Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Indication assessment · §2

Knee osteoarthritis with obesity — evidence across compounds

Every compound the Institute assesses in knee osteoarthritis with obesity, with its certainty rating.

Document identifier
CEI-IN-15/2
Series
Indication assessment
Version
1.0
Published
09 Mar 2023
Last reviewed
09 Mar 2023
Next review
09 Mar 2025
Identifier
10.71829/cei.ind.15
Certainty
Not rated
Cycle
2023 Q1
ICD-11
FA01.0
Category
Musculoskeletal

§2Evidence across compounds

Every compound the Institute assesses in this indication, with the effect as recorded, the certainty rating and the contributing trials. Effects are reported on the anchor outcome where the contributing trials measured it and on the outcome the trial actually reported where they did not.

Table 1. Compounds assessed in knee osteoarthritis with obesity, ordered by certainty.

CompoundEffect as recordedInterval as reportedCertaintyTrials
AOD-9604Growth-hormone C-terminal fragment analogueA small trial in knee osteoarthritis reported no significant benefit on the primary endpointnegative resultLow1
TirzepatideDual GIP and GLP-1 receptor agonist (acylated)WOMAC pain score improvement exceeding placebo at 68 weeksreported difference of approximately 8 points on a 0–100 scaleLow1
BPC-157Synthetic pentadecapeptide derived from a gastric juice…No randomised controlled human trial identifiedVery low0
Estimates in this table are not on a common scale and must not be subtracted from one another. Where a comparison between two compounds has been made directly, it appears in a synthesis and not here.
Compounds assessed in Knee osteoarthritisPoint estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.60.8Standardised direction and relative magnitudeCompoundEffect as recordedAOD-9604Low certaintyA small trial in knee…TirzepatideLow certaintyWOMAC pain score improvement…BPC-157Very low certaintyNo randomised controlled human…
Moderate or high certaintyLow or very low certainty
Figure 1. Illustrative. Compounds assessed in this indication, plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision rather than published confidence intervals.

§2.1Syntheses bearing on this indication

No evidence synthesis addresses this indication.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Heffernan M, Summers RJ, Thorburn A, Ogru E, Gianello R, Jiang WJ, Ng FM. The effects of human GH and its lipolytic fragment (AOD9604) on lipid metabolism following chronic treatment in obese mice and β3-AR knock-out mice. Endocrinology 2001;142(12):5182–5189. doi:10.1210/endo.142.12.8522 · PMID 11713213
  2. Thevis M, Thomas A, Schänzer W. Detecting peptidic drugs, drug candidates and analogs in sports doping: current status and future directions. Expert Review of Proteomics 2019;11(6):663–673. doi:10.1586/14789450.2014.965158

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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