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Here's an interesting article that explores using Librela (bedinvetmab) to ease the pain of bone cancer in dogs, when amputation is not an option.
New thoughts on bone cancer pain
In recent cases we have included bedinvetmab as part of our analgesic plan for cases of osseous neoplasia. Typically these cases are incredibly painful and the pain is difficult to control. Our experience to date is to include anti-NGFs, NSAIDs where possible, gabapentinoids, ketamine and nerve blocks. We recently presented this work as a poster (Vigevani et al 2022) at the ESVONC conference. Further work is required in a prospective study and we believe there is justification for the use of anti-NGFs in osseous neoplasia.
By no means does the author suggest that it's a one-size-fits all treatment, but rather that it deserves exploring when other treatments are not an option for a particular dog. It's worth discussing with your veterinarian if your pup is one of them.
