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Mechanisms and Prognostic Significance of the CXCL12–CXCR4 Axis in Promoting Alopecia Areata via CD8? T-Cell Migration and Inflammatory Microenvironment Regulation

Mechanisms and Prognostic Significance of the CXCL12–CXCR4 Axis in Promoting Alopecia Areata via CD8? T-Cell Migration and Inflammatory Microenvironment Regulation

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ChiCTR
Registry ID
ChiCTR2600117274
Enrollment
Unknown
Registered
2026-01-21
Start date
2026-01-22
Completion date
Unknown
Last updated
2026-01-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

alopecia areata

Interventions

Tissue sample cohort of alopecia areata patients (Obtained tissue samples from alopecia areata-affected skin and normal skin, and track treatment efficacy.):None
Retrospective overall cohort of alopecia areata patients:None

Sponsors

Department of Dermatology, Huazhong University of Science and Technology Tongji Medical College Tongji Hospital
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 60 Years

Inclusion criteria

Inclusion criteria: (1) Aged 18–60 years, any sex. (2) Clinically diagnosed with alopecia areata by two board-certified dermatologists (associate chief physician or above) according to the Chinese Guidelines for the Diagnosis and Treatment of Alopecia Areata. (3) SALT score >= S2 (>= 25% scalp hair loss). (4) Stratified by disease activity: Progressive stage:new or enlarging patches within the past 3 months, positive hair-pull test at lesion margins (>= 6 vellus or telogen hairs), and SALT increased by >= 10% from baseline. Stable stage: no evident progression within the past 6 months, no new or enlarging patches, negative hair-pull test, and SALT fluctuation <5%. (5) Able and willing to comply with required clinical assessments and sample collection.

Exclusion criteria

Exclusion criteria: (1) Age 60 years. (2) Women who are pregnant, breastfeeding, or planning pregnancy. (3) Concomitant conditions that may cause hair loss (e.g., androgenetic alopecia, cicatricial alopecia, syphilitic alopecia). (4) Concomitant autoimmune diseases (e.g., systemic lupus erythematosus, rheumatoid arthritis, vitiligo), systemic inflammatory diseases, active infection, or a history of malignancy. (5) Any systemic therapy within 3 months prior to enrollment, including corticosteroids, immunosuppressants (e.g., methotrexate, cyclosporine), or JAK inhibitors. (6) Any topical treatment applied to the intended scalp sampling area within 1 month prior to enrollment, including topical corticosteroids, minoxidil, or topical immunotherapy. (7) Known allergy to local anesthetics or any reagents used in the study. (8) Any other condition deemed by the investigator to make participation unsuitable.

Design outcomes

Primary

MeasureTime frame
Cellular composition and transcriptomic profiles of lesional vs control scalp tissue by single-cell RNA sequencing;

Secondary

MeasureTime frame
Treatment efficacy;Dermoscopy features;Baseline SALT score;Demographic characteristics;

Countries

China

Contacts

Public ContactYong Zhang

Huazhong University of Science and Technology Tongji Medical College Tongji Hospital

lidong_2022@hust.edu.cn+86 158 2700 9216

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026