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Aclerastide is a synthetic peptide analog of angiotensin 1–7, developed primarily for the treatment of diabetic foot ulcers and other chronic wounds. It acts as an agonist at the MAS1 receptor (the receptor for angiotensin 1–7), functioning as an angiotensin receptor agonist and stem cell stimulant. Its mechanism involves induction of progenitor cell proliferation, accelerated vascularization, collagen deposition, and re-epithelialization at wound sites. Preclinical studies showed enhanced wound healing compared to existing therapies such as becaplermin. However, clinical development was discontinued after failing to meet efficacy endpoints in phase III trials for diabetic foot ulcer treatment[1][3][4][5][6][8]. The drug was developed by Derma Sciences (a subsidiary of Integra LifeSciences), with involvement from the University of Southern California and US Biotest Inc[3].
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