Clinical Trials Directory

Trials / Completed

CompletedNCT01337245

Emergency Treatment of Coral Snake Envenomation With Antivenom

Status
Completed
Phase
Phase 3
Study type
Interventional
Enrollment
26 (actual)
Sponsor
University of Arizona · Academic / Other
Sex
All
Age
Healthy volunteers
Not accepted

Summary

The purpose of this study is to see whether a new F(ab')2 antivenom will prevent injury and death from the bite of a coral snake. Funding Source - FDA OOPD.

Detailed description

Coral snake bites may be trivial in effect, or they may cause profound and life-threatening respiratory paralysis, depending on the severity of the envenomation. Venom toxins target the neuromuscular junction, where effects typically become apparent hours following the bite, by which time the clinical syndrome may be irreversible. Unless neurotoxicity is prevented, ventilatory paralysis may cause death or require intensive care for weeks after the bite. Prevention of paralysis, historically, has involved treating all bite victims with antivenom. This protocol will enable the therapeutic use of a new F(ab')2 antivenom in the management of coral snake envenomation. Following a coral snake bite, patients who meet inclusion/exclusion criteria and who provide informed consent will receive 5 vials of antivenom intravenously over no less than 30 minutes. Blood assays for venom levels and clinical assessments of neurologic status before and after treatment will be conducted and patients will be followed for 22 days for safety and survival endpoints. The primary endpoint of this Phase 3 trial will be survival, for comparison with a historical mortality rate of 15%.

Conditions

Interventions

TypeNameDescription
DRUGSnake (Micrurus) North American immune F(ab')2 Equine5 vials of study drug reconstituted and diluted to 250 mL Normal Saline and administered intravenously.

Timeline

Start date
2012-05-01
Primary completion
2016-11-11
Completion
2016-11-11
First posted
2011-04-18
Last updated
2023-05-26
Results posted
2023-04-05

Locations

5 sites across 1 country: United States

Source: ClinicalTrials.gov record NCT01337245. Inclusion in this directory is not an endorsement.