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37-residue chain

LL-37

Human cathelicidin antimicrobial peptide; tested only as a topical for leg ulcers, where it did not beat placebo overall

50MCG
Dose
10U
Draw
28D
Cycle

LL-37 is the human cathelicidin antimicrobial peptide. The only human trial found is topical use on hard-to-heal venous leg ulcers: a phase IIb trial of 148 patients found no significant healing benefit in the full population, with a post hoc hint in large ulcers (at least 10 cm2) needing confirmation. Injected use has no human trial found.

PTSEALEDLL-371 MGLYOPHILIZED

Protocols

  • Immune support (unproven for injection)recommended

    Community practice, not from a label or trial: bottom of the 50-100 mcg daily range. No injected-use trial.

Dosing

  • Community practice, not from a label or trial: 50 to 100 mcg daily by subcutaneous injection, for 4 to 8 weeks (Dr Pat Taylor page; its own research score is 5/10, "limited clinical data").
  • Trial dose (topical, not injected): 0.5 or 1.6 mg/mL applied twice weekly for 13 weeks after a 3-week placebo run-in, with compression (PubMed 34687253).

Route & timing

Route: Subcutaneous (community figure); topical in the trial.

Timing: No reliable figure found in the sources; ask your prescriber or supplier.

Reconstitution

  • Placeholder 1 mg vial plus 2 mL gives 500 mcg/mL, so 50 mcg is 10 units. This is arithmetic, not a sourced instruction.

Reconstitution calculator

Concentration
500 mcg/mL
Per unit
5 mcg
Draw
10 units
Volume
0.1 mL
Doses per vial
20
Vials for cycle (28 doses), pooled
2
Vials, discard remainder
2
concentration = 1000 / 2 = 500 mcg/mL
per unit = 500 / 100 = 5 mcg
units = 50 / 5 = 10
mL = 10 / 100 = 0.1
doses per vial = 1000 / 50 = 20
pooled vials = ceil(50 x 28 / 1000) = 2
discard vials = ceil(28 / floor(20)) = 2

Stability

No reliable figure found in the sources; ask your prescriber or supplier.

Off-cycle

4 to 8 weeks, or as directed for acute conditions (community page); rest length not stated.

Why:

  • The source gives no rest period.

Stacking rules

  • Never draw into the same syringe as another compound; use separate syringes and distinct injection sites.

Safety

Not an FDA-approved drug. FDA removed it from Category 2 on April 15 2026 (nominations withdrawn), which does not make it compoundable; it was not in the July 2026 committee votes and is slated for review by February 2027. Check current status.

Common side effects:

  • Topical trial: well tolerated and safe at both strengths (PubMed 34687253); this does not cover injection.
  • Community page lists injection-site irritation, mild local inflammation, infrequent headache and possible mast cell activation in sensitive people.
  • Same page lists pregnancy or breastfeeding, active autoimmune skin conditions such as psoriasis or rosacea, mast cell activation disorder, and immunosuppressive therapy as cautions.

Stop and call your prescriber if:

  • Hives, flushing or trouble breathing
  • Spreading redness, swelling or fever at an injection site
  • A flare of an existing skin or autoimmune condition

Markers to track

No reliable source names a biomarker for this compound.

Sources

LL-37