PMID- 37218470 OWN - NLM STAT- MEDLINE DCOM- 20230623 LR - 20230623 IS - 1751-2441 (Electronic) IS - 1751-2433 (Linking) VI - 16 IP - 6 DP - 2023 Jan-Jun TI - Efficacy and safety of compound glycyrrhizin in the patients with vitiligo: a systematic review and meta-analysis. PG - 601-611 LID - 10.1080/17512433.2023.2213887 [doi] AB - OBJECTIVE: Compound glycyrrhizin (CG) is widely used to treat vitiligo in China, and the efficacy and adverse events (AEs) of CG for vitiligo need further analysis. This study aimed to systematically reevaluate the efficacy and safety of CG in the patients with vitiligo. RESEARCH DESIGN AND METHODS: Eight literature databases were searched up to 31 December 2022, and randomized controlled trials which compared CG plus conventional treatments with conventional treatments alone were included. RESULTS: 17 studies with 1492 patients were included. The pooled results showed that the combination of CG and conventional treatments was superior to conventional treatments alone in the total efficacy rate (risk ratio (RR) = 1.54, 95% confidence interval (CI) = 1.40 to 1.69, P < 0.00001), cure rate (RR = 1.62, 95%CI = 1.32 to 1.99, P < 0.00001), the levels of serum IL-6, TNF-alpha, IL-17, and TGF-ss, and the ratio of CD4(+)/CD8(+) T cell in blood. Moreover, few patients suffered from the mild and tolerable AEs of CG. CONCLUSIONS: CG plus conventional treatments is an effective treatment for vitiligo with mild and tolerable AEs. More high-quality and large-sample studies are required in the future to provide more evidence of CG for vitiligo. PROSPERO REGISTRATION: CRD42023401166. FAU - Li, Ming AU - Li M AD - Department of Dermatology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Xiang, Lujing AU - Xiang L AD - Department of Dermatology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. FAU - Li, Yan AU - Li Y AD - Department of Dermatology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20230523 PL - England TA - Expert Rev Clin Pharmacol JT - Expert review of clinical pharmacology JID - 101278296 RN - 6FO62043WK (Glycyrrhizic Acid) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Humans MH - *Vitiligo/drug therapy MH - Glycyrrhizic Acid/adverse effects MH - Treatment Outcome MH - Tumor Necrosis Factor-alpha MH - *Psoriasis OTO - NOTNLM OT - Compound glycyrrhizin OT - Efficacy OT - Meta-analysis OT - Safety OT - Vitiligo EDAT- 2023/05/23 06:42 MHDA- 2023/06/23 06:42 CRDT- 2023/05/23 04:33 PHST- 2023/06/23 06:42 [medline] PHST- 2023/05/23 06:42 [pubmed] PHST- 2023/05/23 04:33 [entrez] AID - 10.1080/17512433.2023.2213887 [doi] PST - ppublish SO - Expert Rev Clin Pharmacol. 2023 Jan-Jun;16(6):601-611. doi: 10.1080/17512433.2023.2213887. Epub 2023 May 23.