Benefits
Knee joint comfort and physical function
In two placebo-controlled trials in adults with mild to moderate knee osteoarthritis, 250 mg a day improved total WOMAC scores (pain, stiffness and function) more than placebo, over 56 days in 90 adults and over 30 days in 150 adults. Both trials were funded by the companies that sell the blend, and the effects were large for a joint supplement.
Knee comfort and walking distance after exertion
In a 90-day placebo-controlled trial in 90 active adults with no arthritis on X-ray who felt knee discomfort after a 6-minute walk, 250 mg or 400 mg a day increased six-minute walk distance more than placebo (the main outcome), and also improved stair-climb time and knee pain scores. The trial was funded by the seller.
Joint stiffness and knee range of motion
WOMAC stiffness scores fell more than with placebo in both knee osteoarthritis trials, and knee flexion (how far the knee bends) improved more than placebo in all three human trials. These are questionnaire and range-of-motion measures from small, seller-funded trials.
Blood markers of inflammation
In the two knee osteoarthritis trials, 250 mg a day lowered high-sensitivity C-reactive protein (hs-CRP) in blood more than placebo, and in the 56-day trial it also lowered TNF-alpha. These are blood markers, not health outcomes, and they come from small seller-funded trials.
A cartilage breakdown marker in urine
Both knee osteoarthritis trials reported lower urinary CTX-II, a fragment released when type II collagen in cartilage breaks down, than placebo, and the 56-day trial also reported lower serum MMP-3. These are laboratory markers; no trial imaged the joint or showed that the blend protects cartilage.
Mechanism of action
Inflammatory signaling (animal work)
In rats with chemically induced knee joint damage, the blend lowered serum TNF-alpha and nitrite, reduced COX-2 and inducible nitric oxide synthase in joint tissue, and reduced NF-kB staining. In horses with lameness it lowered several inflammatory markers. These steps have not been measured in human joint tissue.
Cartilage enzymes (animal work)
In the same rat study, the blend lowered gene activity for the cartilage-degrading enzymes MMP-3, MMP-9 and MMP-13 and raised type II collagen gene activity, and joint structure looked better preserved under the microscope. A separate study of tamarind seed extract alone in arthritic animals reported similar enzyme effects.
Two polyphenol sources
The blend is standardized mainly to proanthocyanidins from tamarind seed, with a small amount of curcuminoids from turmeric. The maker describes the pairing as synergistic, but no published human study has compared the blend with either extract alone, so the role of each part is unknown.
Clinical trials
Randomized double-blind placebo-controlled trial of NXT15906F6 250 mg or 400 mg a day (taken as two capsules) for 90 days at two hospitals in Andhra Pradesh, India; primary outcome was change in six-minute walk distance. Registered as CTRI/2016/02/006682. Funded by NXT CAP, Ltd (Cyprus) and NXT USA, Inc.; no author was listed at Laila Nutraceuticals, and the authors declared no competing interests. (Rao et al. 2019, Int J Med Sci)
90 physically active adults aged 35 to 70 (45 men, 45 women) with no arthritis on X-ray and mild to moderate knee pain after a six-minute walk; 89 finished.
Six-minute walk distance rose by 29.2 m on 250 mg and 41.8 m on 400 mg, versus 5.6 m on placebo (p < 0.001 and p < 0.0001). Stair-climb time, VAS knee pain, WOMAC scores and knee flexion also improved more than placebo by day 90; stair-climb time, VAS and WOMAC scores already differed from placebo at day 14, but knee flexion on 250 mg did not (p = 0.22). Adverse events such as cold, cough and fever were reported by 9 people on placebo, 4 on 250 mg and 2 on 400 mg; laboratory tests stayed in the normal range.
Randomized double-blind placebo-controlled trial of NXT15906F6 250 mg a day, NXT19185 300 mg a day (the same blend plus mangosteen rind extract) or placebo for 56 days at a government hospital in Srikakulam, India; primary outcome was the WOMAC score. Registered as CTRI/2019/10/021691. Funded by Bohan & Co. (Norway) and NXT USA, Inc.; the study product was made at Laila Nutraceuticals, no author was listed at Laila, and the authors declared no conflicts of interest. (Kare et al. 2022, Evid Based Complement Alternat Med)
90 adults aged 40 to 70 with knee osteoarthritis of Kellgren-Lawrence grade II or III and moderate knee pain (30 per group); 81 finished.
On 250 mg of TamaFlex, total WOMAC scores fell 41.9 percent from baseline and were 36.1 percent lower than placebo at day 56 (P < 0.05); placebo scores fell 9.2 percent. VAS pain, Lequesne index, walk distance, stair-climb time and knee range of motion also improved more than placebo. Serum TNF-alpha, IL-6, hs-CRP and MMP-3 and urinary CTX-II were lower than placebo. Two people on TamaFlex reported nausea or mild fever and four on placebo had minor events.
Randomized double-blind placebo-controlled trial of NXT15906F6 250 mg a day, a curcumin and boswellia blend 1,000 mg a day, or placebo for 30 days at two hospitals in Varanasi, India; primary outcome was the total WOMAC score. Registered as CTRI/2021/12/039022. Funded by Bohan & Co. (Norway) and NXT USA, Inc.; no author was listed at Laila Nutraceuticals, and the authors declared no conflict of interest. (Prasad et al. 2023, Food Nutr Res)
150 adults aged 40 to 70 with knee osteoarthritis of Kellgren-Lawrence grade II (50 per group); 135 finished.
Total WOMAC scores on TamaFlex fell 30.2 percent from baseline by day 30 and the difference from placebo was significant (P < 0.001) from day 5. WOMAC pain fell by 18.5 points versus 7.6 on placebo, and stiffness and function also improved more than placebo. Serum hs-CRP and urinary CTX-II fell more than placebo. The comparator curcumin and boswellia blend (two thirds turmeric extract at about 95 percent curcuminoids) beat placebo on total WOMAC (P = 0.031), knee flexion and hs-CRP at day 30, but not on the WOMAC pain, stiffness or function subscales. No adverse events were reported.
Randomized blinded placebo-controlled single-center veterinary trial of NXT15906F6 2.5 g a day for 84 days; primary endpoint was improvement in lameness grade. Three of the four authors were employees of Laila Nutraceuticals R&D Center. (Jain et al. 2022, Vet Med Sci)
22 working horses with lameness of grade 2 to 4 on the American Association of Equine Practitioners scale.
The authors reported significant, time-dependent relief from lameness compared with placebo and lower ANA, PGE2, IL-1 beta, TNF-alpha and IL-6. This is an animal study and does not show an effect in people; it is listed here because it is a controlled trial of the blend itself.