Review Article

The Role of Recombinant Proteins and Growth Factors in the Management of Diabetic Foot Ulcers: A Systematic Review of Randomized Controlled Trials

Table 5

Characteristics of RCTs that evaluated FGF safety and effectiveness.

RefStudyInterventionType of controlSize and the oldness of the woundNo. of patientsAntibiotic application during the treatment period (if needed)Baseline HbA1C (%)Types of wound and grade of woundDressing typeOffloadingTreatment durationFollow-up period posttherapy

[21]RCTTopical rhaFGF (liquid) and rhbFGF at a dose of 100 U/0.1 mL/cm2Active (bFGF)>2 cm in diameter
At least 8 weeks
139NNMNMSterile cotton dressings without antibioticsNM6 weeksNM
[22]RCT4 groups:
hEGF (liquid) at 40 IU/cm2 and aFGF at 40 AU/cm2 or hEGF at 40 IU/cm2 or topical aFGF 40 AU/cm2 or the wound was cleaned with normal saline only
Placebo>3 cm2
At least 12 weeks
199NNMGrade II WagnerNMNM60 daysNM
[23]RCTLiquid bFGF spray, 500 ng-100 ng/woundPlacebo> 0.5 cm
More than a year
17Y7.1-7.9Wagner grades I–IIISterile petrolatum impregnated gauze (no antiseptic)Y18 weeksNM
[24]RCT0.001% bFGF (50 μg) and 0.01% FGF (500 μg) spraying once a dayPlacebo900 mm2 or less150Y10-16Wagner grade IISilicone gauzeY8 weeksNM

FGF: fibroblast growth factor; Y: yes; N: no; NM: not mentioned.