Immunity and inflammation
Conceptual educational illustration of LL-37 in a glass vial, labelled MOLECULE PROFILE.

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MOLECULE PROFILE

LL-37

Peptide or peptide-related

Host-defense peptide with complex antimicrobial and immunomodulatory activity. Laboratory antimicrobial activity alone does not show that it treats systemic infection.

Sources checked · October 16, 2026

Published for review · Scientific, medical, translation and citation review pending. Reported uses are not authorized indications. Frequency reflects mentions in supplied sources, not sales or global clinical prevalence.

Identity and synonyms

Identity follows the supplied name and synonyms; no additional identity description is supplied.

Synonyms: Cathelicidin LL-37 · CAP-18 fragment

Peptide or peptide-related · Peptide or peptide derivative

Detailed molecular class: Antimicrobial peptide

Supplied sequence or chemical reference

See identity note; no supplier sequence accepted as verification.

Mechanism

Membrane and host-defense effects depend on concentration and tissue.

Evidence and critical reading

Reported scientific and empirical uses

Immune modulation and inflammation · Skin, hair and cosmetics

Topical ulcer research and systemic handbook uses exist. Each claim needs its diagnosis, route, concomitant treatment and evidence.

Human evidence

HEAL phase IIb, 148 patients: no significant overall venous-ulcer healing benefit; a large-wound subgroup was post hoc.

Preclinical evidence

Antimicrobial activity does not establish systemic anti-biofilm treatment; context-dependent harmful effects exist.

Critical reading and limitations

HEAL LL-37 included 148 patients and did not demonstrate better overall healing than placebo. The post hoc large-ulcer subgroup generates a hypothesis rather than making the overall trial positive. The handbook subcutaneous regimen is not the tested topical intervention.

Evidence applies to the exact molecule, formulation, route, population and endpoint studied. Supplier identity, purity and clinical equivalence are unverified.

Source-specific regimens

Descriptive source observations, not individual recommendations.

Regulatory product labeling

Listed regimens preserve source/context. An empty layer means no regimen attributable to this identity was verified in this review; it does not prove universal absence of data.

Human-study exposure

Listed regimens preserve source/context. An empty layer means no regimen attributable to this identity was verified in this review; it does not prove universal absence of data.

Empirical handbook

NOT A RECOMMENDATION.Each amount is attributed to the source identified for that entry: regulatory product labeling, human research, or community and practice sources. These source categories have different evidentiary roles. They are not medical advice, not a protocol, not a recommended or safe dose, and not evidence that it works. Do not use them to start, change or stop any treatment. Talk to a qualified healthcare professional.

Reported by Peptide Handbook — James B. LaValle, Gordon Crozier, Joseph P. Cleaver and Andrew Heyman

200 mcg · Total daily amount

Frequency
Daily
Duration
6–8 weeks, per source
Route
Subcutaneous
Context
Systemic handbook use; not equivalent to the topical ulcer trial.
Presentation
2,000 mcg/mL; 5-mL vial, per source.
Interpretation
Does not validate efficacy or safety of this regimen; attributed to the handbook.

manual01 · Page 74 · October 16, 2026

NOT A RECOMMENDATION.Each amount is attributed to the source identified for that entry: regulatory product labeling, human research, or community and practice sources. These source categories have different evidentiary roles. They are not medical advice, not a protocol, not a recommended or safe dose, and not evidence that it works. Do not use them to start, change or stop any treatment. Talk to a qualified healthcare professional.

Regulation and safety

Jurisdiction-specific regulatory context

Jurisdiction-specific approval not verified in this card; do not infer global nonapproval.

Adverse effects and unknowns

Topical tolerability cannot establish systemic safety. FDA notes insufficient safety information and nonclinical reproductive/protumor concerns.

Contraindications

See supported safety statements and exact product label; a complete contraindication set has not been established for this catalog material.

A complete list must match the exact authorized product. For experimental materials without verified human labeling, a complete contraindication set is not established here. No list does not mean safety.

Interactions

Only explicitly cited interactions may be asserted; unstudied combinations remain unknown, not interaction-free.

Separate documented interaction, pharmacologic plausibility and unknown interaction. Absence of a blend trial does not establish compatibility.

Studies and trials

Selected studies

PMID34687253 · Randomized placebo-controlled phase IIb

Hard-to-heal venous ulcers.

Topical, alongside compression.

No significant overall healing benefit; post hoc signal in larger wounds.

Exploratory subgroup; does not validate systemic infection use.

n = 148

Trials attributed in the package

No trials are attributed in this record.

Trial registration does not establish efficacy or validate commercial material.

Query candidates; attribution pending

LL-37 · 20 unfiltered query results, not authenticated trials

Query verification: October 16, 2026

Exact phrase intervention query; first three most recently updated records, not exhaustive. Aliases may be missed and heterogeneous products may appear. The total is the unfiltered registry query count, not authenticated trials. Source-integrity holds are excluded from ordinary listings.

View trial registry query

NCT05054361 · Crosstalk Between Mucosal-Associated Invariant T (MAIT) Cells and the Gut Microbiota and Mucosa in the Development of Type 1 Diabetes in ChildrenRegistry status: RecruitingLast update posted: April 13, 2026Query verification: October 16, 2026

NCT07280754 · Evaluation of 25(OH)D3 and LL-37 Levels in Periimplant Sulcus FluidRegistry status: Not yet recruitingLast update posted: December 19, 2025Query verification: October 16, 2026

NCT06867250 · Peri-implant Vitamin D and Cathelicidin (LL-37) LevelsRegistry status: CompletedLast update posted: March 10, 2025Query verification: October 16, 2026

Source issues and references

References include queries and bibliographic handbook attributions; not all are clinical studies. Human review remains pending.

  1. PMID34687253

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

    Mahlapuu M, Sidorowicz A, Mikosinski J, Krzyżanowski M, Orleanski J, Twardowska-Saucha K, Nykaza A, Dyaczynski M, Belz-Lagoda B, Dziwiszek G, Kujawiak M, Karczewski M, Sjöberg F, Grzela T, Wegrzynowski A, Thunarf F, Björk J, Ekblom J, Jawien A, Apelqvist J.

    October 16, 2026

  2. R06

    FDA: current bulk-substance safety-risk page

  3. R15

    HEAL LL-37 phase IIb trial, 2021

  4. manual01

    Peptide Handbook — James B. LaValle, Gordon Crozier, Joseph P. Cleaver and Andrew Heyman

    James B. LaValle; Gordon Crozier; Joseph P. Cleaver; Andrew Heyman

    October 16, 2026

    Bibliographic attribution only. The supplied handbook is a secondary empirical practice source, not clinical verification. Private source files and supplier/download destinations are not provided here.

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