ON101 treatment of polycythemia vera–associated chronic heel ulcer in a diabetic patient : a case report

Methods

  • Patient: 67-year-old male
  • Comorbidities:
    • 9-year history of Type 2 DM (well-controlled)
    • Long-term hydroxyurea use for PV
  • Ulcer History:
    • Left heel ulcer persisted for 9 months
    • Failed growth factor gel and petrolatum-based dressing for 5 months
  • Evaluation:
    • ABI: 1.10 (normal)
    • No arterial stenosis or neuropathy
  • ON101 Treatment:
    • Daily topical application with dry gauze dressing
    • Total duration: ~14 days
    • < 1 tube used

 

Executive summary

ON101 is a novel, non-invasive option for hematologic–metabolic overlap wounds. In a PV patient with a hydroxyurea-induced ulcer showing no significant healing for over 5 months, ON101 treatment achieved:

  • Rapid epithelialization within 10 days
  • Complete healing in 14 days
  • Less than one tube of ON101 used
  • Sustained wound closure on long-term (6 months) follow-up
  • No systemic interference
  • Compatibility with ongoing PV and DM management

This case supports ON101 as a valuable therapeutic adjunct for refractory ulcer populations—especially for patients who aren’t surgical candidates or have failed standard of care (SOC).

 

Conclusion

ON101 enabled fast and complete healing of a chronic PV/DM-associated heel ulcer, resolving a previously intractable case. This outcome reinforces ON101’s utility in non-DFU wound etiologies, warranting broader evaluation in patients with hematologic and metabolic comorbidities.

 

Conference PublicationSAWC Fall 2025
Date PublishedSeptember 3rd, 2025
AuthorsDr. Bin Cao
Authors InformationCentro de Enfermedades Endocrinas, Metabólicas e Inmunes, Hospital Beijing Luhe, Universidad Médica Capital
Poster Presentation

ON101 treatment of polycythemia vera–associated chronic heel ulcer in a diabetic patient : a case report

Introduction

Polycythemia Vera (PV) is a myeloproliferative neoplasm often treated with hydroxyurea. However, hydroxyurea-induced chronic leg ulcers are a rare but significant adverse event. When coupled with type 2 diabetes mellitus (DM), wound healing is further compromised by microvascular dysfunction and poor tissue regeneration. We report a case of a chronic heel ulcer unresponsive to conventional therapy, which achieved rapid healing with ON101 topical macrophage-modulating cream.