Avotermin
Also known as: Juvista, recombinant human TGF-beta3, rhTGF-β3
Summary
Avotermin (juvista) is a recombinant human TGF-β3 developed by Renovo Group for the prevention and reduction of scar formation following skin incisions. It was administered intradermally at wound margins. Phase III clinical trials (JUVISTA studies) failed to meet primary endpoints, leading to discontinuation of development.
Mechanism of Action
Recombinant human TGF-β3 that modulates wound healing by shifting the cytokine balance toward a regenerative, scar-free phenotype; promotes re-epithelialization and reduces fibroblast-mediated collagen deposition, thereby minimizing hypertrophic scarring.
Routes of Administration
Goals & Uses
- Scar preventionDermatology / Wound HealingModerate
- Reduction of hypertrophic scarringDermatologyLow
- Improved cosmetic wound outcomesAesthetic MedicineLow
Contraindications
- Active infection at wound siteInfectionHigh
- History of keloid or abnormal scarring disordersDermatologyModerate
- Known hypersensitivity to TGF-β3 or excipientsAllergyHigh
Adverse Effects
- Injection site painLocalCommonPain at the injection site
- PruritusDermatologicUncommonItching
- Injection site edemaLocal ReactionCommon
- Hypersensitivity reactionImmunologicRare
- Injection site erythemaLocalCommonRedness at the injection site
Drug Interactions
- NSAIDsLowMay increase renal risk in susceptible patients
- CorticosteroidsModerate
Population Constraints
- Patients with active malignancyOncologyRelative
- Pediatric patientsAgeRelative
- Immunocompromised patientsImmunologicRelative
- Pregnant womenReproductiveRelative
Regulatory Status
- European UnionUnapprovedDevelopment discontinued after Phase III failure; no MAA approved.
- United StatesUnapprovedPhase III trials failed; no NDA filed or approved.
- United KingdomUnapprovedRenovo was a UK company; product never reached UK marketing authorization.
Avotermin never received marketing authorization in any jurisdiction. Phase III trials failed, and Renovo halted development circa 2011. No approved indication exists in the US, EU, or UK.
Evidence & Sources
No sources recorded yet.