Approved (some countries)Alopecia areata

Ritlecitinib (Litfulo)

DraftReviewed by the HairLoss99 editorial team · checked 17 Oct 2026

Three-year data from the ALLEGRO-2b/3 long-term extension, presented at EADV 2025, showed about 90% of patients who reached SALT score <=20 at 12 months maintained that response through 3 years, with roughly 30% achieving complete scalp regrowth; separate analyses reported reduced psychosocial burden by week 48 at the 50 mg dose.

How it works

Oral JAK3/TEC family kinase inhibitor that blocks signalling pathways involved in the immune attack on hair follicles in alopecia areata.

Developer
Pfizer
Stage
Approved — USA (June 2023), for ages 12+
Evidence so far
Peer-reviewed data

Results so far

65.1% of patients maintained SALT score <=20 at 36-38 months; of those who hit that threshold at 12 months, ~90% sustained it to 3 years.

What's next

Already approved in the US; long-term-extension data continuing to read out through 2025-2026. No specific India regulatory timeline found.

In India

No CDSCO approval or Indian launch/trial found in this research pass.

Sources

What to do today: treatments in development aren't a reason to wait. Ask a dermatologist about the options that work now, such as minoxidil, or see alopecia areata treatments.

Discussion

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