Evidence map›Paper›PMID 40580372›Full record

ReviewArchives of pharmacal research2025

Emerging concepts and challenges in the development of disease-modifying osteoarthritis drugs - a more refined perspective.

Zsuzsa Jenei-Lanzl, Svenja Maurer, Rolf E Brenner, Frank Zaucke, Michael Fuchs, Jana Riegger

Abstract readReview
In one paragraph

Review in Archives of pharmacal research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
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  11. Observational
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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

6 authors.

Zsuzsa Jenei-Lanzl *Dr Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, Goethe University Frankfurt, University Hospital, 60528, Frankfurt/Main, Germany.
Svenja Maurer *Division for Biochemistry of Joint and Connective Tissue Diseases, Department of Orthopaedics, University of Ulm, 89081, Ulm, Germany.
Rolf E BrennerDivision for Biochemistry of Joint and Connective Tissue Diseases, Department of Orthopaedics, University of Ulm, 89081, Ulm, Germany.
Frank ZauckeDr Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, Goethe University Frankfurt, University Hospital, 60528, Frankfurt/Main, Germany.
Michael FuchsDepartment of Orthopaedic Surgery, University of Ulm, 89081, Ulm, Germany.
Jana RieggerDivision for Biochemistry of Joint and Connective Tissue Diseases, Department of Orthopaedics, University of Ulm, 89081, Ulm, Germany. jana.riegger@uni-ulm.de.ORCID http://orcid.org/0000-0003-0048-5047

Funding

Deutsche Forschungsgemeinschaft 277277765Deutsche Forschungsgemeinschaft 407168728
6 · The paper itself

Abstract

Osteoarthritis (OA) is the most common joint disease worldwide. Despite significant efforts byresearchers, no disease-modifying osteoarthritis drugs (DMOADs) have been approved yet. This review compares preclinical and clinical studies of promising therapeutic approaches to gain insights into the potential reasons for their failure in clinical trials. For this purpose, prime examples of different therapeutic groups, including the antioxidant NAC, senotherapeutic UBX0101, anti-inflammatory drug Anakinra®, Wnt inhibitor Lorecevivint®, chondroanabolic growth factor Sprifermin™, and various protease inhibitors, are discussed in detail. The limitations of commonly used OA animal models are elaborated to understand this failure better. Moreover, this review addresses the challenges of patient stratification into different endotypes and phenotypes, the consideration of subgrouping in clinical trials, and the lack of suitable clinical outcome parameters. In summary, this review highlights potential reasons for the high failure rate of DMOADs in clinical trials and outlines key points for future improvement.

Indexed as

Anti-Inflammatory AgentsAntirheumatic AgentsDrug DevelopmentOsteoarthritisAnimalsClinical Trials as TopicHumansAnti-Inflammatory AgentsAntirheumatic AgentsAnimal modelsClinical trialsDisease-modifying osteoarthritis drugsDrug developmentEndotypesOsteoarthritis

Identifiers

PMID40580372
PMCPMC12241195

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.