Do selective cyclo-oxygenase-2 inhibitors and traditional non-steroidal anti-inflammatory drugs increase the risk of atherothrombosis? Meta-analysis of randomised trials
BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7553.1302 (Published 01 June 2006) Cite this as: BMJ 2006;332:1302
Data supplement
Table: Design characteristics of included trials
Fig A. Comparison of effects of different COX 2 inhibitors versus placebo, subdivided by daily dose of each individual drug
Fig B. Comparison of effects of different COX 2 inhibitors versus placebo, subdivided by regular aspirin use at trial entry
Statistical Methods (in PDF format)
Web reference listTable: Design characteristics of included trials (Posted as supplied by authors)
Coxib
Indication
Protocol number
Author, Year
Reference number
Sample size
Scheduled duration/weeks
Coxib dose, mg/day
NSAID comparator
Placebo*
(coxib comparator)
Rofecoxib
Rheumatoid arthritis
68
Schnitzer 1999
1
658
104 (8 placebo)
25/50
Naproxen 500 mg bid
Yes
17
137
46 (6 placebo)
75/125/175
Ibuprofen 800 mg tid
Yes
96
van Adelsberg, 2002
2
909
52 (12 placebo)
12.5/25/50
Naproxen 500 mg bid
Yes
97
Geusens, 2002
3
1058
52 (12 placebo)
25/50
Naproxen 500 mg bid
Yes
098/103
Hawkey, 2003
4
660
12
50
Naproxen 500 mg bid
Yes
088/089
Bombardier, 2000
72
8076
36
50
Naproxen 500 mg bid
No
134
Goodman, 2004
75
132
64
3.25-25
Naproxen 15 mg/kg
No
135
Goodman, 2004
75
252
64
3.25-25
Naproxen 15 mg/kg
No
Osteoarthritis
10
Ehrich, 1999
5
219
6
25/125
NA
Yes
29
Ehrich, 2001
6
672
166 (6 placebo)
12.5/25/50
Diclofenac 75 mg bid
Yes
33
Saag, 2000
7
736
6
12.5/25
Ibuprofen 800 mg tid
Yes
34
Saag, 2000
7
693
52
12.5/25
Diclofenac 50 mg tid
No
35
Cannon, 2000
79
784
52
12.5/25
Diclofenac 50 mg tid
No
40
Day, 2000
8
809
6
12.5/25
Ibuprofen 800 mg tid
Yes
44
Laine, 1999
9
742
24
25/50
Ibuprofen 800 mg tid
Yes
45
Hawkey, 2000
10
775
24
25/50
Ibuprofen 800 mg tid
Yes
58
Truitt, 2001
11
341
130 (6 placebo)
12.5/25
Nabumetone 1500 mg od
Yes
83
Murphy 2003
12
305
60 (12 placebo)
25
Ibuprofen 800 mg tid
Yes
85
Kivitz, 2004
13
1042
6
12.5
Nabumetone 1000 mg od
Yes
90
Battisti, 2004
14
978
6
12.5
Nabumetone 1000 mg od
Yes
112
1521
6
12.5/25
(celecoxib 200 mg od)
Yes
116
Schnitzer, 2001
15
1477
6
25
(celecoxib 200 mg od)
Yes
136
Laine, 2004
16
1615
12
25
Ibuprofen 800 mg tid
Yes
901
Myllykangas-Luosujarvi, 2002
73
943
6
12.5
Naproxen 500 mg bid
No
902
Acevedo, 2001
80
909
6
12.5
Diclofenac 50 mg bid
No
102/903
Lisse, 2003
74
5557
12
25
Naproxen 500 mg bid
No
219
Birbara, 2004
19
395
6
12.5
(celecoxib 200 mg od)
Yes
220
Ruoff, 2004
20
413
6
12.5
(celecoxib 200 mg od)
Yes
Alzheimer’s
Aisen, 2003
21
351
52
25
Naproxen 220 mg bid
Yes
78
Thal, 2005
22
1451
208
25
NA
Yes
91
Reines, 2004
23
692
60
25
