Topical epidermal growth factor spray for the treatment of chronic diabetic foot ulcers: A phase III multicenter, double-blind, randomized, placebo-controlled trial
- Authors
- Park, Kwang Hwan; Han, Seung Hwan; Hong, Joon Pio; Han, Seung-Kyu; Lee, Doo-Hyung; Kim, Bom Soo; Ahn, Jae Hoon; Lee, Jin Woo
- Issue Date
- 8월-2018
- Publisher
- ELSEVIER IRELAND LTD
- Keywords
- Diabetic foot ulcer; Wound healing; Epidermal growth factor; Hemoglobin A1c
- Citation
- DIABETES RESEARCH AND CLINICAL PRACTICE, v.142, pp.335 - 344
- Indexed
- SCIE
SCOPUS
- Journal Title
- DIABETES RESEARCH AND CLINICAL PRACTICE
- Volume
- 142
- Start Page
- 335
- End Page
- 344
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/74219
- DOI
- 10.1016/j.diabres.2018.06.002
- ISSN
- 0168-8227
- Abstract
- Aims: This study was conducted to evaluate the efficacy and safety of a novel spray-applied growth factor therapy containing recombinant human epidermal growth factor (rhEGF) for the treatment of chronic diabetic foot ulcers (DFU). Methods: This study was a phase III double-blind, randomized, placebo-controlled trial. 167 adult patients at six medical centers were randomized to receive routine wound care plus either topical spray treatment with 0.005% rhEGF (n=82) or an equivalent volume of saline spray (n=85) twice a day until ulcer healing or for up to 12 weeks. Results: Demographics, medical status, and wound characteristics were comparable between rhEGF and placebo groups. More patients in the rhEGF group significantly had complete wound healing compared to placebo (73.2% versus 50.6%, respectively; P=.001). Wound healing velocity was faster in the rhEGF group (P=.029) regardless of HbA1c levels. The rhEGF group had a shorter median time to 50% ulcer size reduction (21 versus 35 days; hazard ratio=3.13, P<.001) and shorter time to complete ulcer healing (56 versus 84 days; hazard ratio=2.13, P<.001). Conclusions: This study confirms that application of spray-applied rhEGF in DFU patients results in faster healing velocity and higher complete healing rate regardless of HbA1c levels. (C) 2018 Elsevier B.V. All rights reserved.
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