Evidence map›Paper›PMID 22672145›Full record

Trial reportWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society

NorLeu3-A(1-7) stimulation of diabetic foot ulcer healing: results of a randomized, parallel-group, double-blind, placebo-controlled phase 2 clinical trial.

Peter P Balingit, David G Armstrong, Alexander M Reyzelman, Laura Bolton, Shelagh J Verco, Kathleen E Rodgers, Katherine A Nigh, Gere S diZerega

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00796744 (Randomized, Parallel-Group, Double-Blind, Placebo-Controlled Phase 2 Clinical Trial to Evaluate the Safety and Effectiveness of DSC127 in Treating Subjects With Diabetic Ulcers), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00796744 phase2completednot on this map

Randomized, Parallel-Group, Double-Blind, Placebo-Controlled Phase 2 Clinical Trial to Evaluate the Safety and Effectiveness of DSC127 in Treating Subjects With Diabetic Ulcers

TypeinterventionalSponsorUS Biotest, Inc.Ran2008 to 2011Enrolled78ConditionsFoot Ulcer, Diabetic, Diabetic FootArmsNorLeu3-A(1-7) in a gel formulation
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Topical administration of a connexin43-based peptide augments healing of chronic neuropathic diabetic foot ulcers: A multicenter, randomized trial.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Trial
  3. Review
  4. Targeting MMP-9 in Diabetic Foot Ulcers.Pharmaceuticals (Basel, Switzerland) · 2019
    Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. NorLeuAdvances in wound care · 2015
    Review
  14. Emerging drugs for the treatment of diabetic ulcers.Expert opinion on emerging drugs · 2013
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Peter P BalingitOlive View-UCLA Medical Center, University of California, Los Angeles, Sylmar, California, USA.
David G Armstrong
Alexander M Reyzelman
Laura Bolton
Shelagh J Verco
Kathleen E Rodgers
Katherine A Nigh
Gere S diZerega

Funding

Angiotensin Analogs to Treat Wound HealingR44DK076425 · NIDDK · US BIOTEST, INC. · PI RODGERS, KATHLEEN E. · 2007 to 2010
$2.9M
NIDDK NIH HHS 5R44DK076425-06NIDDK NIH HHS R44 DK076425
6 · The paper itself

Abstract

This randomized, double-blind, placebo-controlled Phase 2 clinical trial explored NorLeu(3)-A(1-7) (DSC127) safety and healing efficacy in diabetic foot ulcers. Patients with chronic, noninfected, neuropathic, or neuroischemic plantar Wagner Grade 1 or 2 foot ulcers (n = 172) were screened for nonhealing. Subjects were randomized to receive 4 weeks' once-daily topical treatment with 0.03% DSC127 (n = 26), 0.01% DSC127 (n = 27), or Placebo (n = 24), followed by 20 weeks' standard of care. DSC127 was assessed for safety (including laboratory values and adverse events), primary efficacy (% ulcers completely epithelialized at Week 12), and durability of effect. Baseline, demography, and safety parameters were compared between intent-to-treat groups and were comparable. Dose-response curves for DSC127 effect on % area reduction from baseline at Week 12 (40% placebo; 67% 0.01% DSC127; 80% 0.03% DSC127) and 24 (23% placebo; 53% 0.01% DSC127; 95% 0.03% DSC127) followed a log-linear pattern for both intent-to-treat and per-protocol populations. Covariate analysis compared reduction in ulcer area, depth, and volume from baseline; reductions in the 0.03% DSC127 group were greater at Weeks 12 and 24. Placebo-treated ulcers healed in a median 22 weeks vs. 8.5 weeks for 0.03%DSC127 (p = 0.04). This study provides preliminary evidence that DSC127 is safe and effective in accelerating the healing of diabetic foot ulcers.

Indexed as

Administration, TopicalAngiogenesis Inducing AgentsAngiotensin IIDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic FootDouble-Blind MethodFemaleHumansMaleMiddle AgedPeptide FragmentsTreatment OutcomeWound HealingAngiogenesis Inducing AgentsAngiotensin IInorLeu3-A(1-7)Peptide Fragments

Identifiers

PMID22672145
PMCPMC6314814

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.