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Ancrod, a substance with antithrombotic properties, is derived from the venom of the Malayan pit viper. In the previously published, manufacturer-funded, randomized Stroke Treatment with Ancrod Trial (STAT), patients from North America with acute ischemic stroke had significantly better functional status at 3 months with ancrod than with placebo — each initially administered within 3 hours after symptom onset (Journal Watch Neurology Aug 1 2000). In the current, manufacturer-funded study, the European Stroke Treatment with Ancrod Trial (ESTAT), patients with acute ischemic stroke were randomized to receive ancrod or placebo within 6 hours after symptom onset.
After enrolling 1222 patients, ESTAT was stopped for lack of efficacy. The function…