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. 2022 Mar 25;8(1):e003. doi: 10.1097/JW9.0000000000000003

Table 1.

Summary of articles

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.