WHEN TREATING HARD-TO-HEAL DIABETIC NEUROPATHIC ULCERS, INCREASE THE EFFECTIVENESS
OF GOOD ULCER CARE WITH REGRANEX® (becaplermin) GEL, 0.01%
REGRANEX® Gel is the first and only FDA-approved
recombinant platelet-derived growth factor (PDGF) therapy for diabetic neuropathic ulcers
- Indicated for use as an adjunct to good ulcer care in the treatment of
lower extremity diabetic neuropathic ulcers1
- Stimulates fibroblast proliferation to increase granulation tissue2
Improvement in wound closure
- REGRANEX® Gel, combined with good ulcer care, reduced healing time by 32%, nearly 6 weeks faster
than placebo gel (P=0.013)3
- Patients using REGRANEX® Gel, along with good ulcer care, achieved a 43% increase
in the incidence of complete wound closure versus placebo gel
(50% vs 35%; P=0.007)3
Patient convenience and coverage
- REGRANEX® Gel is applied at home, once a day1
- REGRANEX® Gel is covered by many commercial payers, Medicare Part D plans, and Medicaid plans, with varying
Mechanism of Action
Click above to view an animation of REGRANEX® Gel in action
1. REGRANEX® Gel Prescribing Information.
2. Heldin CH, Westermark B. Mechanism of action and in vivo role of platelet-derived growth factor. Physiol Rev. 1999;79:1283-1316.
3. Wieman TJ, Smiell JM, Su Y. Efficacy and safety of a topical gel formulation of recombinant human platelet-derived growth factor-BB (becaplermin)
in patients with chronic neuropathic diabetic ulcers. Diabetes Care. 1998;21:822-827.
IMPORTANT SAFETY INFORMATION
WARNING: INCREASED RATE OF MORTALITY SECONDARY TO MALIGNANCY
An increased rate of mortality secondary to malignancy was observed in patients treated with 3 or more tubes of
REGRANEX® Gel in a postmarketing retrospective cohort study. REGRANEX® Gel should only be used when the benefits can be expected to outweigh the risks. REGRANEX® Gel should be used with caution in patients with
Indication and limitations of use
(becaplermin) Gel is indicated for the treatment of lower extremity diabetic neuropathic ulcers that extend into
the subcutaneous tissue or beyond and have an adequate blood supply. REGRANEX®
Gel is indicated as an adjunct to, and
not a substitute for, good ulcer care practices including initial sharp debridement, pressure relief and infection control.
- The efficacy of REGRANEX® Gel has not been established for the treatment of pressure ulcers and venous stasis ulcers
and has not been evaluated for the treatment of diabetic neuropathic ulcers that do not extend through the dermis into
subcutaneous tissue (Stage I or II, IAET staging classification) or ischemic diabetic ulcers.
- The effects of REGRANEX® Gel on exposed joints, tendons, ligaments, and bone have not been established in humans.
- REGRANEX® Gel is a non-sterile, low bioburden preserved product. Therefore, it should not be used in wounds that close
by primary intention.
Gel is contraindicated in patients with known neoplasm(s) at the site(s) of application. REGRANEX®
Gel is contraindicated in patients with known hypersensitivity to any component of the product (e.g., parabens).
Warnings and precautions
Malignancies distant from the site of application have been reported in both a clinical study and in postmarketing use.
Gel should be used with caution in patients with a known malignancy.
If application site reactions occur, the possibility of sensitization or irritation caused by parabens or m-cresol should be
Commonly observed adverse reactions
In clinical trials, erythematous rashes occurred in 2% of patients treated with REGRANEX®
Gel (and good ulcer care) or
placebo (and good ulcer care), and none in patients receiving good ulcer care alone.
See warnings above regarding malignancy.
Burning sensation at the site of application and erythema have been reported during post-approval use of REGRANEX® Gel.
Other important information
The amount of REGRANEX®
Gel to be applied should be recalculated by the physician or wound caregiver at weekly or
biweekly intervals depending upon the rate of change in ulcer area.
If the ulcer does not decrease in size by approximately 30% after 10 weeks of treatment or complete healing has not
occurred in 20 weeks, continued treatment with REGRANEX® Gel should be reassessed.
Pregnancy & Nursing Mothers: Pregnancy Category C. REGRANEX® Gel should be used during pregnancy only if the
potential benefit justifies the potential risk to the fetus. It is not known whether becaplermin is excreted in human milk.
Because many drugs are secreted in human milk, caution should be exercised when REGRANEX® Gel is administered to
Safety and effectiveness of REGRANEX® Gel in pediatric patients below the age of 16 years have not been established.
Counsel patients to review the Medication Guide and to discuss any questions or concerns with their healthcare provider
before starting REGRANEX® Gel and at regular intervals during treatment, including when their prescription is refilled.
To report suspected adverse reactions, contact Smith & Nephew at 1-800-441-8227 or contact FDA at
www.fda.gov/medwatch or at 1-800-FDA-1088.
Please see accompanying full Prescribing Information and Medication Guide.