Exosome Evidence Index

Studies / Knee osteoarthritis

Placental stem cell vesicles injected into the knee for osteoarthritis

Bolandnazar NS et al., BMC Musculoskeletal Disorders, 2024

No benefit over controlStrength of design, level 3 of 5: Controlled trial

No benefit over control: The treated group did no better than placebo or the comparison.

Level 3 of 5: Treated patients were compared with a control: placebo, another treatment, or the untreated side of the face. Most exosome trials at this level are small and short.

See the full key
Design
Randomized, triple-blind, saline in the other knee
People
31 people (62 knees)
Made from
Placenta
How it was given
One injection into the knee

What they found

No difference from saline in pain, function, or MRI findings at 2 and 6 months. The injection was safe.

What limits it

A small trial testing a single injection.

Read the study

Other studies of knee osteoarthritis

  1. Safety onlyStrength of design, level 1 of 5: Single case or case series

    First human knee injection of a clinical-grade umbilical cord vesicle product

    Figueroa-Valdés AI et al., Journal of Nanobiotechnology, 2025. 1 person. Made from: umbilical cord.

    No adverse effects over 12 months of follow-up.