Randomized, Double-Blind, Placebo-Controlled Trial of ID-CBT5101, a Tyndallized Clostridium butyricum Postbiotic, in Adults with Mild-to-Moderate Knee Osteoarthritis.
OrthoEvidence Journal (OE Journal) - ACE Report
Epub Ahead of Print
J Microbiol Biotechnol. 2026 01-Jan;():. 10.4014/jmb.2512.12024What this means for my practice?
ID-CBT5101 was safe but did not significantly improve pain or function compared to placebo in knee osteoarthritis. Clinically, this suggests that postbiotic therapy targeting the gut–joint axis may not yet be an effective standalone treatment for osteoarthritis symptom relief. A key limitation is the relatively short duration of the study.
Study Summary
Ninety-six patients with mild-to-moderate knee osteoarthritis were randomized to receive ID-CBT5101 (Clostridium butyricum postbiotic) or placebo. The primary outcome of interest was change from baseline in walking pain measured by a 100-mm visual analog scale (VAS). Secondary outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, Korean Knee Score (KKS), patient global assessment, and serum inflammatory biomarkers (e.g., IL-6, COMP, PGE2, LTB4, TGF-β, hs-CRP). Outcomes were assessed over 12 weeks. Overall, the results of the study revealed that although both groups experienced significant within-group improvements in pain and function, there were no significant between-group differences for any clinical or biomarker outcomes. These findings suggest that while ID-CBT5101 is safe and well tolerated, it does not provide additional clinical benefit over placebo in this population.
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