Pexiganan

Also known as: MSI-78 · Locilex

Not FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval Not FDA-approved No record in Drugs@FDA
Randomized controlled trials 1 of 162 publications on PubMed
Registered clinical trials 4 0 active
Adverse event reports 0 0 classified as serious
  • Pexiganan is not an FDA-approved drug: Drugs@FDA has no record of it.
  • PubMed lists 162 publications mentioning it, including 1 randomized controlled trial and 22 animal-only studies.
  • ClinicalTrials.gov lists 4 registered studies testing it (0 active).
  • FDA’s adverse event system (FAERS) has no reports mentioning it.

Research topics

  • Antimicrobial Cationic Peptides 95
  • Anti-Bacterial Agents 69
  • Microbial Sensitivity Tests 53
  • Escherichia coli 27
  • Anti-Infective Agents 24
  • Lipid Bilayers 24
  • Antimicrobial Peptides 22
  • Staphylococcus aureus 19
  • Bacteria 18
  • Cell Membrane 15

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

No application found in Drugs@FDA, FDA's database of approved drugs.

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 162
  • Human (MeSH) 57
  • Animal only 22
  • Clinical trials 1
  • Randomized controlled trials 1
  • Systematic reviews & meta-analyses 3
  • Case reports 0
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
4
Active
0
With posted results
2

Conditions studied

  • Diabetic Foot Infection 2
  • Diabetic Foot Ulcers 2
Study Status Phase Start
Pexiganan Versus Placebo Control for the Treatment of Mild Infections of Diabetic Foot Ulcers
NCT01590758 Dipexium Pharmaceuticals, Inc. Results posted
Completed Phase 3 Jun 2014
Pexiganan Versus Placebo Control for the Treatment of Mild Infections of Diabetic Foot Ulcers
NCT01594762 Dipexium Pharmaceuticals, Inc. Results posted
Completed Phase 3 Jun 2014
MSI-78 Topical Cream vs. Oral Ofloxacin in the Treatment of Infected Diabetic Ulcers
NCT00563394 Abeona Therapeutics, Inc
Completed Phase 3 Aug 1994
MSI-78 Topical Cream vs. Oral Ofloxacin in the Treatment of Infected Diabetic Ulcers
NCT00563433 Abeona Therapeutics, Inc
Completed Phase 3 Aug 1994

All 4 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

No FAERS reports mention this peptide.

Source: FDA FAERS · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.