Evidence map›Paper›PMID 39945569›Full record

ArticleJournal of veterinary internal medicine

Use of inhaled ciclesonide for treatment of moderate asthma in Thoroughbred racehorses.

Macarena G Sanz, Georgia Jellen, Lauren Cody, Jenyka Bergsma, Mandy Cha, Clark Kogan, Gordon Kordas, Warwick M Bayly, Renaud Leguillette

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Macarena G SanzWashington State University, College of Veterinary Sciences, Pullman, Washington, USA.ORCID https://orcid.org/0000-0001-6565-9947
Georgia JellenWashington State University, College of Veterinary Sciences, Pullman, Washington, USA.
Lauren CodyFaculty of Veterinary Sciences, University of Calgary, Calgary, Alberta, Canada.
Jenyka BergsmaCavalli Equine Veterinary Services, Auburn, Washington, USA.
Mandy ChaSimkins and Tingdale, Inc., Auburn, Washington, USA.
Clark KoganStatsCraft LLC, Spokane, Washington 99203, USA.
Gordon KordasStatistical Consultant, Reno, Nevada, USA.
Warwick M BaylyWashington State University, College of Veterinary Sciences, Pullman, Washington, USA.ORCID https://orcid.org/0000-0002-1403-6245
Renaud LeguilletteFaculty of Veterinary Sciences, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-0381-3640

Funding

Boehringer Ingelheim Animal HealthUniversity of CalgaryWashington State University
6 · The paper itself

Abstract

backgroundMild-moderate asthma is common in horses. Inhaled ciclesonide has been approved only for treatment of severe asthma in horses. HYPOTHESIS/

objectivesWe hypothesized that a 10-day treatment course of inhaled ciclesonide (Aservo EquiHaler) would improve clinical signs, endoscopic tracheal mucus scores, and bronchoalveolar lavage fluid (BALF) cytology in racehorses with moderate asthma. ANIMALS: Racehorses with moderate asthma housed at the Emerald Downs Racetrack in Auburn, WA.

methodsProspective, randomized, double-blinded, placebo-controlled clinical study. Horses received inhaled ciclesonide (n = 12) or placebo (n = 9) for 10 days. Clinical signs were assessed at different times using the Tesarowski and HOARSI scores and cough during exercise. Endoscopy scoring, BALF cytology, and BALF cell selected gene expression (RT-qPCR) were assessed on Days 0 and 10. Linear and ordinal simple and mixed effects models were used to analyze the data using R statistical software. Significance was set at P < .05.

resultsOnly treated horses showed a decrease over time in HOARSI (P ≤ .001), cough (P = .001; -2.83 [-4.37, -1.29]), mast cell % (P = .03; -2.68 [-4.36, -1.0]) and relative expression of IL-6 (P = .002; 0.44 [0.04, -6.99]) and IL-13 (P = .03; 0.52 [0.04, -7.89]) in BAL cells. Treated horses had lower HOARSI (P = .002; -1 [1, 1]) and mast cell % (P = .02; -2.96 [-5.52, -0.39]) on Day 10. CONCLUSION AND CLINICAL IMPORTANCE: Treatment with inhaled ciclesonide improved clinical signs and decreased BALF mastocytic inflammation in racehorses with moderate asthma without change in the environment. Treatment effect on neutrophilic or eosinophilic asthma remains undetermined. The small number of horses was a study limitation.

Indexed as

Anti-Asthmatic AgentsAsthmaHorse DiseasesPregnenedionesAdministration, InhalationAnimalsBronchoalveolar Lavage FluidDouble-Blind MethodFemaleHorsesMaleProspective StudiesAnti-Asthmatic AgentsciclesonidePregnenedionesAservo EquiHalerbronchoalveolar lavagecorticosteroidscytokinesendoscopymastocytestracheal mucus

Identifiers

PMID39945569
PMCPMC11822996

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.