Evidence map›Paper›PMID 37480520›Full record

Trial reportArchives of dermatological research2023

Efficacy of LL-37 cream in enhancing healing of diabetic foot ulcer: a randomized double-blind controlled trial.

Eliza Miranda, Kusmarinah Bramono, Em Yunir, Mirta H Reksodiputro, Oki Suwarsa, Iris Rengganis, Alida R Harahap, Decy Subekti, Suhendro Suwarto, Hayun Hayun and 2 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of dermatological research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04098562 (The Efficacy of LL-37 Cream on Aerobic Bacteria Colonization Pattern, Inflammation Response), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT04098562 phase2unknown statusnot on this map

The Efficacy of LL-37 Cream on Aerobic Bacteria Colonization Pattern, Inflammation Response: Interleukin 1α (IL-1α) and Tumor Necrosis Factor α (TNF-α), and Healing Rate of Diabetic Foot Ulcers

TypeinterventionalSponsorFakultas Kedokteran Universitas IndonesiaRan2019 to 2020Enrolled40ConditionsDiabetic Foot UlcerArmsLL37, Standard Wound Care
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Eliza MirandaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. mirandaeliza74@gmail.com.
Kusmarinah BramonoDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Em YunirDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Mirta H ReksodiputroDepartment of Otorhinolaryngology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Oki SuwarsaDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Padjajaran, Sumedang, Indonesia.
Iris RengganisDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Alida R HarahapDepartment of Clinical Pathology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Decy SubektiFaculty of Medicine, Oxford University Clinical Research Unit Indonesia, Universitas Indonesia, Jakarta, Indonesia.
Suhendro SuwartoDepartment of Internal Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Hayun HayunFaculty of Pharmacy, Universitas Indonesia, Depok, Indonesia.
Saptawati BardosonoDepartment of Nutrition, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Joko C BaskoroDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
University of Indonesia · IDPadjadjaran University · ID

Funding

Direktorat Riset and Pengembangan, Universitas Indonesia PUTI Q1 No. NKB-1350/UN2.RST/HKP.05.00/2020
6 · The paper itself

Abstract

Wound healing in DFU (diabetic foot ulcer) has prolonged inflammation phase and defective granulation tissue formation. LL-37 has antimicrobial property, induces angiogenesis, and keratinocyte migration and proliferation. This study analyzes the efficacy of LL-37 cream in enhancing wound healing rate and decreasing the levels of IL-1α, TNF-α, and the number of aerobic bacteria colonization in DFU with mild infection. This study was conducted from January 2020 to June 2021 in Jakarta. Subjects were instructed to apply either LL-37 cream or placebo cream twice a week for 4 weeks. Wounds were measured on days 7, 14, 21, and 28 and processed with ImageJ. The levels of LL-37, IL-1α, and TNF-α from wound fluid were measured using ELISA. The number of aerobic bacteria colonization was counted from the isolate grown in culture. The levels of LL-37 in DFU at baseline were equally low in both groups which were 1.07 (0.37-4.96) ng/mg protein in the LL-37 group and 1.11 (0.24-2.09) ng/mg protein in the placebo group. The increase in granulation index was consistently greater in the LL-37 group on days 7, 14, 21, and 28 (p = 0.031, 0.009, 0.006, and 0.037, respectively). The levels of IL-1α and TNF-α increased in both groups on days 14 and 21 (p > 0.05). The decrease in the number of aerobic bacteria colonization was greater in the LL-37 group on days 7, 14 and 21, but greater in the placebo group on day 28 (p > 0.05). In conclusion, LL-37 cream enhanced the healing rate of DFU with mild infection, but did not decrease the levels of IL-1α and TNF-α and the number of aerobic bacteria colonization. This trial is registered at ClinicalTrials.gov, number NCT04098562.

Indexed as

CathelicidinsDiabetes MellitusDiabetic FootCell MovementEmollientsGranulation TissueHumansTumor Necrosis Factor-alphaWound HealingCathelicidinsEmollientsTumor Necrosis Factor-alphaColonization patternDiabetic foot ulcerIL-1αLL-37TNF-αWound healing

Identifiers

PMID37480520
PMCPMC10514151
OpenAlexW4385146680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.