Biomarker & Intervention Discovery

Chronic Venous Insufficiency / Venous Leg Ulcers

This page lists 10 druggable gene targets, 39 approved or trial-tested drug candidates and 15 recent clinical trials for Chronic Venous Insufficiency / Venous Leg Ulcers, with each agent ranked by the strength of its evidence (clinical, mechanistic or correlative). Candidates include existing drugs that could be repurposed. Sources are linked so you can check every claim.

Spontaneous remissionVenous leg ulcers: spontaneous healing in 20-30% at 6 months without compression; recurrence in 70% within 1 year even…
Best-intervention remissionCompression therapy (graduated 40 mmHg): 70-80% healing at 24 weeks; venous ablation (EVLA, RFA) of incompetent veins…
Gap sizeLarge — venous ablation is significantly underused; compression adherence is the primary barrier in healed ulcers
Primary barrierpractice/access
Full remission profile →

Remission & chronicity

Spontaneous remission
Venous leg ulcers: spontaneous healing in 20-30% at 6 months without compression; recurrence in 70% within 1 year even after healing; CVI is progressive without intervention
Best-intervention remission
Compression therapy (graduated 40 mmHg): 70-80% healing at 24 weeks; venous ablation (EVLA, RFA) of incompetent veins + compression: 57% ulcer healing at 6 months vs 36% compression alone (VenUS IV); early intervention (within 6 months of ulcer onset) dramatically improves outcomes
Gap size
Large — venous ablation is significantly underused; compression adherence is the primary barrier in healed ulcers
Primary barrier
practice/access
The Early Venous Reflux Ablation (EVRA) trial showed early ablation superior to compression-first strategy but most patients still wait 6+ months; compression stocking adherence is extremely poor without adequate education; many patients receive only wound dressings without compression or vascular assessment

Biomarker Targets & Therapeutic Agents

Gene targets queried against DGIdb, Open Targets, ChEMBL, PubMed, and Europe PMC. Agents ranked: Clinical > Mechanistic > Correlative.

ICAM1 173IL6 181MMP1 221MMP2 236MMP9 220PDGFB 5SELE 194TGFB1 62TNF 287VEGFA 207
Therapeutic Agent Effect Direction Evidence Tier Potency Source
BI-505 ↓ inhibits Mechanistic
LIFITEGRAST ? unclear Mechanistic 2.98 nM (IC50)
ENLIMOMAB ↓ inhibits Mechanistic
HYALURONIC ACID ? unclear Mechanistic
ENLIMOMAB PEGOL ↓ inhibits Mechanistic
ALICAFORSEN ? unclear Mechanistic
CHEMBL118299 ↓ inhibits Mechanistic 40.0 nM (IC50)
CHEMBL116958 ↓ inhibits Mechanistic 600.0 nM (IC50)
CHEMBL325893 ↓ inhibits Mechanistic 770.0 nM (IC50)
CHEMBL323832 ↓ inhibits Mechanistic 680.0 nM (IC50)
CHEMBL117093 ↓ inhibits Mechanistic 79.0 nM (IC50)
CHEMBL117894 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL119711 ↓ inhibits Mechanistic 670.0 nM (IC50)
CHEMBL119335 ↓ inhibits Mechanistic 3.8 nM (IC50)
CHEMBL267678 ↓ inhibits Mechanistic 25.0 nM (IC50)
CHEMBL116089 ↓ inhibits Mechanistic 13.0 nM (IC50)
CHEMBL117198 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL116363 ↓ inhibits Mechanistic 59.0 nM (IC50)
CHEMBL116454 ↓ inhibits Mechanistic 22.0 nM (IC50)
CHEMBL326771 ↓ inhibits Mechanistic 17.0 nM (IC50)
CHEMBL115966 ↓ inhibits Mechanistic 31.0 nM (IC50)
CHEMBL117746 ↓ inhibits Mechanistic 4.0 nM (IC50)
CHEMBL118034 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL118113 ↓ inhibits Mechanistic 1.4 nM (IC50)
CHEMBL119732 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL325033 ↓ inhibits Mechanistic 53.0 nM (IC50)
CHEMBL117367 ↓ inhibits Mechanistic 830.0 nM (IC50)
CHEMBL115971 ↓ inhibits Mechanistic 18.0 nM (IC50)
CHEMBL119861 ↓ inhibits Mechanistic 490.0 nM (IC50)
CHEMBL118074 ↓ inhibits Mechanistic 17.0 nM (IC50)
CHEMBL115534 ↓ inhibits Mechanistic 760.0 nM (IC50)
CHEMBL325184 ↓ inhibits Mechanistic 6.0 nM (IC50)
CHEMBL115742 ↓ inhibits Mechanistic 160.0 nM (IC50)
CHEMBL118300 ↓ inhibits Mechanistic 53.0 nM (IC50)
CHEMBL331055 ↓ inhibits Mechanistic 360.0 nM (IC50)
CHEMBL118358 ↓ inhibits Mechanistic 580.0 nM (IC50)
CHEMBL119733 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL117292 ↓ inhibits Mechanistic 120.0 nM (IC50)
CHEMBL115637 ↓ inhibits Mechanistic 25.0 nM (IC50)
CHEMBL115432 ↓ inhibits Mechanistic 580.0 nM (IC50)

