Becaplermin gel in the treatment of diabetic neuropathic foot ulcers

Nikolaos Papanas, Efstratios MaltezosOutpatient Clinic of Obesity, Diabetes and Metabolism at the Second Department of Internal Medicine, Democritus University of Thrace, GreeceAbstract: Diabetic foot ulcers remain a major cause of morbidity. Significant progress has been accomplished in ulcer heali...

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Autores principales: Nikolaos Papanas, Efstratios Maltezos
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Lenguaje:EN
Publicado: Dove Medical Press 2008
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Acceso en línea:https://doaj.org/article/a9b306388c774910a7d4f184daf106e0
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spelling oai:doaj.org-article:a9b306388c774910a7d4f184daf106e02021-12-02T00:33:24ZBecaplermin gel in the treatment of diabetic neuropathic foot ulcers1178-1998https://doaj.org/article/a9b306388c774910a7d4f184daf106e02008-06-01T00:00:00Zhttps://www.dovepress.com/becaplermin-gel-in-the-treatment-of-diabetic-neuropathic-foot-ulcers-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Nikolaos Papanas, Efstratios MaltezosOutpatient Clinic of Obesity, Diabetes and Metabolism at the Second Department of Internal Medicine, Democritus University of Thrace, GreeceAbstract: Diabetic foot ulcers remain a major cause of morbidity. Significant progress has been accomplished in ulcer healing by improved management of both ischemia and neuropathy in the diabetic foot. Nevertheless, there is a vital need for further improvement. Becaplermin gel represents an important therapeutic advance for diabetic neuropathic foot ulcers with adequate blood supply. Randomized controlled trials have shown that it is effective in increasing healing rates. However, this efficacy has not translated to positive clinical experience, and the drug is not widely used. Moreover, becaplermin is an expensive medication. Even though it has repeatedly been estimated as cost-effective, its high cost may be prohibitive for some clinicians, especially in developing countries. Clearly, further work is needed to clarify whether use of becaplermin is justified in everyday clinical practice. Future research also needs to assess the potential room for improvement with becaplermin, for instance by combination with other growth factors or by exploring alternative modes of drug delivery.Keywords: becaplermin, diabetes mellitus, diabetic foot, neuropathy, PDGFNikolaos PapanasEfstratios MaltezosDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 3, Pp 233-240 (2008)
institution DOAJ
collection DOAJ
language EN
topic Geriatrics
RC952-954.6
spellingShingle Geriatrics
RC952-954.6
Nikolaos Papanas
Efstratios Maltezos
Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
description Nikolaos Papanas, Efstratios MaltezosOutpatient Clinic of Obesity, Diabetes and Metabolism at the Second Department of Internal Medicine, Democritus University of Thrace, GreeceAbstract: Diabetic foot ulcers remain a major cause of morbidity. Significant progress has been accomplished in ulcer healing by improved management of both ischemia and neuropathy in the diabetic foot. Nevertheless, there is a vital need for further improvement. Becaplermin gel represents an important therapeutic advance for diabetic neuropathic foot ulcers with adequate blood supply. Randomized controlled trials have shown that it is effective in increasing healing rates. However, this efficacy has not translated to positive clinical experience, and the drug is not widely used. Moreover, becaplermin is an expensive medication. Even though it has repeatedly been estimated as cost-effective, its high cost may be prohibitive for some clinicians, especially in developing countries. Clearly, further work is needed to clarify whether use of becaplermin is justified in everyday clinical practice. Future research also needs to assess the potential room for improvement with becaplermin, for instance by combination with other growth factors or by exploring alternative modes of drug delivery.Keywords: becaplermin, diabetes mellitus, diabetic foot, neuropathy, PDGF
format article
author Nikolaos Papanas
Efstratios Maltezos
author_facet Nikolaos Papanas
Efstratios Maltezos
author_sort Nikolaos Papanas
title Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
title_short Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
title_full Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
title_fullStr Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
title_full_unstemmed Becaplermin gel in the treatment of diabetic neuropathic foot ulcers
title_sort becaplermin gel in the treatment of diabetic neuropathic foot ulcers
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/a9b306388c774910a7d4f184daf106e0
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AT efstratiosmaltezos becaplermingelinthetreatmentofdiabeticneuropathicfootulcers
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