Osteoarthritis

Placebo Effect Sizes in Clinical Trials of Knee Osteoarthritis Using Intra‐Articular Injections of Biologic Agents

Arthritis Care Res (Hoboken)Published Systematic review and meta-analysis of randomised trials

Authors' conclusion

The robust placebo effect is influenced by the active treatment category and changes over time.

Study context

Population
Patients with knee OA receiving placebo in randomised trials comparing oral, topical or intra-articular placebo with active treatments129 articles
Participants
9,218 patients
Comparison
Placebo effects by treatment type and route of delivery
Outcome
Change in pain scores from baseline
Methodological detailsstratified by length of follow-up and treatment subcategory
  • Stratified by length of follow-up and treatment subcategory

Pooled result

As reported in the abstract

Change in pain from baseline · 1 month
GroupValueWOMAC mean ± SD
Biologic intra-articular placebomean −32.2 (SD 24.6) VAS−16.3 ± 3.81

Biologic intra-articular placebo

Valuemean −32.2 (SD 24.6) VAS
WOMAC mean ± SD−16.3 ± 3.81
  • Intra-articular placebo vs Oral placebo: P ≤ 0.01 — at one month and two months; intra-articular greater pain reduction

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

Original publication

Placebo Effect Sizes in Clinical Trials of Knee Osteoarthritis Using Intra‐Articular Injections of Biologic Agents. Arthritis Care Res (Hoboken). Published 24 April 2025. doi:10.1002/acr.25526

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