Showing top 40 of 173 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
CLAZAKIZUMAB ↓ inhibits Mechanistic
MIDOSTAURIN ? unclear Mechanistic
ECHINACEA EXTRACT ? unclear Mechanistic
NELFINAVIR ? unclear Mechanistic
SELECTIVE ESTROGEN RECEPTOR MODULATOR ? unclear Mechanistic
SIGNAL TRANSDUCTION INHIBITOR ? unclear Mechanistic
OLOKIZUMAB ? unclear Mechanistic
IBUDILAST ? unclear Mechanistic
VITAMIN A PALMITATE ? unclear Mechanistic
IFOSFAMIDE ? unclear Mechanistic
SITAGLIPTIN ? unclear Mechanistic
METRONIDAZOLE ? unclear Mechanistic
PEGINTERFERON ALFA-2A ? unclear Mechanistic
PACIBEKITUG ↓ inhibits Mechanistic
PEGINTERFERON ALFA-2B ? unclear Mechanistic
SIRUKUMAB ↓ inhibits Mechanistic
HMG-COA REDUCTASE INHIBITOR ? unclear Mechanistic
SAFINGOL ? unclear Mechanistic
ENZYME INHIBITOR ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
GALLIUM NITRATE ? unclear Mechanistic
RITUXIMAB ? unclear Mechanistic
INFLIXIMAB ? unclear Mechanistic
C326 ? unclear Mechanistic
GEMFIBROZIL ? unclear Mechanistic
ZILTIVEKIMAB ? unclear Mechanistic
INSULIN, REGULAR, HUMAN ? unclear Mechanistic
OSIMERTINIB ? unclear Mechanistic
BINETRAKIN ? unclear Mechanistic
ALOGLIPTIN ? unclear Mechanistic
TENELIGLIPTIN ? unclear Mechanistic
CHINESE HERBS ? unclear Mechanistic
TOCILIZUMAB ? unclear Mechanistic
LINAGLIPTIN ? unclear Mechanistic
DOCETAXEL ANHYDROUS ? unclear Mechanistic
VILDAGLIPTIN ? unclear Mechanistic
LINEZOLID ? unclear Mechanistic
SELENIUM ? unclear Mechanistic
SAQUINAVIR ? unclear Mechanistic
PAREGORIC ? unclear Mechanistic

