Medicines from animal venom toxins:
Therapies

 

Generic name
   (BRAND NAME)

Species origin of venom toxin

Mechanism of action

Indication (Diseases)

Approved drugs and therapies in clinical use

captopril

   (CAPOTEN®)

Jararaca pit viper snake
  (Bothrops jararaca
)

angiotensin-converting enzyme inhibitor

hypertension, cardiac failure

enalapril

   (VASOTEC®)

Jararaca pit viper snake
  (Bothrops jararaca
)

angiotensin-converting enzyme inhibitor

hypertension, cardiac failure

exenatide

   (BYETTA®)

Gila monster lizard

  (Heloderma suspectum)

glucagon-like peptide-1 receptor agonist

type 2 diabetes mellitus

exenatide
   (BYDUREON®)

Gila monster lizard

  (Heloderma suspectum)

glucagon-like peptide-1 receptor agonist (extended release)

type 2 diabetes mellitus

ziconotide

   (PRIALT®)

Magical cone marine snail

  (Conus magus)

Cav2.2 channel antagonist

management of severe chronic pain

bivalirudin
  (ANGIOMAX®)

 

European medicinal leech

  (Hirudo medicinalis)

reversible direct thrombin inhibitor

anticoagulant in percutaneous coronary intervention

lepirudin
  (REFLUDAN®)

 

European medicinal leech

  (Hirudo medicinalis)

binds irreversibly to thrombin

anticoagulation in heparin-associated thrombocytopenia; thromboembolic disease

desirudin

   (IPRIVASK®)

 

European medicinal leech

  (Hirudo medicinalis)

selective and near- irreversible

inhibitor of thrombin

prevention of venous thrombotic events

tirofiban

   (AGGRASTAT®)

 

Saw-scaled viper snake

  (Echis carinatus)

antagonist of fibrinogen binding to the GPlIb/lIla receptor

acute coronary syndrome

eptifibatide

   (INTEGRILIN®)

Pigmy rattlesnake

  (Sistrurus miliarius)

prevents binding of fibrinogen, von Willebrand factor, and other adhesive ligands to GPIIb/IIIa

acute coronary syndrome; percutaneous coronary intervention

batroxobin
  (DEFIBRASE®)

Common lancehead snake

  (Bothrops atrox); or

Brazilian lancehead snake
 
(Bothrops moojeni)

cleaves Aα-chain of fibrinogen

acute cerebral infarction; unspecific angina pectoris; sudden deafness

 

platelet gel
   (PLATELTEX-ACT®)

Common lancehead snake

  (Bothrops atrox)

cleaves Aα-chain of fibrinogen

gelification of blood for topical applications

fibrin sealant

   (VIVOSTAT®)

Brazilian lancehead snake

  (Bothrops moojeni)

cleaves Aα-chain of fibrinogen

autologous fibrin sealant in surgery

 

thrombin-like enzymes

Chinese moccasin snake

  (Deinagkistrodon acutus) or
Siberian pit viper snake
  (Gloydius halys
) or
Ussuri mamushi viper
  (Gloydius ussuriensis
)

fibrinogenase

antithrombotics; defibrinating agent for the treatment and prevention of thromboembolic disease

hemocoagulase
   (REPTILASE®)

Common lancehead snake

  (Bothrops atrox) or

Jararaca pit viper snake

  (Bothrops jararaca) or
Brazilian lancehead snake
 
(Bothrops moojeni)

cleaves Aα-chain of fibrinogen; factor X  and/or prothrombin activation

 

prophylaxis and treatment of hemorrhage in surgery

medicinal leech therapy

European medicinal leech

  (Hirudo verbana) or other species

inhibits platelet aggregation and the coagulation cascade

skin grafts and reattachment surgery

Drugs in clinical trials (in 2016)

Dendroaspis natriuretic peptide
   (cenderitide, CD-NP)
Capricor Therapeutics

Eastern green mamba snake

  (Dendroaspis angusticeps)

inhibit platelet aggregation and the coagulation cascade

congestive cardiac failure

Stichodactyla toxin ShK
   (dalazatide, ShK-186)
Kineta

Sun sea anemone

  (Stichodactyla helianthus)

Kv1.3 channel antagonist

psoriatic arthritis, multiple sclerosis, lupus, rheumatoid arthritis, and other autoimmune diseases

chlorotoxin
   (BLZ-100, TM-601)
Blaze Bioscience

Deathstalker (Yellow scorpion)

  (Leiurus quinquestriatus)

binds to membrane type-1 matrix metalloproteinase (MMP), MMP-2 matrix MMP-2, tissue inhibitor of metalloproteinase-2, CLC-3 Cl- channel in glioma cells and other tumors of neuroectodermal origin

glioma and other central nervous system tumors

soricidin
   (SOR-C13)
Soricimed

Northern short-tailed shrew

  (Blarina brevicauda)

inhibitor of the Ca2+-selective transient receptor potential channel TRPV6

ovarian (and other) cancers

Terminated at clinical trial stage

desmoteplase
--TERMINATED, 2014 Dec--

Common vampire bat

  (Desmodus rotundus)

plasminogen activator a1 with high fibrin specificity

acute ischemic stroke