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. Author manuscript; available in PMC: 2018 Jan 1.
Published in final edited form as: Curr Opin Rheumatol. 2017 Jan;29(1):110–118. doi: 10.1097/BOR.0000000000000354

Table 1.

Type of Study Model Type of Blocker Administration Protocol Major Effects of Treatment Reference
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
  • Treatment on day 2 reversed burrowing deficit on day 3 compared to saline

  • Joint histology was not performed

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)
  • Increased tibial cartilage degeneration on day 37

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)
  • No statistically significant increase in tibial cartilage degeneration on day 71

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]