Evidence map›Paper›PMID 35329979›Full record

ArticleJournal of clinical medicine2022

Comparative Efficacy and Safety of Tirbanibulin for Actinic Keratosis of the Face and Scalp in Europe: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.

Markus V Heppt, Igor Dykukha, Sara Graziadio, Rafael Salido-Vallejo, Matt Chapman-Rounds, Mary Edwards

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 35 citations in OpenAlex.

  1. KOH 5% solution versus diclofenac 3% for the treatment of actinic keratosis - Results from a three-armed RCT.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Trial
  2. Article
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  7. Logic-based machine learning predicts how escitalopram attenuates cardiomyocyte hypertrophy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Review
  9. Article
  10. Review
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  12. [Update in the diagnosis and treatment of actinic keratosis].Dermatologie (Heidelberg, Germany) · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Update on the Molecular Pathology of Cutaneous Squamous Cell Carcinoma.International journal of molecular sciences · 2023
    Review
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Markus V HepptDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Ulmenweg 18, 91054 Erlangen, Germany.ORCID 0000-0003-4603-1825
Igor DykukhaMedical Affairs, Almirall Hermal GmbH, Scholtzstrasse 3, 21465 Reinbek, Germany.ORCID 0000-0002-6706-5832
Sara GraziadioYork Health Economics Consortium (YHEC), Enterprise House, Innovation Way, University of York, York YO10 5NQ, UK.
Rafael Salido-VallejoDepartment of Dermatology, University Clinic of Navarra, School of Medicine, University of Navarra, Avda. Pio XII, 36, 31008 Pamplona, Spain.ORCID 0000-0001-7210-8959
Matt Chapman-RoundsQuantics Biostatistics, Exchange Tower, 19 Canning Street Fourth Floor, Canning St, Edinburgh EH3 8EG, UK.
Mary EdwardsYork Health Economics Consortium (YHEC), Enterprise House, Innovation Way, University of York, York YO10 5NQ, UK.
Leeds and York Partnership NHS Foundation Trust · GBAlmirall (Germany) · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Actinic keratosis (AK) is a chronic skin condition that may progress to cutaneous squamous cell carcinoma. We conducted a systematic review of efficacy and safety for key treatments for AK of the face and scalp, including the novel 5-day tirbanibulin 1% ointment. MEDLINE, PubMed, Embase, Cochrane Library, clinical trial registries and regulatory body websites were searched. The review included 46 studies, of which 35 studies included interventions commonly used in Europe and were sufficiently homogenous to inform a Bayesian network meta-analysis of complete clearance against topical placebo or vehicle. The network meta-analysis revealed the following odds ratios and 95% credible intervals: cryosurgery 13.4 (6.2-30.3); diclofenac 3% 2.9 (1.9-4.3); fluorouracil 0.5% + salicylic acid 7.6 (4.6-13.5); fluorouracil 4% 30.3 (9.1-144.7); fluorouracil 5% 35.0 (10.2-164.4); imiquimod 3.75% 8.5 (3.5-22.4); imiquimod 5% 17.9 (9.1-36.6); ingenol mebutate 0.015% 12.5 (8.1-19.9); photodynamic therapy with aminolevulinic acid 24.1 (10.9-52.8); photodynamic therapy with methyl aminolevulinate 11.7 (6.0-21.9); tirbanibulin 1% 11.1 (6.2-20.9). Four sensitivity analyses, from studies assessing efficacy after one treatment cycle only, for ≤25 cm

Indexed as

actinic keratosisdermatologyefficacyface and scalpnetwork meta-analysissafetysystematic literature reviewtirbanibulintopical treatment

Identifiers

PMID35329979
PMCPMC8952421
OpenAlexW4220911702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.