Osteoarthritis

Effect of an oral complementary medicine combination for symptomatic knee osteoarthritis: A double-blind, randomized, placebo-controlled trial

Osteoarthritis CartilagePublished Randomised controlled trial

Authors' conclusion

The complementary medicine combination was not superior to placebo for improving pain over 12 weeks

Study context

Population
Adults aged ≥40 years with symptomatic knee OA and radiographic Kellgren-Lawrence grade ≥2, Australia (ATLAS trial)ITT n=42 vs n=41
Participants
84 adults
Comparison
Oral complementary medicine combination vs placebo for 12 weeks
  • Complementary medicinen = 42
  • Placebon = 41reference
Primary endpoint
Change in knee pain (0-100 mm visual analogue scale (VAS))
Follow-up
12 weeks
Methodological detailsdouble-blind, placebo-controlled, 1:1 randomisation, Conducted in Australia from July 2024 to April 2025, Harms monitored weekly
  • Double-blind
  • Placebo-controlled
  • 1:1 randomisation
  • Conducted in Australia from July 2024 to April 2025
  • Harms monitored weekly

Primary result

Decrease in knee pain (VAS), least squares means

Difference

0.16 mm

95% CI −6.81 to 7.12

Change by group

Complementary medicine

20.1

least squares mean · mm

Placebo

20.3

least squares mean · mm

Between Complementary medicine and Placebo
difference 0.16 mm (95% CI −6.81 to 7.12)

As reported in the abstract

Safety

Any AE · 12 weeks

Any AE similar between groups (risk difference)
−3.4% [95% CI −24.8-17.9%]
Most AEs mild or moderate

Serious AEs

Participants with serious AEs, unrelated to treatment
4

Original publication

Effect of an oral complementary medicine combination for symptomatic knee osteoarthritis: A double-blind, randomized, placebo-controlled trial. Osteoarthritis Cartilage. Published 22 June 2026. doi:10.1016/j.joca.2026.06.008

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