Table 2

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.

Moore et al. Arthritis Research & Therapy 2008 10:R53   doi:10.1186/ar2422

Open Data