What the Research Says
Cat's claw has a long history in traditional Amazonian medicine and a small but growing body of clinical evidence. The most notable RA trial (Mur et al., 2002, n=40) found 60mg/day POA-standardized extract significantly reduced painful and swollen joints in patients already on sulfasalazine. For OA, Piscoya et al. (2001, n=45) demonstrated rapid pain relief within one week. Mechanistically, pentacyclic oxindole alkaloids inhibit NF-kB and suppress TNF-alpha production. An important distinction exists between pentacyclic (anti-inflammatory) and tetracyclic (immune-stimulating) alkaloid chemotypes — quality products should specify POA content. More large-scale trials are needed to establish definitive efficacy.
