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
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 4
Kontakte und Standorte
Studienorte
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Bekkestua, Norwegen, 1357
- Bekkestua legesenter
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Bergen, Norwegen, 5004
- Dr. Johannessen Kontor
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Bergen, Norwegen, 5838
- Dr.Wiigs kontor
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Bodø, Norwegen, 8006
- Nordland Medisinske Senter
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Bærum Postterminal, Norwegen, 1306
- Martina Hansens Hospital
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Drammen, Norwegen, 3004
- Sykehuset Buskerud HF
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Gamle Fredrikstad, Norwegen, 1632
- Lægene på Kongens torv
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Hamar, Norwegen, 2300
- Centre For Clinical Trials
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Harstad, Norwegen, 9480
- Harstad sykehus
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Haugesund, Norwegen, 5513
- Haugesund sanitetsforenings revmatismesykehus
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Horten, Norwegen, 3188
- Horten legesenter
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Jessheim, Norwegen, 2050
- Solli Klinikk AS
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Kongsvinger, Norwegen, 2226
- Kongsvinger sykehus HF
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Kristiansand, Norwegen, 4604
- Vest-Agder sentralsykehus
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Kristiansand, Norwegen, 4610
- Dr. Svensens kontor
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Lena, Norwegen, 2850
- Lensbygda Legekontor
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Levanger, Norwegen, 7600
- Helse Nord-Trøndelag HF, Sykehuset Levanger
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Lillehammer, Norwegen, 2609
- LSF Reumatismesykehus
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Mo I Rana, Norwegen, 8607
- Helgelandssykehuset HF
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Oslo, Norwegen, 0027
- Rikshospitalet
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Oslo, Norwegen, 0580
- Økernlegene
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Oslo, Norwegen, N-0319
- Diakonhjemmet Hospital
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Skien, Norwegen, 3722
- Betanien Hospital
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Tiller, Norwegen, 7092
- Rosten legesenter
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Tromsø, Norwegen, 9038
- Universitetssykehuset Nord-Norge HF
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Trondheim, Norwegen, 7006
- St.Olavs Hospital
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Ålesund, Norwegen, 6026
- Ålesund Sykehus
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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).
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Doppelt
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Aktiver 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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Aktiver 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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Aktiver 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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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Change in baseline of Patient Global Assessment of Pain Intensity (VAS) at week 12
Zeitfenster: 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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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Participants Global Assessment of Pain Intensity (VAS)
Zeitfenster: 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)
Zeitfenster: 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)
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Infektionen
- Gelenkerkrankungen
- Erkrankungen des Bewegungsapparates
- Arthritis
- Erkrankungen der Wirbelsäule
- Knochenerkrankungen
- Spondylarthropathien
- Knochenkrankheiten, ansteckend
- Ankylose
- Spondylitis
- Spondylarthritis
- Spondylitis, Ankylosans
- Physiologische Wirkungen von Arzneimitteln
- Molekulare Mechanismen der pharmakologischen Wirkung
- Agenten des peripheren Nervensystems
- Enzym-Inhibitoren
- Analgetika
- Agenten des sensorischen Systems
- Entzündungshemmende Mittel, nichtsteroidal
- Analgetika, nicht narkotisch
- Entzündungshemmende Mittel
- Antirheumatika
- Cyclooxygenase-Inhibitoren
- Cyclooxygenase-2-Inhibitoren
- Celecoxib
- Diclofenac
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- COXA-0508-247
- A3191099 (Andere Kennung: Alias Study Number)
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