A Study Of Celecoxib Versus Diclofenac In Patients With Ankylosing Spondylitis
A Twelve Week, Randomized, Double Blind Parallel Group Study Of Two Doses Of Celecoxib Compared To Diclofenac In Patients With Ankylosing Spondylitis
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
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Bekkestua, Norge, 1357
- Bekkestua legesenter
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Bergen, Norge, 5004
- Dr. Johannessen Kontor
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Bergen, Norge, 5838
- Dr.Wiigs kontor
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Bodø, Norge, 8006
- Nordland Medisinske Senter
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Bærum Postterminal, Norge, 1306
- Martina Hansens Hospital
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Drammen, Norge, 3004
- Sykehuset Buskerud HF
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Gamle Fredrikstad, Norge, 1632
- Lægene på Kongens torv
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Hamar, Norge, 2300
- Centre For Clinical Trials
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Harstad, Norge, 9480
- Harstad sykehus
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Haugesund, Norge, 5513
- Haugesund sanitetsforenings revmatismesykehus
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Horten, Norge, 3188
- Horten legesenter
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Jessheim, Norge, 2050
- Solli Klinikk AS
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Kongsvinger, Norge, 2226
- Kongsvinger sykehus HF
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Kristiansand, Norge, 4604
- Vest-Agder sentralsykehus
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Kristiansand, Norge, 4610
- Dr. Svensens kontor
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Lena, Norge, 2850
- Lensbygda Legekontor
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Levanger, Norge, 7600
- Helse Nord-Trøndelag HF, Sykehuset Levanger
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Lillehammer, Norge, 2609
- LSF Reumatismesykehus
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Mo I Rana, Norge, 8607
- Helgelandssykehuset HF
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Oslo, Norge, 0027
- Rikshospitalet
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Oslo, Norge, 0580
- Økernlegene
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Oslo, Norge, N-0319
- Diakonhjemmet Hospital
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Skien, Norge, 3722
- Betanien Hospital
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Tiller, Norge, 7092
- Rosten legesenter
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Tromsø, Norge, 9038
- Universitetssykehuset Nord-Norge HF
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Trondheim, Norge, 7006
- St.Olavs Hospital
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Ålesund, Norge, 6026
- Ålesund sykehus
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Male or female, 18 to 75 years of age, inclusive.
- Clinical diagnosis of ankylosing spondylitis:
- Willing to stop existing NSAID/COX-2 inhibitor treatment for up to two weeks.
- Having given written informed consent to participate in the trial.
- Pain intensity ≥ 40 mm on the visual analog scale, worsening by at least 30 % compared to that recorded at the screening visit.
- Last administration of analgesic without anti-inflammatory activity is ≥ 8 h, the last administration of long-acting NSAIDs is ≥ 72 h
Exclusion Criteria:
- Patients with acute peripheral articular disease (defined by the onset within 4 weeks prior to visit
- Known inflammatory enteropathy (e.g. ulcerative colitis, Crohn's disease).
- Ongoing extra-articular signs (e.g. cardiac involvement).
- Current painful vertebral compression.
- Requirement to start physiotherapy, re-education or manipulation
- History of clinical gastroduodenal ulcer in the year preceding inclusion, confirmed by endoscopy; continuing gastro-intestinal bleeding.
- Cardiac failure or known renal insufficiency that could be affected by study medication, chronic or acute hepatic insufficiency, significant coagulation disorders or history of asthma.
- Current or history of malignancy (except: patients having a basal cell carcinoma or other malignancy operated on and in remission for 5 years before inclusion in the trial).
- Pregnancy, women of childbearing potential not using adequate contraceptive methods or nursing mothers.
- Subject who has evidence of alcohol or drug abuse.
- Participation in any other clinical study within 30 days prior to the screening visit.
- Any condition that would prevent the patient from entering the study, according to the investigator's judgment.
- Known hypersensitivity to celecoxib, sulphonamides or any NSAID (including salicylic acid).
- Taking the following medications: Muscle relaxants, hypnotic, anxiolytics, sedatives, tranquillizers or antidepressants (unless stable for 2 weeks before screening and continuing throughout the trial), NSAIDs or COX-2 inhibitors other than study medication, acetylsalicylic acid (ASA) > 160 mg /day, anti-coagulants, ticlopidine, lithium, anti-TNF agents or methotrexate > 15 mg/week (Note: ASA ≤ 160 mg/day for cardioprotection is permitted), Use of oral or systemic analgesic medication, except from paracetamol, within 3 days of study entry and through the study, Corticosteroids (PO/IM/IV/IA) in the 6 weeks preceding inclusion in the trial, Anti-ulcer medication including chronic (daily or almost daily) use of antacids [Note: Occasional use of antacids during the study will be permitted.]
