Can a diabetes drug ease knee pain and stave off surgery?

NCT ID NCT07065591

First seen Aug 18, 2026 · Last updated Aug 18, 2026

Summary

This trial tests whether adding metformin, a common diabetes medication, to a program of diet and exercise can reduce knee pain and improve function in overweight or obese adults with knee osteoarthritis. Participants will receive either metformin or a placebo for six months, alongside diet and exercise, and then continue with lifestyle changes alone. The study measures changes in pain, weight, and symptoms to see if this combined approach could reduce the need for knee replacement surgery.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Metformin, a common diabetes drug, combined with diet modification and exercise therapy
What this could lead to
If effective, this combination could offer a non-surgical way to reduce knee pain and delay or avoid the need for knee replacement surgery in overweight adults with knee osteoarthritis.
What could go wrong
This is an early-phase trial with a modest number of participants, so results may not be conclusive. Metformin can cause gastrointestinal side effects, and the benefit over diet and exercise alone is uncertain.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Maclehose Medical Rehabilitation

    RECRUITING

    Hong Kong, Sandy Bay, 999077, Hong Kong

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