Background/Aim: Casticin, one of the active components of Vitex rotundifolia L., presents biological and pharmacological activities including inhibition of migration, invasion and induction of apoptosis in numerous human cancer cells in vitro. This study aimed to assess the effects of casticin on tumor growth in a human oral cancer SCC-4 cell xenograft mouse model in vivo. Materials and Methods: Twenty-four nude mice were injected subcutaneously with SCC-4 cells and when palpable tumors reached a volume of 100-120 mm 3 the mice were randomly divided into three groups. The control (0.1% dimethyl sulfoxide), casticin (0.2 mg/kg), and casticin (0.4 mg/kg) groups were intraperitoneally injected every two days for 18 days. Tumor volume and body weights were measured every two days. Results: Casticin significantly decreased tumor volume and weight in SCC-4 cell xenograft mice but there was no statistically significant difference between the body weights of control mice and mice treated with 0.2 mg/kg or 0.4 mg/kg casticin. Therefore, the growth of SCC-4 cells in athymic nude mice can be inhibited by casticin in vivo. Conclusion: These findings support further investigations in the potential use of casticin as an oral anticancer drug in the future. Oral cancer has high mortality and morbidity (1) that appears on the lips, cheeks, tongue, gingiva, the floor of the mouth, hard and soft palate, sinuses, and pharynx (2). Oral squamous cell carcinoma (OSCC) is one of the leading cancers worldwide, representing over 90% of malignant neoplasms of the mouth (3, 4). However, OSCC occurs more frequently in individuals with oral bacterial infections such as higher levels of periodontal pathogenic bacteria in OSCC surfaces (5). In the USA, about 11.3 new cases of oral cancer per 100,000 people are diagnosed every year (6). In Canada,