percentage of scalp covered by that area. The total sum of the 4 products of each area will give the SALT score, as developed by the National Alopecia Areata Foundation Working Committee. Only terminal hair is included in the SALT; vellus hair or any fine downy hair is not taken into account in the SALT scoring process . The SALT score will range from 0% to 100%. with lower score indicating better health outcomes.
SecondaryTime for Participants to Achieve SALT ≤ 20 at Week 36 - Phase 3Week 36
The SALT uses a visual aid showing the division of the scalp hair into 4 areas with the top of the head constituting 40% of total surface, the posterior/back of head 24%, right side and left side of head 18% each. The percentage of hair loss in each area is determined and is multiplied by the percentage of scalp covered by that area. The total sum of the 4 products of each area will give the SALT score, as developed by the National Alopecia Areata Foundation Working Committee. Only terminal hair is included in the SALT; vellus hair or any fine downy hair is not taken into account in the SALT scoring process. The SALT score will range from 0% to 100%, with lower score indicating better health outcomes. Kaplan-Meier method was used for analysis. Time for participants to achieve salt ≤ 20 at week 36 were reported in this outcome measure.
Secondary
Percentage of Participants Achieving Clinician Reported Outcome (ClinRO) Measure for Eyebrow (EB) Hair Loss 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With ClinRO Measure for EB Hair Loss ≥ 2 at Baseline) - Phase 3
Week 36
ClinRO is a clinician reported assessment which measures a participant's EB hair loss. It is comprised of 4 category response options: 0 = EB have full coverage and no areas of hair loss; 1 = There are minimal gaps in EB hair and distribution is even; 2 = There are significant gaps in EB hair or distribution is not even; 3 = No notable EB.
Secondary
Percentage of Participants Achieving ClinRO Measure for Eyelash (EL) Hair Loss 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With ClinRO Measure for EL Hair Loss ≥ 2 at Baseline) - Phase 3
Week 36
ClinRO measure for EL hair loss is comprised of 4 category response options: 0 = The EL form a continuous line along the eyelids on both eyes; 1 = There are minimal gaps and the EL are evenly spaced along the eyelids on both eyes; 2 = There are significant gaps along the eyelids or the EL are not evenly spaced along the eyelids; 3 = No notable EL.
Secondary
Percentage of Participants With Patient Reported Outcome (PRO) for Scalp Hair Assessment Score of 0 or 1 With a ≥ 2 Point Improvement From Baseline Among Participants With a Score of ≥ 3 at Baseline - Phase 3
Week 36
PRO is an assessment of the participant's current extent of scalp involvement. It is comprised of 5 category response options: 0= No missing hair (0% of my scalp is missing hair; I have a full head of hair); 1 = A limited area (1% to 20% of my scalp is missing hair); 2 = A moderate area (21% to 49% of my scalp is missing hair); 3 = A large area (50% to 94% of my scalp is missing hair); and 4 = Nearly all or all (95% to 100% of my scalp is missing hair).
SecondaryPercentage of Participants Achieving PRO Measure for EB 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure for EB ≥ 2 at Baseline) - Phase 3Week 36
PRO is an assessment of the participant's current appearance of eyebrows. It is comprised of 4 category response options: 0 = I have full EB on each eye; 1= I have a minimal gap(s) or a minimal amount of thinning in at least 1 of my EB; 2 = I have a large gap(s) or a large amount of thinning in at least 1 of my EB; and 3 = I have no or barely any EB hairs.
SecondaryPercentage of Participants Achieving PRO Measure for EL 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure EL ≥2 at Baseline) - Phase 3Week 36
PRO assessment of the participant's current appearance of EL. It is comprised of 4 category response options: 0 = I have full EL on each eyelid; 1 = I have a minimal gap or minimal gaps along the eyelids; 2 = I have a large gap or large gaps along the eyelids; and 3 = I have no or barely any EL hair.