Showing top 40 of 181 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
COBALT ? unclear Mechanistic
DOXYCYCLINE HYCLATE ↓ inhibits Mechanistic
COLLAGENASE CLOSTRIDIUM HISTOLYTICUM ? unclear Mechanistic
TRIAMCINOLONE ? unclear Mechanistic
CGS-27023A ↓ inhibits Mechanistic 15.0 nM (IC50)
MEDROXYPROGESTERONE ACETATE ? unclear Mechanistic
LEFLUNOMIDE ? unclear Mechanistic
HYDROCORTISONE BUTYRATE ? unclear Mechanistic
SACITUZUMAB GOVITECAN ? unclear Mechanistic
DOXYCYCLINE MONOHYDRATE ↓ inhibits Mechanistic
ILOMASTAT ↓ inhibits Mechanistic
BATIMASTAT ↓ inhibits Mechanistic
INTERFERON-BETA ? unclear Mechanistic
DOXYCYCLINE CALCIUM ↓ inhibits Mechanistic
SIROLIMUS ? unclear Mechanistic
IMMUNOSUPPRESSANT ? unclear Mechanistic
MARIMASTAT ↓ inhibits Mechanistic 1.5 nM (IC50)
CIPEMASTAT ↓ inhibits Mechanistic 7000.0 nM (Ki)
REBIMASTAT ↓ inhibits Mechanistic
THERAPEUTIC GLUCOCORTICOID ? unclear Mechanistic
LEUPROLIDE ACETATE ? unclear Mechanistic
APRATASTAT ↓ inhibits Mechanistic
ALPHA-TOCOPHEROL ? unclear Mechanistic
RIBAVIRIN ? unclear Mechanistic
TYROSINE KINASE INHIBITOR ? unclear Mechanistic
PENTOSAN POLYSULPHATE SODIUM ? unclear Mechanistic
LAMIVUDINE ? unclear Mechanistic
CHEMBL169084 ↓ inhibits Mechanistic 13.0 nM (Ki)
CHEMBL313483 ↓ inhibits Mechanistic 2270.0 nM (Ki)
CHEMBL87113 ↓ inhibits Mechanistic 80.0 nM (Ki)
CHEMBL151539 ↓ inhibits Mechanistic 13.0 nM (IC50)
CHEMBL435271 ↓ inhibits Mechanistic 85.0 nM (Ki)
CHEMBL85806 ↓ inhibits Mechanistic 920.0 nM (Ki)
CHEMBL151718 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL357728 ↓ inhibits Mechanistic 26.0 nM (IC50)
CHEMBL348210 ↓ inhibits Mechanistic 255.0 nM (IC50)
CHEMBL80814 ↓ inhibits Mechanistic 662.0 nM (IC50)
CHEMBL86797 ↓ inhibits Mechanistic 1300.0 nM (Ki)
CHEMBL87229 ↓ inhibits Mechanistic 1450.0 nM (Ki)
CHEMBL85987 ↓ inhibits Mechanistic 16.0 nM (Ki)

Showing top 40 of 221 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PRINOMASTAT ? unclear Mechanistic 0.5 nM (IC50)
CYCLOSPORINE ? unclear Mechanistic
MECHLORETHAMINE HYDROCHLORIDE ? unclear Mechanistic
ZILEUTON ? unclear Mechanistic
BEVACIZUMAB ? unclear Mechanistic
MARIMASTAT ↓ inhibits Mechanistic 2.0 nM (IC50)
OBOVATAL ? unclear Mechanistic
RESVERATROL ? unclear Mechanistic
CGS-27023A ↓ inhibits Mechanistic 15.0 nM (IC50)
TST10088 ? unclear Mechanistic
CTS-1027 ↓ inhibits Mechanistic
SELECTIVE ESTROGEN RECEPTOR MODULATOR ? unclear Mechanistic
INCYCLINIDE ? unclear Mechanistic
REBIMASTAT ↓ inhibits Mechanistic
ARP100 ↓ inhibits Mechanistic
TANOMASTAT ↓ inhibits Mechanistic
S-3304 ? unclear Mechanistic
PAMIDRONATE ? unclear Mechanistic
LETROZOLE ? unclear Mechanistic
LENOGRASTIM ? unclear Mechanistic
NEOVASTAT ↓ inhibits Mechanistic
HEPARAN SULFATE ? unclear Mechanistic
(R)-ND-336 ↓ inhibits Mechanistic
DEFEROXAMINE ? unclear Mechanistic
PERFOSFAMIDE ? unclear Mechanistic
RETINOIC ACID AGENT ? unclear Mechanistic
SIMVASTATIN ? unclear Mechanistic
SHARK CARTILAGE EXTRACT AE-941 ? unclear Mechanistic
CHLORHEXIDINE GLUCONATE ? unclear Mechanistic
PACLITAXEL PROTEIN-BOUND ? unclear Mechanistic
DEMETHYLWEDELOLACTONE ? unclear Mechanistic
ZOLEDRONIC ACID ANHYDROUS ? unclear Mechanistic
RECOMBINANT INTERLEUKIN-2 ? unclear Mechanistic
EPIGALLOCATECHIN GALLATE ? unclear Mechanistic
STREPTOZOCIN ? unclear Mechanistic
TP0556351 ↓ inhibits Mechanistic
PRAVASTATIN SODIUM ? unclear Mechanistic
TILUDRONIC ACID ↓ inhibits Mechanistic
ULINASTATIN ? unclear Mechanistic
SB-3CT ↓ inhibits Mechanistic

