Developing a new antidote for fentanyl and xylazine overdoses

A Novel Reversal Agent for Treatment of Overdose from the Combination of Fentanyl and Xylazine

NIH-funded research Clear Scientific, LLC · NIH-10908091

This study is working on a new treatment to help people who have overdosed on a mix of fentanyl and xylazine, which regular naloxone can't fix, so that they can breathe better and feel more alert again.

Quick facts

Grant typeSbir 2 grant
Study typeNIH-funded research
Funding institutionClear Scientific, LLC NIH-funded
Lab location1 site (Cambridge, United States)
Project IDNIH-10908091 on NIH RePORTER

What this research studies

This research focuses on creating a novel reversal agent specifically designed to counteract the effects of overdoses caused by the combination of fentanyl and xylazine, a tranquilizer that is ineffective when treated with standard naloxone. The approach involves developing a small molecule that can encapsulate these drugs, allowing for rapid reversal of their toxic effects and promoting faster clearance from the body. Patients experiencing respiratory depression or sedation due to this drug combination may benefit from this new treatment, which can be administered via intramuscular injection. The research aims to provide a dual-use antidote that can be effective on its own or in conjunction with naloxone.

Who could benefit from this research

Good fit: Ideal candidates for this research are individuals who have experienced an overdose involving both fentanyl and xylazine.

Not a fit: Patients who have overdosed solely on opioids that are effectively treated with naloxone may not benefit from this research.

Why it matters

Potential benefit: If successful, this research could significantly reduce overdose deaths related to the dangerous combination of fentanyl and xylazine.

How similar studies have performed: While the approach of developing a specific antidote for the fentanyl and xylazine combination is novel, similar efforts to create effective reversal agents for other drug combinations have shown promise.

Where this research is happening

Cambridge, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.