Skip to main content
Top
Published in: Arthritis Research & Therapy 1/2010

01-02-2010 | Editorial

Is Phytalgic®a goldmine for osteoarthritis patients or is there something fishy about this nutraceutical? A summary of findings and risk-of-bias assessment

Authors: Robin Christensen, Henning Bliddal

Published in: Arthritis Research & Therapy | Issue 1/2010

Login to get access

Abstract

A food supplement containing fish oils, urtica dioica, zinc, and vitamin E (Phytalgic®) for osteoarthritis (OA) has now been tested in a placebo-controlled trial for 3 months and according to the authors has a very large clinical effect, considerably larger than that of any other known product. Even experts endorsing nutraceuticals for OA symptoms would probably agree that a nutraceutical with an effect size above 0.5 is rarely seen. Despite our concerns about the fact that trial registration took place after the study was completed and the likelihood that patients would note the taste of fish, a circumstance that would lead to detection bias, we consider these data promising though with a high risk of bias.
Appendix
Available only for authorised users
Literature
1.
go back to reference Jacquet A, Girodet PO, Pariente A, Forest K, Mallet L, Moore N: Phytalgic(R) a food supplement, vs placebo in patients with osteoarthritis of the knee or hip: a randomised double-blind placebo-controlled clinical trial. Arthritis Res Ther. 2009, 11: R192-10.1186/ar2891.PubMedCentralCrossRefPubMed Jacquet A, Girodet PO, Pariente A, Forest K, Mallet L, Moore N: Phytalgic(R) a food supplement, vs placebo in patients with osteoarthritis of the knee or hip: a randomised double-blind placebo-controlled clinical trial. Arthritis Res Ther. 2009, 11: R192-10.1186/ar2891.PubMedCentralCrossRefPubMed
3.
go back to reference Bliddal H, Christensen R: The treatment and prevention of knee osteoarthritis: a tool for clinical decision-making. Expert Opin Pharmacother. 2009, 10: 1793-1804. 10.1517/14656560903018911.CrossRefPubMed Bliddal H, Christensen R: The treatment and prevention of knee osteoarthritis: a tool for clinical decision-making. Expert Opin Pharmacother. 2009, 10: 1793-1804. 10.1517/14656560903018911.CrossRefPubMed
4.
go back to reference Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P: OARSI recommendations for the management of hip and knee osteoarthritis, Part I: Critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage. 2007, 15: 981-1000. 10.1016/j.joca.2007.06.014.CrossRefPubMed Zhang W, Moskowitz RW, Nuki G, Abramson S, Altman RD, Arden N, Bierma-Zeinstra S, Brandt KD, Croft P, Doherty M, Dougados M, Hochberg M, Hunter DJ, Kwoh K, Lohmander LS, Tugwell P: OARSI recommendations for the management of hip and knee osteoarthritis, Part I: Critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage. 2007, 15: 981-1000. 10.1016/j.joca.2007.06.014.CrossRefPubMed
5.
go back to reference Bliddal H, Rosetzsky A, Schlichting P, Weidner MS, Andersen LA, Ibfelt HH, Christensen K, Jensen ON, Barslev J: A randomized, placebo-controlled, cross-over study of ginger extracts and ibuprofen in osteoarthritis. Osteoarthritis Cartilage. 2000, 8: 9-12. 10.1053/joca.1999.0264.CrossRefPubMed Bliddal H, Rosetzsky A, Schlichting P, Weidner MS, Andersen LA, Ibfelt HH, Christensen K, Jensen ON, Barslev J: A randomized, placebo-controlled, cross-over study of ginger extracts and ibuprofen in osteoarthritis. Osteoarthritis Cartilage. 2000, 8: 9-12. 10.1053/joca.1999.0264.CrossRefPubMed
6.
