Evidence map›Paper›PMID 29675430›Full record

Trial reportJournal of diabetes research2017

Pirfenidone Accelerates Wound Healing in Chronic Diabetic Foot Ulcers: A Randomized, Double-Blind Controlled Trial.

Luz E Gasca-Lozano, Silvia Lucano-Landeros, Héctor Ruiz-Mercado, Adriana Salazar-Montes, Ana Sandoval-Rodríguez, Jesus Garcia-Bañuelos, Arturo Santos-Garcia, Judith R Davila-Rodriguez, José Navarro-Partida, Hiram Bojórquez-Sepúlveda and 5 more

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of diabetes research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Targeting Signalling Pathways in Chronic Wound Healing.International journal of molecular sciences · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Saudi journal of biological sciences · 2021
    Article
  12. Article
  13. Review
  14. Review
  15. 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

15 authors at 4 institutions in 1 country.

Luz E Gasca-LozanoInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Silvia Lucano-LanderosInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Héctor Ruiz-MercadoRegional Hospital Dr. Valentín Gómez Farías ISSSTE, Guadalajara, JAL, Mexico.
Adriana Salazar-MontesInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Ana Sandoval-RodríguezInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Jesus Garcia-BañuelosInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Arturo Santos-GarciaTecnologico de Monterrey, Campus Guadalajara, Jalisco, Mexico.
Judith R Davila-RodriguezHospital Civil de Guadalajara, Guadalajara, JAL, Mexico.
José Navarro-PartidaTecnologico de Monterrey, Campus Guadalajara, Jalisco, Mexico.
Hiram Bojórquez-SepúlvedaHospital Civil de Guadalajara, Guadalajara, JAL, Mexico.
Juan Castañeda-GomezHospital Civil de Guadalajara, Guadalajara, JAL, Mexico.
José Domínguez-RosalesInstitute of Chronic-Degenerative Diseases, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Myriam A Ruiz-ArcosInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
María Guadalupe Sánchez-ParadaInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.
Juan Armendariz-BorundaInstitute for Molecular Biology and Gene Therapy, CUCS, University of Guadalajara, Guadalajara, JAL, Mexico.ORCID 0000-0002-7101-9943
Universidad de Guadalajara · MXHospital Civil de Guadalajara · MXTecnológico de Monterrey · MXInstitute for Social Security and Services for State Workers · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic foot ulcers are one disabling complication of diabetes mellitus. Pirfenidone (PFD) is a potent modulator of extracellular matrix. Modified diallyl disulfide oxide (M-DDO) is an antimicrobial and antiseptic agent.

aimTo evaluate efficacy of topical PFD + M-DDO in a randomized, double-blind trial versus ketanserin in the treatment of noninfected chronic DFU.

methodsPatients received PFD + M-DDO or ketanserin for 6 months. Relative ulcer volume (RUV) was measured every month; biopsies were taken at baseline and months 1 and 2 for histopathology and gene expression analysis for COL-1

resultsReduction of median RUV in the PFD + M-DDO group was 62%, 89.8%, and 99.7% at months 1-3 and 100% from months 4 to 6. Ketanserin reduced RUV in 38.4%, 56%, 60.8%, 94%, 94.8%, and 100% from the first to the sixth month, respectively. Healing score improved 4.5 points with PFD + M-DDO and 1.5 points with ketanserin compared to basal value. Histology analysis revealed few inflammatory cells and organized/ordered collagen fiber bundles in PFD + M-DDO. Expression of most genes was increased with PFD + M-DDO; 43.8% of ulcers were resolved using PFD + M-DDO and 23.5% with ketanserin.

conclusionPFD + M-DDO was more effective than ketanserin in RUV reduction.

Indexed as

AdultAgedAnti-Infective AgentsAnti-Inflammatory Agents, Non-SteroidalDiabetic FootDisulfidesDouble-Blind MethodDrug Therapy, CombinationFemaleHumansKetanserinMaleMiddle AgedPyridonesSulfinic AcidsTreatment OutcomeallicinAnti-Infective AgentsAnti-Inflammatory Agents, Non-SteroidalDisulfidesKetanserinpirfenidonePyridonesSulfinic Acids

Identifiers

PMID29675430
PMCPMC5840678
OpenAlexW2776590520

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.