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恩氟昔布治疗犬骨关节炎的疗效和安全性:一项为期 6 周的随机、对照、盲法、多中心临床试验。

Efficacy and safety of enflicoxib for treatment of canine osteoarthritis: A 6-week randomised, controlled, blind, multicentre clinical trial.

机构信息

Ecuphar Veterinaria SLU (Animalcare Group), Avgda. Río de Janeiro 60 - 66, planta 13, Barcelona, Spain.

Servei d'Estadística Aplicada, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, Spain.

出版信息

Vet Rec. 2022 Sep;191(6):e949. doi: 10.1002/vetr.949. Epub 2021 Sep 29.

DOI:10.1002/vetr.949
PMID:34590318
Abstract

BACKGROUND

Enflicoxib is a new COX-2 selective NSAID intended for the treatment of pain and inflammation associated with canine osteoarthritis.

METHODS

A prospective, multisite, blinded, randomised, controlled, parallel-group field study was performed to determine the efficacy and safety of enflicoxib in canine osteoarthritis. A total of 242 dogs were randomised to receive enflicoxib at 4 or 2 mg/kg, mavacoxib at 2 mg/kg or placebo, orally. Enflicoxib and placebo were administered once weekly from day 0 to day 35. Mavacoxib was administered on D0 and day 14. Veterinarians assessed efficacy with a numerical rating scale and owners used the Canine Brief Pain Inventory.

RESULTS

After 6 weeks, enflicoxib at 4 mg/kg showed the highest percentage of responders as assessed by the veterinarians (68%) and the owners (84%), followed by mavacoxib (62and 83%, respectively), and enflicoxib at 2 mg/kg (57 and 80%, respectively). All treatments reached statistical significance versus placebo, which obtained success rates of 37% and 53%, respectively. No differences in the incidence of adverse reactions were detected among the different groups.

CONCLUSIONS

Enflicoxib administered weekly for 6 weeks, at 4 mg/kg PO with an initial loading dose of 8 mg/kg, is efficacious and safe for the treatment of canine osteoarthritis.

摘要

背景

恩氟昔布是一种新型 COX-2 选择性 NSAID,旨在治疗犬骨关节炎相关的疼痛和炎症。

方法

进行了一项前瞻性、多中心、双盲、随机、对照、平行组现场研究,以确定恩氟昔布在犬骨关节炎中的疗效和安全性。共有 242 只狗被随机分配接受恩氟昔布 4 或 2mg/kg、马昔康 2mg/kg 或安慰剂,口服。恩氟昔布和安慰剂从第 0 天到第 35 天每周给药一次。马昔康在第 0 天和第 14 天给药。兽医使用数字评分量表评估疗效,主人使用犬简明疼痛量表。

结果

6 周后,兽医评估(68%)和主人评估(84%)显示,4mg/kg 剂量的恩氟昔布应答率最高,其次是马昔康(分别为 62%和 83%)和 2mg/kg 剂量的恩氟昔布(分别为 57%和 80%)。所有治疗方法与安慰剂相比均达到统计学意义,安慰剂的成功率分别为 37%和 53%。各组之间未发现不良反应发生率的差异。

结论

每周口服 6 周,初始负荷剂量为 8mg/kg,4mg/kg 剂量的恩氟昔布治疗犬骨关节炎有效且安全。

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