go back to reference Christensen R, Bartels EM, Astrup A, Bliddal H: Symptomatic efficacy of avocado-soybean unsaponifiables (ASU) in osteoarthritis (OA) patients: a meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2008, 16: 399-408. 10.1016/j.joca.2007.10.003.CrossRefPubMed Christensen R, Bartels EM, Astrup A, Bliddal H: Symptomatic efficacy of avocado-soybean unsaponifiables (ASU) in osteoarthritis (OA) patients: a meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2008, 16: 399-408. 10.1016/j.joca.2007.10.003.CrossRefPubMed
7.
go back to reference Christensen R, Bartels EM, Altman RD, Astrup A, Bliddal H: Does the hip powder of Rosa canina (rosehip) reduce pain in osteoarthritis patients? - a meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2008, 16: 965-972. 10.1016/j.joca.2008.03.001.CrossRefPubMed Christensen R, Bartels EM, Altman RD, Astrup A, Bliddal H: Does the hip powder of Rosa canina (rosehip) reduce pain in osteoarthritis patients? - a meta-analysis of randomized controlled trials. Osteoarthritis Cartilage. 2008, 16: 965-972. 10.1016/j.joca.2008.03.001.CrossRefPubMed
8.
go back to reference Bartels EM, Bliddal H, Schondorff PK, Altman RD, Zhang W, Christensen R: Symptomatic efficacy and safety of diacerein in the treatment of osteoarthritis: a meta-analysis of randomized placebo-controlled trials. Osteoarthritis Cartilage. 2009, Bartels EM, Bliddal H, Schondorff PK, Altman RD, Zhang W, Christensen R: Symptomatic efficacy and safety of diacerein in the treatment of osteoarthritis: a meta-analysis of randomized placebo-controlled trials. Osteoarthritis Cartilage. 2009,
9.
go back to reference Vlad SC, LaValley MP, McAlindon TE, Felson DT: Glucosamine for pain in osteoarthritis: why do trial results differ?. Arthritis Rheum. 2007, 56: 2267-2277. 10.1002/art.22728.CrossRefPubMed Vlad SC, LaValley MP, McAlindon TE, Felson DT: Glucosamine for pain in osteoarthritis: why do trial results differ?. Arthritis Rheum. 2007, 56: 2267-2277. 10.1002/art.22728.CrossRefPubMed
10.
go back to reference Reginster JY: The efficacy of glucosamine sulfate in osteoarthritis: financial and nonfinancial conflict of interest. Arthritis Rheum. 2007, 56: 2105-2110. 10.1002/art.22852.CrossRefPubMed Reginster JY: The efficacy of glucosamine sulfate in osteoarthritis: financial and nonfinancial conflict of interest. Arthritis Rheum. 2007, 56: 2105-2110. 10.1002/art.22852.CrossRefPubMed
11.
go back to reference Nuesch E, Reichenbach S, Trelle S, Rutjes AW, Liewald K, Sterchi R, Altman DG, Juni P: The importance of allocation concealment and patient blinding in osteoarthritis trials: a meta-epidemiologic study. Arthritis Rheum. 2009, 61: 1633-1641. 10.1002/art.24894.CrossRefPubMed Nuesch E, Reichenbach S, Trelle S, Rutjes AW, Liewald K, Sterchi R, Altman DG, Juni P: The importance of allocation concealment and patient blinding in osteoarthritis trials: a meta-epidemiologic study. Arthritis Rheum. 2009, 61: 1633-1641. 10.1002/art.24894.CrossRefPubMed
12.
go back to reference Nuesch E, Trelle S, Reichenbach S, Rutjes AW, Burgi E, Scherer M, Altman DG, Juni P: The effects of excluding patients from the analysis in randomised controlled trials: meta-epidemiological study. BMJ. 2009, 339: b3244-10.1136/bmj.b3244.PubMedCentralCrossRefPubMed Nuesch E, Trelle S, Reichenbach S, Rutjes AW, Burgi E, Scherer M, Altman DG, Juni P: The effects of excluding patients from the analysis in randomised controlled trials: meta-epidemiological study. BMJ. 2009, 339: b3244-10.1136/bmj.b3244.PubMedCentralCrossRefPubMed
Metadata
Title
Is Phytalgic®a goldmine for osteoarthritis patients or is there something fishy about this nutraceutical? A summary of findings and risk-of-bias assessment
Authors
Robin Christensen
Henning Bliddal
Publication date
01-02-2010
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 1/2010
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar2909

Other articles of this Issue 1/2010

Arthritis Research & Therapy 1/2010 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.