Educational reference

Peptide library

LL-37

Your guide to this compound.

Mechanism illustrationEnlarge
LL-37: Medical scientific diagram. Open full size to read labels; evidence and limitations appear in the profile.
Educational illustration · Read the evidence and limitations below.

Evidence in perspective

The phase IIb venous-ulcer study did not show overall benefit. The favorable larger-ulcer subgroup was post hoc, and compression care was part of treatment. Another topical ulcer setting cannot validate systemic injection.

About this assessment

Selected full-text methods/results or correction sections assessed.

This assessment covers selected sources and sections. It is not a systematic review, formal risk-of-bias score, or clinician sign-off.

Editorial assessment · 2026-09-07

Source 1 · pubmed.ncbi.nlm.nih.gov

Source 2 · pubmed.ncbi.nlm.nih.gov

Source 3 · www.fda.gov

Who was studied

Patients with hard-to-heal venous leg ulcers receiving topical LL-37 plus compression; separately, a topical-cream trial in mildly infected diabetic foot ulcers.

What the sources found

The phase IIb venous-ulcer trial found no significant overall healing benefit versus placebo. A favorable large-ulcer subgroup result was post hoc and needs confirmation.

Entire trial cohort versus exploratory post hoc subgroup.

Source · Abstract: efficacy analysis and conclusion

Regulatory scope

U.S.: FDA lists this substance among withdrawn compounding nominations with safety concerns; this does not establish approval.

What remains unknown

A separate diabetic-foot-ulcer study reported improved granulation but no significant reduction in the measured inflammatory markers or bacterial colonization. Different wounds and formulations cannot be pooled into a general treatment claim. Targeted source snapshot, not a full clinical review. Product stability, interactions and jurisdiction-specific authorization remain outstanding.

How it works

LL-37 is studied for local effects on wound repair and host defense. Biological antimicrobial activity alone does not demonstrate that a formulation treats an infection in patients.

LL-37 is studied for local effects on wound repair and host defense. Biological antimicrobial activity alone does not demonstrate that a formulation treats an infection in patients.

Human trials

This catalog identifies human research. A trial can be early, small or negative; its existence does not establish approval or benefit for every proposed use. Check the study population and outcomes.

Understanding the evidence

Reported adverse effects

  • FDA notes immunogenicity concerns and nonclinical reproductive and tumor-related signals; these are not quantified human risks.

Nonclinical signals do not establish human causality or incidence.

Source · Cathelicidin LL-37 row

Contraindications

  • A complete clinical contraindication and interaction profile has not been established in this review.

Human trials

This catalog identifies human research. A trial can be early, small or negative; its existence does not establish approval or benefit for every proposed use. Check the study population and outcomes.

Understanding the evidence

Sources used for this snapshot

Source 1 · pubmed.ncbi.nlm.nih.gov

Source 2 · pubmed.ncbi.nlm.nih.gov

Source 3 · www.fda.gov

Claim-by-claim evidence

Identity

LL-37 is a human cathelicidin peptide studied in immune biology and wound repair. Human trials have tested topical wound formulations; those trials do not validate injected LL-37 for infections.

Topical venous-ulcer trial; not systemic infection treatment.

Abstract: trial design

Benefits

The phase IIb venous-ulcer trial found no significant overall healing benefit versus placebo. A favorable large-ulcer subgroup result was post hoc and needs confirmation.

Entire trial cohort versus exploratory post hoc subgroup.

Abstract: efficacy analysis and conclusion

Findings

The phase IIb venous-ulcer trial found no significant overall healing benefit versus placebo. A favorable large-ulcer subgroup result was post hoc and needs confirmation.

Entire trial cohort versus exploratory post hoc subgroup.

Abstract: efficacy analysis and conclusion

Benefits

A diabetic-foot-ulcer cream trial reported better granulation measures, without significant improvement in bacterial colonization or the measured inflammatory markers.

Topical cream for mildly infected diabetic foot ulcers; distinct formulation and population.

Abstract: Results and Conclusions

Dose

The venous-ulcer trial evaluated topical solutions at 0.5 or 1.6 mg/mL with compression. Concentration is not an injected dose; this does not establish a subcutaneous regimen.

Investigational topical formulation plus compression; not a self-use regimen.

Abstract: trial arms

Adverseeffects

FDA notes immunogenicity concerns and nonclinical reproductive and tumor-related signals; these are not quantified human risks.

Nonclinical signals do not establish human causality or incidence.

Cathelicidin LL-37 row

References

  1. Evaluation of LL-37 in healing of hard-to-heal venous leg ulcers: A multicentric prospective randomized placebo-controlled clinical trial. 2021.

    PMID: 34687253

    Open

  2. Efficacy of LL-37 cream in enhancing healing of diabetic foot ulcer: a randomized double-blind controlled trial. 2023.

    PMID: 37480520

    Open

  3. FDA. Compounding substances with potential significant safety risks.

    Open

Catalog review date: Sep 7, 2026. This date alone does not establish independent clinical review.

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