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Comparison of the efficacy and safety of CELBESTA® versus CELEBREX® in patients with rheumatoid arthritis: a 6-week, multicenter, double-blind, double-dummy, active-controlled, randomized, parallel-group, non-inferiority phase 4 clinical trial.


ABSTRACT: OBJECTIVES:Celecoxib is a selective cyclooxygenase (COX)-2 inhibitor that is commonly used to reduce the incidence of gastrointestinal (GI) complications in patients with rheumatoid arthritis (RA). CELBESTA® is a generic equivalent to CELEBREX®, a celecoxib preparation. This study compared the efficacy and safety of CELBESTA® and CELEBREX® in patients with RA. METHODS:This was a multicenter, double-blind, double-dummy, active-controlled, randomized, parallel-group, non-inferiority clinical trial. The primary endpoint was a change from baseline in self-assessed pain intensity determined using a 100-mm visual analog scale after 6 weeks of treatment. RESULTS:After a washout period, 119 eligible subjects were randomized to one of two groups (CELBESTA® group, n?=?61; CELEBREX® group, n?=?58). CELBESTA® was not inferior to CELEBREX® because the upper limit of two-sided 95% confidence interval (CI) for the difference between the two groups (difference in the least square [LS] mean, -8.68 mm; two-sided 95% CI -16.59 mm to -0.77 mm) was less than the non-inferiority margin (10?mm). There were no significant differences in GI complications and renal toxicity. CONCLUSIONS:CELBESTA® was not inferior to CELEBREX® with regard to the pain relief efficacy in RA patients, and the tolerability and safety profiles were excellent and at similar levels for both preparations.

SUBMITTER: Kim HS 

PROVIDER: S-EPMC7325469 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Comparison of the efficacy and safety of CELBESTA® versus CELEBREX® in patients with rheumatoid arthritis: a 6-week, multicenter, double-blind, double-dummy, active-controlled, randomized, parallel-group, non-inferiority phase 4 clinical trial.

Kim Hyun-Sook HS   Choi Won-Ho WH   Kim Bo Young BY   Kim Sung Soo SS   Lee Sang-Il SI   Kim Sang-Hyon SH   Choi Sung Jae SJ   Kim Geun-Tae GT   Hur Jin-Wuk JW   Lee Myeung-Su MS   Kim Yun Sung YS   Hong Seung-Jae SJ  

The Journal of international medical research 20200601 6


<h4>Objectives</h4>Celecoxib is a selective cyclooxygenase (COX)-2 inhibitor that is commonly used to reduce the incidence of gastrointestinal (GI) complications in patients with rheumatoid arthritis (RA). CELBESTA® is a generic equivalent to CELEBREX®, a celecoxib preparation. This study compared the efficacy and safety of CELBESTA® and CELEBREX® in patients with RA.<h4>Methods</h4>This was a multicenter, double-blind, double-dummy, active-controlled, randomized, parallel-group, non-inferiority  ...[more]

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