Cochrane · systematic review · CD010308

Interventions for melanoma in situ, including lentigo maligna

Tzellos, T, Kyrgidis, A, Mocellin, S, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

SkinAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 100%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Imiquimod 5% cream with tazarotene 0.1% gel compared with Imiquimod 5% cream alone for melanoma in situ, including lentigo maligna

Population: participants with melanoma in situ, including lentigo maligna
5 questions
OutcomeEffectEvidenceStatus / GRADE
Primary outcome: Histological complete response (intention‐to‐treat) No residual LM in staged excision 2 months post‐treatment
Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone
RR 1.12 [0.81, 1.55]1 study · 90 participantsLow
Primary outcome: Histological complete response ( available‐case analysis) No residual LM in staged excision 2 months post‐treatment
Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone
RR 1.19 [0.9, 1.57]1 study · 78 participantsLow
Secondary outcome: Discontinuation of treatment because of harms Discontinuation of treatment due to adverse effects
Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone
RR 6.27 [0.79, 50.02]1 study · 90 participantsLow
Secondary outcome: Inflammatory response (number of lesions with grade 2 or 3) Grade 2 or 3 Inflammation²
Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone
RR 1.38 [1.04, 1.84]1 study · 88 participantsLow
Secondary outcome: Inflammatory response (overall Inflammation score) for all participants Mean grade of inflammation in each group²
Imiquimod 5% cream with tazarotene 0.1% gel vs Imiquimod 5% cream alone
no estimate extracted1 study · 88 participantsLow