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Heberprot-P: A Novel Product for Treating Advanced Diabetic Foot ...

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Special Article<br />

ments, generally only 15% to 20% healing in less than 20 weeks,<br />

and may be expensive and time consuming.[44] In ischemic<br />

patients, surgical revascularization is not suitable <strong>for</strong> all cases and<br />

Table 2: <strong>Heberprot</strong>-P registration year by country<br />

Country Registration Year<br />

Cuba 2006<br />

Algeria 2008<br />

Argentina 2009<br />

Uruguay 2009<br />

Dominican Republic 2009<br />

Venezuela 2010<br />

Ecuador 2010<br />

Mexico 2010<br />

Paraguay 2010<br />

Libya 2010<br />

Colombia 2011<br />

Guatemala 2011<br />

Georgia 2011<br />

Ukraine 2011<br />

Vietnam 2012<br />

Philippines 2012<br />

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Peer Reviewed<br />

some authors consider its effectiveness to be overestimated:[45]<br />

in any case, the regulatory process <strong>for</strong> surgical procedures does<br />

not require the same degree of clinical detail as demanded <strong>for</strong><br />

biological products. There remains a clear need <strong>for</strong> adequate<br />

comprehensive therapy to improve healing in severe wounds, <strong>for</strong><br />

which <strong>Heberprot</strong>-P has demonstrated clear benefi cial potential.<br />

In the USA, 8.3% of the population—25.8 million people—have<br />

DM,[46] and there<strong>for</strong>e an estimated 25% lifetime risk of developing<br />

a DFU.[47] The International Diabetes Federation predicts<br />

that the number of people with DM in the USA will be 36 million in<br />

2030, 12% population prevalence.[48]<br />

The estimated number of US DFU patients in 2010 was between<br />

3.9 and 4.6 million. Among these, 2.5 million patients had concomitant<br />

ischemia and hence were at greater risk of complications.[49]<br />

<strong>Heberprot</strong>-P would address the therapeutic needs of this population,<br />

as well as those at risk globally, especially patients with ischemic<br />

wounds that are the most diffi cult to heal.<br />

Further testing of <strong>Heberprot</strong>-P—a unique and fi rst-in-class<br />

therapy to treat the most complicated and recalcitrant chronic<br />

wounds with a high risk of amputation— would provide an<br />

opportunity to assess the product’s potential to address this<br />

vast unmet medical need in different populations and settings<br />

worldwide.<br />

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MEDICC Review, January 2013, Vol 15, No 1

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