Review Article

Stem Cell Therapy for Lower Extremity Diabetic Ulcers: Where Do We Stand?

Table 2

Clinical trials of stem cell therapy on the treatment of diabetic ulcer.

Clinical trialDiabetic cases Stem cell therapyEfficacy assessment

Kirana et al. 2012 [71]24BM-MSCs/BM-MNCs80% cases achieved significant improvement.
Ravari et al. 2011 [60]8BM-MNCsComplete wound healing in 3 cases and significant improvement in 5 cases.
Jain et al. 2011 [72]25BM-MNCsThe rate of chronic lower extremity wound healing increased.
Dash et al. 2009 [73]12BM-MSCsSignificant improvement in pain-free walking distance and reduction in ulcer size.
Rogers et al. 2008 [74]3BM-MNCsGood wound healing.
Yoshikawa et al. 2008 [75]20MSCsThe wound mostly healed in 18 of the 20 patients.
Kirana et al. 2007 [61]1BM-MNCsComplete wound healing achieved.
Badiavas et al. 2007 [76]4BM-MNCsComplete wound healing achieved.
Falanga et al. 2007 [77]8MSCsAll wounds healed completely between weeks 7 and 8 after the surgery.
Asai et al. 2006 [78]1BM-MNCs and bFGFComplete wound healing.
Humpert et al. 2005 [79]2BM-MNCsReduction of wound size and markedly increased vascularization were achieved.
Vojtassák et al. 2006 [80]1Fibroblast and MSCsClosing and healing of the nonhealing diabetic ulcer was achieved.
Badiavas and Falanga 2003 [81]3BM-MNCsDermal rebuilding and closure of nonhealing chronic wounds were achieved.