Evidence map›Paper›PMID 30233140›Full record

Trial reportDrug design, development and therapy2018

Efficacy and safety of a fixed-dose combination of nimesulide/pantoprazole compared to naproxen/esomeprazole for pain relief in patients with osteoarticular diseases and dyspeptic symptoms.

Morton Scheinberg, Henrique Pott Júnior, Eduardo de Almeida Macêdo, Monalisa Fernanda Bocchi de Oliveira, Christina Ecclissato, Roberto Bleuel Amazonas

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIComparative StudyMulticenter Study
In one paragraph

Trial report in Drug design, development and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01670552 (Parallel Study, Double-blind, Randomized, to Compare the Safety of Two Therapies for the Treatment of Osteoarticular Inflammation in Dyspeptic Patients.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 32% 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.

NCT01670552 phase3completednot on this map

Parallel Study, Double-blind, Randomized, to Compare the Safety of Two Therapies for the Treatment of Osteoarticular Inflammation in Dyspeptic Patients.

TypeinterventionalSponsorEMSRan2016 to 2017Enrolled490ConditionsAcute and Chronic Inflammation, DyspepsiaArmsNimesulide + Pantoprazole, Naproxen + Esomeprazole
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
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

6 authors at 2 institutions in 2 countries.

Morton ScheinbergClinical Research Center Hospital AACD, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Henrique Pott JúniorMedical Affairs Department, EMS Pharma Inc., Hortolândia, Brazil, christina.ecclissato@ems.com.br.
Eduardo de Almeida MacêdoMedical Affairs Department, EMS Pharma Inc., Hortolândia, Brazil, christina.ecclissato@ems.com.br.
Monalisa Fernanda Bocchi de OliveiraMedical Affairs Department, EMS Pharma Inc., Hortolândia, Brazil, christina.ecclissato@ems.com.br.
Christina EcclissatoMedical Affairs Department, EMS Pharma Inc., Hortolândia, Brazil, christina.ecclissato@ems.com.br.
Roberto Bleuel AmazonasMedical Affairs Department, EMS Pharma Inc., Hortolândia, Brazil, christina.ecclissato@ems.com.br.
Bridge Pharma (United States) · USHospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the safety and efficacy of fixed-dose combination tablets of naproxen/esomeprazole magnesium and nimesulide/pantoprazole to determine if both regimens are equally suited to relieve pain in patients with osteoarticular diseases and dyspeptic symptoms.

methodsPatients were randomly assigned to receive either nimesulide/pantoprazole (100 mg/20 mg) twice daily or naproxen/esomeprazole magnesium (500 mg/20 mg) twice daily for 14 days. The primary endpoint was defined as the mean change in modified Western Ontario and McMaster Universities Osteoarthritis Index pain subscale. Secondary endpoints were mean visual analog scale score of dyspeptic symptoms (nausea, abdominal discomfort/pain, epigastric burning, postprandial fullness), mean visual analog scale score of individual dyspeptic symptoms, and individual score of dyspeptic symptoms according to patient diary. This study is registered at ClinicalTrials.gov: NCT01670552.

resultsA total of 490 patients were enrolled and randomized, and 399 completed treatment (naproxen/esomeprazole, n=201; nimesulide/pantoprazole, n=198). The difference in mean change in the modified Western Ontario and McMaster Universities Osteoarthritis Index pain score after 7 days of treatment between the two treatment groups was 2.33 mm (95% CI, -1.22 to 5.89 mm). After 14 days of therapy, the difference was 0.45 mm (95% CI, -3.29 to 4.19 mm). The most common adverse events in the pooled group were abdominal discomfort, abdominal distention, dyspepsia, and nausea, but none of these was deemed to be clinically meaningful.

conclusionThe present study demonstrated noninferiority of a 14-day regimen with a fixed-dose combination of nimesulide/pantoprazole compared to naproxen/esomeprazole for the treatment of osteoarticular pain.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalDose-Response Relationship, DrugDouble-Blind MethodDyspepsiaEsomeprazoleFemaleHumansMaleMiddle AgedNaproxenOsteoporosisPainPain ManagementPantoprazoleSulfonamidesTabletsAnti-Inflammatory Agents, Non-SteroidalEsomeprazoleNaproxennimesulidePantoprazoleSulfonamidesTabletsesomeprazolenaproxennimesulideosteoarticular diseasespantoprazolerandomized controlled trial

Identifiers

PMID30233140
PMCPMC6132486
OpenAlexW2890299984

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.