Pain Assessment only |
Destabilization of the medial meniscus (DMM) surgery in wild-type mice |
human soluble receptor to NGF (TrkAd5; produced by David Dawbarn, University of |
single subcutaneous injection of 2 mg/kg either the day before surgery or 16 weeks after surgery |
Treatment before surgery prevented the development of weight-bearing asymmetry through day 3 post surgery
Treatment 16 weeks after surgery reversed weight-bearing asymmetry days 1-3 post treatment
Joint histology was not performed
|
McNamee 2010 [19] |
|
Rat MIA (1 mg, unilateral) |
small molecule inhibitor of TrkA (GZ389988) |
single intra-articular injection on day 7 after MIA induction into the ipsilateral joint (dose not stated) |
Treatment on day 7 decreased weight-bearing asymmetry for 4 weeks
As a control, a subset of rats received an injection into the contralateral knee instead, which had no effect on ipsilateral joint pain
Joint histology was not performed
|
Flannery 2015 [20] |
|
Rat MIA (3 mg, bilateral) |
anti-NGF mAb (derived from monoclonal antibody (mAb) variable domains extracted from the patent application WO 2004/058184 A2 (applicant: Rinat Neuroscience Corporation)) |
9 mg/kg, s.c., given day 2 after MIA induction |
|
Bryden 2015 [21] |
|
DMM surgery in PKC δ null mice |
anti-NGF-2.5S antibody (Sigma, St. Louis, MO) |
30μg, intra-articular, given twice weekly from week 2 to week 8 post-DMM surgery |
Treatment decreased mechanical allodynia of the hind paw from week 3 to week 8 compared to saline-injected controls
Wild-type mice were not tested
Joint histology was not performed
|
Kc 2016 [22] |
Pain and Joint Assessment |
Rat MIA (1 mg, right knee) |
anti-NGF antibody (AS2886401-00, human IgG1) |
one injection (0.1, 0.3 or 1 mg/kg, i.v.) |
Treatment on day 3 decreases gait imbalances on day 35 after MIA induction (doses 0.3 and 1 mg/kg) compared to saline
Treatment on day 3 or day 14 decreased gait changes on day 21; Treatment 1 hr or 24hrs before gait testing on day 21 had no effect.
Treatment on day 3 caused increase in knee diameter on day 35; no effect on macroscopic scoring of tibial surface on day 35
|
Ishikawa 2015 [23] |
|
Rat transection of the medial meniscus (MNX) |
orally active inhibitor of TrkA kinase activity (AR786) |
Preventative: 30 mg/kg, orally administered twice daily beginning one day prior to MNX surgery and continuing through day 14 or day 28 after surgery |
Rats that received treatment through day 28 were protected from developing weight-bearing asymmetry and mechanical allodynia of the hind paw at all time points through day 28
Rats that received treatment through day 14 continued to be protected from weight-bearing asymmetry on days 15, 17, and 21 and from mechanical allodynia of the hind paw on day 17; these rats developed both behavioral changes by day 28
No statistically significant effect on macroscopic chondropathy or histological synovitis score by day 28, but trend toward increase in both protocols
|
Nwosu 2016 [24] |
|
Rat MIA (1 mg, unilateral) or rat transection of the medial meniscus (MNX) |
orally active inhibitor of TrkA kinase activity (AR786) |
Therapeutic: 30 mg/kg, orally administered twice daily from day 14 to day 21 after MIA induction or MNX surgery |
Treatment decreased weight-bearing asymmetry on day 17 and day 21 in MIA and on day 19 and day 21 after MNX
Treatment decreased mechanical allodynia of the hind paw days 19 and 21 for both MIA and MNX
In MIA model, treatment caused a statistically significant reduction in histological synovitis score and a trend toward a decrease in macroscopic chondropathy and histological cartilage degeneration and subchondral bone scores by day 21
In MNX model, no effect on macroscopic chondropathy or histological cartilage degeneration scores, but trend toward decreased knee swelling and increased histological subchondral bone score by day 21
|
Nwosu 2016 [24] |
|
Rat medial meniscal tear (MMT) (right knee) |
humanized anti-NGF mAb (tanezumab) |
Preventative (0.1, 1, or 10 mg/kg, s.c., weekly from day of surgery through day 28 after surgery) |
Gait deficiency in MMT rats administered vehicle or isotype control (IgG2a) peaked 3 days after surgery, continued through day 7 and resolved by days 14–28
Tanezumab protected against gait deficiency at all time points
Increased tibial cartilage degeneration at days 7, 14, 28 for all doses of Tanezumab compared to isotype controls
Increased subchondral bone sclerosis at days 7, 14, 28 for all doses
Increased tibial osteophytes by day 28 for all doses
Adverse Effects: Focal areas of alopecia along the mouth/muzzle began developing on day 14 and were seen in most animals in the 1 mg/kg tanezumab group by day 28.