Showing top 40 of 236 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
MARIMASTAT ↓ inhibits Mechanistic 1.5 nM (IC50)
TOZULERISTIDE ? unclear Mechanistic
CTS-1027 ↓ inhibits Mechanistic 3.0 nM (IC50)
SHARK CARTILAGE EXTRACT AE-941 ? unclear Mechanistic
ILOMASTAT ↓ inhibits Mechanistic
CURCUMIN PYRAZOLE ? unclear Mechanistic
HYDRALAZINE ? unclear Mechanistic
SL422 ↓ inhibits Mechanistic
BEVACIZUMAB ? unclear Mechanistic
METHYLDOPA ANHYDROUS ? unclear Mechanistic
TST10088 ? unclear Mechanistic
ANDECALIXIMAB ? unclear Mechanistic
SB-3CT ↓ inhibits Mechanistic
COMPOUND 29E [PMID: 23631440] ↓ inhibits Mechanistic
NIFEDIPINE ? unclear Mechanistic
ANTIHYPERTENSIVE AGENT ? unclear Mechanistic
S-3304 ? unclear Mechanistic 23.0 nM (IC50)
AZD-1236 ↓ inhibits Mechanistic
INCYCLINIDE ? unclear Mechanistic
CARBOXYLATED GLUCOSAMINE ? unclear Mechanistic
TP0556351 ↓ inhibits Mechanistic
CELECOXIB ? unclear Mechanistic
ULINASTATIN ? unclear Mechanistic
COMPOUND 1A [PMID: 15055993] ↓ inhibits Mechanistic
AZD6605 ↓ inhibits Mechanistic
AZD1236 ↓ inhibits Mechanistic
CGS-27023A ↓ inhibits Mechanistic 9.0 nM (IC50)
CURCUMIN ? unclear Mechanistic
(R)-ND-336 ↓ inhibits Mechanistic
NEOVASTAT ↓ inhibits Mechanistic
REBIMASTAT ↓ inhibits Mechanistic
PRINOMASTAT ? unclear Mechanistic 0.2 nM (IC50)
DP-B99 ? unclear Mechanistic
DEMETHYLWEDELOLACTONE ? unclear Mechanistic
CHEMBL435271 ↓ inhibits Mechanistic 5.0 nM (Ki)
CHEMBL80814 ↓ inhibits Mechanistic 34.0 nM (IC50)
CHEMBL276119 ↓ inhibits Mechanistic 9.0 nM (IC50)
CHEMBL78934 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL78369 ↓ inhibits Mechanistic 3.0 nM (IC50)
CHEMBL167278 ↓ inhibits Mechanistic 2.0 nM (Ki)

