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Topical Administration of Pirfenidone Increases Healing of Chronic Diabetic Foot Ulcers: A Randomized Crossover Study
Joint Authors
Almeda-Valdes, Paloma
Janka-Zires, Marcela
Uribe-Wiechers, Ana Cecilia
Juárez-Comboni, Sonia Citlali
López-Gutiérrez, Joel
Escobar-Jiménez, Jarod Jazek
Gómez-Pérez, F. J.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-10
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Only 30 percent of chronic diabetic foot ulcers heal after 20 weeks of standard treatment.
Pirfenidone is a drug with biological, anti-inflammatory, and antifibrotic effects.
The aim of this study was to evaluate the effect of topical pirfenidone added to conventional treatment in noninfected chronic diabetic foot ulcers.
This was a randomized crossover study.
Group 1 received topical pirfenidone plus conventional treatment for 8 weeks; after this period, they were switched to receive conventional treatment only for 8 more weeks.
In group 2, the order of the treatments was the opposite.
The end points were complete ulcer healing and size reduction.
Final data were obtained from 35 ulcers in 24 patients.
Fifty-two percent of ulcers treated with pirfenidone healed before 8 weeks versus 14.3% treated with conventional treatment only ( P = 0.025 ).
Between 8 and 16 weeks, 30.8% ulcers that received pirfenidone healed versus 0% with conventional treatment ( P = 0.081 ).
By week 8, the reduction in ulcer size was 100% [73–100] with pirfenidone versus 57.5% with conventional treatment [28.9–74] ( P = 0.011 ).
By week 16, the reduction was 93% [42.7–100] with pirfenidone and 21.8% [8–77.5] with conventional treatment ( P = 0.050 ).
The addition of topical pirfenidone to conventional treatment significantly improves the healing of chronic diabetic noninfected foot ulcers.
American Psychological Association (APA)
Janka-Zires, Marcela& Almeda-Valdes, Paloma& Uribe-Wiechers, Ana Cecilia& Juárez-Comboni, Sonia Citlali& López-Gutiérrez, Joel& Escobar-Jiménez, Jarod Jazek…[et al.]. 2016. Topical Administration of Pirfenidone Increases Healing of Chronic Diabetic Foot Ulcers: A Randomized Crossover Study. Journal of Diabetes Research،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108238
Modern Language Association (MLA)
Janka-Zires, Marcela…[et al.]. Topical Administration of Pirfenidone Increases Healing of Chronic Diabetic Foot Ulcers: A Randomized Crossover Study. Journal of Diabetes Research No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1108238
American Medical Association (AMA)
Janka-Zires, Marcela& Almeda-Valdes, Paloma& Uribe-Wiechers, Ana Cecilia& Juárez-Comboni, Sonia Citlali& López-Gutiérrez, Joel& Escobar-Jiménez, Jarod Jazek…[et al.]. Topical Administration of Pirfenidone Increases Healing of Chronic Diabetic Foot Ulcers: A Randomized Crossover Study. Journal of Diabetes Research. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1108238
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1108238