VEGF Gene Therapy · Peripheral Artery Disease

Grow new arteries.
Keep walking.
Without pain.

A single course of injections prompts your own body to build new blood vessels around the blockage — restoring circulation to oxygen-starved legs, with effects that last 5+ years.

Real patient · Critical Limb Ischemia

Whole-leg revascularization, imaged before & after

A patient with critical limb ischemia received 4 vials of VEGF across two sessions, two weeks apart20+ injections distributed from hip to feet. These angiograms show the vascular network before treatment and after revascularization.

Before
Angiogram of the patient's leg vasculature before VEGF treatment
After
Angiogram of the patient's leg vasculature after VEGF revascularization, with scale bars

Single real patient case. Individual results vary; angiographic response is not guaranteed.

The problem

When leg arteries narrow, tissue starves

In Peripheral Artery Disease, atherosclerotic plaque narrows the arteries feeding your legs. Blood flow drops, and muscle, skin and nerves no longer get the oxygen and nutrients they need.

Early on, that means pain when walking (claudication). As it progresses to critical limb ischemia, it brings rest pain, non-healing wounds, and a real risk of amputation. Restoring blood flow is the whole game.

  • Pain or cramping in the legs when walking
  • Slow-healing wounds and ulcers on the legs or feet
  • Cold, pale, or weakened lower limbs
  • In severe cases (CLI): rest pain and amputation risk

How it works

VEGF is the master regulator of angiogenesis

Diagram of a human cell showing DNA, nucleus, and VEGF plasmids

Neovasculgen® delivers the VEGF gene to the target tissue via a plasmid. The cell starts producing VEGF protein locally, which signals the growth of new, functional blood vessels — natural detours around the blocked artery.

The therapy is local and tissue-targeted. The plasmid supplements the cell's activity without changing or integrating into its DNA, persists only temporarily, and cannot be passed to future generations.

VEGF therapy process — stages 1 and 2
VEGF therapy process — stages 3 and 4
VEGF therapy process — stages 5 and 6

Injection for angiogenesis

One or two courses of injections, a whole new blood supply

VEGF is delivered as a set of intramuscular injections across the oxygen-starved legs. Over the following weeks it drives local angiogenesis: your body grows a fresh network of blood vessels around the injection sites that re-perfuses the tissue.

Clinical evidence

Patients walked dramatically further, and kept walking

In trials of Neovasculgen®, pain-free walking distance (PWD) climbed steeply after treatment and held for years. Even patients with the most severe circulation loss benefited most.

≈ 5×

Stage IIB PAD (n=22)

Pain-free walking distance: 115 m → 563 m at 3 years.

≈ 8×

Stage III PAD / CLI (n=18)

Pain-free walking distance: 32 m → 271 m at 3 years.

Bar chart: improvement in pain-free walking distance in meters after Neovasculgen treatment
Improvement in pain-free walking distance (meters), by ischemia stage, after treatment with Neovasculgen® (Deev, 2017/2018).
Bar chart: percentage improvement in pain-free walking distance after Neovasculgen treatment
Same data in percentage terms — Stage III/CLI patients reached up to +747% by year two.

What changes

Clinical benefits for PAD

+177%

Pain-free walking distance

Average across PAD patients; up to +683% in severe (Stage III/CLI) cases.

96%

Amputation-free survival

In the treatment group over a 5-year follow-up (Deev, 2018).

5+ yrs

Sustained effect

A single injection course keeps working for at least five years.

+24%

Tissue oxygenation (TcPO₂)

Sustained increase; better-perfused, healthier tissue.

+24%

Ankle-Brachial Index (ABI)

At 6 months — an objective measure of leg circulation.

10,000+

Patients treated

Over a decade of real-world clinical use for PAD.

Published imaging

Angiography Before & After 6 Months

Imaging before and 6 months after Neovasculgen® administration shows new vessel formation in the treated limb (Deev, 2017/2018; ArtGen Biotech).

Before After Angiography before (left) and after (right) VEGF treatment
Before After Angiography before (left) and after (right) VEGF treatment
Before After Angiography before (left) and after (right) VEGF treatment

Safety

The highest safety profile among gene therapies

Over 10,000 PAD patients treated, 210+ monitored in post-marketing surveillance across 33 facilities, and 12+ years on the market. A 5-year follow-up reported no treatment-related adverse events, no tumor formation, and no impaired vision.

  • Plasmid stays localized: it does not integrate into your genome (Williams, 2011)
  • Local leg injection did not raise systemic VEGF (Chang, 2003)
  • No demonstrated increase in cancer risk; limited causal link in Mendelian studies (Wu, 2022)
  • 96% amputation-free survival in the treatment group at 5 years (Deev, 2018)

What to expect

The treatment journey

  1. Video callEligibility evaluation with the medical team
  2. Day 0Arrival & screening
  3. Day 1Injections — at least 10 into the ischemic muscles
  4. Day 2Observation (days 0–2 can be combined into one)
  5. Day 14+Optional second injection round for additional efficacy
Leg diagram showing the VEGF injection sites distributed from hip to foot
Severe cases: 20+ injection sites distributed from hip to foot.

VEGF vs PAD.
Frequently Asked Questions

A plasmid (Neovasculgen®) delivers the VEGF gene directly into the ischemic leg muscles. The cells begin producing VEGF protein locally, which triggers angiogenesis — the growth of new, functional blood vessels that route blood around the narrowed arteries and re-perfuse oxygen-starved tissue.

People with PAD or diminished blood supply to the legs — including those with intermittent claudication (Stage IIB) and critical limb ischemia (Stage III/CLI), and patients whose circulation is compromised by type 2 diabetes or sarcopenia. Eligibility is confirmed on a screening video call.

The therapy is delivered locally as a set of intramuscular injections into the ischemic muscles — at least ten per session. Severe cases may receive more injections distributed across the whole limb, and an optional second round 2 weeks later for additional effect.

Studies in PAD patients showed a lasting effect for up to 5 years after a single course. We recommend reinjecting at around 3 years to maintain the maximum effect.

VEGF plasmid therapy has one of the most comprehensive safety databases of any gene therapy: over 10,000 PAD patients treated and 12+ years on the market. A 5-year follow-up reported no treatment-related adverse events, no tumor formation, and no impaired vision. The plasmid stays localized and does not integrate into your genome.

Current evidence says no. The VEGF–cancer relationship is largely one-directional (cancer raises VEGF, not the reverse), Mendelian randomization studies found limited causal links (Wu, 2022), the plasmid does not integrate into the host genome (Williams, 2011), and local leg injection did not elevate systemic VEGF (Chang, 2003).

VEGF gene therapy is available in our partner clinics in Próspera (Roatan, Honduras), Mexico and Bahamas. Reach out and the Unlimited Bio team will walk you through the details.

Ready to talk it through?

Find out if VEGF is right for your case.

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Disclaimer

Gene therapies described on this website are experimental and not approved by the FDA. Effects are not guaranteed, and individual results may vary. Therapies are provided by third parties in Prospera ZEDE and Mexico; Unlimited Bio is not a medical provider. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition or treatment.