Showing top 40 of 220 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
PEGPLERANIB SODIUM ↓ inhibits Mechanistic
IMATINIB ? unclear Mechanistic
AXITINIB ↓ inhibits Mechanistic
SUNITINIB ↓ inhibits Mechanistic
BECAPLERMIN ? unclear Mechanistic
Therapeutic Agent Effect Direction Evidence Tier Potency Source
CAPECITABINE ? unclear Mechanistic
OXALIPLATIN ? unclear Mechanistic
FLUOROURACIL ? unclear Mechanistic
GMI-1359 ? unclear Mechanistic
LEUCOVORIN CALCIUM ? unclear Mechanistic
CDP-850 ↓ inhibits Mechanistic
CY-1503 ? unclear Mechanistic
RIVIPANSEL ↓ inhibits Mechanistic 4300.0 nM (Kd)
SIALYL LEWIS X ? unclear Mechanistic
UPROLESELAN ↓ inhibits Mechanistic
BIMOSIAMOSE ↓ inhibits Mechanistic
CHEMBL118299 ↓ inhibits Mechanistic 21.0 nM (IC50)
CHEMBL116958 ↓ inhibits Mechanistic 680.0 nM (IC50)
CHEMBL325893 ↓ inhibits Mechanistic 800.0 nM (IC50)
CHEMBL323832 ↓ inhibits Mechanistic 630.0 nM (IC50)
CHEMBL117093 ↓ inhibits Mechanistic 35.0 nM (IC50)
CHEMBL117894 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL119711 ↓ inhibits Mechanistic 600.0 nM (IC50)
CHEMBL119335 ↓ inhibits Mechanistic 2.8 nM (IC50)
CHEMBL267678 ↓ inhibits Mechanistic 20.0 nM (IC50)
CHEMBL116089 ↓ inhibits Mechanistic 19.0 nM (IC50)
CHEMBL117198 ↓ inhibits Mechanistic 3.0 nM (IC50)
CHEMBL116363 ↓ inhibits Mechanistic 13.0 nM (IC50)
CHEMBL116454 ↓ inhibits Mechanistic 28.0 nM (IC50)
CHEMBL326771 ↓ inhibits Mechanistic 13.0 nM (IC50)
CHEMBL115966 ↓ inhibits Mechanistic 25.0 nM (IC50)
CHEMBL117746 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL118034 ↓ inhibits Mechanistic 5.0 nM (IC50)
CHEMBL118113 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL119732 ↓ inhibits Mechanistic 30.0 nM (IC50)
CHEMBL325033 ↓ inhibits Mechanistic 43.0 nM (IC50)
CHEMBL117367 ↓ inhibits Mechanistic 870.0 nM (IC50)
CHEMBL115971 ↓ inhibits Mechanistic 18.0 nM (IC50)
CHEMBL119861 ↓ inhibits Mechanistic 520.0 nM (IC50)
CHEMBL118074 ↓ inhibits Mechanistic 8.0 nM (IC50)
CHEMBL115534 ↓ inhibits Mechanistic 870.0 nM (IC50)
CHEMBL325184 ↓ inhibits Mechanistic 2.0 nM (IC50)
CHEMBL115742 ↓ inhibits Mechanistic 100.0 nM (IC50)
CHEMBL118300 ↓ inhibits Mechanistic 60.0 nM (IC50)
CHEMBL331055 ↓ inhibits Mechanistic 150.0 nM (IC50)

Showing top 40 of 194 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
LY-2382770 ↓ inhibits Mechanistic
ETOPOSIDE ? unclear Mechanistic
BROXURIDINE ? unclear Mechanistic
INOSITOL ? unclear Mechanistic
D-ALPHA-TOCOPHEROL ? unclear Mechanistic
STREPTOZOCIN ? unclear Mechanistic
PROTEASOME INHIBITOR ? unclear Mechanistic
FRESOLIMUMAB ↓ inhibits Mechanistic
THERAPEUTIC ANDROGEN ? unclear Mechanistic
GALUNISERTIB ? unclear Mechanistic
TOREMIFENE ? unclear Mechanistic
TRETINOIN ? unclear Mechanistic
BINTRAFUSP ALFA ~ modulates Mechanistic
PIRFENIDONE ? unclear Mechanistic
DOXORUBICIN HYDROCHLORIDE ? unclear Mechanistic
GOSSYPOL ? unclear Mechanistic
EMODIN ? unclear Mechanistic
IDOXURIDINE ? unclear Mechanistic
HYDROCORTISONE BUTYRATE ? unclear Mechanistic
CLADRIBINE ? unclear Mechanistic
TG-C ? unclear Mechanistic
ASPIRIN ? unclear Mechanistic
DISITERTIDE ? unclear Mechanistic
RAMIPRIL ? unclear Mechanistic
ANTISENSE OLIGONUCLEOTIDES ? unclear Mechanistic
HEPARAN SULFATE ? unclear Mechanistic
TRIAMCINOLONE ? unclear Mechanistic
ESTRADIOL VALERATE ? unclear Mechanistic
AMIFOSTINE ANHYDROUS ? unclear Mechanistic
KEYHOLE LIMPET HEMOCYANIN ? unclear Mechanistic
LUSPATERCEPT ↓ inhibits Mechanistic
ATENOLOL ? unclear Mechanistic
GALLIUM NITRATE ? unclear Mechanistic
ANTIOXIDANT ? unclear Mechanistic
FENRETINIDE ? unclear Mechanistic
GENISTEIN ? unclear Mechanistic
RETINOIC ACID AGENT ? unclear Mechanistic
OCTREOTIDE ACETATE ? unclear Mechanistic
THERAPEUTIC MELATONIN ? unclear Mechanistic
TCDD ? unclear Mechanistic