NA
Yes
126
Reicin A, 2003
24
756
60
25
NA
Yes
Low back pain
120
Katz, 2003
25
380
4
25/50
NA
Yes
121
Katz, 2003
25
310
4
25/50
NA
Yes
FAP
129
17
24
25
NA
Yes
Higuchi 2003
26
21
36
25
NA
Yes
Polyps
122
Bresalier, 2005
27
2586
144
25
NA
Yes
Migraine
125
Silberstein, 2004
28
172
12
25
NA
Yes
Prostatitis
118
Nickel, 2003
30
160
6
25/50
NA
Yes
Other
50
Hunt, 2000
29
67
4
25/50
Ibuprofen 800 mg tid
Yes
54
115
4
25
Indomethacin 75 mg od
Yes
Celecoxib
Rheumatoid arthritis
12
Simon, 1998
31
327
4
80/400/800
NA
Yes
22
Simon, 1999
32
1148
12
200/400/800
Naproxen 500 mg bid
Yes
23
1102
12
100/200/400
Naproxen 500 mg bid
Yes
41
Emery, 1999
81
655
26
400
Diclofenac 75 mg bid
No
Osteoarthritis
20
Bensen, 1999
33
1092
12
50/100/200
Naproxen 500 mg bid
Yes
21
1214
12
50/100/200
Naproxen 500 mg bid
Yes
42
McKenna, 2002
83
687
6
100
Diclofenac 50 mg bid
No
47
401
4
25/100/400
NA
Yes
54
Kivitz, 2001
34
1059
12
100/200/400
Naproxen 500 mg bid
Yes
60
684
6
100/200
NA
Yes
87
Williams, 2001
35
715
6
100/200
NA
Yes
96
13194
12
100/200
Diclofenac 50 mg bid
No
Naproxen 500 mg bid
118
McKenna, 2001
36
598
6
100
Diclofenac 50 mg bid
Yes
152
123
6
200
(rofecoxib 25 mg od)
Yes
216
958
4
100
Loxoprofen 60 mg tid
Yes
0508-002
Sowers, 2005
76
404
12
200
Naproxen 500 mg bid
No
(rofecoxib 25 mg od)
0508-003
Gibofsky, 2003
18
475
6
200
NA
Yes
(rofecoxib 25 mg od)
0508-010
Pincus, 2004
37
353
6
200
NA
Yes
0508-249
Pincus, 2004
37
371
6
200
NA
Yes
1006
916
52
200
Diclofenac 50 mg bid
No
1051
317
6
200
Naproxen 500 mg bid
Yes
1052
362
6
200
Naproxen 500 mg bid
Yes
1053
316
6
200
Naproxen 500 mg bid
Yes
1063
386
6
200
Ibuprofen 800 mg tid
Yes
OA/RA
035_102
Silverstein, 2000
86
7968
52
800
Ibuprofen 800 mg tid
No
Diclofenac 75 mg bid
62
536
12
200
Naproxen 500 mg bid
No
71
1097
12
200
Diclofenac 75 mg bid
No
Ibuprofen 800 mg tid
105
666
12
100
Diclofenac 50 mg bid
No
106
125
12
100
Diclofenac 50 mg bid
No
107
89
12
100
Diclofenac 50 mg bid
No
Chan, 2002
87
287
24
400
Diclofenac 75 mg bid
No
Palmer, 2003
40
385
4
400
Nabumetone 1000 mg bid
Yes
Ibuprofen 800 mg tid
Izhar, 2004
84
25
4
200
Diclofenac 75 mg bid
No
Alzheimer’s
1
425
52
200
NA
Yes
Disease
2
36
156
200
NA
Yes
Low back pain
0508-244
360
12
200
NA
Yes
0508-245
374
12
200
NA
Yes
0508-269
790
12
200
NA
Yes
217
881
12
200
Loxoprofen 60 mg tid
No
FAP
Phillips, 2002
41
83
24
200/800
NA
Yes
Polyps
APC 005
Solomon, 2005
42
2035
156
400/800
NA
Yes
PreSAP 016
Levin, 2005
43
1561
156
400
NA
Yes
TMJ pain
Ta, 2004
44
68
6
200
Naproxen 500 mg bid
Yes
Ankylosing spondylitis
137
Dougados, 2001
45
245
6
100
Ketoprofen 100 mg bid
Yes
193
611
12
200/400
Naproxen 500 mg bid
Yes
Etoricoxib
Rheumatoid arthritis
10
Curtis, 2003
49
581
174 (8 placebo)
60/90/120
Diclofenac 50 mg tid
Yes
24
Matsuomoto, 2002
