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To find appropriate dose of antivenom(low dose/high dose regimen) for common krait bite in Sri Lanka

Low dose versus high dose of Indian polyvalent snake antivenom in reversing neurotoxic paralysis in common krait (Bungarus cearulus) bites: an open labeled randomised controlled clinical trial in Sri Lanka

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
SLCTR
Registry ID
SLCTR/2010/006
Enrollment
Unknown
Registered
2010-07-02
Start date
2010-06-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Snake bite and antivenom treatment

Interventions

The enrolled patients will be treated with snake antiserum (lyophilized polyvalent enzyme-refined, manufactured in India by Vins Bioproduct Limited, Mumbai or Bharat Serums and Vaccines Limited, Amber

Sponsors

Prof SAM Kularatne
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients with proven common krait bites (with an offending snake or with clear clinical evidence of common krait envenoming) 2. Older than 12 years of age 3. Presence of features of envenoming with indications for antivenom

Exclusion criteria

Exclusion criteria: 1. Patients who had snake anti venom treatment earlier. 2. Patients who are already having or had any neurological diseases e.g. myasthenia gravis, infective polyneuropathy, Alzheimer disease etc. 3. Patients who presented with ingestion of alcohol

Design outcomes

Primary

MeasureTime frame
The duration of mechanical ventilation [Time in hours from the onset of intubation to extubation]

Secondary

MeasureTime frame
1. Number of patients needed mechanical ventilation 2. Time gap from antivenom treatment to intubation and ventilation 3. Time taken to complete reversal of neurotoxic signs (Ptosis, Opthalmoplegia, Neck flexon) 4. Incidence of secondary complications 5. Duration of ICU stay 6. Duration of hospital stay [From the time of recruitment]

Countries

Sri Lanka

Contacts

Public ContactProf SAM Kularatne

Professor in Medicine,

samkul@sltnet.lk0094 81 2388369

Outcome results

None listed

Source: SLCTR (via WHO ICTRP) · Data processed: Aug 9, 2026