Table 6.
Outcomes of RCTs that evaluated FGF safety and effectiveness.
Ref | Type of growth factor | Wound closure | Time to heal | Mechanism mentioned as complete healing | Confounders | Further outcomes | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Granulation tissue | Reepithelialization | Sex | Baseline HbA1c | Wound size | Offloading | Recurrence rate | Amputation rate | ||||
[21] | rhaFGF and rhbFGF | Healing in rhbFGF by 6-week treatment. No significant difference between the healing potential of bFGF and aFGF | 42 days to complete healing in almost 50% of cases | NM | NM | NM | NM | NM | NM | NM | NM |
[22] | Liquid aFGF and EGF | Healing in shorter period in the combination group (p < 0.01) and in EGF-treated group (p < 0.05) compared with the control group | 36-47 days in combination-treated group versus control | Y | Y | NM | NM | NM | NM | NM | NM |
[23] | Liquid bFGF | No significant difference | Mean healing time: 9.3 weeks for the bFGF and 5.8 weeks for the control group | NM | NM | NM | NM | NM | NM | NM | NM |
[24] | bFGF | The area of ulcer decreased by 57.5%, 72.3%, and 82.2% in the placebo, 0.001% in the bFGF, and 0.01% in the bFGF groups, respectively, and differences were significant between the 0.01% bFGF and placebo groups (p = 0.025) | NM | Y | Y | NM | NM | NM | NM | Approximately 10% in all groups | NM |
FGF: fibroblast growth factor; Y: yes; N: no; NM: not mentioned.