|
LaBranche 2016 [25] |
|
Rat MMT (right knee) |
humanized anti-NGF mAb (tanezumab) |
Therapeutic (0.1 mg/kg, s.c., days 23 and 30 after surgery) |
|
LaBranche 2016 [25] |
|
Rat MMT (right knee) |
humanized anti-NGF mAb (tanezumab) |
Therapeutic (0.1 mg/kg, s.c., days 57 and 64 after surgery) |
|
LaBranche 2016 [25] |
|
Rat MIA (1 mg, left knee) |
anti-NGF mAb (muMab 911, mouse monoclonal antibody against hNGF) |
Preventative (10 mg/kg, s.c., weekly from the day of MIA induction) |
Prevented weight-bearing asymmetry through day 28 compared to saline
Alleviated mechanical allodynia of the hindpaw at day 28 only
Trend in increased cartilage damage and synovitis by day 28
Decreased number of TRAP positive osteoclasts in tibial plateau by day 28
Adverse Effects: From Day 12 onwards of the preventative muMab 911, some rats exhibited skin irritation
Isotype control (IgG1) had no effect on weight-bearing asymmetry or mechanical allodynia compared to vehicle
|
Xu 2016 [26] |
|
Rat MIA (1 mg, left knee) |
anti-NGF mAb (muMab 911, mouse monoclonal antibody against hNGF) |
Therapeutic (10 mg/kg, s.c., days 14 and 21 after MIA induction) |
Decreased weight-bearing asymmetry at day 28
Decreased mechanical allodynia at day 21
On average, no change in cartilage damage, but half the rats had less cartilage damage and half the rats had more cartilage damage than the rats in the vehicle group
No change in synovitis by day 28
Decreased number of TRAP positive osteoclasts in tibial plateau by day 28
|
Xu 2016 [26] |
Veterinary pilot study |
Randomized, parallel group, stratified, double masked, placebo controlled, proof of principle clinical pilot study design; dogs with degenerative joint disease and mobility |
canine-specific anti-NGF mAb (NV-01) |
Single dose of 200 μg/kg of a 2 mg/ml solution administered IV over a 1-minute period through an intra-venous 20G catheter |
Improvement in owner assessment criteria days 14 and 28 compared to placebo (saline)
Other outcome measures had overall improvements in the treatment group but not in the placebo group, altough there were not statistically signficant differences at any one time point
No adverse events over 4-week period
|
Lascelles 2015 [27] |
|
Placebo-controlled, pilot, masked clinical study; cats with degenerative joint disease and mobility impairment |
fully felinized anti-NGF mAb (NV-02) |
Single dose of 0.4 or 0.8 mg/kg, s.c. |
Improved activity levels in cats for 6 weeks
Overall, there was a strong placebo effect, but owner assessments of the treatment group improved at week 3 compared to placebo (saline)
No adverse events over 6-week period
|
Gruen 2016 [28] |