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#antivenom-efficacy

Issues, solutions, and case studies for antivenom-efficacy

Found 8 nodes with this tag: 1 issue · 3 solutions · 4 case studies

Issues 1

#00133Antivenoms are species- and region-specific, so the available product often fails against the local snake

Because venom composition varies by species, geography, and age, antivenom raised against one region's snakes frequently fails to neutralize bites elsewhere, and many medically important species have no effective product at all — a scientific matching problem distinct from cost o

Solutions 3

#00137Guarantee the market: pooled procurement, subsidy, prequalification and regional manufacturing

Stabilise antivenom supply with guaranteed-volume pooled procurement, donor/government subsidy, WHO prequalification, and regional manufacturing — so effective, region-matched antivenom stays commercially viable and reaches clinics affordably.

#00136Manufacture heat-stable, freeze-dried antivenom for cold-chain-free rural stocking

Produce and distribute lyophilised (freeze-dried) antivenom with a multi-year ambient shelf life so it can be stocked at rural health posts and remote clinics where refrigeration is unreliable or absent.

region

#00135Use antivenomics to map and license cross-neutralization of existing products against orphan species

Systematically test which existing polyvalent antivenoms already neutralize orphan-species venoms via antivenomics and preclinical assays, then pursue label extensions — expanding effective coverage without developing new products.

region

Case studies 4

EchiTAb Study Group; MicroPharm (UK) and Instituto Clodomiro Picado (Costa Rica); Nigerian health services · since 2005 · National

A counter-example to the FAV-Afrique collapse: effective, region-matched African antivenom developed and sustained through public-academic partnership rather than a purely commercial market. EchiTAb-G (ovine, monospecif…

Permanent restoration of blood coagulability 6h after 1 vial EchiTAb-G (Kaltungo pre-trial use, 2005)incoagulable blood on presentation146/182 patients (80%, 95% CI 74-85%)

1 source

Arnaud Gissinger

Sanofi Pasteur (manufacturer) · until 2016 · Region

FAV-Afrique was a polyvalent antivenom covering ~10 snake species across sub-Saharan Africa, considered safe and effective. Sanofi Pasteur halted production in 2010 (last batch made 2014, expired June 2016) after sales…

Price per dose>US$100USD
Annual sales vs. disease burden by 2010fell to under 1% of burden (~3,000 cases treated)

$100 · 3 sources

Arnaud Gissinger

Eswatini

Ongoing

Premium Serums & Vaccines (manufacturer); preclinical evaluation by academic snakebite research groups · Region

PANAF-Premium is a freeze-dried polyvalent antivenom requiring no refrigeration, with a manufacturer-stated ambient shelf life of approximately 4 years. A preclinical study evaluated PANAF and a 'Panafrican' ICP product…

Manufacturer-stated ambient shelf life~4 years (manufacturer claim)
Eswatini species in preclinical neutralisation panel5medically important species

2 sources

Arnaud Gissinger

Liverpool School of Tropical Medicine (Centre for Snakebite Research & Interventions) and collaborators · Region

Rather than develop a new product, researchers tested whether an existing polyvalent antivenom (PANAF-Premium, Premium Serums & Vaccines) already neutralizes the venoms of medically important sub-Saharan African snakes…

Orphan species (no specific product) assessed14species
Sub-Saharan African countries covered13countries

1 source

Arnaud Gissinger

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