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Topic:Clinical Study
Clinical studies in equine research involve the systematic investigation of health and disease in horses through structured scientific methods. These studies aim to evaluate the safety and efficacy of treatments, understand disease mechanisms, and improve veterinary care practices. Clinical studies can include randomized controlled trials, observational studies, and case-control studies. They may focus on various aspects such as pharmacokinetics, therapeutic interventions, and diagnostic techniques. This page compiles peer-reviewed research studies and scholarly articles that explore the design, implementation, and findings of clinical studies in equine medicine, providing insights into their impact on horse health and veterinary practices.
Morphological and Behavioural Predictors of Motor Laterality in Domestic Horses: A Cross-Sectional Field Study. Motor laterality in horses affects performance, training, and welfare. A simple morphological marker for laterality would help riders, trainers, and veterinarians identify likely locomotor asymmetries early. This study tested whether observable morphological and behavioural characteristics were associated with rider-perceived motor laterality in domestic horses, using a cross-sectional observational field study design conducted in the Blida and Algiers regions of Algeria. The study included 100 regularly ridden domestic horses. Mane orientation, facial whorl characteristics, standing curvature...
Forage chemical composition drives early metabolic shifts in ponies fed different haylages. Rapid changes between feeds can cause dysbiosis and colic in horses. The metabolic consequences of transitioning between haylages (HY) are currently unknown. Objective: To characterise urinary and faecal metabonomics in ponies transitioned between HY varying in botanical composition and physiological age and to evaluate the speed of metabolic adaptation. Methods: In vivo experiments repeated Latin Square. Methods: Eight Welsh Mountain ponies were fed four HY (R1, R2, M1, M2) across 4 × 15-day periods; a structured 3-day (Days 13-15) changeover was observed: old:new 70:30, 50:50and 30:70....
Cumulus cell DNA fragmentation as non-invasive biomarker of equine oocyte quality in in vitro embryo production. The efficiency of in vitro embryo production in animal species is constrained by the absence of practical, non-invasive biomarkers to assess oocyte quality. Cumulus cell DNA fragmentation index (CC-DFI) has been proposed as a biomarker in humans, but data in animals remain limited. Objective: This study investigated the association of CC-DFI with in vitro maturation (IVM) and intracytoplasmic sperm injection (ICSI) outcomes in horses, and its relationship with mare-related factors, autumnal transition period, cumulus cell viability, and cumulus expansion. Methods: Cumulus-oocyte complexes (COC...
Pass rates using the FEI noseband measurement device at British Dressage 2025 Championships. Appropriate fitting of equipment provides horse comfort and avoids compromising equine welfare. In May 2025, the Fédération Equestre Internationale (FEI) introduced an evidence-based measuring device that is passed beneath the noseband to ensure sufficient laxity. Objective: To study the use of the FEI noseband device during mandatory tack and equipment checks at British Dressage Championships. Methods: Observational. Methods: Noseband testing was observed for a total of 523 horses competing at the 2025 British Dressage National Championship, Middle Tour Championship and Area Festival Champi...
Melatonin as a daily rhythm control signal for glucose homeostasis and insulin secretion in horses. An involvement of melatonin in the regulation of glucose homeostasis and insulin secretion in pancreatic β-cells has been proposed. To evaluate the features of the daily rhythms of plasma melatonin, blood glucose, and insulin in horses, ten clinically healthy Italian Saddle geldings, 9-10 years old with a mean body weight of 490 ± 25 kg, were enrolled. The animals were housed in individual boxes under natural environmental conditions (sunrise 06:10; sunset 18:10; 12-15°C, 77% RH). All horses were cannulated the day before the start of the study for sample collection, which was perfo...
The effects of feeding frequency on glycemia and insulinemia in moderately exercised young horses. Concentrates are typically fed twice daily to supplement forages in horses to facilitate management, especially those with higher energy needs, but high-grain meals can contribute to digestive and metabolic challenges, including insulin dysregulation. This study investigated the effects of feeding frequency on glycemia, insulinemia, and insulin sensitivity measured by an oral sugar test in moderately exercised young horses. Thirty-two healthy Quarter Horses (2-3 years old) were assigned to either traditional feeding (TF; two grain meals/day) or fractioned feeding (FF; automated grain delivery...
Clinical Efficacy of Varying Dosages of Intravenous Phenylbutazone in a Reversible Model of Equine Foot Lameness. The objective of this experiment was to compare the clinical efficacy of various dosages of phenylbutazone (PBZ) with a negative control. The hypothesis was that higher PBZ doses would result in improved efficacy in a dose-dependent manner. Eight horses were shod with adjustable heart bar shoes on one front foot. Grade 4.0/5.0 lameness was induced every 2 to 4 weeks by tightening a set screw against the heart bar. Heart rate (HR) and lameness score (LS) were monitored at rest; every 20 min after lameness induction for 5 h; and hourly for another 8 h. One hour after lameness induction, treatmen...
