Table 2

Summary of interventions

Study first author, year, referenceStudy designInclusion criteriaPreparation of tumeric/curcuminControl intervention (type)Rescue intervention
(dose)
Panda (2018)26RCT with two parallel groups
  1. 40 to 75 years old

  2. BMI of 18 to 30 kg/m2.

  3. OA of the knee for greater than 3 months (ACR criteria)

  4. KL grade 2 or 3

  5. Female subjects of childbearing potential must be using a medically acceptable form of birth control.

  6. VAS score between 40 to 70 mm

  7. Subjects with pain not adequately controlled with anti-inflammatory drugs

  8. Subjects willing to refrain from using ibuprofen, aspirin or other NSAIDs

  9. Subjects willing to refrain other pain reliever including topical application (OTC or prescription) and omega-3 fatty acids during the entire trial.

Curene: Bio-optimised turmuric/Curcuma longa extract comprising of curcuminoids developed via Aqueosome technologyPlacebo capsules with similar size and shape to interventionAcetaminophen: 2000 mg per day
Nakagawa (2014)27RCT with two parallel groups
  1. Primary medial knee osteoarthritis

  2. >40 years of age

  3. KL grades of 2 or 3

Theracurcumin: a surface-controlled water dispersible curcumin extract with high bioavailabilityPlacebo capsules with similar size and shape to interventionCelecoxib 100 mg per day
Madhu (2013)28RCT with four parallel groups
  1. Age >40

  2. Primary knee OA

3. >6 months of pain
4. KL grades: grades 2 and 3
NR-INF-02 (Turmacin): extract from rhizome of Curcuma longa with increased bioavailability1. Placebo capsules.
2. Glucosamine 1500 mg per day.
3. NR-INF-02+GS
Acetaminophen: Dose not provided
Belcaro (2010)29RCT with two parallel groups
  1. Primary osteoarthritis in one or both knees was diagnosed by X-ray.

  2. Subjects had mild-to-moderate pain not adequately controlled with anti-inflammatory drugs

Meriva: A mixture of 75 per cent curcumin, 15 per cent demethoxycurcumin and 10 per cent bisdemethoxycurcumin.‘Best available treatment’N/A
Shep (2019)30RCT with two parallel groups
  1. Primary knee OA with ACR criteria confirmed on X-ray

  2. Numerical pain VAS scale of knee pain >4/10

Curcumin (BCM-95): containing curcuminoids and essential oil of turmeric complex (curcumin, demethoxycurcumin, bisdemethoxycurcumin and volatile oils from turmeric rhizome)Diclofenac 50 mg two times per dayParacetamol 500 mg tablet
Panahi (2014)31RCT with two parallel groups
  1. Degenerative primary knee OA with mild-to-moderate severity

  2. Bilateral OA

  3. Age <80 years.

Curcuminoids (C3 complex) with 5 mg of BioPerine pepper extract for increased bioavailabilityPlacebo capsules with similar size and shape to interventionNaproxen: Dose not provided
Henrotin (2013)32RCT with three parallel groups
  1. 45 to 80 years old

  2. Primary symptomatic knee OA by ACR radiographic findings

  3. TVAS of 40 mm (0 to 100 mm scale) 3 months prior to enrolment

Flexofytol: Bio-optimised turmeric rhizome extractPlacebo tablets with similar size and shape to intervention1. Acetaminophen: up to 500 mg three times per day
2. NSAIDs as secondary rescue
Kuptniratsaikul (2009)33RCT with two parallel groups
  1. >50 years

  2. Morning stiffness >30 min in duration

  3. Crepitus on motion.

  4. Patients who had a pain score in the numerical rating scale of >5/10

Curcumon domestica extract: Bio-optimised turmeric extract each capsule contained 250 mg of curcurminoidsIbuprofen at a dose of 800 mg per dayN/A
Kuptniratsaikul (2014)34RCT with two parallel groups
  1. Primary knee OA patients according to ACR criteria

  2. Numerical pain rating scale of knee pain >5/10

  3. Age >50 years.

Curcumin domestica extract: Bio-optimised turmeric extract each capsule contained 250 mg of curcurminoidsIbuprofen at dose of 1200 mg per dayTramadol: Dose not provided
Srivastava (2016)35RCT with two parallel groups
  1. Primary knee OA by ACR criteria

  2. Age 40 to 80 years old

Curcumin longa extractControl group: Placebo capsules+diclofenac 25 mg two times per dayN/A
  • ACR, American College of Rheumatology; BMI, body mass index; KL grade, Kellgren-Lawrence grade; NSAIDs, non-steroidal anti-inflammatory drugs; OA, osteoarthritis; OTC, over-the-counter; RCT, randomised controlled trial; TVAS, targeted visual analog scale; VAS, Visual Analogue Score.