Evidence map›Paper›PMID 39584361›Full record

ReviewHead & neck2025

Clinical Management Update of Oral Leukoplakia: A Review From the American Head and Neck Society Cancer Prevention Service.

James C Gates, Marianne Abouyared, Yelizaveta Shnayder, D Gregory Farwell, Andrew Day, Faizan Alawi, Michael Moore, Andrew J Holcomb, Andrew Birkeland, Joel Epstein

3 registry-linked trialsAbstract readReview
In one paragraph

Review in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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.

NCT00099021 phase2completednot on this map

A Phase IIa Cancer Prevention Trial of the PPAR Gamma Agonist Pioglitazone in Oral Leukoplakia

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2003 to 2008Enrolled21ConditionsHead and Neck Cancer, Oral LeukoplakiaArmspioglitazone hydrochloride
NCT00951379 phase2terminatednot on this map

Phase IIB Randomized, Placebo Controlled Trial of Pioglitazone for Oral Premalignant Lesions an Inter-consortium Collaborative Study

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2010 to 2014Enrolled52ConditionsOral LeukoplakiaArmsPioglitazone hydrochloride, placebo, laboratory biomarker analysis
NCT05727761 phase2recruitingnot on this map

Pioglitazone-Metformin Combination Treatment for High Risk Oral Preneoplasia

TypeinterventionalSponsorUniversity of MinnesotaRan2025 to 2027Enrolled36ConditionsOral LeukoplakiaArmspioglitazone-metformin
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Observational
  8. Review
  9. Review
  10. Article
  11. Review
  12. Chemopreventive Potential of Artemisinin andInternational journal of molecular sciences · 2025
    Article
  13. Advances in Photothermal Therapy for Oral Cancer.International journal of molecular sciences · 2025
    Review
  14. Review
  15. Article
  16. Photobiomodulation therapy.JADA foundational science · 2025
    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

10 authors.

James C GatesDepartment of Oral and Maxillofacial Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Marianne AbouyaredDepartment of Otolaryngology-Head and Neck Surgery, UC Davis Health, Sacramento, California, USA.ORCID 0000-0002-2779-5494
Yelizaveta ShnayderDepartment of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, Kansas, USA.
D Gregory FarwellDepartment of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania and Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Andrew DayDepartment of Otolaryngology, UT Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0001-7187-4125
Faizan AlawiDepartment of Oral and Maxillofacial Pathology, Penn Dental Medicine and Department of Cutaneous Biology, Perlman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Michael MooreDepartment of Otolaryngology- Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Andrew J HolcombDepartment of Head & Neck Surgical Oncology, Estabrook Cancer Center, Nebraska Methodist Hospital, Omaha, Nebraska, USA.
Andrew BirkelandDepartment of Otolaryngology- Head and Neck Surgery, UC Davis Health, Sacramento, California, USA.
Joel EpsteinDepartment of Surgery, Cedars-Sinai Health System, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral potentially malignant disorders (OPMDs) occur in up to 4%-5% of the population, of which oral leukoplakia (OL) is the most common subtype. Predicting high-risk OL remains a challenge. Early diagnosis and effective treatment are thought to be of paramount importance to improve outcomes.

methodsWe searched PubMed and Clinicaltrials.gov data for updates in the clinical management of OL from 2015 to current.

resultsRecent publication of large cohorts of patients with OL aids in counseling patients regarding risk of malignant transformation. Management for OL includes surveillance, excision, and laser surgery, as well as local and systemic approaches to chemoprevention. Several new entities show promise regarding candidate biomarkers, chemoprevention agents, and diagnostic adjuncts, though all require further validation.

conclusionThis update serves to further inform clinical management of OL and provide impetus for future investigations.

trial registrationNCT00099021, NCT00951379, NCT05727761, NCT05727761.

Indexed as

Leukoplakia, OralMouth NeoplasmsHumansUnited Statesdysplasiaoral canceroral carcinogenesisoral leukoplakiaoral premalignant disease

Identifiers

PMID39584361
PMCPMC11717973

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.