RCT · 80 patients · 3 weeks

The bottle literally said placebo. They took it anyway.

People say: “Placebos only work if you're fooled” We read the study.

What they did

Randomised controlled trial (RCT). 80 people. 3 weeks (21 days), August 2009 - April 2010.

A trial. Chance decided who did what.

Who: 80 adults with irritable bowel syndrome (Rome III, IBS-SSS >=150) at one Boston academic centre (Beth Israel Deaconess); 70% women, mean age 47; recruited via ads for 'a novel mind-body management study of IBS'

What they found
  • Relief: placebo pills59%reported adequate relief
  • Relief: no pills35%reported adequate relief
  • Symptom drop vs no pills2×92 vs 46 points

Open-label placebo: 59% reported adequate relief vs 35% with no pills, after 3 weeks

The catch

Comparable to IBS drug trials.

More to know, from our read of the paper:

  • Small (n=80), short (3 weeks), single-centre: the authors themselves call it a 'proof-of-principle' pilot study
  • All outcomes were self-reported symptom scales; patients could not be blinded, so report bias ('wishing to please the experimenter') cannot be eliminated (stated by the authors)
  • Placebo patients were told the pills had been 'shown in rigorous clinical testing to produce significant mind-body self-healing processes': a persuasive, positive framing; the result is placebo + rationale, not a pill alone
  • Comparison was no treatment (not a hidden/double-blind placebo), so it cannot say open-label works as well as a deceptive placebo
  • Recruitment ads for a 'novel mind-body' study may have attracted people open to the idea (stated by the authors)
The verdict

Honest placebo: felt better. Small, self-reported.

One thing to try
  1. Expectation is powerfulPatients knew, and still reported relief.
  2. Good care counts tooThe no-pill group got the same warm care and also improved.
  3. It's not a cureIBS only, 80 people, 3 weeks, self-reported symptoms.
In short

80 adults with IBS, randomized: open-label placebo pills (told plainly they contained nothing) vs no treatment, 3 weeks. Symptoms were self-reported and patients knew their group. A small proof-of-principle trial, not a treatment recommendation.

The paper

Kaptchuk et al. (2010). Placebos without Deception: A Randomized Controlled Trial in Irritable Bowel Syndrome. PLOS ONE.

Design: Randomised controlled trial (RCT) · randomised controlled trial, open-label placebo vs no treatment (patients not blinded; outcome assessor blinded)

DOI: 10.1371/journal.pone.0015591

Goals:

How we checked

We read the abstract and the full text of this paper and checked every number on this page against it (18 facts, checked on 2026-10-01). The study design is named above. Cohort and other observational studies are described as linked, not proven. Found an error? Email theis@onestudyaday.com.

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