A novel water additive increases voluntary water intake in healthy horses. To determine whether healthy horses would increase their voluntary water intake (VWI) when offered a novel water additive (NWA) compared to plain water (TAP) and water flavored with sweet feed, referred to as sweet tea (ST). Unassigned: 12 clinically healthy horses, aged 2 to 5 years old, were enrolled in the experimental crossover design. Four horses were assigned to each group for each of the 3 study weeks. The order that the horses were allocated to study groups was randomly assigned. All horses had access to 2 buckets filled to 16 L, one containing plain water (untreated bucket) and one co...
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Proof of Concept for Open Flow Microperfusion for Intratumoural Drug Administration in Equine Cutaneous Neoplasia. Intratumoural drug delivery can achieve high local therapeutic exposure while limiting systemic effects, but heterogeneous distribution may compromise treatment efficacy and precision. This proof-of-concept study investigated open flow microperfusion (OFM) as a novel platform for local delivery of tigilanol tiglate (TT), an intratumoural antineoplastic agent with immunomodulatory and vascular-disrupting effects. Four horses with histologically confirmed cutaneous neoplasia (three sarcoids and one squamous cell carcinoma) underwent OFM using TT concentrations of 0.01-0.04 mg/mL delivered at 9 ...
Changes in hoof morphology in racing Thoroughbreds during a period of ninety days unshod. Low hoof angles and discrepancies in the dorsal heel are linked to musculoskeletal breakdown, suspensory apparatus failure, and retirement in Thoroughbred racehorses. Evidence-based research on correcting hoof adaptations is limited, which leads to a reliance on therapeutic shoeing. Unassigned: This study aimed to test the hypothesis that morphological changes occur during active unshod training and that trimming immediately affects hoof angles. Unassigned: This is a controlled, quantitative, longitudinal study that uses a convenience sample. Unassigned: A total of 36 racehorses were divided i...
Influence of Follicle Number and Reproductive Cyclicity on Mesenchymal Stromal Cell Yield Isolated From Equine Ovarian Follicular Aspirates. Follicular aspirates have emerged as an alternative source of mesenchymal stromal cells (MSC) in mares; however, factors influencing successful MSC isolation remain unclear. This study evaluated whether reproductive cyclicity and follicle count affect MSC recovery from ovum pick-up (OPU)-derived follicular aspirates. Twenty-eight OPU procedures were performed on 13 mares, and cells were cultured until passage 3. Successful MSC cultures were obtained in 15/28 procedures (53.6%), while 13 procedures (46.4%) yielded non-MSC populations. Neither reproductive status (cycling vs. anestrous) nor foll...
The effect of ertugliflozin on serum insulin and glucose in healthy horses receiving dexamethasone. Sodium-glucose cotransporter 2 inhibitors (SGLT-2i) can be used to manage insulin dysregulation (ID). Their effect on corticosteroid-induced ID is unknown. Objective: Evaluate effects of ertugliflozin on serum insulin and glucose concentrations in horses receiving dexamethasone (DEX). We hypothesized that DEX would induce ID and ertugliflozin coadministration would mitigate that effect. Methods: Seven healthy horses. Methods: Randomized crossover design; horses received DEX (0.06 mg/kg IV q48h; DEX)or ertugliflozin (0.05 mg/kg PO q24h) plus DEX (SGLT-2i group) for seven days. Oral sugar (OST...
Validation of a novel instrumented hoof boot with pressure sensors using force plate gait kinetics in horses at walk and trot. Force plates (FP) are considered the gold standard for quantitative equine gait evaluation but are limited to experimental use. An instrumented hoof boot (IHB) with pressure sensors and an inertial measurement unit would allow clinicians to objectively assess kinetic parameters and gait symmetry. Objective: To validate the IHB by comparing kinetic parameters with obtained FP data. Methods: In vivo experiments. Methods: Twenty-seven horses were measured with IHBs on FPs at walk and trot. Mean value kinetic parameters recorded were: (1) peak vertical force (PVF) [N/kg]/peak vertical pressure (PV...
Measuring the Rider-Horse Dyad Across Olympic Equestrian Disciplines: A Scoping Review of Methodological Gaps and Priorities for Show Jumping. (1) Background: Rider-horse coordination underpins equestrian performance; yet, its definition, quantitative indicators, and measurement methods remain inconsistent across Olympic disciplines. This scoping review mapped the constructs, metrics, and measurement approaches in dressage, show jumping, eventing, and transferable equestrian contexts, with show jumping as the principal application context. (2) Methods: Following PRISMA-ScR guidance and a Population-Concept-Context framework, Web of Science Core Collection, Scopus, and PubMed were searched from database inception to 10 September 2026....
