Improved antidotes for nerve agent and pesticide poisoning

Optimization of Substituted Phenoxyalkyl Pyridinium Oximes as Therapies for Organophosphate Poisoning

NIH-funded research Mississippi State University · NIH-11162250

New antidote medications are being developed to save lives and protect the brain for people exposed to organophosphate nerve agents or pesticides.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionMississippi State University NIH-funded
Lab location1 site (Mississippi State, United States)
Project IDNIH-11162250 on NIH RePORTER

What this research studies

This project works to create a better antidote than the common drug 2-PAM, especially one that reaches and protects the brain. Researchers have designed and tested a series of substituted phenoxyalkyl pyridinium oximes that improved survival and reduced seizure-like behavior and brain injury in rats and showed limited success in guinea pigs. The team is advancing a lead compound (Oxime 20) and optimizing formulation, dosing, and safety in animal models so the drug can move toward human testing. The goal is to build the data needed to support future clinical trials and emergency use if approved.

Who could benefit from this research

Good fit: People who have acute organophosphate poisoning from nerve agents or pesticides, or those at high risk of such exposure (e.g., certain military personnel or first responders), would be the eventual candidates for this treatment.

Not a fit: People with poisonings from non-organophosphate chemicals or chronic illnesses unrelated to acetylcholinesterase inhibition are unlikely to benefit from this antidote.

Why it matters

Potential benefit: Could offer a more effective emergency antidote that both saves lives and reduces brain damage after organophosphate exposure.

How similar studies have performed: Preclinical animal studies have shown better survival and reduced seizure and neuropathology compared with the standard antidote 2-PAM, but human trials have not yet been done.

Where this research is happening

Mississippi State, 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.