ActiGraft+
Point-of-care autologous whole blood clot (AWBC) tissue formed chairside from the patient's own peripheral blood using the RD-1/RD-2 (ActiGraft/ActiGraft PRO) clotting system.
About this evidence
One product-specific multicenter RCT (n=119) met its primary endpoint at 12 weeks, and a 2026 meta-analysis of six RCTs of autologous blood-derived products (n=629) found the ActiGraft clot the best-performing modality. More than twenty further studies cover diabetic foot, venous, pressure, surgical, pilonidal and fistula wounds.
Study citations & source titles
- Snyder RJ, Lee M. Efficacy of autologous blood-derived therapies in diabetic foot ulcers: a systematic review and meta-analysis of randomized controlled trials. Wounds. 2026;38(7):184-190.
- Snyder R, Nouvong A, Ulloa J, et al. Efficacy and safety of autologous whole blood clot in diabetic foot ulcers: a randomised controlled trial. J Wound Care. 2024;33(9):688-700.
- Ram E, Zager Y, Carter D, et al. Efficacy and safety of RD2 Ver.02, a whole blood clot therapy, coupled with a minimally invasive procedure in pilonidal sinus: a phase II study. Tech Coloproctol. 2024;28(1):97.
- Ram E, Zager Y, Carter D, Saukhat O, Anteby R, Nachmany I, Horesh N. A Prospective, Single-Arm Study to Evaluate the Safety and Efficacy of an Autologous Blood Clot Product in the Treatment of Anal Fistula. Dis Colon Rectum. 2024;67(4):541-548.
- Snyder RJ, Kasper MA, Patel K, Carter MJ, Kushnir I, Kushnir A, Serena TE. Safety and Efficacy of an Autologous Blood Clot Product in the Management of Texas 1A or 2A Neuropathic Diabetic Foot Ulcers: A Prospective, Multicenter, Open Label Pilot Study. Wounds. 2018;30(7):84-89.
- Khatib M, Robinson D, Lavon E, et al. Comparative Effectiveness of Autologous Blood Clot Therapy (ActiGraft), Autologous Micrograft Therapy (Rigenera), and Advanced Wound Dressings for Refractory Chronic Lower Limb Ulcers: A Real-World Evidence Study. J Clin Med. 2026;15(5).
- Heisler S, Samaan R, Lessing R, Ozker E, Snyder R. Real-world outcomes of autologous whole blood clot therapy for venous leg ulcers. J Wound Care. 2025;34(10):874-880.
- Naude L, Balenda G, Lombaard A. Autologous whole blood clot and negative-pressure wound therapy in South Africa: a comparison of the cost and social considerations. S Afr Med J. 2022;112(10):800-805.
- Özker E, Aydın S. Use of autologous whole blood clot for hard-to-heal diabetic foot ulcers. J Wound Care. 2026 (ahead of print).
- Haim N, Kaufman JP, Gurevich M. The Use of Active Coagulation Whole Blood—An Innovative Treatment Strategy for Hard-To-Heal Wounds. Am Surg. 2023;90(4):710-716.
- Gurevich M, Heinz SM, Fridman R, Hawkins J, Wachuku CD. Use of autologous whole blood clot in the treatment of complex surgical wounds: a case series. J Wound Care. 2023;32(Sup2):S4-S9.
- Landau Z, Whitacre KL, Leewood C, Hawkins J, Wachuku CD. Utilization of a topical autologous blood clot for treatment of pressure ulcers. Int Wound J. 2022;20(3):806-812.
- Williams M, Davidson D, Wahab N, Hawkins J, Wachuku CD, Snyder R. Innovative treatment utilizing an autologous blood clot for diabetic foot ulcers. Wounds. 2022;34(7):195-200.
- Gurevich M, Wahab N, Wachuku C, Ead JK, Snyder RJ. ActiGraft Treatment in Complex Wounds with Exposed Structure - A Case Series. Ann Rev Resear. 2021;7(1):555701.
- Vallejo L, Achterberg J. Uso de una matriz autóloga en el tratamiento de úlceras de pie diabético, con espectroscopia de infrarrojo cercano y medidor de pH dérmico. J Wound Care. 2020;29(LatAm sup 3):24-31.
- Kushnir I, Kushnir A, Serena TE, Garfinkel D. Efficacy and Safety of a Novel Autologous Wound Matrix in the Management of Complicated, Chronic Wounds: A Pilot Study. Wounds. 2016;28(9):317-327.
- Dimitriou E. Chronic venous ulcer pain reduction and full recovery by an autologous blood clot: a case study. J Clin Images Med Case Rep. 2022;3(3):1714.
- Curtis RD, Wachuku CD. Utilization of ActiGraft, an Autologous (Blood Clot) Graft in the Reconstruction of Soft Tissue Deficit from Hand Trauma – A Case Study. Ann Rev Resear. 2021;6(4):555692.
- Ozker E, Wachuku CM. The Use of ActiGraft, an Autologous Skin Graft, in the Treatment of Complex Diabetes Foot Ulcer. Ann Rev Resear. 2021;6(2):555685.
- Rochkind S, Sirota S, Kushnir A. Nerve Reconstruction Using ActiGraft Blood Clot in Rabbit Acute Peripheral Injury Model: Preliminary Study. Bioengineering (Basel). 2024;11(4):298.
- Serena TE, Kushnir I, Kushnir A, Yaakov RA, Eckert KA. The safety of an autologous whole blood clot product applied to full thickness dermal wounds in a porcine model for up to 18 days. Chronic Wound Care Manag Res. 2019;6:39-49.
- Howard K, Dhanraj P, Armstrong K, van de Vyver M. Autologous Blood Clot Therapy for Wounds: Investigating the Chemotactic Effect on PBMCs and Fibroblasts in Diabetes. Wound Repair Regen. 2026;34(2):e70153.
- Jacobson BF, Schapkaitz E, Cree MM. Autologous whole blood clot formation with actigraft in patients receiving oral anticoagulant therapy: an ex vivo feasibility study. J Thromb Thrombolysis. 2026.
- Kaufman JP, Wild T, Joseph WS, Lantis JC II, Snyder RJ, Cole WE, Reyzelman AM, Driver VR. Topical autologous blood clot therapy: consensus panel recommendations to guide use in the treatment of complex wound types. Wounds. 2023;35(1):2-8.
- Snyder RJ, Schultz G, Wachuku C, Rashid AM, Ead JK. Proposed Mechanism of Action of Topically Applied Autologous Blood Clot Tissue: A Quintessential Cellular and Tissue Based Therapy. J Am Podiatr Med Assoc. 2023;113(3).
- Snyder RJ, Driver V, Cole W, et al. Topical autologous blood clot therapy: an introduction and development of consensus panel to guide use in the treatment of complex wound types. Wounds. 2022;34(9):223-228.
- Multi-Center, Prospective, Randomized, Controlled Trial Comparing the Safety and Efficacy of ActiGraft Pro to Standard of Care in Patients With Chronic Neuropathic Diabetic Foot Ulcers
- An Observational Clinical Registry to Collect Safety and Efficacy Data on Wound Care in Medical Centers
- A Prospective, Single Arm, Post Marketing Study for Evaluating the Effectiveness of ActiGraft in Treating Lower Extremity Hard to Heal Wounds
- A Prospective Study Evaluating the Efficacy of ActiGraft in Secondary Closure of Abdominal Surgical Wound Dehiscence