Evidence map›Paper›PMID 24189839›Full record

ReviewNature reviews. Rheumatology2014

Progress in intra-articular therapy.

Christopher H Evans, Virginia B Kraus, Lori A Setton

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Rheumatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03825133 (The Comparison of Knee Osteoarthritis Treatment With Single-dose of Bone Marrow Aspirate Concentrate, Single-dose of Leukocyte Rich Platelet Rich Plasma and 3 Injection of High Molecular Weight Hyaluronic Acid-A Randomized Clinical Trial), which is not on this map. Cited by 263 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
263citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03825133 phase4completednot on this mapstarted 2016, after this paper: background citation

The Comparison of Knee Osteoarthritis Treatment With Single-dose of Bone Marrow Aspirate Concentrate, Single-dose of Leukocyte Rich Platelet Rich Plasma and 3 Injection of High Molecular Weight Hyaluronic Acid-A Randomized Clinical Trial

TypeinterventionalSponsorClinical Center of VojvodinaRan2016 to 2017Enrolled180ConditionsKnee OsteoarthritisArmsBone Marrow Aspirate Concentrate, Leukocyte Rich Platelet Rich Plasma, Hyaluronic Acid
3 · Its place in the literature

Who cites it

263 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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  11. A Piezo-Mimetic Ionic Hydrogel Harnessing Joint Motion for Cartilage Repair.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
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203 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Christopher H EvansCenter for Advanced Orthopedic Studies, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, RN-115, Boston, MA 02215, USA.
Virginia B KrausDuke University Medical Center, Department of Medicine, Box 3416, Durham, NC 27710, USA.
Lori A SettonDepartment of Biomedical Engineering, Duke University, Room 136 Hudson Hall, Box 90281, Durham, NC 27708, USA.

Funding

Thermally-Triggered Intra-articular Drug Delivery for OAP01AR050245 · NIAMS · DUKE UNIVERSITY · PI GUILAK, FARSHID · 2003 to 2012
$11.5M
MECHANICAL STIMULATION OF IVD CELLSR01AR047442 · NIAMS · WASHINGTON UNIVERSITY · PI SETTON, LORI A. · 2001 to 2015
$4.6M
Transfer of IL-1Ra cDNA to the Human, Osteoarthritic KneeR01AR051085 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI EVANS, CHRISTOPHER HOWARD · 2005 to 2008
$1.6M
NIAMS NIH HHS P01 AR050245NIAMS NIH HHS P01AR050245NIAMS NIH HHS R01 AR047442NIAMS NIH HHS R01AR047442NIAMS NIH HHS R01 AR051085NIAMS NIH HHS R01AR051085NINDS NIH HHS X01 NS066865
6 · The paper itself

Abstract

Diarthrodial joints are well suited to intra-articular injection, and the local delivery of therapeutics in this fashion brings several potential advantages to the treatment of a wide range of arthropathies. Possible benefits over systemic delivery include increased bioavailability, reduced systemic exposure, fewer adverse events, and lower total drug costs. Nevertheless, intra-articular therapy is challenging because of the rapid egress of injected materials from the joint space; this elimination is true of both small molecules, which exit via synovial capillaries, and of macromolecules, which are cleared by the lymphatic system. In general, soluble materials have an intra-articular dwell time measured only in hours. Corticosteroids and hyaluronate preparations constitute the mainstay of FDA-approved intra-articular therapeutics. Recombinant proteins, autologous blood products and analgesics have also found clinical use via intra-articular delivery. Several alternative approaches, such as local delivery of cell and gene therapy, as well as the use of microparticles, liposomes, and modified drugs, are in various stages of preclinical development.

Indexed as

Adrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalAntirheumatic AgentsHumansInjections, Intra-ArticularRheumatic DiseasesTime FactorsAdrenal Cortex HormonesAnti-Inflammatory Agents, Non-SteroidalAntirheumatic Agents

Identifiers

PMID24189839
PMCPMC4402210

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.