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Copperhead Envenomation Observational Study

Completed
Conditions
Copperhead Snake Envenomation
Registration Number
NCT01651299
Lead Sponsor
BTG International Inc.
Brief Summary

The primary objective of the study is to evaluate the responsiveness and utility of several clinical outcome assessments in the setting of copperhead snakebite. The secondary objective is to characterize the clinical course of signs, symptoms and impairment during the recovery phase of copperhead snakebite.

Detailed Description

This observational study will document the patient's recovery from copperhead snakebite. All care provided will be at the discretion of the treating physician in accordance with the local standard of care.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Envenomation by a copperhead snake
  • Presentation for care at a health care facility within 24 hrs of envenomation
  • Envenomation on an extremity distal to the knee or elbow
  • Clinical evidence of venom effect (limb swelling and/or tenderness)
  • Enrollment can be completed within 48 hrs of envenomation prior to discharge
  • Patient is willing and able to complete follow-up schedule of assessments
  • Patient is able to read, comprehend and sign IRB approved informed consent
  • Patient is able to read and comprehend written assessment tools
  • Patient is at least 18 yrs old
  • Patient is sober, competent and able to complete verbal and written informed consent
Exclusion Criteria
  • Patient is pregnant or breastfeeding
  • Patient is a prisoner
  • Patient has distracting injury, condition with acute pain or functional impairment, and/or is unable to make a reliable self-report of status
  • Patient has had previous snake envenomation to any body area within 30 days prior to screening/enrollment, regardless of whether antivenom was administered
  • Patient had an acute traumatic or medical event, surgery, or exacerbation of pre-existing medical or surgical condition effecting the envenomated extremity within 30 days prior to screening/enrollment
  • Patient has participated in a clinical study involving and investigational pharmaceutical product or device within 3 months prior to screening that may have impact on clinical outcomes of snakebite
  • Patient has previously participated in this study
  • Patient is, in the investigator's opinion, otherwise unsuitable for participation. Note: Treatment with antivenom prior to eligibility evaluation is not an exclusion criterion

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Return to Work/School/ADLsDay 3, Day 7, Day 14, Day 21, and Day 28
Patient Global Assessment of Recovery (PGAR)Time of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Numeric Pain Rating Scale (NPRS)Time of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Numeric Swelling Score (NSS)Time of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
SF36v2 (Acute Version)Time of Discharge, Day 7, Day, 14, Day 21, and Day 28
Swelling Figure-of-8 MeasurementTime of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Grip StrengthTime of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Walking SpeedTime of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Patient Global Impression of Change (PGIC)Time of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Patient-Specific Functional Scale (PSFS)Day 3, Day 7, Day 14, Day 21, and Day 28
WPAI:SHP V2Day 3, Day 7, Day 14, Day 21, and Day 28
Disorders of the Arm, Shoulder, and Hand (DASH)Time of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Lower Extremity Functional ScaleTime of Discharge, Day 3, Day 7, Day 14, Day 21, and Day 28
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (11)

Duke Medical Center

🇺🇸

Durham, North Carolina, United States

Washington University

🇺🇸

St. Louis, Missouri, United States

Vidant Health

🇺🇸

Greenville, North Carolina, United States

University of Kentucky Chandler Medical Center

🇺🇸

Lexington, Kentucky, United States

University of Virginia, Blue Ridge PC

🇺🇸

Charlottesville, Virginia, United States

Virginia Commonwealth University Richmond

🇺🇸

Richmond, Virginia, United States

University of Mississippi Medical Center

🇺🇸

Jackson, Michigan, United States

St. Joseph Regional Health Center

🇺🇸

Bryan, Texas, United States

Scott and White Hospital

🇺🇸

Temple, Texas, United States

Harris Methodist Hospital

🇺🇸

Ft. Worth, Texas, United States

LSU Health Sciences Center

🇺🇸

Shreveport, Louisiana, United States

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