Osteoarthritis

Effectiveness of Sustained Release Calcium Butyrate on the microbiome and clinical burden in osteoarthritis of the hand: A proof-of-concept placebo-controlled randomized trial

Osteoarthritis CartilagePublished Randomised controlled trial

Authors' conclusion

Our study yielded indicative findings that SRCaBu supports microbiome health in patient with hand OA by improving compositional and functional characteristics of the microbiome.

Study context

Population
Patients with hand OA (mean age 62.5±6.9 years, 82% female)2 Sustained Release Calcium Butyrate (SRCaBu) discontinued
Participants
35 patients
Comparison
SRCaBu 600 mg daily vs placebo over 4-5 weeks
  • SRCaBun = 18
  • Placebon = 17reference
Methodological detailsparticipant-, researcher- and pharmacy assistant-blinded, placebo-controlled, proof-of-concept, per-protocol primary analyses
  • Participant-, researcher- and pharmacy assistant-blinded
  • Placebo-controlled
  • Proof-of-concept
  • Per-protocol primary analyses

Primary result

As reported in the abstract

Microbiome composition and function

Regression coefficient (relative abundance of Streptococcus)

−0.67

95% CI −1.46,0.13

tended to reduce

Regression coefficient (relative abundance of Faecalibacterium)

−0.38

95% CI −0.83,0.07

tended to reduce

Median between-group difference (fecal acetate)

9.5

IQR −3.5,22.5; tended to increase

Secondary outcomes

Biomarkers of intestinal permeability, inflammation, and clinical outcomes

SRCaBu did not significantly affect these

Safety

Adverse events

Mild and comparable between groups

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Effectiveness of Sustained Release Calcium Butyrate on the microbiome and clinical burden in osteoarthritis of the hand: A proof-of-concept placebo-controlled randomized trial. Osteoarthritis Cartilage. Published 31 January 2026. doi:10.1016/j.joca.2026.01.630

Composed by AI from the published abstract and checked against it. How Briefs are made →

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