Outcomes11

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants Achieving Severity of Alopecia Tool (SALT) ≤ 20 - Phase 3Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2.percentage of participantsNUMBER
SECONDARY
Percentage of Participants With Patient Reported Outcome (PRO) for Scalp Hair Assessment Score of 0 or 1 With a ≥ 2 Point Improvement From Baseline Among Participants With a Score of ≥ 3 at Baseline - Phase 3
Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2 with baseline PRO for scalp hair assessment of ≥ 3.percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving PRO Measure for EB 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure for EB ≥ 2 at Baseline) - Phase 3Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2 with baseline PRO measure for EB ≥ 2percentage of participantsNUMBER
SECONDARYPercentage of Participants Achieving PRO Measure for EL 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure EL ≥2 at Baseline) - Phase 3Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2 with baseline PRO measure for EL ≥ 2.percentage of participantsNUMBER
SECONDARY
Percentage of Participants Achieving Clinician Reported Outcome (ClinRO) Measure for EyeBrow (EB) Hair Loss 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With ClinRO Measure for EB Hair Loss ≥ 2 at Baseline) - Phase 3
Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2 with baseline ClinRO measure for EB Hair Loss ≥ 2.percentage of participantsNUMBER
SECONDARY
Percentage of Participants Achieving ClinRO Measure for Eye Lash (EL) Hair Loss 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With ClinRO Measure for EL Hair Loss ≥ 2 at Baseline) - Phase 3
Week 36All randomized participants in Phase 3 portion, in both Stages 1 and 2 with baseline ClinRO measure for EL hair loss ≥ 2.percentage of participantsNUMBER
SECONDARYPercent Change From Baseline in SALT Score - Phase 3Baseline, Week 36
All randomized participants in Phase 3 portion, Stages 1 and 2 with a nonmissing baseline and least one postbaseline measures. A modified last observation carried forward (mLOCF) imputation technique was used to replace missing data with the most recent non-missing post-baseline assessment.
percent changeLEAST_SQUARES_MEAN
SECONDARYPercentage of Participants Achieving 50% Improvement of SALT (SALT50) - Phase 3Week 12All randomized participants in Phase 3 portion, in both Stages 1 and 2.percentage of participantsNUMBER
SECONDARYTime for Participants to Achieve SALT ≤ 20Week 52
SECONDARYMean Change From Baseline in Hospital Anxiety Depression Scale (HADS) Anxiety Score - Phase 3Baseline, Week 36
All randomized participants in Phase 3 portion, Stages 1 and 2 with a nonmissing baseline and at least one postbaseline measure. The method used to handle missing data will be mLOCF which used the most recent nonmissing postbaseline assessment.
score on a scaleLEAST_SQUARES_MEAN

Results by group30

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants Achieving Severity of Alopecia Tool (SALT) ≤ 20 - Phase 3Placebo Phase 35.395% Confidence Interval 2.9 to 9.5percentage of participants
Percentage of Participants Achieving Severity of Alopecia Tool (SALT) ≤ 20 - Phase 32 mg Baricitinib Phase 321.795% Confidence Interval 16.4 to 28.2percentage of participants
Percentage of Participants Achieving Severity of Alopecia Tool (SALT) ≤ 20 - Phase 34 mg Baricitinib Phase 335.295% Confidence Interval 29.9 to 41.0percentage of participants
Percentage of Participants With Patient Reported Outcome (PRO) for Scalp Hair Assessment Score of 0 or 1 With a ≥ 2 Point Improvement From Baseline Among Participants With a Score of ≥ 3 at Baseline - Phase 3
Placebo Phase 35.095% Confidence Interval 2.6 to 9.2percentage of participants
Percentage of Participants With Patient Reported Outcome (PRO) for Scalp Hair Assessment Score of 0 or 1 With a ≥ 2 Point Improvement From Baseline Among Participants With a Score of ≥ 3 at Baseline - Phase 3
2 mg Baricitinib Phase 316.095% Confidence Interval 11.3 to 22.2percentage of participants
Percentage of Participants With Patient Reported Outcome (PRO) for Scalp Hair Assessment Score of 0 or 1 With a ≥ 2 Point Improvement From Baseline Among Participants With a Score of ≥ 3 at Baseline - Phase 3
4 mg Baricitinib Phase 333.195% Confidence Interval 27.8 to 38.9percentage of participants
Percentage of Participants Achieving PRO Measure for EB 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure for EB ≥ 2 at Baseline) - Phase 3Placebo Phase 33.195% Confidence Interval 1.2 to 7.6percentage of participants
Percentage of Participants Achieving PRO Measure for EB 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure for EB ≥ 2 at Baseline) - Phase 32 mg Baricitinib Phase 316.395% Confidence Interval 11.1 to 23.3percentage of participants
Percentage of Participants Achieving PRO Measure for EB 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure for EB ≥ 2 at Baseline) - Phase 34 mg Baricitinib Phase 332.195% Confidence Interval 25.7 to 39.1percentage of participants
Percentage of Participants Achieving PRO Measure for EL 0 or 1 With ≥ 2-point Improvement From Baseline (Among Participants With PRO Measure EL ≥2 at Baseline) - Phase 3Placebo Phase 32.095% Confidence Interval 0.6 to 7.0percentage of participants