Predicting outcomes in equine peritonitis: Multivariable analysis of admission and post-admission data from a UK hospital population. Peritonitis is life-threatening, and limited information exists regarding outcomes and predictors of survival. Objective: To report short- and long-term outcomes in horses diagnosed with peritonitis and identify factors associated with survival. Methods: Retrospective observational. Methods: Data were obtained for horses admitted to a UK referral hospital between 2010 and 2024 diagnosed with peritonitis (peritoneal fluid nucleated cell count >10 × 10/L). Short- and long-term morbidity and mortality were assessed. Multivariable logistic regression was used to identify factors associated w...
Etiological and immunological aspects of equine hoof canker. Chronic equine proliferative pododermatitis (canker) is a hypertrophic hoof disease characterized by excessive proliferation of horn-producing tissues resulting from dyskeratosis of keratinocytes. Since its etiology remains unknown, this study investigated potential etiological agents and evaluated biochemical and immunological profiles. Ten horses with hoof canker and ten healthy controls of the Norik of Muran breed were included. Dermatophytes and bovine papillomavirus 1 and 2 (BPV 1/2) were not detected. Candida glabrata was the most frequently identified species in both affected and health...
Effect of erythromycin and colistin ophthalmic ointment on post-race keratitis in Thoroughbred racehorses. This study investigated the prophylactic efficacy of administering an ophthalmic ointment containing erythromycin and colistin (EC ointment) after racing to prevent post-race keratitis in Thoroughbred racehorses. Methods: The incidence of post-race keratitis following turf and dirt races was compared between treatment groups (non-ointment group: eye flushing only; ointment group: eye flushing and application of EC ointment) and between two randomly assigned groups (non-antimicrobial group: application of ophthalmic white petrolatum; antimicrobial group: application of EC ointment). Results: Af...
Ursodeoxycholic Acid Oral Pharmacokinetics and Plasma Bile Acid Profile Changes in a Population of Healthy Neonatal Foals. Ursodeoxycholic acid (UDCA) is a secondary bile acid used in humans for the treatment of some cholestatic diseases. Interest in its potential use in equine patients with liver conditions has increased. Pharmacokinetic parameters in adult horses have recently been reported; however, they are not available for foals. The objective of this study was to characterize the pharmacokinetics of UDCA following a single oral dose of 15 mg/kg in six healthy neonatal foals and evaluate associated changes in bile acids (BA) profile. UDCA concentrations were measured using liquid chromatography-tandem mass...
Association Between Matrix Metalloproteinase-9 (MMP-9) Immunohistochemical Expression and Clinicopathological Features in Equine Melanoma. Equine melanoma is one of the most important oncological diseases in horses and exhibits a distinct biological behavior compared with melanoma in other species. Matrix metalloproteinase-9 (MMP-9) has been associated with tumor aggressiveness and metastasis in human and canine melanoma, but its expression in equine melanoma remains unknown. Objective: Evaluate the immunohistochemical expression of MMP-9 in equine melanomas and investigate its association with clinicopathological features. Methods: 68 formalin-fixed, paraffin-embedded equine melanomas from 48 gray horses were evaluated immunohis...
Thymidine kinase 1 activity in serum and body cavity fluids of horses with lymphoma. The accuracy of serum thymidine kinase 1 (TK1S) as a biomarker of lymphoma in horses is variable. The value of measurement in body cavity fluid (TK1F) has not been established. Objective: (1) TK1F and TK1S will be higher in horses with lymphoma compared to diseased controls (DCs); (2) TK1F will be higher than TK1S; and (3) there will be a strong correlation between both measurements. Methods: Twenty animals in the lymphoma and 31 animals with nonneoplastic, gastrointestinal/respiratory disorders in DC group. Methods: This was a cross-sectional study using prospectively collected data and sampl...
Oral Mosapride Attenuates Gastrointestinal Dysmotility During Experimental Endotoxemia in Horses: A Randomized, Blinded Crossover Study. Endotoxemia is a major contributor to gastrointestinal hypomotility and postoperative ileus in horses. This study investigated whether oral mosapride retained prokinetic activity during acute lipopolysaccharide (LPS)-induced endotoxemia. Seven healthy adult horses were enrolled in a randomized, blinded, three-period crossover trial and received LPS alone, mosapride alone (MOSA), or LPS plus mosapride (LPS + MOSA), with a 14-day washout interval between periods. Mosapride was administered orally at 2 mg/kg, whereas endotoxemia was induced by an intravenous infusion of O55:B5 LPS (0.03 µg/kg) ...
Weigh tape more accurately estimates equine body weight than morphometric formula: a controlled technical assessment. Accurate body weight (BW) estimation in horses is essential for clinical and nutritional management; however, calibrated scales are often unavailable under field conditions. Objective: To compare the longitudinal accuracy and consistency of a commercial weigh tape and the Carroll and Huntington morphometric formula against calibrated digital scale measurements in adult horses. Methods: In a prospective longitudinal experimental study, six clinically healthy adult crossbred horses (mean real body weight [Rbw] 355.5 ± 21.2 kg) were monitored weekly for 63 days under controlled management condit...
