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Heptavalent botulinum antitoxin (HBAT), marketed under the brand name BAT, is an equine-derived polyclonal antibody preparation consisting of Fab and F(ab')2 fragments. It is indicated for the treatment of symptomatic botulism following documented or suspected exposure to botulinum neurotoxin serotypes A, B, C, D, E, F, or G in both adult and pediatric patients. Developed by Cangene (now Emergent BioSolutions) and approved by the US FDA in 2013, the antitoxin works by binding to and neutralizing circulating botulinum neurotoxins, thereby preventing their internalization into cholinergic nerve terminals and halting the progression of flaccid paralysis. It is currently stockpiled in the US Strategic National Stockpile (SNS) for emergency public health and biodefense use.
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