Table 5a |
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|
Gastrointestinal adverse events reported in studies of arthritis patients (part 1) |
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|
Number of |
Incidence of events (%) |
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|
|
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|
Outcome and comparisons |
Celecoxib daily dose |
Comparator and daily dose |
Trials |
Patients |
Celecoxib |
Comparator |
Relative riska (95% CI) |
NNTpb or NNHc (95% CI) |
|
|
||||||||
|
Gastrointestinal tolerability |
||||||||
|
|
||||||||
|
Celecoxib v placebo |
Any |
Placebo |
19 |
9,919 |
5.3 |
4.6 |
1.0 (0.82–1.2) |
|
|
Celecoxib v paracetamol |
Any |
Paracetamol 4,000 mg |
2 |
1,056 |
2.0 |
2.0 |
1.0 (0.43–2.4) |
|
|
Celecoxib v rofecoxib |
Any |
Rofecoxib 25 mg |
5 |
2,671 |
3.2 |
4.4 |
0.72 (0.49–1.06) |
|
|
Celecoxib (200/400) v NSAID |
200–400 mg |
NSAID to maximum daily |
19 |
22,615 |
5.4 |
8.9 |
0.62 (0.56–0.68) |
28 (24–36)b |
|
Celecoxib (any dose) v NSAID |
Any |
NSAID to maximum daily |
19 |
23,743 |
5.5 |
8.9 |
0.61 (0.55–0.67) |
29 (24–36)b |
|
Celecoxib (any dose) v any active |
Any |
Any active comparator |
25 |
27,334 |
5.2 |
8.0 |
0.63 (0.57–0.69) |
35 (29–45)b |
|
|
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|
Nausea |
||||||||
|
|
||||||||
|
Celecoxib v placebo |
Any |
Placebo |
17 |
9,510 |
2.7 |
3.4 |
0.76 (0.60–0.97) |
155 (71–840)b |
|
Celecoxib v paracetamol |
Any |
Paracetamol 4,000 mg |
2 |
1,056 |
2.9 |
1.8 |
1.6 (0.73–3.7) |
|
|
Celecoxib v rofecoxib |
Any |
Rofecoxib 25 mg |
4 |
1,579 |
1.8 |
2.8 |
0.62 (0.32–1.2) |
|
|
Celecoxib (200/400) v NSAID |
200–400 mg |
NSAID to maximum daily |
17 |
22,072 |
2.7 |
3.3 |
0.87 (0.74–1.02) |
|
|
Celecoxib (any dose) v NSAID |
Any |
NSAID to maximum daily |
18 |
31,168 |
3.8 |
5.6 |
0.80 (0.72–0.89) |
56 (44–77)b |
|
Celecoxib (any dose) v any active |
Any |
Any active comparator |
23 |
33,667 |
3.7 |
5.3 |
0.81 (0.73–0.90) |
63 (49–88)b |
|
|
||||||||
|
Vomiting |
||||||||
|
|
||||||||
|
Celecoxib v placebo |
Any |
Placebo |
15 |
9,030 |
1.1 |
0.7 |
1.4 (0.86–2.4) |
|
|
Celecoxib v paracetamol |
Any |
Paracetamol 4,000 mg |
2 |
1,056 |
0.7 |
1.0 |
0.73 (0.19–2.7) |
|
|
Celecoxib v rofecoxib |
Any |
Rofecoxib 25 mg |
3 |
769 |
1.0 |
0.8 |
1.3 (0.29-5.7) |
|
|
Celecoxib (200/400) v NSAID |
200–400 mg |
NSAID to maximum daily |
16 |
21,825 |
0.8 |
1.4 |
0.64 (0.49–0.83) |
173 (115–350)b |
|
Celecoxib (any dose) v NSAID |
Any |
NSAID to maximum daily |
17 |
30,921 |
1.2 |
1.9 |
0.75 (0.62–0.90) |
144 (100–250)b |
|
Celecoxib (any dose) v any active |
Any |
Any active comparator |
21 |
32,610 |
1.2 |
1.9 |
0.76 (0.64–0.91) |
156 (110–280)b |
|
|
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|
aRelative risk: bold indicates statistically significant difference. bNNTp (number-needed-to-treat to prevent one event) is indicated by bold. cNNH (number-needed-to-treat to harm one patient). CI, confidence interval; NSAID, nonsteroidal anti-inflammatory drug. |
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|
Moore et al. Arthritis Research & Therapy 2005 7:R644 doi:10.1186/ar1704 |
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