Inconclusive Efficacy (RCT)

Beta-carotene for skin cancer prevention

Beta-carotene 50 mg daily vs. Placebo · for Nonmelanoma skin cancer · real-time analysis of 1 studies · updated 2026-05-29

Beta-carotene supplementation does not prevent nonmelanoma skin cancer—a well-powered randomized trial found no effect, as did the Nambour trial.

Efficacy (RCT): Efficacy evidence on clinical outcomes. Effects are risk ratios with number-needed-to-treat where a baseline risk is available. Glossary →

Interpretation & tips

An informative negative: despite an antioxidant rationale, beta-carotene did not prevent skin cancer. Included as a comparator showing that not every supplement works—unlike nicotinamide.

5% higher risk of nonmelanoma skin cancer
Pooled RR 1.05 (95% CI 0.91–1.22) across 1 studies, 1,805 patients (random-effects, I² 0%).
1.05
Pooled RR
0.91–1.22
95% CI
1
Studies
1,805
Patients
NNT

Forest plot—Nonmelanoma skin cancer

Greenberg 1990 1.05 [0.91–1.22] Pooled (RE) 1.05 [0.91–1.22] 0.1 0.25 0.5 1 2 4 ← favors treatment favors control →

Study results—Nonmelanoma skin cancer

Study Design Dose / regimen Treatment Control RR [95% CI] Improvement NNT Weight
Greenberg 1990 note DB-RCT Beta-carotene 50 mg/day 1.05 [0.91–1.22] -5% 100%

RR < 1 favors treatment for outcomes where lower is better. Rows in gray have a confidence interval crossing 1 (individually inconclusive). “~” marks effects reported as OR/HR and treated as RR-approximations. “excl” = excluded from pooling (e.g. reviews).

Notes & interpretation

  • Greenberg 1990—First new nonmelanoma skin cancer; no effect.

Background

The Skin Cancer Prevention Study randomized 1,805 patients with a recent nonmelanoma skin cancer to beta-carotene 50 mg daily or placebo, with 5 years of follow-up. The Nambour trial similarly found no protective effect from beta-carotene.

Topic methodology & caveats

Reported relative rate with 95% CI for a first new nonmelanoma skin cancer. Status set to neutral to reflect a definitive null from one large trial.

Studies