Table 2 |
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|
Analysis of patients with adverse events and discontinuations |
||||||
| Outcome/comparisons |
Number of |
Rate of events (%) |
Relative risk (95% CI) |
NNTp/NNH (95% CI) |
||
|
|
||||||
| Trials |
Patients |
Etoricoxib |
Comparator |
|||
|
|
||||||
| All cause |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
17 |
32 |
0.6 (0.53 to 0.63)a |
6.7 (5.8 to 7.8)b |
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
26 |
32 |
0.9 (0.80 to 0.99)a |
19 (13 to 31)b |
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
17 |
22 |
0.7 (0.65 to 0.82)a |
16 (11 to 29)b |
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
47 |
51 |
0.95 (0.93 to 0.97)a |
31 (24 to 44)b |
| Lack of efficacy |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
7.2 |
22 |
0.4 (0.32 to 0.41)a |
7.4 (6.3 to 8.9)b |
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
9.1 |
23 |
0.5 (0.45 to 0.62)a |
6.6 (5.9 to 7.6)b |
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
7.6 |
7.5 |
1.0 (0.8 to 1.2) |
|
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
8.8 |
9.5 |
0.9 (0.86 to 0.97)a |
145 (80 to 820)b |
| Clinical adverse event |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
5.1 |
4.4 |
1.2 (0.9 to 1.4) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
8.2 |
3.8 |
1.8 (1.4 to 2.4)a |
23 (17 to 35)c |
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
5 |
8.2 |
0.7 (0.53 to 0.81)a |
31 (22 to 54)b |
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
17 |
18 |
1.0 (0.94 to 1.02) |
|
| Laboratory adverse event |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
0.7 |
0.7 |
0.9 (0.5 to 1.7) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
0.7 |
0.6 |
0.9 (0.4 to 2.1) |
|
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
0.3 |
0.5 |
0.6 (0.3 to 1.4) |
|
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
1.2 |
3.3 |
0.4 (0.34 to 0.45)a |
49 (43 to 57)b |
| Gastrointestinal adverse event |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
1.9 |
1.7 |
1.3 (0.9 to 1.8) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
4.7 |
1.6 |
2.6 (1.7 to 3.9) |
33 (24 to 52)c |
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
2.0 |
4.1 |
0.5 (0.38 to 0.73)a |
47 (33 to 85)b |
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
4.4 |
7.7 |
0.6 (0.54 to 0.63)a |
30 (27 to 35)b |
| Serious adverse event |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
0.9 |
0.7 |
1.0 (0.6 to 1.7) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
0.9 |
0.6 |
1.2 (0.6 to 2.4) |
|
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
0.7 |
0.9 |
0.8 (0.5 to 1.6) |
|
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
5.5 |
5.3 |
1.1 (0.98 to 1.2) |
|
| Hypertension |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
0.4 |
0.04 |
1.6 (0.8 to 3.5) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
0.5 |
0.1 |
2.0 (0.8 to 4.9) |
|
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
0.5 |
0.5 |
1.0 (0.5 to 2.0) |
|
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
2.1 |
1.3 |
1.7 (1.4 to 1.9)a |
120 (94 to 180)c |
| Oedema |
||||||
| Etoricoxib versus placebo (4 to 12 weeks) |
16 |
6,388 |
0.3 |
0.1 |
1.2 (0.6 to 2.6) |
|
| NSAID versus placebo (4 to 12 weeks) |
10 |
3,690 |
0.4 |
0.1 |
1.6 (0.6 to 4.2) |
|
| Etoricoxib versus NSAID (4 to 12 weeks) |
12 |
5,186 |
0.3 |
0.4 |
1.1 (0.5 to 2.3) |
|
| Etoricoxib versus NSAID (all trials) |
17 |
39,881 |
1.0 |
0.7 |
1.5 (1.2 to 1.9)a |
320 (200 to 720)c |
|
|
||||||
|
Note that nonsteroidal anti-inflammatory drugs (NSAIDs) indicates traditional NSAIDs only. aStatistically significant difference in relative risk. bNumber needed to treat to prevent an event (NNTp). cNumber needed to cause an event (NNH). CI, confidence interval. |
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|
Moore et al. Arthritis Research & Therapy 2008 10:R53 doi:10.1186/ar2422 |
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