Showing top 40 of 62 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
DICLOFENAC SODIUM ? unclear Mechanistic
RDP58 ? unclear Mechanistic
METHYLENE BLUE ? unclear Mechanistic
ORTATAXEL ? unclear Mechanistic
CERTOLIZUMAB PEGOL ↓ inhibits Mechanistic
OZORALIZUMAB ↓ inhibits Mechanistic
THALIDOMIDE ? unclear Mechanistic
HUANG LIAN ? unclear Mechanistic
GOLIMUMAB ↓ inhibits Mechanistic
CYCLOSPORINE ? unclear Mechanistic
DOCETAXEL ANHYDROUS ? unclear Mechanistic
HALOFUGINONE ? unclear Mechanistic
ETANERCEPT ↓ inhibits Mechanistic
ISIS 104838 ? unclear Mechanistic
GEMCITABINE ? unclear Mechanistic
INDOMETHACIN ? unclear Mechanistic
INSULIN, REGULAR, HUMAN ? unclear Mechanistic
DIDANOSINE ? unclear Mechanistic
5,7-DIHYDROXY-4-METHYLCOUMARIN ? unclear Mechanistic
SOBLIDOTIN ? unclear Mechanistic
STAVUDINE ? unclear Mechanistic
CISPLATIN ? unclear Mechanistic
MEROPENEM ANHYDROUS ? unclear Mechanistic
AMPHOTERICIN B LIPOSOMAL ? unclear Mechanistic
MIDAZOLAM HYDROCHLORIDE ? unclear Mechanistic
RIFAMPIN ? unclear Mechanistic
AVX-470 ? unclear Mechanistic
KETOROLAC TROMETHAMINE ? unclear Mechanistic
PRAZOSIN HYDROCHLORIDE ? unclear Mechanistic
RISPERIDONE ? unclear Mechanistic
BENZO[E]PYRENE ? unclear Mechanistic
ETHAMBUTOL HYDROCHLORIDE ? unclear Mechanistic
REMTOLUMAB ↓ inhibits Mechanistic
SPIRONOLACTONE ? unclear Mechanistic
OMEPRAZOLE ? unclear Mechanistic
CARBOPLATIN ? unclear Mechanistic
MITOMYCIN C ANALOG KW-2149 ? unclear Mechanistic
NAFAMOSTAT ? unclear Mechanistic
ABBV-3373 ~ modulates Mechanistic
BACILLUS CALMETTE-GUERIN ANTIGEN ? unclear Mechanistic

Showing top 40 of 287 agents ranked by evidence tier.

Therapeutic Agent Effect Direction Evidence Tier Potency Source
BEVASIRANIB ? unclear Mechanistic
RANIBIZUMAB ↓ inhibits Mechanistic
CP-547632 ? unclear Mechanistic
EW-A-401 ? unclear Mechanistic
BEVACIZUMAB 111IN ~ modulates Mechanistic
FENOFIBRATE MICRONIZED ? unclear Mechanistic
PEGAPTANIB ↓ inhibits Mechanistic
DEXAMETHASONE ? unclear Mechanistic
SQUALAMINE ? unclear Mechanistic
AFLIBERCEPT ↓ inhibits Mechanistic
PAZOPANIB ? unclear Mechanistic
BEVACIZUMAB GAMMA ~ modulates Mechanistic
CILOSTAZOL ? unclear Mechanistic
ADALIMUMAB ? unclear Mechanistic
MUPARFOSTAT ↓ inhibits Mechanistic
SILDENAFIL ? unclear Mechanistic
PENTOSAN POLYSULFATE ? unclear Mechanistic
THALIDOMIDE ? unclear Mechanistic
RISUTEGANIB ? unclear Mechanistic
SELECTIVE CYTOKINE INHIBITORY DRUG CC-1088 ? unclear Mechanistic
PHENETHYL ISOTHIOCYANATE ? unclear Mechanistic
EMVODODSTAT ? unclear Mechanistic
CARFILZOMIB ? unclear Mechanistic
FARICIMAB ↓ inhibits Mechanistic
ALBUTEROL SULFATE ? unclear Mechanistic
LENALIDOMIDE ↓ inhibits Mechanistic
SUNITINIB ? unclear Mechanistic
SHARK CARTILAGE EXTRACT AE-941 ? unclear Mechanistic
NM-3 ? unclear Mechanistic
DILPACIMAB ? unclear Mechanistic
PEMETREXED DISODIUM ? unclear Mechanistic
BI-836880 ? unclear Mechanistic
BROLUCIZUMAB ↓ inhibits Mechanistic
DOMATINOSTAT ? unclear Mechanistic
ANTHRACYCLINE ANTINEOPLASTIC ANTIBIOTIC ? unclear Mechanistic
VEGF/HGF-TARGETING DARPIN MP0250 ? unclear Mechanistic
WARFARIN ? unclear Mechanistic
CELECOXIB ? unclear Mechanistic
NAVICIXIZUMAB ? unclear Mechanistic
VEGLIN ? unclear Mechanistic