Pancreatic α-cell dysfunction associated with equine insulin dysregulation. Insulin dysregulation (ID) in horses is characterised by insulin resistance and exaggerated insulin responses, yet the underlying endocrine mechanisms remain incompletely understood. In humans, α-cell dysfunction characterised by exaggerated glucagon secretion contributes to metabolic disease; however, the role of pancreatic α-cell function in equine ID has not previously been investigated. Objective: To investigate whether horses with moderate to severe ID exhibit α-cell dysfunction, characterised by fasting and postprandial hyperglucagonaemia as well as impaired postprandial glucagon supp...
Leakage-aware pre-event machine learning evaluation for horse-race prediction under temporal validation. Horse-racing prediction was used as a case study to develop and evaluate a leakage-aware machine-learning framework based on information available after race-entry finalization and before outcomes were known. Japanese Racing Association flat-race data obtained through JRA-VAN Data Lab. and exported using TARGET frontier JV were split temporally: 2015-2022 for training, 2023-2024 for validation, and January 5, 2025 to May 10, 2026 for independent testing. The test set contained 63,910 horse-level observations from 4,556 races. Confidence intervals were estimated using 10,000 race-level bootstra...
Use of UV-Polymerizable Methacrylate Adhesive as a Post-Recovery Bandage Replacement for Transphyseal Screw Incisions in Horses: A Pilot Study. Surgical adhesives may provide an alternative to postoperative bandaging, but their use has not been evaluated in veterinary medicine. This prospective pilot study investigated the tolerance and postoperative adhesion of a UV-polymerizable methacrylate adhesive (UV-PMA) as a post-recovery bandage substitute following transphyseal screw placement in horses. A total of 153 sutured stab incisions from 102 horses were included; 75 received UV-PMA and 78 were protected with bandages. Surgical site infection (SSI) within 30 days and UV-PMA/bandage slippage within 14 days were compared between the tr...
Proteomic Profiling and Targeted Validation Reveal a More Extensive Salivary than Serum Response to a Feed-Deprivation Protocol in Horses with Gastric Lesions. Gastric ulceration is common in horses and remains challenging to diagnose, as gastroscopy is the gold standard. This study aimed to characterise the salivary and serum protein changes associated with a feed-deprivation protocol. Eight horses underwent this protocol, and gastric lesions were assessed by gastroscopy at the end of the experimental period. Saliva and blood samples were collected pre- and post-protocol, and pooled samples from each biological fluid and condition were analysed by two-dimensional gel electrophoresis to compare protein profiles. Fifteen salivary and five serum protei...
Effects of constant rate infusion of a fixed-dose combination of medetomidine and vatinoxan on sedation, cardiorespiratory variables, and gastrointestinal activity in standing Thoroughbred horses. A fixed-dose combination of medetomidine (MED) and vatinoxan (VTX), a peripherally selective α2-adrenoceptor antagonist, is commercially available, but its constant rate infusion (CRI) has not been evaluated. Objective: To compare the sedative effects, cardiorespiratory variables, and gastrointestinal activity of MED-VTX and MED-atipamezole (ATIP) with MED alone in Thoroughbred horses. Methods: Six healthy Thoroughbreds underwent a blinded three-treatment, three-period crossover study. Horses received MED (7 μg/kg IV; 5 μg/kg/h CRI for 60 min) alone (gM), with VTX (140 μg/kg IV; 100 μg/kg...
Phenotypic associations between young horse assessments and orthopaedic diagnoses in insured Swedish Warmblood horses. Lameness is the most common health problem in riding horses, and insurance data have previously been used to investigate the prevalence of orthopaedic diagnoses in Swedish Warmblood (SWB) horses. Young horse performance testing is an important part of the SWB breeding programme and contributes data to the genetic evaluation. Assessed traits from these tests have been shown to be useful indicator traits of performance in show jumping and dressage, but their associations with orthopaedic health have not previously been investigated. Objective: To study the associations between assessed traits fr...
Race-related fatalities in U.S. jump racing, 2023-2025: incidence and documentation across public reporting sources. Fatality reporting in National Steeplechase Association (NSA)-sanctioned U.S. jump racing is distributed across several public sources, and no single source consistently links the race incident with the final clinical outcome. Objective: To identify and verify race-related fatalities associated with NSA-sanctioned jump-racing starts, compare documentation across public sources, and estimate minimum confirmed fatality incidence. Methods: The study population included official starters in completed NSA-sanctioned hurdle/fence and timber races during 2023-2025. Potential fatalities reported by Ho...
