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April 11, 2026Therapeutic Advances in Musculoskeletal Disease0 citationsOpen Access

Plain Language Summary of a Phase 2 Study of Triamcinolone Acetonide Extended-Release for Pain Relief in People With Knee Osteoarthritis and Type 2 Diabetes

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ASA. SpitzerHRHelena W. Rodbard

Key Points

  • This research aims to evaluate the effectiveness of triamcinolone acetonide extended-release (TA-ER) for managing knee pain while monitoring blood glucose levels in individuals with knee osteoarthritis and type 2 diabetes.
  • Conducted a phase 2 trial comparing TA-ER with standard triamcinolone acetonide crystalline suspension (TAcs)
  • Included participants diagnosed with knee osteoarthritis and type 2 diabetes
  • Measured changes in blood glucose levels after injections of TA-ER and TAcs
  • Participants receiving TA-ER had lower increases in blood glucose levels compared to those on TAcs, especially in the first 3 days after injection
  • Fewer glucose spikes were observed in those treated with TA-ER compared to TAcs
  • No serious side effects were reported with either treatment

Abstract

Summary What is this summary about? This plain language summary of publications outlines 2 publications that represent 2 separate analyses of a single study of triamcinolone acetonide extended-release (TA-ER). TA-ER is an injection into the knee joint approved to treat osteoarthritis knee pain. The study compared the effects of TA-ER versus a standard form of the steroid triamcinolone acetonide (called triamcinolone acetonide crystalline suspension TAcs) on blood glucose levels in participants with knee osteoarthritis and type 2 diabetes. What were the main results? Participants with knee osteoarthritis and type 2 diabetes who received an injection of TA-ER had smaller increases in blood glucose levels than participants who received TAcs, especially in the first 3 days after injection. TA-ER also caused fewer spikes in blood glucose levels in participants compared with TAcs. No serious side effects were reported for either TA-ER or TAcs. What do the results mean? These results are important because there is an unmet need for effective pain relief options for people with knee osteoarthritis who also have type 2 diabetes. Standard steroid treatments can raise blood glucose levels, making them potentially problematic for this group. Who might find this summary helpful? The purpose of this plain language summary of publications is to provide information from recent research to people with knee osteoarthritis and type 2 diabetes who may require an injection into the knee joint or who may receive an injection of TA-ER for treatment of knee osteoarthritis. It is also intended to help healthcare professionals understand findings from recent research, supporting TA-ER as potentially more favorable versus standard steroids for patients with both knee osteoarthritis and type 2 diabetes. Who should read this summary? People who may find this summary helpful are those living with knee osteoarthritis and type 2 diabetes and their families, patient advocates, patient groups, and the healthcare professionals who treat them. Who sponsored this study? Pacira BioSciences, Inc. (formerly Flexion Therapeutics; telephone number: 844-353-9466) sponsored this study. When was this plain language summary of publications written? This summary was drafted in April-May 2025. Disclaimers ● TA-ER is approved to treat osteoarthritis knee pain. ● Researchers must look at the results of many types of studies to understand whether a study drug works, how it works, and whether it is safe to prescribe to patients. ● This plain language summary of publications outlines 2 publications based on separate analyses of a single study. The results of that single study may be different from results of other studies.

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Cite This Study

Spitzer et al. (2026) studied this question.

synapsesocial.com/papers/69d9e67a78050d08c1b76ecdhttps://doi.org/10.1177/1759720x261433612
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Prospective Observational Study to Evaluate Safety and Efficacy of Intraarticular Administration of Triamcinolone Acetonidein Knee Osteoarthritis in A Tertiary Care Hospital2024
  2. 2Betamethasone and Triamcinolone Acetonide Have Comparable Efficacy as Single Intra-Articular Injections in Knee Osteoarthritis2025
  3. 3P057 Intraarticular triamcinolone vs subcutaneous inj. adalimumab (TNF-inhibitor) in inflammatory knee osteoarthritis: an open-label randomised clinical trial (ADAKOA)2026
  4. 4Optimizing Osteoarthritis Management – Therapeutic Efficacy and Evaluation of Intra-Articular Triamcinolone Acetonide Injection2026 · 1 citations
  5. 5Triamcinolone acetonide has minimal effect on short‐ and long‐term metabolic activities of cartilage2024 · 8 citations