Evidence map›Paper›PMID 29201297›Full record

Trial reportClinics in orthopedic surgery2017

A Randomized, Multicenter, Phase III Trial to Evaluate the Efficacy and Safety of Polmacoxib Compared with Celecoxib and Placebo for Patients with Osteoarthritis.

Myungchul Lee, Juhyung Yoo, Jin Goo Kim, Hee-Soo Kyung, Seong-Il Bin, Seung-Baik Kang, Choong Hyeok Choi, Young-Wan Moon, Young-Mo Kim, Seong Beom Han and 5 more

Open access · diamondAbstract readClinical Trial, Phase IIIComparative StudyEquivalence Trial
In one paragraph

Trial report in Clinics in orthopedic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 13 institutions in 2 countries.

Myungchul LeeDepartment of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.
Juhyung YooDepartment of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Jin Goo KimDepartment of Orthopedic Surgery, Konkuk University Medical Center, Seoul, Korea.
Hee-Soo KyungClinical Research Center, Kyungpook National University Hospital, Daegu, Korea.
Seong-Il BinDepartment of Orthopedic Surgery, Asan Medical Center, Seoul, Korea.
Seung-Baik KangDepartment of Orthopedic Surgery, SMG-SNU Boramae Medical Center, Seoul, Korea.
Choong Hyeok ChoiDepartment of Orthopedic Surgery, Hanyang University Seoul Hospital, Seoul, Korea.
Young-Wan MoonDepartment of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Young-Mo KimClinical Research Center, Chungnam National University Hospital, Daejeon, Korea.
Seong Beom HanDepartment of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Korea.
Yong InDepartment of Orthopedic Surgery, Seoul St. Mary's Hospital, Seoul, Korea.
Chong Hyuk ChoiDepartment of Orthopedic Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Jongoh KimDepartment of Orthopedic Surgery, Ewha Womans University Mokdong Hospital, Seoul, Korea.
Beom Koo LeeDepartment of Orthopedic Surgery, Korean Armed Forces Capital Hospital, Seongnam, Korea.
Sangsook ChoClinical Research Department, CG Pharmaceuticals, Inc., Orinda, CA, USA.
Ewha Womans University · KRYonsei University · KRArmed Forces Capital Hospital · KRAsan Medical Center · KRChungnam National University Hospital · KRKorea University Medical Center · KRKyungpook National University Hospital · KRNational Health Insurance Service Ilsan Hospital · KROrchid Pharma (India) · INSamsung Medical Center · KRSeoul National University Hospital · KRSNUH SMG-SNU Boramae Medical Center · KRThe Catholic University of Korea Seoul St. Mary's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the safety and analgesic efficacy of polmacoxib 2 mg versus placebo in a superiority comparison or versus celecoxib 200 mg in a noninferiority comparison in patients with osteoarthritis (OA).

methodsThis study was a 6-week, phase III, randomized, double-blind, and parallel-group trial followed by an 18-week, single arm, open-label extension. Of the 441 patients with knee or hip OA screened, 362 were randomized; 324 completed 6 weeks of treatment and 220 completed the extension. Patients were randomized to receive oral polmacoxib 2 mg (n = 146), celecoxib 200 mg (n = 145), or placebo (n = 71) once daily for 6 weeks. During the extension, all participants received open-label polmacoxib 2 mg. The primary endpoint was the change in Western Ontario and McMaster Universities (WOMAC)-pain subscale score from baseline to week 6. Secondary endpoints included WOMAC-OA Index, OA subscales (pain, stiffness, and physical function) and Physician's and Subject's Global Assessments at weeks 3 and 6. Other outcome measures included adverse events (AEs), laboratory tests, vital signs, electrocardiograms, and physical examinations.

resultsAfter 6 weeks, the polmacoxib-placebo treatment difference was -2.5 (95% confidence interval [CI], -4.4 to -0.6;

conclusionsPolmacoxib 2 mg was relatively well tolerated and demonstrated efficacy superior to placebo and noninferior to celecoxib after 6 weeks of treatment in patients with OA. The results obtained during the 18-week trial extension with polmacoxib 2 mg were consistent with those observed during the 6-week treatment period, indicating that polmacoxib can be considered safe for long-term use based on this relatively small scale of study in a Korean population. More importantly, the results of this study showed that polmacoxib has the potential to be used as a pain relief drug with reduced gastrointestinal side effects compared to traditional nonsteroidal anti-inflammatory drugs for OA.

Indexed as

AdultAgedAged, 80 and overCelecoxibCyclooxygenase 2 InhibitorsDouble-Blind MethodFemaleFuransGastrointestinal DiseasesHumansMaleMiddle AgedMusculoskeletal PainOsteoarthritis, HipOsteoarthritis, KneeRange of Motion, ArticularCelecoxibCG100649Cyclooxygenase 2 InhibitorsFuransSulfonamidesCelecoxibCyclooxygenase 2 inhibitorOsteoarthritisPlaceboPolmacoxib

Identifiers

PMID29201297
PMCPMC5705303
OpenAlexW2769592731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.