Becaplermin

Becaplermin (brand name Regranex) is a cicatrizant, available as a topical gel. Regranex is a human platelet-derived growth factor indicated along with good wound care for the treatment of lower extremity diabetic neuropathic ulcers. [1] It is also known as "platelet-derived growth factor BB".[2]

Becaplermin
Clinical data
Trade namesRegranex
AHFS/Drugs.comConsumer Drug Information
MedlinePlusa699049
Pregnancy
category
  • US: C (Risk not ruled out)
    Routes of
    administration
    Topical
    ATC code
    Legal status
    Legal status
    Identifiers
    CAS Number
    DrugBank
    ChemSpider
    • none
    UNII
    ChEMBL
     NY (what is this?)  (verify)

    Medical uses

    The drug is used for the treatment of diabetic foot ulcers.[3] Studies of becaplermin showed that when used with good wound care, complete healing significantly increased and the ulcers healed on average 6 weeks faster.[4] Pharmacoeconomic studies reinforce the cost effectiveness of becaplermin as an adjunct to good wound care.[5]

    The amount of becaplermin to be applied will vary depending upon the size of the ulcer area. Becaplermin should be stored in the refrigerator. [6] Analysis of healing human wounds showed that PDGF-BB induces fibroblast proliferation and differentiation and was found to increase healing in patients with decreased healing capacity, such as people living with diabetes. [7]

    Contraindications

    Becaplermin must not be used at the site of a skin cancer.[8]

    Adverse effects

    The most common side effects in clinical studies were erythematous rashes.[8]

    A boxed warning has been added to the safety label to describe an increase rate of death from cancer when three or more tubes are used.[9] Regranex should be used with caution in patients with known malignancy.[10]

    See also

    References

    1. http://www.regranex.com/patient/pdf/PI_full_version.pdf.
    2. becaplermin at the US National Library of Medicine Medical Subject Headings (MeSH)
    3. Nagai MK, Embil JM (February 2002). "Becaplermin: recombinant platelet derived growth factor, a new treatment for healing diabetic foot ulcers". Expert Opin Biol Ther. 2 (2): 211–8. doi:10.1517/14712598.2.2.211. PMID 11849120.
    4. Wieman TJ, Smiell JM, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (becaplermin) in patients with chronic neuropathic diabetic ulcers. A phase III randomized placebo-controlled double-blind study. Diabetes Care. 1998;21:822-827.
    5. Albert S. Cost-effective management of recalcitrant diabetic foot ulcers. Clin Podiatr Med Surg. 2002;19:483-491. Persson U, Willis M, Odegaard K, Apelqvist J. The cost-effectiveness of treating diabetic lower extremity ulcers with becaplermin (Regranex): a core model with an application using Swedish cost data. Value Health. 2000;3 Suppl 1:39-46.
    6. http://www.regranex.com/patient/pdf/PI_full_version.pdf
    7. Heldin CH, Westermark B. Mechanism of action and in vivo role of platelet-derived growth factor. Physiol Rev. 1999;79:1283-1316.
    8. FDA Professional Drug Information for Regranex.
    9. Medscape Article
    10. http://www.regranex.com/patient/pdf/PI_full_version.pdf


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