Evidence map›Paper›PMID 36291664›Full record

ReviewBiomolecules2022

Targeting Neuroinflammation in Osteoarthritis with Intra-Articular Adelmidrol.

Francesca Guida, Monica Rocco, Livio Luongo, Pietro Persiani, Maria Chiara Vulpiani, Sveva Maria Nusca, Sabatino Maione, Flaminia Coluzzi

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Biomolecules, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07680101 (Efficacy of Intra-articular Treatment With Adelmidrol 2% / Hyaluronic Acid 1%, With or Without m/umPEA, in Knee Pain Due to Joint Degeneration), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 19% of its field
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.

NCT07680101 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Efficacy of Intra-articular Treatment With Adelmidrol 2% / Hyaluronic Acid 1%, With or Without m/umPEA, in Knee Pain Due to Joint Degeneration: a Bicentric, Prospective, Randomized Study.

TypeinterventionalSponsorUniversita di VeronaRan2026 to 2027Enrolled80ConditionsDegenerative Joint Disease of Knee, Rheumatoid ArthritisArmsAdelmidrol 2% / Hyaluronic Acid 1%, micronized Palmitoylethanolamide (mPEA) 300mg + ultramicronized Palmitoylethanolamide (umPEA) 600mg
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Journal of microbiology and biotechnology · 2025
    Article
  7. Article
  8. Nutrients · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Opioid Use and Gut Dysbiosis in Cancer Pain Patients.International journal of molecular sciences · 2024
    Review
  13. Review
  14. Article
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

8 authors at 3 institutions in 1 country.

Francesca GuidaDepartment of Experimental Medicine, University of Campania Luigi Vanvitelli, 80100 Naples, Italy.
Monica RoccoDepartment of Surgical and Medical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy.ORCID 0000-0001-8380-3607
Livio LuongoDepartment of Experimental Medicine, University of Campania Luigi Vanvitelli, 80100 Naples, Italy.
Pietro PersianiDepartment of Anatomical, Histological, Forensic Medicine and Orthopedic Science, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0001-5795-3337
Maria Chiara VulpianiDepartment of Surgical and Medical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy.
Sveva Maria NuscaDepartment of Surgical and Medical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy.ORCID 0000-0003-1746-7398
Sabatino MaioneDepartment of Experimental Medicine, University of Campania Luigi Vanvitelli, 80100 Naples, Italy.
Flaminia ColuzziUnit of Anesthesia, Intensive Care and Pain Medicine, Sant'Andrea University Hospital, 00189 Rome, Italy.ORCID 0000-0001-7184-5519
Sapienza University of Rome · ITUniversity of Campania "Luigi Vanvitelli" · ITCTO Andrea Alesini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neuroinflammation is an emerging therapeutic target in chronic degenerative and autoimmune diseases, such as osteoarthritis (OA) and rheumatoid arthritis. Mast cells (MCs) play a key role in the homeostasis of joints and the activation of MCs induces the release of a huge number of mediators, which fuel the fire of neuroinflammation. Particularly, synovial MCs release substances which accelerate the degradation of the extra-cellular matrix causing morphological joint changes and cartilage damage and inducing the proliferation of synovial fibroblasts, angiogenesis, and the sprouting of sensory nerve fibers, which mediate chronic pain. Palmitoylethanolamide (PEA) is a well-known MCs modulator, but in osteoarthritic joints, its levels are significantly reduced. Adelmidrol, a synthetic derivate of azelaic acid belonging to the ALIAmides family, is a PEA enhancer. Preclinical and clinical investigations showed that the intra-articular administration of Adelmidrol significantly reduced MC infiltration, pro-inflammatory cytokine release, and cartilage degeneration. The combination of 1% high molecular weight hyaluronic acid and 2% Adelmidrol has been effectively used for knee osteoarthritis and, a significant improvement in analgesia and functionality has been recorded.

Indexed as

Hyaluronic AcidOsteoarthritis, KneeCytokinesDicarboxylic AcidsHumansNeuroinflammatory DiseasesPalmitic AcidsadelmidrolCytokinesDicarboxylic AcidsHyaluronic AcidPalmitic Acidsadelmidrolhyaluronic acidjoint degeneration and painmast cellsneuroinflammationosteoarthritispalmitoylethanolamidevisco-induction

Identifiers

PMID36291664
PMCPMC9599300
OpenAlexW4304185513

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.