Showing top 40 of 207 agents ranked by evidence tier.


Clinical Trials

Drug, biologic and supplement trials (treatment or prevention) from ClinicalTrials.gov whose main condition is Chronic Venous Insufficiency / Venous Leg Ulcers: recruiting, active or completed, most recently updated first. Data retrieved 2026-10-28.

NCT03784131 Phase: 1 Started: 2021-12-15

This study aims to evaluate the safety (incidence of adverse events including serious adverse events and clinical significant laboratory abnormalities) of personalized tissue engineered veins (P-TEV) with valves implanted in patients with severe chronic venous insufficiency (CVI). For each patient a...

NCT03154619 Phase: 2 Started: 2016-11

The safety and efficacy of beta glucan products, and specifically TR 987, in the treatment of chronic venous insufficiency ulcers has been established. This study is designed to determine the most efficient method of treatment.

NCT06579482 Phase: 4 Started: 2024-11-06

To demonstrate the clinical non-inferiority of efficacy between Aesculus hippocastanum, Polygonum acre, Smilax Pepyracea, Rutin and Diosmin 450mg and Hesperidin 50mg tablets in the improvement of lower limb symptoms assessed by means of a 100mm visual scale (VAS) over 3 months among adult patients p...

NCT03471910 Phase: 4 Started: 2017-06-20

Clinical non-inferiority study between Diosmin 600 mg tablets and Diosmin 900 mg + Hesperidin 100 mg tablets in symptomatic chronic venous insufficiency after 6 months of treatment. Prospective, single-blind, randomized study in parallel groups (total patient population 120, 60 subjects per treatmen...

NCT06568627 Phase: 3 Started: 2025-06-01

The main objective of this study is: To assess the efficacy and safety of EscharEx (EX-03 5% formulation) compared to placebo control,in debridement and wound bed preparation of Venous Leg Ulcers (VLU).

NCT05549609 Phase: 1/2 Started: 2022-10-26

The aim of the study is to assess safety, tolerability and preliminary efficacy of XSTEM-VLU when administered as a single topical dose to patients with difficult-to-heal venous leg ulcers. The study is randomised and the patients will receive either XSTEM-VLU or vehicle as add on to standard wound ...

NCT03576989 Phase: N/A Started: 2019-04-15

The purpose of this study is to test the efficacy of an oral, nutrient intervention containing the bioactive components of fish oil to promote healing of chronic venous leg ulcers (CVLUs) by reducing the chronic inflammation at wound sites that prevents healing progression. If this systemic, nutrien...

NCT06489028 Phase: 3 Started: 2024-12-26

The aim of this clinical trial is to investigate the efficacy and safety of allo-APZ2-CVU, administered topically on therapy-resistant non-healing CVUs compared to placebo.

NCT05974982 Phase: 1 Started: 2022-09-01

The use of PRP has dramatically increased in the fields of orthopedics, spine surgery, reconstructive plastic surgery, oral and maxillofacial surgery, and dermatological indications. Nonetheless, its use in the treatment of wounds is not as widespread as in other fields. In this experimental study, ...

