Category Archives: Tofacitinib

Before Ruxolitinib and Tofacitinib, there was Benoxaprofen

I have made many recent posts concerning JAK inhibitors Ruxolitinib and Tofacitinib. These posts have resulted in numerous skeptical reader comments about the potential of these anti-inflammatory drugs to cure male pattern baldness (MPB). In a similar manner to what they have been able to do for alopecia areata (AA).

I have been somewhat optimistic about the potential of these drugs to at least have a moderate positive impact on MPB reversal for a lot of patients. I think that MPB also has an inflammatory component to it, especially in those who get itching and dandruff type symptoms in tandem with their hair loss. This is just a hunch, but the below discovery of mine has made me feel good about my guess.

Benaxoprofen and Hair Growth

This week, I read an interesting article posted on a hair loss forum thread regarding a much older anti-inflammatory drug called Benoxaprofen. Apparantly, Benaxoprofen led to regrowth of hair in two men suffering from MPB. One of these two was 75 years old and had been balding since the age of 45! This article was published in 1982, which was unfortunately also around the time when Benoxaprofen was banned due to major side effects.

I am hopeful that the newer anti-inflammatory drugs such as Ruxolitinib and Tofacitinib will result in far fewer side effects than was the case with Benoxaprofen. I would not want to try either of them until we have good data on the results and side effects experienced by the many patients with alopecia universalis or alopecia totalis who are taking these drugs in various studies. It is not worth getting hair back if there are major treatment associated side effects.

Many readers are certain that the biological mechanisms behind androgenetic alopecia have absolutely no similarities to alopecia areata. However, just remember that it was only recently that scientists started discovering other aspects behind MPB beyond just the age old conclusion of it all being due to dihydrotestosterone (DHT).

This conclusion was a bit too simplistic, since Finasteride and other stronger DHT inhibitors such as Dutasteride rarely give truly great results. Newer hair loss research has resulted in some groundbreaking findings, such as the strong relationship between fat cells, PGD2, PGE2, Wnt7b and hair loss. There have also been new recent developments when it comes to scientists finally figuring out how Minoxidil works after decades of uncertainty and sometimes incorrect hypotheses.

It should also be noted that scientists have found a strong correlation between MPB and heart disease. Not surprisingly, heart disease has an inflammatory component to it according to many reports.

The Bald Truth interview with Dr. Brett King

This post is an update to the potentially ground breaking development from four days ago that I posted on this blog regarding arthritis drug tofacitinib curing a patient’s alopecia universalis and psoriasis.

Spencer Kobren of The Bald Truth Talk show managed to interview Dr. Brett King, and Dr. King’s optimism is palpable throughout the session.  A must watch video, especially the last five minutes of it.

Spencer talks about the inflammatory aspect of male pattern baldness, and Dr. King strongly feels that a topical formulation of this drug would likely be tested on patients with Androgenic Alopecia.  That segment made me quite annoyed that Dr. Cotsarelis was so dismissive of this new development per the CNN article I linked to at the bottom of my first post on this subject.  Per Dr. Cotsarelis, androgenic alopecia does not have an immune system rejection related component to it.  I am not so sure about that, especially since so many of us hair loss sufferers get itching and psoriasis type symptoms along with the hair loss.

My favorite quote from Dr. Brett King in the video is:

It’s hopeful…it’s beyond hopeful.

I am not as optimistic as Dr. King as yet, and a topical formulation has yet to be developed and will be difficult to develop due to the large size of the molecule involved and consequent difficulty in penetrating the scalp skin. However, I find this whole development absolutely amazing and it seems like Dr. King is optimistic that a topical formulation will be developed once enough funding is available.

As Dr. King warns, nobody should be experimenting with this drug, nor buying it on the black market.  This drug’s potential side effects make finasteride seem like candy in comparison.  I would wait for the topical formulation to come out, as well as more reports to come out on the side effects experienced by the many more patients who will now surely start taking it (in trials and under doctor supervision) for alopecia areata and severe psoriasis.