Use of zoledronate for treatment of a bone fragility disorder in horses.
Abstract: To assess clinical outcomes and scintigraphic findings in horses with a bone fragility disorder (BFD) treated with zoledronate (a nitrogen-containing bisphosphonate). Methods: Prospective uncontrolled clinical trial. Methods: 10 horses with evidence of a BFD. Methods: Signalment, history, and geographic location of horses' home environments were recorded. Physical examinations, lameness evaluations, and nuclear scintigraphy were performed. Diagnosis of a BFD was made on the basis of results of clinical and scintigraphic examination. Each horse was treated with zoledronate (0.075 mg/kg [0.034 mg/lb, IV, once]) at the time of diagnosis. Horses were reevaluated 6 months after treatment. Results: Affected horses were from the central and coastal regions of California and had ≥ 1 clinical sign of the disorder; these included scapular deformation (n = 2), lordosis (1), nonspecific signs of musculoskeletal pain (1), and lameness that could not be localized to a specific anatomic region (9). All horses had multiple sites of increased radiopharmaceutica uptake during initial scintigraphic evaluation of the axial skeleton and bones of 1 or both forelimbs. Six months after treatment, clinical improvement (defined as improvement in the lameness score, resolution of signs of musculoskeletal pain, or both) was detected in 9 of 10 horses; scintigraphic uptake was unchanged (n = 2) or subjectively decreased (8). No adverse effects attributed to zoledronate treatment were detected. Conclusions: Treatment with zoledronate appeared to be useful in improving clinical outcome and scintigraphic findings in horses with a BFD; however, future placebo-controlled studies are necessary to accurately determine efficacy and long-term safety.
Publication Date: 2012-05-23 PubMed ID: 22607600DOI: 10.2460/javma.240.11.1323Google Scholar: Lookup
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- Journal Article
Summary
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The research article discusses the effectiveness of a drug called zoledronate, usually used to treat bone fragility in horses. The study finds that this drug may offer improvements in clinical results and scintigraphic findings in horses with a bone fragility disorder (BFD), although controlled studies are required for more accurate results.
Methodology of the Research
- The research comprised a prospective, uncontrolled clinical trial which involved 10 horses diagnosed with a BFD.
- The individual animals’ profiles, histories, and the locations of their stables were taken into account.
- The horses underwent physical assessments, lameness evaluations (to measure movement difficulties), and nuclear scintigraphy (a diagnostic imaging technique).
- A diagnosis of a BFD was made based on the outcomes of these examinations.
- Every horse diagnosed with the disorder was treated with zoledronate (administered intravenously, once).
- A follow-up examination and assessment were done six months post-treatment.
Results of the Research
- The horses in the study were sourced from the central and coastal areas of California and all exhibited at least one symptom of the disorder, examples of which included skeletal deformations, lordosis (a medical condition causing a curve in the spine), and lameness that could not be ascribed to a specific anatomical region.
- During the initial nuclear scintigraphic assessment, all horses showed multiple locations of increased radiopharmaceutical uptake in the axial skeleton and bones of one or both forelimbs, indicating bone abnormalities.
- Six months after being treated with zoledronate, 9 out of 10 horses showed clinical improvements – either signs of reduced lameness or relief from musculoskeletal pain. In addition, scintigraphic uptake was either unchanged or appeared to have diminished in the horses.
- Zoledronate treatment did not produce any adverse side effects in the animals treated.
Conclusions of the Research
- The results of this study suggest that zoledronate treatment can be effective in managing BFD in horses, as evidenced by clinical improvements and positive scintigraphic findings post-treatment.
- However, the researchers underscore the need for future placebo-controlled studies to provide more accurate validation of the drug’s efficacy and to assess its long-term safety for thoroughbred equine patients.
Cite This Article
APA
Katzman SA, Nieto JE, Arens AM, MacDonald MH, Puchalski SM, Galuppo LD, Snyder JR, Maher O, Bell RJ.
(2012).
Use of zoledronate for treatment of a bone fragility disorder in horses.
J Am Vet Med Assoc, 240(11), 1323-1328.
https://doi.org/10.2460/javma.240.11.1323 Publication
Researcher Affiliations
- William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA 95616, USA. sakatzman@gmail.com
MeSH Terms
- Animals
- Bone Density Conservation Agents / therapeutic use
- Bone Diseases / diagnostic imaging
- Bone Diseases / drug therapy
- Bone Diseases / veterinary
- Diphosphonates / therapeutic use
- Female
- Horse Diseases / diagnostic imaging
- Horse Diseases / drug therapy
- Horses
- Imidazoles / therapeutic use
- Male
- Prospective Studies
- Radionuclide Imaging
- Treatment Outcome
- Zoledronic Acid
Citations
This article has been cited 2 times.- Vergara-Hernandez FB, Nielsen BD, Colbath AC. Is the Use of Bisphosphonates Putting Horses at Risk? An Osteoclast Perspective. Animals (Basel) 2022 Jul 3;12(13).
- Zavodovskaya R, Eckert M, Murphy BG, Stover SM, Kol A, Diab S. Multifocal discrete osteolysis in a horse with silicate associated osteoporosis. Equine Vet Educ 2019 Oct;31(10):517-522.
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