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Evidence review

Peptide Detail

Library/LL-37
emergingCautionResearch Only

LL-37

Cathelicidin / Human Cathelicidin Antimicrobial Peptide

LL-37 is the only human cathelicidin, an antimicrobial peptide of the innate immune system that kills microbes and disrupts biofilms in lab studies. Topical LL-37 helped venous leg ulcers in a small 2014 trial but failed its larger Phase 2b trial (2021). Injected LL-37 is untested in humans and not FDA-approved.

Half-life

Not established in humans

Typical Dose

50–100 mcg/day

60/100

Route

subcutaneous

Category

immune

Evidence Overview

Strength of evidence across clinical, expert, and experimental lanes.

How LL-37 is dosed in practice

Usually taken by subcutaneous (SubQ) injection. Typical range: 50–100 mcg/day. Half-life: Not established in humans. Each card gives the dose, frequency and duration from one evidence lane: Clinical (human trials), Expert (practitioner protocols) or Experimental (early or animal data). These ranges describe what has been studied or used; they are not a prescription.

Work out the units to draw with the reconstitution calculator, how long a vial lasts with the vial duration calculator, and how levels fall between doses with the half-life calculator.

clinical45% confidence

Extensive laboratory research on LL-37 as an endogenous antimicrobial with activity against gram-positive and gram-negative bacteria, enveloped viruses and fungi; it blocks biofilm formation in lab studies and modulates inflammation. Human trials have only tested topical LL-37 on venous leg ulcers: a 34-patient randomized trial (2014) reported faster healing at the two lower doses, but the 148-patient Phase 2b trial (2021) found no significant benefit over placebo. Injected (SubQ) LL-37 has not been studied in humans.

Dose0.5–3.2 mg/mL solution applied to the ulcer (about 12.5–40 mcg per cm² at the two lower strengths)
FrequencyTwice weekly
Duration4 weeks (2014 trial); 13 weeks (2021 trial)
Sources
  • Reviews of LL-37 biology (2006, 2012)
  • Laboratory biofilm study (2008)
  • Randomized placebo-controlled trials, topical, venous leg ulcers (2014, 2021)
expert65% confidence

Used by integrative practitioners for chronic infections, Lyme disease support, and biofilm disruption. Subcutaneous injection at infection-proximal sites preferred. Often combined with BPC-157 for healing + antimicrobial coverage.

Dose50–100 mcg daily
FrequencyOnce daily
DurationUp to 4 weeks per course
Sources
  • Integrative medicine infection protocols
  • Practitioner protocols
  • Biofilm disruption practitioner strategies

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Interaction Network

Known interactions with other compounds. Click nodes to explore connections.

SafeSafe

Safety & Contraindications

  • Autoimmune conditions (psoriasis, rosacea — LL-37 overexpression implicated)
  • Pregnancy or breastfeeding
  • Known hypersensitivity

LL-37: common questions

What is LL-37?

LL-37 is the only human cathelicidin, an antimicrobial peptide of the innate immune system that kills microbes and disrupts biofilms in lab studies. Topical LL-37 helped venous leg ulcers in a small 2014 trial but failed its larger Phase 2b trial (2021). Injected LL-37 is untested in humans and not FDA-approved.

How is LL-37 dosed?

LL-37 is usually taken by subcutaneous (SubQ) injection. Typical range in DoseCraft's library: 50–100 mcg/day. Clinical (human trials), on the skin: 0.5–3.2 mg/mL solution applied to the ulcer (about 12.5–40 mcg per cm² at the two lower strengths); Twice weekly; 4 weeks (2014 trial); 13 weeks (2021 trial). Expert (practitioner protocols): 50–100 mcg daily; Once daily; Up to 4 weeks per course. These ranges describe what has been studied or used; they are not a prescription.

Is LL-37 FDA-approved?

No. LL-37 is not approved by the FDA for any use in people.

What is the half-life of LL-37?

DoseCraft's library lists a half-life of Not established in humans. Half-life sets how often a compound is dosed and how long it takes to clear: about five half-lives.

Who should not use LL-37?

Listed contraindications: Autoimmune conditions (psoriasis, rosacea — LL-37 overexpression implicated); Pregnancy or breastfeeding; Known hypersensitivity.

Information is for educational purposes only. Always consult a licensed healthcare provider before starting any peptide regimen.

Page updated . How we grade evidence: methodology.

Disclaimer: DoseCraft is for educational purposes only and does not provide medical advice. These compounds are not FDA-approved for the uses described. Always consult a qualified healthcare provider. Full disclaimer

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