Evidence map›Paper›PMID 40417367›Full record

ArticleFrontiers in veterinary science2025

Musculoskeletal adverse events in dogs receiving bedinvetmab (Librela).

Mike Farrell, Felix W A Waibel, Ines Carrera, Giliola Spattini, Louise Clark, Robert J Adams, Dirsko J F Von Pfeil, Ricardo J R De Sousa, Diego Bobis Villagrà, Maria Amengual-Vila and 8 more

Abstract read
In one paragraph

Article in Frontiers in veterinary science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Mike FarrellFerguson Veterinary Clinic, Glenrothes, United Kingdom.
Felix W A WaibelDepartment of Orthopaedic Surgery, Balgrist University Hospital, Zurich, Switzerland.
Ines CarreraVetoracle Teleradiology, Diss, United Kingdom.
Giliola SpattiniClinica Veterinaria Castellarano, Castellarano, Italy.
Louise ClarkDavies Veterinary Specialists, Shillington, United Kingdom.
Robert J AdamsParagon Veterinary Referrals, Wakefield, United Kingdom.
Dirsko J F Von PfeilSmall Animal Surgery Locum, PLLC, Dallas, TX, United States.
Ricardo J R De SousaESPEVET, Mallorca, Spain.
Diego Bobis VillagràVets Now Limited, Dunfermline, United Kingdom.
Maria Amengual-VilaESPEVET, Mallorca, Spain.
Annalisa PaviottiFrank Pet Surgeons, Leeds, United Kingdom.
Rob QuinnVita Referrals, Wetherby, United Kingdom.
Justin HarperTexas Specialty Veterinary Services, Boerne, TX, United States.
Stephen P ClarkeFerguson Veterinary Clinic, Glenrothes, United Kingdom.
Christopher J JordanThe Moores Orthopaedic Clinic, Basingstoke, United Kingdom.
Michael HamiltonHamilton Specialist Referrals, High Wycombe, United Kingdom.
Andy P MooresThe Moores Orthopaedic Clinic, Basingstoke, United Kingdom.
Mark Irwin GreenePerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To conduct a specialist-led disproportionality analysis of musculoskeletal adverse event reports (MSAERs) in dogs treated with bedinvetmab (Librela™) compared to six comparator drugs with the same indication. Furthermore, to report the findings from a subset of dogs whose adverse event (AE) data underwent independent adjudication by an expert panel. Study design: Case-control study and case series analysis. Sample population: The European Medicines Agency's EudraVigilance database (2004-2024) and 19 client-owned dogs. Methods: An EBVS Results: The disproportionality analysis did not support the hypotheses. Ligament/tendon injury, polyarthritis, fracture, musculoskeletal neoplasia, and septic arthritis were reported ~9-times more frequently in Librela-treated dogs than the combined total of dogs treated with the comparator drugs. A review of 19 suspected musculoskeletal adverse events (MSAEs) by an 18-member expert panel unanimously concluded a strong suspicion of a causal association between bedinvetmab and accelerated joint destruction. Conclusion: This study supports recent FDA analyses by demonstrating an increased reporting rate of musculoskeletal adverse events in dogs treated with Librela. Further investigation and close clinical monitoring of treated dogs are warranted. Impact: Our findings should serve as a catalyst for large-scale investigations into bedinvetmab's risks and pharmacovigilance.

Indexed as

accelerated joint destructionbedinvetmabLibrelaNGFrapidly progressive osteoarthritisRPOA

Identifiers

PMID40417367
PMCPMC12100767

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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.