Participant flow28

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo Phase 228
Overall StudySTARTED1 Milligram (mg) Baricitinib Phase 228
Overall StudySTARTED2 mg Baricitinib Phase 227
Overall StudySTARTED4 mg Baricitinib Phase 227
Overall StudySTARTEDPlacebo Phase 3189
Overall StudySTARTED2 mg Baricitinib Phase 3184
Overall StudySTARTED4 mg Baricitinib Phase 3281
Overall StudyReceived at Least One Dose of Study DrugPlacebo Phase 228
Overall StudyReceived at Least One Dose of Study Drug1 Milligram (mg) Baricitinib Phase 228
Overall StudyReceived at Least One Dose of Study Drug2 mg Baricitinib Phase 227

Adverse events238

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherNeutropeniaBlood and lymphatic system disordersPlacebo Phase 20280
otherNeutropeniaBlood and lymphatic system disorders1 mg Baricitinib Phase 20280
otherNeutropeniaBlood and lymphatic system disorders2 mg Baricitinib Phase 21271
otherNeutropeniaBlood and lymphatic system disorders4 mg Baricitinib Phase 22272
otherNeutropeniaBlood and lymphatic system disordersPlacebo Phase 301890
otherNeutropeniaBlood and lymphatic system disorders2 mg Baricitinib Phase 301830
otherNeutropeniaBlood and lymphatic system disorders4 mg Baricitinib Phase 302800
otherNauseaGastrointestinal disordersPlacebo Phase 20280
otherNauseaGastrointestinal disorders1 mg Baricitinib Phase 21281
otherNauseaGastrointestinal disorders2 mg Baricitinib Phase 22272

Adverse event totals21

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo Phase 2028
Total, all-cause mortality1 mg Baricitinib Phase 2028
Total, all-cause mortality2 mg Baricitinib Phase 2027
Total, all-cause mortality4 mg Baricitinib Phase 2027
Total, all-cause mortalityPlacebo Phase 30189
Total, all-cause mortality2 mg Baricitinib Phase 30183
Total, all-cause mortality4 mg Baricitinib Phase 30280
Total, other adverse eventsPlacebo Phase 21128
Total, other adverse events1 mg Baricitinib Phase 2828
Total, other adverse events2 mg Baricitinib Phase 21627

Papers10

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
35334197DERIVEDPubMed
36763878DERIVEDPubMed
36855020DERIVEDPubMed
37381691DERIVEDPubMed
37556146DERIVEDPubMed
37991697DERIVEDPubMed
38904749DERIVEDPubMed
39141364DERIVEDPubMed
40214720DERIVEDPubMed
42825995DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03570749

GET https://conductscience.org/api/trials/v1/NCT03570749/results?page=2