title: Could rusalatide acetate be the future drug of choice for diabetic foot ulcers and fracture repair?
abstract: Rusalatide acetate (Chrysalin) is an investigational drug being evaluated for treatment of chronic wounds and fractures. Rusalatide acetate interacts with cell surface receptors to stimulate a cascade of cellular and molecular wound healing events, including activation of nitric oxide signaling. Rusalatide acetate significantly accelerated healing of diabetic foot ulcers and distal radius fractures in Phase I/II clinical trials. Subsequently, in one of the largest Phase III fracture studies to date, rusalatide acetate showed significant acceleration of distal radius fracture healing radiographically but failed to meet its primary clinical endpoint - time to removal of immobilization - within the intent-to-treat population. Subset analysis showed that rusalatide acetate met this primary clinical endpoint and significantly accelerated radiographic healing in osteopenic women. Rusalatide acetate may therefore show its greatest efficacy in healing-impaired patients.
authors.affiliation: The University of Texas Medical Branch, Therapeutic Peptide Development Laboratory, Department of Biochemistry and Molecular Biology, 301 University Blvd, Galveston, TX 77555-0647, USA. dcarney@utmb.edu
authors.forename: Darrell H
authors.initials: DH
authors.lastname: Carney
authors.forename: Barbara
authors.initials: B
authors.lastname: Olszewska-Pazdrak
mesh_terms: D000595:Amino Acid Sequence; D002986:Clinical Trials as Topic; D017719:Diabetic Foot / Q000188:drug therapy*; D017102:Fracture Healing / Q000187:drug effects*; D006801:Humans; D008969:Molecular Sequence Data; D010446:Peptide Fragments / Q000009:adverse effects / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology / Q000627:therapeutic use*; D013917:Thrombin / Q000009:adverse effects / Q000737:chemistry / Q000493:pharmacokinetics / Q000494:pharmacology / Q000627:therapeutic use*
chemical_list: D010446:Peptide Fragments; C412222:rusalatide acetate; D013917:Thrombin