Evidence map›Paper›PMID 40364589›Full record

ArticleEquine veterinary journal2025

Treatment outcomes for equine osteoarthritis with mesenchymal stromal cells and hyaluronic acid.

Rodrigo Munevar Luque, Bri Henderson, Terence Connor McCorkell, Amir Hamed Alizadeh, Keith A Russell, Thomas G Koch, Judith Koenig

Abstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Equine veterinary journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Rodrigo Munevar LuqueDepartment of Biomedical Sciences, Ontario Veterinary College, Guelph, Ontario, Canada.ORCID https://orcid.org/0009-0005-3756-2984
Bri HendersonRivendell Equine Veterinary Services, Grand Valley, Ontario, Canada.
Terence Connor McCorkellDepartment of Biomedical Sciences, Ontario Veterinary College, Guelph, Ontario, Canada.
Amir Hamed AlizadehDepartment of Biomedical Sciences, Ontario Veterinary College, Guelph, Ontario, Canada.
Keith A RussellDepartment of Biomedical Sciences, Ontario Veterinary College, Guelph, Ontario, Canada.
Thomas G KochDepartment of Biomedical Sciences, Ontario Veterinary College, Guelph, Ontario, Canada.
Judith KoenigDepartment of Clinical Studies, Ontario Veterinary College, Guelph, Ontario, Canada.ORCID https://orcid.org/0000-0003-4872-9231

Funding

Equine Guelph 300-022000-056290-000000
6 · The paper itself

Abstract

backgroundMesenchymal stromal cells (MSCs) are widely used to treat osteoarthritis (OA). Optimising dose, timing, and safety while comparing efficacy with standard therapies like hyaluronic acid (HA) is essential for their standardisation.

objectivesTo assess the safety and efficacy of equine umbilical cord-derived (eCB) MSCs in client-owned horses with fetlock or carpus OA. STUDY

designProspective single-blinded randomised clinical study.

methodsHorses diagnosed with fetlock or carpus OA via intra-articular (IA) anaesthesia were randomly assigned to receive either 10 or 20 million eCB-MSCs in HA or 3 mL of HA alone (control). Subjective lameness examinations were performed at baseline, 3 weeks, and 6 weeks post-treatment. Adverse reactions were evaluated 24-72 h post-injection. Follow-up surveys were sent to owners at 18 weeks.

resultsTwenty-seven client-owned horses were enrolled. No significant adverse reactions occurred. Lameness outcomes did not differ significantly between treatment groups at 3 or 6 weeks (p > 0.05), though all groups showed improvement over time (p < 0.05). Median lameness change at 6 weeks was -1.5 (0.5) grades for HA, -2.0 (1.0) for 10-MSC + HA, and -2.0 (1.0) for 20-MSC + HA. Although return-to-work rates were not significantly different (p > 0.05), both MSC + HA groups had higher return rates to the same or higher work levels than HA-only (8 out of 9, 7 out of 9, and 5 out of 9, respectively). MAIN LIMITATIONS: Small sample size.

conclusionsThe study aimed to assess MSC treatment safety and efficacy. Higher return-to-exercise rates were expected in the MSC groups at 18 weeks, but unexpectedly high rates in the HA group may have led to underpowering. A post hoc calculation suggests 30 horses per group would be needed to detect significant differences.

Indexed as

Horse DiseasesHyaluronic AcidMesenchymal Stem CellsMesenchymal Stem Cell TransplantationOsteoarthritisAnimalsFemaleHorsesInjections, Intra-ArticularLameness, AnimalMaleProspective StudiesSingle-Blind MethodTreatment OutcomeHyaluronic Acidallogenichorsemesenchymal stem cellsosteoarthritisumbilical cord blood‐derived

Identifiers

PMID40364589
PMCPMC12326944

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.