Evidence map›Paper›PMID 28331487›Full record

ArticleThe journal of venomous animals and toxins including tropical diseases2017

A clinical trial protocol to treat massive Africanized honeybee (

Alexandre Naime Barbosa, Leslie Boyer, Jean-Philippe Chippaux, Natalia Bronzatto Medolago, Carlos Antonio Caramori, Ariane Gomes Paixão, João Paulo Vasconcelos Poli, Mônica Bannwart Mendes, Lucilene Delazari Dos Santos, Rui Seabra Ferreira and 1 more

Abstract read
In one paragraph

Article in The journal of venomous animals and toxins including tropical diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
  2. Observational
  3. Article
  4. Clinical complications in envenoming byFrontiers in immunology · 2024
    Review
  5. Review
  6. Launching a CDMO in Brazil aiming to develop biopharmaceuticals for clinical trials.The journal of venomous animals and toxins including tropical diseases · 2022
    Article
  7. Article
  8. Neuroactive venom compounds obtained fromThe journal of venomous animals and toxins including tropical diseases · 2021
    Article
  9. Energetic supplementation for maintenance or development ofThe journal of venomous animals and toxins including tropical diseases · 2020
    Article
  10. Article
  11. Review
  12. Divergences between the Brazilian national information systems for recording deaths from venomous animals.The journal of venomous animals and toxins including tropical diseases · 2019
    Article
  13. Quality of horse F(ab')The journal of venomous animals and toxins including tropical diseases · 2018
    Article
  14. Antivenom therapy: efficacy of premedication for the prevention of adverse reactions.The journal of venomous animals and toxins including tropical diseases · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alexandre Naime BarbosaDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Leslie BoyerVIPER Institute, University of Arizona College of Medicine, Tucson, AZ USA.
Jean-Philippe ChippauxCERPAGE, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Benin.
Natalia Bronzatto MedolagoClinical Research Unit (UPECLIN), Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Carlos Antonio CaramoriDepartment of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Ariane Gomes PaixãoDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
João Paulo Vasconcelos PoliDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Mônica Bannwart MendesDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Lucilene Delazari Dos SantosCenter for the Study of Venoms and Venomous Animals, São Paulo State University (UNESP - Univ Estadual Paulista), Av. José Barbosa de Barros, 1780, Fazenda Experimental Lageado, Botucatu, SP CEP 18.610-307 Brazil.
Rui Seabra FerreiraDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.
Benedito BarravieraDepartment of Tropical Diseases, Botucatu Medical School, São Paulo State University (UNESP - Univ Estadual Paulista), Botucatu, SP Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvenomation caused by multiple stings from Africanized honeybees

methodsIn order to evaluate the safety and neutralizing capacity of a new apilic antivenom, as well as to confirm its lowest effective dose, a clinical protocol was developed to be applied in a multicenter, non-randomized and open phase I/II clinical trial. Twenty participants with more than five stings, aged more than 18 years, of both sexes, who have not previously received the heterologous serum against bee stings, will be included for 24 months. The proposed dose was based on the antivenom neutralizing capacity and the number of stings. Treatment will be administered only in a hospital environment and the participants will be evaluated for a period up to 30 days after discharge for clinical and laboratory follow-up.

resultsThis protocol, approved by the Brazilian regulatory agencies for ethics (National Commission for Ethics on Research - CONEP) and sanitation (National Health Surveillance Agency - ANVISA), is a guideline constituted by specific, adjuvant, symptomatic and complementary treatments, in addition to basic orientations for conducting a clinical trial involving heterologous sera.

conclusionsThis is the first clinical trial protocol designed specifically to evaluate the preliminary efficacy and safety of a new antivenom against stings from the Africanized honeybee

Indexed as

Apilic antivenomApis melliferaBee antivenomBee venomEnvenomationHeterologous serumToxins

Identifiers

PMID28331487
PMCPMC5356296

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.