- Change in dose of a slow-acting drug (e.g. sulfasalazin, methotrexate) in the past 60 days preceding inclusion in the trial.
- Taking paracetamol > 2000 mg/day (including during the screening period).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Aktiv komparator: Celecoxib 200 milligrams mg QD
celecoxib 200 milligrams (mg) once a day (QD)
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Celecoxib 200 milligrams once a day
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Aktiv komparator: Celexocib 400 mg QD
celecoxib 400 milligrams (mg) once a day (QD)
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Celecoxib 400 milligrams once a day
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Aktiv komparator: Diclofenac 50 mg TID
diclofenac 50 milligrams (mg) three times a day (TID)
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diclofenac 50 milligrams three times a day
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change in baseline of Patient Global Assessment of Pain Intensity (VAS) at week 12
Tidsramme: Baseline, Week 12
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Global Pain Intensity score (VAS): is a participant reported assessment of pain on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS) where 0 mm= no pain and 100=most severe pain.
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Baseline, Week 12
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Participants Global Assessment of Pain Intensity (VAS)
Tidsramme: Weeks 2, 6
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Global Pain Intensity score (VAS): is a participant reported assessment of pain on a 0 to 100 millimeter (mm) Visual Analog Scale (VAS) where 0 mm= no pain and 100=most severe pain.
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Weeks 2, 6
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Bath Ankylosing Spondylitis Functional Index (BASFI)
Tidsramme: Weeks 2, 6
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BASFI is a validated self assessment tool that determines the degree of functional limitation in AS.
Utilizing a VAS of 0-10 (0 = easy, 10 = impossible), participants answered 10 questions assessing their ability in completing normal daily activities or physically demanding activities.
The BASFI score is a mean score of the 10 questions.
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Weeks 2, 6
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Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
Tidsramme: Weeks 2, 6
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BASDAI is a validated self assessment tool used to determine disease activity in participant with Ankylosing Spondylitis (AS).
Utilizing a Visual Analog Scale (VAS) of 0-10 (0=none and 10=very severe) participant's answered 6 questions measuring discomfort, pain and fatigue.
The final BASDAI score averages the individual assessments for a final score range of 0-10
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Weeks 2, 6
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Participants and Physicians Global Assessment of Disease Activity
Tidsramme: Weeks 2, 6, 12
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Participants are asked at each visit the following questions: Taking everything into account how do you assess the activity of your disease in the last 2 days on a scale where: 0=disease inactive with no symptoms and 100=disease extremely active?
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Weeks 2, 6, 12
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Participants and Physicians Global Assessment of Treatment
Tidsramme: Week 12
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The patients will be asked up to four global questions about safety and efficacy of the trial medication and about their current disease status.
Responses are done on a 5 point scale where 0=no effect, 1=poor effect, 2=moderate effect, 3=good effect, and 4=excellent.
At the same visits the investigator will be asked to do his/her own judgment of the efficacy and tolerance of the treatment (excellent, good, moderate, poor).
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Week 12
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Participants Consumption of Rescue Medication
Tidsramme: Baseline, Weeks 2, 6, 12
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Participant consumption of rescue medication (paracetamol) calculated at each individual visit (except from the screening visit) by counting returned tablets versus tablets dispensed at the previous visit.
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Baseline, Weeks 2, 6, 12
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Infektioner
- Ledsygdomme
- Muskuloskeletale sygdomme
- Gigt
- Rygmarvssygdomme
- Knoglesygdomme
- Spondylarthropatier
- Knoglesygdomme, smitsom
- Ankylose
- Spondylitis
- Spondylarthritis
- Spondylitis, ankyloserende
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Agenter fra det perifere nervesystem
- Enzymhæmmere
- Analgetika
- Sensoriske systemagenter
- Anti-inflammatoriske midler, ikke-steroide
- Analgetika, ikke-narkotisk
- Anti-inflammatoriske midler
- Antirheumatiske midler
- Cyclooxygenase-hæmmere
- Cyclooxygenase 2-hæmmere
- Celecoxib
- Diclofenac
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- COXA-0508-247
- A3191099 (Anden identifikator: Alias Study Number)
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