Robenacoxib shows efficacy for the treatment of chronic degenerative joint disease-associated pain in cats: a randomized and blinded pilot clinical trial

Sci Rep. 2021 Apr 8;11(1):7721. doi: 10.1038/s41598-021-87023-2.

Abstract

The main objective of this pilot clinical trial was to evaluate outcome measures for the assessment of the nonsteroidal anti-inflammatory drug (NSAID) robenacoxib in cats with degenerative joint disease-associated pain (DJD-pain). Otherwise healthy cats (n = 109) with DJD-pain entered a parallel group, randomized, blinded clinical trial. Cats received placebo (P) or robenacoxib (R) for two consecutive 3-week periods. Treatment groups were PP, RR, and RP. Actimetry and owner-assessment data were collected. Data were analyzed using mixed-effects and generalized mixed-effects linear models. Activity data showed high within-cat and between-cat variability, and 82.4% of the values were zero. Compared to placebo, mean total activity was higher (5.7%) in robenacoxib-treated cats (p = 0.24); for the 80th percentile of activity, more robenacoxib-treated cats had a > 10% increase in activity after 3 (p = 0.046) and 6 weeks (p = 0.026). Robenacoxib treatment significantly decreased owner-assessed disability, (p = 0.01; 49% reduction in disability; effect size ~ 0.3), and improved temperament (p = 0.0039) and happiness (p = 0.021) after 6 weeks. More robenacoxib-treated cats were successes at 6 weeks (p = 0.018; NNT: 3.8). Adverse effect frequencies were similar across groups. Results identified suitable endpoints for confirmatory studies, while also indicating efficacy of robenacoxib in cats with DJD-pain.

Publication types

  • Randomized Controlled Trial, Veterinary

MeSH terms

  • Animals
  • Cat Diseases / drug therapy*
  • Cats
  • Diphenylamine / analogs & derivatives*
  • Diphenylamine / therapeutic use
  • Female
  • Joint Diseases / complications
  • Joint Diseases / veterinary*
  • Male
  • Osteoarthritis / complications
  • Osteoarthritis / veterinary*
  • Pain / complications
  • Pain / veterinary*
  • Pain Management / veterinary*
  • Phenylacetates / therapeutic use*
  • Pilot Projects
  • Placebos

Substances

  • Phenylacetates
  • Placebos
  • Diphenylamine
  • robenacoxib