

Eighty percent of patients achieved complete healing within 16 weeks, compared to 39% reported with SOC (p=0.0344). Median time to complete healing was 26.5 days, substantially shorter than the 90–180 days typically observed with SOC. Healing rates were consistently high across countries, with the USA showing completion in 3–13 weeks over 3–13 visits, India achieving healing in 6 weeks with 2 visits, and Egypt in 1–2 weeks with a single visit. No adverse events were reported, indicating an excellent safety profile.

ON101 topical cream showed rapid and safe healing performance in the treatment of VLUs after the correction of venous hypertension across diverse real-world settings. Its use was associated with reduced healing time and fewer clinical visits, supporting its role as an effective and practical option for VLU management in global wound care practice.

Venous leg ulcers (VLUs) are the most common chronic lower-extremity wounds. Due to venous hypertension, VLUs are associated with delayed healing, high recurrence, and long-term outpatient burden. ON101 is a topical cream designed to support skin regeneration in an optimized microenvironment. This retrospective multinational study assessed ON101’s effectiveness and safety in VLU treatment.