Evidence map›Paper›PMID 41599942›Full record

Trial reportNutrients2026

Using Dose-Response Correlation Re-Analyzing to Distinguish Placebo from Standardized Rose-Hip Powder (Lito) in a Clinical Trial on Osteoarthritis Where Data Initially Looked Identical.

Alzahraa Mahmoud Motawei, Kristian Marstrand Warholm, Kaj Winther

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01459939 (A Double-blind, Randomized, Parallel Group, Fase III Comparative Study With Rose Hip Powder Powder and Placebo Given to Patients With Mild to Moderate Osteoarthritis in the Knee or/and Hip), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT01459939 phase3completednot on this map

A Double-blind, Randomized, Parallel Group, Fase III Comparative Study With Rose Hip Powder Powder and Placebo Given to Patients With Mild to Moderate Osteoarthritis in the Knee or/and Hip

TypeinterventionalSponsorHyben Vital ApSRan2011 to 2012Enrolled120ConditionsPain, Activities of Daily Living, Quality of LifeArmsRose-hip powder capsules, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Alzahraa Mahmoud MotaweiFood Sciences, Faculty of Agriculture, Mansoura University, Mansoura 35516, Egypt.ORCID 0000-0001-5612-3083
Kristian Marstrand WarholmDivision of Orthopedic Surgery, Oslo University Hospital, 0586 Oslo, Norway.ORCID 0000-0003-0978-0667
Kaj WintherDepartment of Nutrition, Exercise and Sports, University of Copenhagen, 1958 Frederiksberg C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLarge positive responses to placebo are common in clinical trials and pose a major challenge when evaluating different treatments, including new foods. Standard between-group comparisons may fail to detect true effects when placebo improvements are significant. We aimed to demonstrate how a simple dose-response correlation method can help differentiate genuine positive responses from those experienced with placebo through secondary analysis of a randomized controlled clinical trial of powdered

methodsData were reanalyzed from a multicenter, double-blind, randomized, placebo-controlled trial (N = 120; ClinicalTrials.gov NCT01459939) evaluating the effects of standardized

resultsBoth groups showed significant improvement, over 50%, with no statistically significant differences between them in WOMAC pain or function. However, only the active group, which received a food supplement, exhibited a consistent negative correlation between body weight and symptom improvement at 6 and 12 weeks, suggesting greater benefit with higher dose per kilogram of body weight. No dose-response relationship was observed in the placebo recipients. Therefore, weight-stratified plots revealed an exposure-response gradient in the active group.

conclusionsDose-response correlation analysis uncovered positive effects of

Indexed as

FruitOsteoarthritis, HipOsteoarthritis, KneeRosaAgedDietary SupplementsDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansMaleMiddle AgedPlacebosPowdersTreatment OutcomePlacebosPowderscorrelation-analyzingdose-responseplacebo

Identifiers

PMID41599942
PMCPMC12845314

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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.