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Becaplermin

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Pharmaceutical drug

Pharmaceutical compound
Becaplermin
Clinical data
Trade namesRegranex
AHFS/Drugs.comConsumer Drug Information
MedlinePlusa699049
Routes of
administration
Topical
ATC code
Legal status
Legal status
Identifiers
CAS Number
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Becaplermin, sold under the brand nameRegranex, is acicatrizant, available as atopical gel. Regranex is a humanplatelet-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".[1]

Medical uses

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Becaplermin is used for the treatment ofdiabeticfoot ulcers.[2] Studies of becaplermin showed that when used with good wound care, complete healing significantly increased and the ulcers healed on average 6 weeks faster.[3] Pharmacoeconomic studies reinforce the cost effectiveness of becaplermin as an adjunct to good wound care.[4]

The amount of becaplermin to be applied will vary depending upon the size of the ulcer area. Becaplermin should be stored in the refrigerator.[1] 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.[5]

Contraindications

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Becaplermin must not be used at the site of askin cancer.[6]

Adverse effects

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The most common side effects in clinical studies wereerythematous rashes.[6]

References

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  1. ^abcd"Regranex- becaplermin gel".DailyMed. 11 December 2023. Retrieved26 October 2024.
  2. ^Nagai MK, Embil JM (February 2002). "Becaplermin: recombinant platelet derived growth factor, a new treatment for healing diabetic foot ulcers".Expert Opinion on Biological Therapy.2 (2):211–8.doi:10.1517/14712598.2.2.211.PMID 11849120.S2CID 28408255.
  3. ^Wieman TJ, Smiell JM, Su Y (May 1998). "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.21 (5):822–7.doi:10.2337/diacare.21.5.822.PMID 9589248.S2CID 20595962.
  4. ^Persson U, Willis M, Odegaard K, Apelqvist J (2000)."The cost-effectiveness of treating diabetic lower extremity ulcers with becaplermin (Regranex): a core model with an application using Swedish cost data".Value in Health.3 (Suppl 1):39–46.doi:10.1046/j.1524-4733.2000.36027.x.PMID 16464208.
  5. ^Heldin CH, Westermark B. Mechanism of action and in vivo role of platelet-derived growth factor. Physiol Rev. 1999;79:1283-1316.
  6. ^abFDA Professional Drug Information for Regranex.
Stomatological preparations (A01)
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Preparations for treatment ofwounds andulcers (D03)
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