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pubmed-article:17244316pubmed:abstractTextThrombin and thrombin peptides play a role in initiating tissue repair. The potential safety and efficacy of TP508 (Chrysalin) treatment of diabetic foot ulcers was evaluated in a 60-subject, prospective, randomized, double-blind, placebo-controlled phase I/II clinical trial. Chrysalin in saline or saline alone was applied topically, twice weekly, to diabetic ulcers with standardized care and offloading. A dose-dependent effect was seen in the per-protocol population where 1 and 10 mug Chrysalin treatment resulted in 45 and 72% more subjects with complete healing than placebo treatment. Chrysalin treatment of foot ulcers more than doubled the incidence of complete healing (p<0.05), increased mean closure rate approximately 80% (p<0.05), and decreased the median time to 100% closure by approximately 40% (p<0.05). Chrysalin treatment of heel ulcers within this population resulted in mean closure rates 165% higher than placebos (p<0.02) and complete healing in 86% (6/7) of ulcers compared with 0% (0/5) of placebo ulcers (p<0.03). Local wound reactions and adverse events (AEs) were equal between groups with no reported drug-related changes in laboratory tests or serious AEs. These results indicate the potential safety and efficacy of Chrysalin for treatment of diabetic foot ulcers.lld:pubmed
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pubmed-article:17244316pubmed:dateRevised2009-8-12lld:pubmed
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pubmed-article:17244316pubmed:articleTitleThrombin peptide Chrysalin stimulates healing of diabetic foot ulcers in a placebo-controlled phase I/II study.lld:pubmed
pubmed-article:17244316pubmed:affiliationDepartment of Anesthesiology, University of Texas Health Science Center, Houston, Texas 77555-0645, USA.lld:pubmed
pubmed-article:17244316pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:17244316pubmed:publicationTypeRandomized Controlled Triallld:pubmed
pubmed-article:17244316pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed
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pubmed-article:17244316pubmed:publicationTypeClinical Trial, Phase IIlld:pubmed
pubmed-article:17244316pubmed:publicationTypeClinical Trial, Phase Illd:pubmed
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