Review Article

Retinoid Treatment for Oral Leukoplakia: Current Evidence and Future Development

Table 1

Current status of retinoids in the treatment of OLK.

AgentStrategy of applicationStudy designPatientsCR (%)PR (%)R (%)Reference

ATRATopical 0.05% ATRA gel, 4 times daily for a mean of 3.5 years, follow-up at a mean of 23 monthsNoncomparative2627NA40[19]
Topical 0.05% ATRA cream, 2 times daily for 5 weeks, follow-up at 4 monthsNoncomparative20800NA[20]

13-cis-RAOral 13-cis-RA lozenges, 3/5/10 mg/d for 6 monthsNoncomparative16275567[21]
Oral 13-cis-RA, 50−70 mg/d for 3 monthsNoncomparative10030NA[22]
Topical 0.05%/0.18% 13-cis-RA, twice daily for 3 months, follow-up at 10 yearsRandomized, dose-responsecontrolled, double-blinded40NANANA[23]
Topical 0.1% 13-cis-RA gel, 3 times daily for 4 monthsRandomized, placebo controlled, double-blinded152179NA[24]
Topical 0.1% 13-cis-RA gel, 3 times daily for 4 monthsRandomized, placebo controlled, double-blinded101189NA[25]
Oral 13-cis-RA, 1-2 mg/kg/d for 3 months, follow-up at 6 monthsRandomized, placebo controlled, double-blinded44NANA56[26]
First phase: oral 13-cis-RA, 1.5 mg/kg/d for 3 monthsNoncomparative70NANANA[27]
Second phase: oral β-carotene (30 mg/d) or isotretinoin (0.5 mg/kg/d) for 9 months

4-HPROral 4-HPR, 200 mg/d for 3 months (a monthly 3-day drug holiday)Noncomparative35034NA[28]
Four cycles of 4-HPR 900 mg/m2 orally twice daily days 1 through 7, repeated every 3 weeksNoncomparative15020NA[29]

CR, complete response; PR, partial response; R, recurrence; NA, not available.