PAIN MANAGEMENT IN OSTEOARTHRITIS THROUGH THERAPIES WITH MONOCLONAL ANTIBODIES VERSUS CONVENTIONAL ANALGESICS
Abstract
Osteoarthritis is a degenerative joint disease that affects a large part of small animal clinic patients, regardless of their age. However, the importance of this pathology lies in the pain it causes in patients, which can reduce their quality of life. Nerve Growth Factor (NGF) binds to the high affinity receptor TrkA to form the NGF/TrkA complex responsible for overexpressing pronociceptive neurotransmitters. Therefore, the regulation of NGF/TrkA signaling is essential in the management of patients' pain. Frunevetmab (Solensia®) and bedinvetmab (Librela®) are two drugs currently used to reduce chronic pain caused by osteoarthritis, since they are inhibitors of this NGF. However, drugs such as low-dose NSAIDs, gabapentin or opioids have been shown to control the animal's chronic pain in the long term. However, despite having a positive benefit-risk balance in the animal, they can cause various adverse effects that monoclonal antibodies do not have. In this research, five studies have been analyzed, three where efficacy and safety are observed in the feline species and two studies intended for the canine species, in which it is observed that the animals to which monoclonal antibodies are administered show improvement in the clinical signs for one month after administration, compared to placebo groups.
Downloads
-
Abstract500
-
pdf (Español (España))366
References
Adams BL, Guo W, Gors RT, & Knopp KL. (2016). Pharmacological interrogation of a rodent forced ambulation model: leveraging gait impairment as a measure of pain behavior pre-clinically. Osteoarthritis Cartilage, 24: 1928–1939. https://doi.org/10.1016/j.joca.2016.05.022
Corral, MJ, Moyaert, H., Fernandes, T., Escalada, M., Tena, JKS, Walters, RR, & Stegemann, MR (2021). A prospective, randomized, blinded, placebo-controlled multisite clinical study of bedinvetmab, a canine monoclonal antibody targeting nerve growth factor, in dogs with osteoarthritis. Veterinary Anaesthesia and Analgesia, 48 (6), 943-955. https://doi.org/10.1016/j.vaa.2021.08.001
Enomoto M., Mantyh P.W., Murrell J, Innes J.F. & Lascelles BDX. (2019). Anti-nerve growth factor monoclonal antibodies for the control of pain in dogs and cats. Veterinary Record, 184 (1), 23-23. https://doi.org/10.1136/vr.104590
García Merino, A. (2011). Anticuerpos monoclonales. Aspectos básicos. Neurología. 26(5): 301—306. doi:10.1016/j.nrl.2010.10.005
González-Corrales, D., Monge-Quirós, T., & Alfaro-Mora, R. (2020). Efectos adversos relacionados al uso de AINEs en el manejo de osteoartritis felina y canina. Revista Colombiana De Ciencia Animal - RECIA, 13(1), e781. https://doi.org/10.24188/recia.v13.n1.2021.781
Gruen, ME, Myers, JA y Lascelles, BDX (2021). Efficacy and Safety of an Anti-nerve Growth Factor Antibody (Frunevetmab) for the Treatment of Degenerative Joint Disease-Associated Chronic Pain in Cats: A Multisite Pilot Field Study. Frontiers in Veterinary Science, 8, 610028. DOI: 10.3389/fvets.2021.610028
Gruen, ME, Myers, JA, Tena, JKS, Becskei, C., Cleaver, DM y Lascelles, BDX (2021). Frunevetmab, a felinized anti-nerve growth factor monoclonal antibody, for the treatment of pain from osteoarthritis in cats. Journal of Veterinary Internal Medicine, 35 (6), 2752-2762. DOI:10.1111/jvim.16291
Gruen, ME, Thomson, AE, Griffith, EH, Paradise, H., Gearing, DP y Lascelles, BDX (2016). A Feline-Specific Anti-Nerve Growth Factor Antibody Improves Mobility in Cats with Degenerative Joint Disease–Associated Pain: A Pilot Proof of Concept Study. Journal of Veterinary Internal Medicine, 30 (4), 1138-1148. DOI: 10.1111/jvim.13972
Julio Bermúdez, E. y Contento Moreno, M. C. (2022). Generalidades sobre osteoartrosis (OA) canina [Tesis de pregrado, Universidad Cooperativa de Colombia]. Repositorio Institucional Universidad Cooperativa de Colombia. Villavicencio. https://repository.ucc.edu.co/handle/20.500.12494/46930 (Última consulta: 23/02/2023).
Kronenberger, K. (2023). In dogs diagnosed with osteoarthritis, how safe and effective is long-term treatment with bedinvetmab in providing analgesia? Veterinary Evidence, 8 (1). https://doi.org/10.18849/ve.v8i1.598 (Última consulta: 23/02/2023).
Lascelles, B. D., Henry, J. B., 3rd, Brown, J., Robertson, I., Sumrell, A. T., Simpson, W., Wheeler, S., Hansen, B. D., Zamprogno, H., Freire, M., & Pease, A. (2010). Cross-sectional study of the prevalence of radiographic degenerative joint disease in domesticated cats. Veterinary surgery : VS, 39(5), 535–544. https://doi.org/10.1111/j.1532-950X.2010.00708.x
Marino, F. D., & Rodríguez, S. I. C. (2012). Manejo del dolor en el gato. Argos: Informativo Veterinario, (143), 44-46. https://dialnet.unirioja.es/servlet/articulo?codigo=7329786 (Última consulta: 22/02/2023).
Martínez Ortega, Antonio. (2022). Nuevas aplicaciones analíticas para la caracterización de medicamentos basados en anticuerpos monoclonales. estudios de estabilidad en el tiempo en condiciones hospitalarias. Editor: Universidad de Granada. Tesis Doctorales. ISBN: 978-84-1117-260-8. URI: Recuperado de: https://digibug.ugr.es/handle/10481/73619 y file:///C:/Users/Carlos/Downloads/62827(1).pdf (Última consulta: 16/03/2023).
Moreno, C., & Prada, D. M. (2004). Fisiopatología del dolor clínico. Guía neurológica, 3, 9-21. http://acnweb.org/guia/g3cap2.pdf
Salamanca, M. A. C., & Vicente, C. S. Tratamiento del dolor crónico felino, ¿qué hay y qué habrá?. Recuperado de: https://axoncomunicacion.net/tratamiento-del-dolor-cronico-felino-que-hay-y-que-habra/ (Última consulta: 16/03/2023).
Copyright (c) 2025 Servicio de Publicaciones, University of Murcia (Spain)

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Creative Commons Attribution 4.0
The works published in this journal are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) retains the property rights (copyright) of published works, and encourages and enables the reuse of the same under the license specified in paragraph 2.
© Servicio de Publicaciones, Universidad de Murcia, 2019
2. The works are published in the online edition of the journal under a Creative Commons Attribution-NonCommercial 4.0 (legal text). You can copy, use, distribute, transmit and publicly display, provided that: i) you cite the author and the original source of publication (journal, editorial and URL of the work), ii) are not used for commercial purposes, iii ) mentions the existence and specifications of this license.

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
3. Conditions of self-archiving. Is allowed and encouraged the authors to disseminate electronically pre-print versions (version before being evaluated and sent to the journal) and / or post-print (version reviewed and accepted for publication) of their works before publication, as it encourages its earliest circulation and diffusion and thus a possible increase in its citation and scope between the academic community. RoMEO Color: Green.