NCT04956900 Phase: 2 Started: 2021-08-09

This is an adaptive open-label, first-in-human (Phase IIa) study designed to assess the safety (and efficacy) of Aurase Wound Gel, an enzymatic debridement product, intended for topical application to sloughy venous leg ulcers (VLU)

NCT03588130 Phase: 2 Started: 2019-12-02

This study is a multicenter, prospective, randomized, placebo controlled, adaptive design study performed to assess the safety and the efficacy of 5% EscharEx (EX-02) compared to Gel Vehicle (placebo) and non-surgical standard of care (NSSOC), in debridement of Venous Leg Ulcers (VLU) (in a ratio of...

NCT04817228 Phase: 2 Started: 2021-04-21

This study will be a multicenter, prospective, open label, one-arm study intended to assess the clinical performance and safety of EX-02 in debridement of lower leg ulcers: Venous Leg Ulcers (VLU) and Diabetic Foot Ulcer (DFU). In addition, the pharmacology effect of EX-02 will be assessed. Lower le...

NCT03077165 Phase: 2 Started: 2017-09-12

Dose-response relationship study of S42909 on leg ulcer healing after oral repeated administration in patients with active venous leg ulcer.

NCT03818828 Phase: 2 Started: 2019-02-14

It is hypothesized that application at 4-week intervals of the human umbilical cord tissue TTAX01 to the surface of a well debrided, nonhealing venous leg ulcer (VLU) will result in a high proportion of wounds showing complete healing within 12 weeks of initiating therapy. This open label pilot stud...

NCT04310280 Phase: 3 Started: 2019-06-01

A randomized, split-plot, double-blind, placebo-controlled trial. The varicose ulcer is divided into two (side A and B). Half of the wound's surface is treated locally with insulin (Glargine) applied at an approx depth of 3-4 mm. Treatment with insulin is administered for 7 days. Biopsy specimens of...


Agents Found By Disease-Level Search

Searched directly from “Chronic Venous Insufficiency / Venous Leg Ulcers” via ClinicalTrials.gov interventions and Open Targets' disease→drug data — independent of the 10-gene target panel above. This surfaces agents whose mechanism doesn't route through a curated gene (combination therapies, standard-of-care drugs, targets outside the panel).

39 agents shown (approved or with trial evidence) — 38 not found by the gene-target search above.

ApixabanNOT in gene-target list

· 3 trials · source: ClinicalTrials.gov
NCT04818151 NCT06606275 NCT07699796

Warfarin

· 2 trials · source: ClinicalTrials.gov
NCT04818151 NCT06606275

VasQNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT03242343 NCT03246984

Pedal PumpNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT07809516 NCT07760363

AlteplaseNOT in gene-target list

· 2 trials · source: ClinicalTrials.gov
NCT02474810 NCT02159521

Antistax film coated tabletsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02184234

EnoxaparinNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06795698

VenographyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04399941

FLEBOGRIFNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04558957

Sonovein TreatmentNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05926830

Gliding aids for medical compression stockingsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01432795

Fibered platinum coilsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02796092

Vascular plugsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02796092

Antistax®, low doseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02191280

Antistax®, high doseNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02191280

Esarin GelNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT02346058

LASMIKNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03104985

urea contained compressing stockingsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00196443

compressing stockingsNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00196443

STARgraft (10401)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07555717

Velocity Percutaneous Arteriovenous FistulaNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07153939

DayspringNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06418282

Estimated absolute blood volumeNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05270759

Modified VExUS evaluationNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05270759

CrenobalneotherapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT01956318

AV graftNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04646226

Compression StockingNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06727968

Prevention measuresNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT06727968

Physical ConditioningNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT00013273

PharmacotherapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04180137

Compression TherapyNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT07123285

Apixaban 2.5 milligram Oral TabletNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT05679024

Repeated cannulation Buttonhole.NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03989141

Single cannulation Buttonhole.NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03989141

Ellipsys Vascular AccessNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03454113

STARgraft AVNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03916731

ePTFE AV graft (control)NOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03916731

P-TEVNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT03784131

in daily everyday routine practiceNOT in gene-target list

· 1 trial · source: ClinicalTrials.gov
NCT04757766

Generated by the Open Source Medicine Foundation Biomarker Pipeline — 2026-10-08. Data sources: DGIdb, Open Targets, ChEMBL, PubMed, ClinicalTrials.gov. Not medical advice.