LL37

LL-37

Immune Healing Phase 2

Human cathelicidin antimicrobial peptide with broad-spectrum antimicrobial activity and immunomodulatory effects.

Regulatory status (as of Sept 2026)

Slated for a PCAC review (503A bulks) before end of Feb 2027. Not FDA-approved.

See the FDA peptide regulatory tracker · Read our July 27, 2026 dispatch on the FDA PCAC peptide vote
Educational summary. Every effect described below is drawn from the cited published research and describes what was observed in research subjects — not a promise of results, a dose recommendation, or an endorsement for human use. Many peptides are not FDA-approved. Consult a licensed healthcare provider before making any health decision. Full disclaimer.

2 studies referenced · Last reviewed Oct 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team · How we research & label content

TL;DR — LL-37 at a Glance

LL-37 is an investigational compound tested in mid-stage (phase 2) human trials. Human cathelicidin antimicrobial peptide with broad-spectrum antimicrobial activity and immunomodulatory effects.

Half-lifeNot established in published research
How it's given in studiesSubcutaneous injection
Research stagePhase 2
Dosing
Published research: Topical 0.5, 1.6 or 3.2 mg/mL applied twice weekly to venous leg ulcers in humans (phase 1/2, n=34)
detailsTopical 0.5, 1.6 or 3.2 mg/mL applied twice weekly to venous leg ulcers in humans (phase 1/2, n=34); 0.5 or 1.6 mg/mL topical (phase 2b, n=148)
Community-reportedCommunity-reported: 100–200 mcg, subcutaneous injection

Published-research dosing is what was given in the cited studies (species and units as reported). Community-reported dosing is what users describe, not from clinical studies. Neither is a recommendation. Not medical advice.

Where each point comes from: Clinicalhuman trials and FDA labels   Lab / animalrodent, cell and ex vivo studies   Community-reporteduser experience and commonly used protocols, not from clinical studies

How It Works

In plain terms: It is a natural germ-fighting peptide made by the body; results in wound-healing trials were mixed. Human cathelicidin antimicrobial peptide; its proposed actions are direct antimicrobial activity and immune-cell activation. Applied topically to hard-to-heal venous leg ulcers, it showed faster healing rates at some doses in a first-in-human RCT (n=34; Grönberg 2014), but the larger phase 2b RCT (n=148) found no significant improvement in healing in the full study population (Mahlapuu 2021).

Effects Reported in Research

How to read this: Each item below is an effect observed in research subjects in the cited studies — think of Dexter, our stand-in research subject. These are findings from the literature, not results you should expect, and not medical advice.

  • ClinicalWound healing: a phase 2b RCT (n=148) found no significant healing benefit vs placebo in the full population; an earlier small trial suggested benefit at lower concentrations
  • Lab / animalBiofilm disruption in in vitro studies

What Users Report (Community, Not Clinical)

Commonly reported protocol

Community-reportedIn user communities, LL-37 is typically run at 100–200 mcg (subcutaneous injection). This is not a recommendation.

What users report

  • Community-reportedAntimicrobial
  • Community-reportedImmune modulation
  • Community-reportedWound healing — Research note: the published study did not confirm this (a phase 2b RCT (n=148) found no significant healing benefit vs placebo).

Side effects users report

  • Community-reportedInjection site reactions

Side effects reported in studies are listed separately below.

Community reports are anecdotal, vary widely in product quality and purity, and are not medical advice. Talk to a licensed provider.

Side Effects and Safety Notes

  • ClinicalNo local or systemic safety concerns reported with topical use in leg ulcer trials
  • No human data for injection

References

  1. 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 et al. Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. 2021. PMID: 34687253.
    Study type: Phase 2b RCT, n=148, topical.
    DOI: 10.1111/wrr.12977 · PubMed
  2. Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trial
    Grönberg A, Mahlapuu M, Ståhle M, Whately-Smith C, Rollman O. Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society. 2014. PMID: 25041740.
    Study type: First-in-man RCT, n=34, topical.
    DOI: 10.1111/wrr.12211 · PubMed

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How LL-37 Compares

PeptideHalf-LifeRouteResearch Status
LL-37UnknownSubcutaneous injectionPhase 2
KPVNo published PK data foundSubcutaneous injection, Oral, TopicalPreclinical (animal)
ThymalinNo published PK data foundIntramuscular injectionApproved outside US
Thymopoietin II Fragment (TP-1)UnknownSubcutaneous injectionPreclinical (animal)
Thymosin Alpha-1No published human PK data found; ~3 h for native Tα1 in rats (Shen 2019). Literature describes a 'short plasma half-life' requiring twice-weekly s.c. dosing.Subcutaneous injectionApproved outside US

Values reflect figures reported in published research. Compare any peptides side-by-side →

Frequently Asked Questions

What is LL-37?
Human cathelicidin antimicrobial peptide with broad-spectrum antimicrobial activity and immunomodulatory effects.
How does LL-37 work?
In plain terms: It is a natural germ-fighting peptide made by the body; results in wound-healing trials were mixed. Human cathelicidin antimicrobial peptide; its proposed actions are direct antimicrobial activity and immune-cell activation. Applied topically to hard-to-heal venous leg ulcers, it showed faster healing rates at some doses in a first-in-human RCT (n=34; Grönberg 2014), but the larger phase 2b RCT (n=148) found no significant improvement in healing in the full study population (Mahlapuu 2021).
What is the research status of LL-37?
LL-37 is at the following stage in the published literature: Phase 2. All information is for research and educational purposes only.
What is the half-life of LL-37?
Reported half-life: Unknown.
How is LL-37 administered in research?
Reported administration route in the literature: Subcutaneous injection. This is not a recommendation for human use.

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Category

This peptide belongs to the Immune category. View All Immune Peptides

Related Categories

Healing

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Sources & Methodology

Dosing, half-life figures, and mechanism descriptions on this page are compiled from peer-reviewed published research, with the species and study type stated where reported. Figures labeled “Dosing used in published research” describe what was given in those studies and do not constitute dosing recommendations for any human use. Each cited paper is listed with DOI and PubMed links in the References section above. Found an error? Contact us.

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