Analyze Diet
Veterinary journal (London, England : 1997)2016; 213; 64-71; doi: 10.1016/j.tvjl.2016.05.001

Designing a field trial of an equine grass sickness vaccine: A questionnaire-based feasibility study.

Abstract: Without an experimental model of equine grass sickness (EGS), a randomised controlled field trial (RCT) represents the only method of evaluating the efficacy of Clostridium botulinum type C vaccination in preventing naturally occurring disease. Clinical trial feasibility is an important aspect of preliminary work undertaken prior to initiating RCTs, estimating parameters that are important for study design. This cross-sectional study aimed to assess the feasibility of conducting a nationwide RCT of a candidate vaccine for EGS based on responses from a sample of British equine veterinary practices (n = 119/284). Seventy-three percent of practices had attended ≥1 EGS case within the preceding 2 years (median four cases), and 51.3% regularly attended recurrently affected premises. Veterinary surgeons had greater confidence diagnosing acute/subacute EGS based solely on history and clinical signs compared to chronic EGS. Ninety-one percent of respondents (n = 103/113) considered the proposed RCT to be important/very important to equine veterinary research. Ninety-one percent of respondents (n = 102/112) indicated preparedness to assist in owner recruitment and 92.9% (n = 104/112) indicated willingness to participate in a RCT. The most frequent reasons for practices declining to participate were low incidence of EGS (n = 4), did not believe clients would wish to participate (n = 3) and amount of paperwork/data collection involved (n = 2). There was considerable support amongst participating veterinary practices for a RCT evaluating the efficacy of Clostridium botulinum vaccination for the prevention of EGS in Britain. Substantial proportions of participating practices would be prepared to participate in the RCT and regularly attended EGS-affected premises that would meet trial inclusion criteria.
Publication Date: 2016-05-04 PubMed ID: 27240918DOI: 10.1016/j.tvjl.2016.05.001Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research is about assessing the feasibility of a nationwide controlled field trial for a potential vaccine for equine grass sickness (EGS) in the UK. The study used a questionnaire to collect responses from veterinary practices across the country.

Objective of the Study

  • The main purpose of the study was to measure the feasibility of running a large-scale, randomised controlled field trial (RCT) to evaluate the effectiveness of a potential vaccine for equine grass sickness. This was done through a cross-sectional survey involving 119 British equine veterinary practices.

Importance of the Study

  • Equine grass sickness is a serious disease that targets the digestive system of horses, potentially causing fatal damage. Currently, there is no reliable cure or preventative measure for EGS.
  • The proposed vaccine for EGS could potentially reduce or eliminate instances of the disease, providing immense benefit to the equine community. Therefore, assessing the feasibility of a field trial is a necessary precursor before implementing the RCT.

Findings of the Study

  • The majority of veterinary practices (73%) reported having attended at least one case of EGS within the previous two years.
  • About half (51.3%) of the practices regularly visited premises that frequently experienced EGS cases.
  • Veterinary surgeons were more confident in diagnosing acute or subacute EGS based on history and clinical signs than in diagnosing chronic EGS.
  • A very high percentage of respondents believed that the proposed RCT was important for equine veterinary research (91%).
  • Similarly, a high percentage indicated their willingness to help in owner recruitment (91%) and to participate in the RCT (92.9%).
  • The main reasons for some practices not wanting to participate in the trial were the low incidence of EGS, lack of owner interest, and the amount of paperwork/data collection involved.

Conclusions of the Study

  • Based on these results, there is considerable support amongst the participating veterinary practices for a field trial of a vaccine against EGS. A significant proportion of these practices are willing to participate in the trial and regularly visit premises affected by EGS, satisfying the trial’s inclusion criteria.

Cite This Article

APA
Ireland JL, McGorum BC, Proudman CJ, Newton JR. (2016). Designing a field trial of an equine grass sickness vaccine: A questionnaire-based feasibility study. Vet J, 213, 64-71. https://doi.org/10.1016/j.tvjl.2016.05.001

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 213
Pages: 64-71
PII: S1090-0233(16)30039-9

Researcher Affiliations

Ireland, Joanne L
  • Centre for Preventive Medicine, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK. Electronic address: jo.ireland@aht.org.uk.
McGorum, Bruce C
  • Department of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies and Roslin Institute, The University of Edinburgh, Easter Bush, Midlothian, Edinburgh EH25 9RG, UK.
Proudman, Christopher J
  • School of Veterinary Medicine, Faculty of Health and Medical Science, University of Surrey, Guildford, Surrey GU2 7TE, UK.
Newton, J Richard
  • Centre for Preventive Medicine, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk CB8 7UU, UK.

MeSH Terms

  • Animals
  • Bacterial Vaccines / immunology
  • Botulism / microbiology
  • Botulism / prevention & control
  • Botulism / veterinary
  • Clinical Competence
  • Clostridium botulinum type C / immunology
  • Cross-Sectional Studies
  • Feasibility Studies
  • Horse Diseases / microbiology
  • Horse Diseases / prevention & control
  • Horses
  • Polyneuropathies / microbiology
  • Polyneuropathies / prevention & control
  • Polyneuropathies / veterinary
  • Randomized Controlled Trials as Topic
  • United Kingdom
  • Veterinarians / psychology

Citations

This article has been cited 2 times.
  1. Randleff-Rasmussen PK, Leblond A, Cappelle J, Bontemps J, Belluco S, Popoff MR, Marcillaud-Pitel C, Tapprest J, Tritz P, Desjardins I. Development of a clinical prediction score for detection of suspected cases of equine grass sickness (dysautonomia) in France.. Vet Res Commun 2018 Mar;42(1):19-27.
    doi: 10.1007/s11259-017-9704-ypubmed: 29204821google scholar: lookup
  2. Sundeen G, Barbieri JT. Vaccines against Botulism.. Toxins (Basel) 2017 Sep 2;9(9).
    doi: 10.3390/toxins9090268pubmed: 28869493google scholar: lookup