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Furthermore, ritlecitinib is contraindicated during pregnancy and lactation, and women of childbearing potential should use effective contraception during therapy and for up to 1 month after discontinuation.17 Clinical evidence for ritlecitinibEfficacy: ALLEGRO phase 2b/3 trial The phase 2b/3 ALLEGRO study (NCT03732807) was a randomized, double-blind, placebo-controlled trial evaluating ritlecitinib in 718 patients aged 12 years with 50% scalp hair loss, assessed using the Severity of Alopecia Tool (SALT) an investigator-rated measure ranging from 0 (no hair loss) to 100 (complete scalp hair loss).8 Patients were randomized to receive 50 or 30mg of ritlecitinib once daily (with or without a 4-week 200mg loading dose regimen), 10mg, or placebo for 24 weeks (Fig

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