Outcome summaries · provisional pilot

Oral CBD add-on and knee osteoarthritis pain

Selected human studies, their reported effects and the limits of this source set.

Provisional · source checks 2026-11-08 UTC · scientific editorial review pending

The question and its scope

Population
Adults with painful imaging-confirmed knee osteoarthritis continuing paracetamol
Studied preparation
Defined oral CBD added to continued paracetamol versus matched placebo add-on
Route
oral
Primary outcome
WOMAC pain subscale change at eight weeks
Study scope
One parallel randomized cohort; completer count and randomized count remain distinct

Reported finding · selected human evidence

The selected trial did not show an additional knee-pain benefit from CBD compared with placebo added to continued paracetamol.

One selected formulation and eight-week cohort; this is not a synthesis of every CBD or cannabis-oil pain study.

1 distinct randomized cohort in this source set. Rat osteoarthritis evidence is a different system and not an additional human efficacy trial.

Reported effects and harms

Estimates retain their original comparator, units and 95% confidence interval (CI). Different measures are not pooled. Study regimens identify the research; they are not treatment instructions.

Human · primary randomized study

Pramhas et al. (2023)

Knee osteoarthritis add-on cohort · NCT04607603 ↗

86 randomized; 84 received treatment; 58 completed the trial.

The reported between-group primary outcome difference was small and its interval included zero.

ContrastMeasureEstimate95% CI
CBD add-on minus placebo add-onMean difference in pain-score reduction at eight weeks0.1 WOMAC pain points (0–10)−0.8 to 1.0 WOMAC pain points (0–10)
Harms reported
135 adverse events with CBD and 105 with placebo are event totals, not counts of affected people.
Interpretation limits
Single center, substantial discontinuation and imputed intention-to-treat analysis. Trigal Pharma funded the study; authors report no role in its conduct or reporting.
Source depth
Primary full text: primary outcome, statistical analysis and adverse events.

Context kept separate

These records do not add independent primary human trials to the count above.

Human context

No human context selected in this pilot source set.

Animal context

Laboratory context

No laboratory context selected in this pilot source set.

Source checks and notices

The selected PubMed records were checked 2026-11-08 UTC. No other notice signals were returned for these records at that check; missing metadata signals do not prove that no notice exists. This monitor checks citation relations, not every full-text change, and never rewrites a finding automatically.

Read this question’s selection record and omitted-source limits →