Many in-vivo cutaneous trials of natural ingredients are limited by their study design, including with respect to subject selection and short duration.
Murphy MJ, Dow AA. · J Clin Aesthet Dermatol (2021)
- PRISMA systematic review identifying only 7 clinical studies of topical natural depigmenting agents; licorice was among those with supporting efficacy/safety data
- Explicitly flags the paucity of robust trials, plus limitations of design, subject selection, and short duration
- Concludes further research is needed on long-term efficacy, safety, optimal concentration, and formulation — the key counter-evidence on certainty