PMID- 23973134 OWN - NLM STAT- MEDLINE DCOM- 20140325 LR - 20231110 IS - 1522-9653 (Electronic) IS - 1063-4584 (Print) IS - 1063-4584 (Linking) VI - 21 IP - 9 DP - 2013 Sep TI - Nerve growth factor: an update on the science and therapy. PG - 1223-8 LID - S1063-4584(13)00840-6 [pii] LID - 10.1016/j.joca.2013.06.004 [doi] AB - OBJECTIVE: Nerve growth factor (NGF) is a key regulator of nociceptive pain and thus appears to be an interesting target molecule for an innovative class of analgesic medication. We set out to review the principles of neurogenic inflammation and results of anti-NGF regimens in animal studies as well as clinical trials with patients with back pain and osteoarthritis (OA). DESIGN: We searched using Google Scholar Search and Pubmed as well as through conference reports for articles and abstracts related to NGF and clinical trials using anti-NGF regimens. We report on efficacy findings and adverse events (AEs) related to these agents in this review. RESULTS: We identified five full articles and eight abstract reports relating to anti-NGF agents studied for use in back pain and in OA. CONCLUSIONS: Anti-NGF agents either alone or in combination with non-steroidal anti-inflammatory agents (NSAIDs) were more efficacious for the treatment of pain in a number of trials of knee and hip pain compared to NSAIDs alone. However, adverse effects that included rapidly progressive OA and joint replacement were more common in patients treated with anti-NGF and NSAIDs than either treatment alone. Anti-NGF treatment related neurologic symptoms including paresthesias, and potentially other types of adverse effects were usually transient but warrant additional investigation. CI - Copyright (c) 2013. Published by Elsevier Ltd. FAU - Seidel, M F AU - Seidel MF AD - Medizinische Klinik und Poliklinik III, University Hospital, Section of Rheumatology, Sigmund-Freud-Strasse 25, D-53127 Bonn, Germany. Matthias.Seidel@ukb.uni-bonn.de FAU - Wise, B L AU - Wise BL FAU - Lane, N E AU - Lane NE LA - eng GR - K24 AR048841/AR/NIAMS NIH HHS/United States GR - P50 AR060752/AR/NIAMS NIH HHS/United States GR - K12 HD051958/HD/NICHD NIH HHS/United States GR - P50 AR063043/AR/NIAMS NIH HHS/United States GR - K12HD051958/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Osteoarthritis Cartilage JT - Osteoarthritis and cartilage JID - 9305697 RN - 0 (Analgesics) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 9061-61-4 (Nerve Growth Factor) RN - EQL0E9GCX1 (tanezumab) SB - IM MH - Analgesics/administration & dosage/adverse effects MH - Animals MH - Anti-Inflammatory Agents, Non-Steroidal/administration & dosage/adverse effects MH - Antibodies, Monoclonal, Humanized/*administration & dosage/adverse effects MH - Back Pain/*drug therapy MH - Humans MH - Nerve Growth Factor/*antagonists & inhibitors MH - Neuritis/*drug therapy MH - Osteoarthritis/*drug therapy PMC - PMC4252012 MID - NIHMS643269 OTO - NOTNLM OT - Nerve growth factor OT - Neurogenic inflammation OT - Osteoarthitis OT - Receptor antagonists COIS- Competing interests BLW has received research funding within the last year from Pfizer, Inc. NEL has no competing interests in the last year. MFS has served on a Pfizer board last year. EDAT- 2013/08/27 06:00 MHDA- 2014/03/26 06:00 PMCR- 2014/12/02 CRDT- 2013/08/27 06:00 PHST- 2013/01/23 00:00 [received] PHST- 2013/05/30 00:00 [revised] PHST- 2013/06/05 00:00 [accepted] PHST- 2013/08/27 06:00 [entrez] PHST- 2013/08/27 06:00 [pubmed] PHST- 2014/03/26 06:00 [medline] PHST- 2014/12/02 00:00 [pmc-release] AID - S1063-4584(13)00840-6 [pii] AID - 10.1016/j.joca.2013.06.004 [doi] PST - ppublish SO - Osteoarthritis Cartilage. 2013 Sep;21(9):1223-8. doi: 10.1016/j.joca.2013.06.004.