Table 1.
No | Author | Year | Study design | Patients | Dropouts | Intervention | Comparison | Duration of treatment | Follow-up | Evaluation of the treatment | AEs |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | Weiss et al.14 | 2006 | Single-center, double-blind, RCT | 45 | 5 | TMG 0.1% once daily | Placebo | 6 mo | At baseline and 1, 2, 4, 6, 9, and 12 mo | TMG 0.1% was more effective than placebo in improving photodamaged skin | Most signs and symptoms of cutaneous irritation were rated mild in intensity |
Tretinoin group was statistically significant only for peeling and dryness | |||||||||||
2 | Kang et al.15 | 2005 | Multicenter, double-blind, RCT | 205 | 45 | Tretinoin emollient cream 0.05% | Placebo (vehicle emollient cream) | 24 mo | At 1, 2, 4, 6, 9, 12, 15, 18, 21, and 24 mo | Long-term treatment with tretinoin emollient cream 0.05% was effective in subjects with moderate to severe facial photodamage | Cutaneous irritation was greater in tretinoin group |
Most common AEs: erythema, peeling, itching, burning, and dryness | |||||||||||
3 | Sumita et al.16 | 2018 | Single-center, evaluator-blind, RCT | 24 | 1 | 0.05% tretinoin cream 3 alternate nights a week for 24 wk | 5% tretinoin 8 sequential applications as peeling, every 2 wk | 24 wk | At baseline, 1 and 6 mo | Tretinoin as a cream 0.05% or peeling (5%) was effective for treatment of moderate photoaging and forearm field cancerization | Good tolerability for both regimens |
Pruritus and erythema were reported by the subjects but neither led to treatment discontinuation | |||||||||||
4 | Bagatin et al.10 | 2018 | Multicenter, investigator-blind, RCT | 128 | 14 | Adapalene 0.3% gel once daily | Tretinoin 0.05% cream once daily | 24 wk | At 1, 4, 8, 12, 16, 20, and 24 wk | Adapalene 0.3% gel showed noninferior efficacy to tretinoin 0.05% cream as treatment for photoaged skin | No significant difference in AEs between groups |
Most common: burning sensation, erythema, peeling, pruritus, and dryness | |||||||||||
5 | Lowe et al.17 | 2004 | Multicenter, double-blind, RCT | 173 | 16 | Tazarotene 0.1% cream once daily | Tretinoin 0.05% emollient cream once daily | 24 wk | At 2, 4, 8, 12, 16, 20, and 24 wk | Tazarotene 0.1% cream offered superior efficacy over tretinoin 0.05% emollient cream in the treatment of facial photodamage, particularly with respect to the speed of improvement | Both products were comparable in terms of cosmetic acceptability and tolerability |
Tazarotene was associated with a higher incidence of a burning sensation | |||||||||||
6 | Draelos18 | 2005 | Single-center, double-blind, RCT | 44 | 12 | 4% hydroquinone and retinol 0.3% cream | Tretinoin 0.05% emollient cream once daily | 16 wk | At baseline, 4, 8, 12, and 16 wk | The hydroquinone/retinol treatment was superior in terms of tactile roughness, fine lines, and hyperpigmentation compared with tretinoin treatment | Erythema and dryness/scaling were more significant in tretinoin group |
7 | Bouloc et al.19 | 2015 | Single-center, double-blind, RCT | 120 | 20 | Retinol 0.2%/LR2412 2% cream | Tretinoin 0.025% cream | 3 mo | At 0, 28, 56, and 84 d | The outcome of retinol 0.2%/LR2412 2% cream does not differ from tretinoin 0.025% cream | Adverse effects were mostly graded mild. Retinol 0.2%/LR2412 2% cream was better tolerated than tretinoin 0.025% cream |
AE, adverse event; d, days; mo, months; RCT, randomized controlled trial; TMG, tretinoin microsphere gel; wk, weeks.