50
816
121 (12 placebo)
90/120
Naproxen 500 mg bid
Yes
25
Collantes, 2002
51
891
121 (12 placebo)
90/120
Naproxen 500 mg bid
Yes
26
Hunt, 2003
52
560
12
120
Naproxen 500 mg bid
Yes
36
Tsoukas, 2001
53
102
6
90
NA
Yes
Osteoarthritis
7
Gottesdiener, 2002
54
617
190 (6 placebo)
30/60/90
Diclofenac 50 mg tid
Yes
18
Reginster, 2004
55
496
138 (12 placebo)
60
Naproxen 500 mg bid
Yes
19
Leung, 2002
56
501
138 (12 placebo)
60
Naproxen 500 mg bid
Yes
26
Hunt, 2003
57
182
12
120
Naproxen 500 mg bid
Yes
29
Hunt, 2003
57
680
12
120
Ibuprofen 800 mg tid
Yes
805
Zacher, 2003
88
516
6
60
Diclofenac 50 mg tid
No
61
Baraf, 2004
89
7111
52
90
Diclofenac 50 mg tid
No
71
Wiessenhutter 2005
58
528
12
30
Ibuprofen 800 mg tid
Yes
73
548
12
30
Ibuprofen 800 mg tid
Yes
Ankylosing spondylitis
32
Van der Heijde 2005
59
387
52 (6 placebo)
90/120
Naproxen 500 mg bid
Yes
Back pain
41
Pallay, 2004
60
325
12
60/90
NA
Yes
42
Birbara, 2003
38
319
12
60/90
NA
Yes
Other
27
Hunt, 2003
62
4
120
Ibuprofen 800 mg tid
Yes
65
DiBattiste, 2004
46
433
12
90
Ibuprofen 800 mg tid
Yes
(celecoxib 200 mg bid)
Lumiracoxib
Rheumatoid arthritis
105
Schnitzer, 2005
61
570
4
100/200/400
Diclofenac 75 mg bid
Yes
110
Kivitz, 2004
893
13
400/800
Ibuprofen 800 mg tid
No
(celecoxib 200 mg bid)
114
937
13
200/400
(celecoxib 200 mg bid)
Yes
111
Geusens, 2004
62
1124
26
200/400
Naproxen 500 mg bid
Yes
2312
Scott, 2003
78
120
4
800/1200
Naproxen 500 mg bid
No
2335
Pavelka, 2004
63
1151
52 (13 placebo)
200
Naproxen 500 mg bid
Yes
Osteoarthritis
117
Farkouh, 2004
77
9471
52
400
Naproxen 500 mg bid
No
2332
Farkouh, 2004
77
8773
52
400
Ibuprofen 800 mg tid
No
104
Schnitzer, 2004
64
583
4
50/100/200/400
Diclofenac 75 mg bid
Yes
2316
Benevolenskaya, 2003
65
244
4
100
NA
Yes
2319
Grifka, 2004
66
594
4
200/400
NA
Yes
109
Berenbaum, 2005
17
1600
13
200/400
(celecoxib 200 mg od)
Yes
112
Tannenbaum, 2004
39
1702
13
200/400
NA
Yes
(celecoxib 200 mg od)
126
Hawkey, 2004
85
1042
13
200/400
Ibuprofen 800 mg tid
No
(celecoxib 200 mg od)
128
Berenbaum, 2005
17
511
13
400
NA
Yes
(rofecoxib 25 mg od)
2360
Sheldon, 2005
47
1551
13
100
NA
Yes
(celecoxib 200 mg)
2361
Lehman, 2005
48
1684
13
100
(celecoxib 200 mg)
Yes
Valdecoxib
Rheumatoid arthritis/
15
640
6
Oct-20
Naproxen 500 mg bid
Yes
Osteoarthritis
16
678
6
05/10/2020
Naproxen 500 mg bid
Yes
48
Sikes, 2002
67
1051
12
Oct-20
Ibuprofen 800 mg tid
Yes
Diclofenac 75 mg bid
49
Makarowski, 2002
68
466
12
05-Oct
Naproxen 500 mg bid
Yes
53
Kivitz, 2002
69
1016
12
05/10/2020
Naproxen 500 mg bid
Yes
60
Bensen, 2002
70
1089
12
10/20/40
Naproxen 500 mg bid
Yes
61
1093
12
10/20/40
Naproxen 500 mg bid
Yes
4
341
6
20
(rofecoxib 25 mg)
Yes
62
Pavelka, 2003
90
720
26
20/40
Diclofenac 75 mg bid
No
63
782
52
Oct-20
Diclofenac 75 mg bid
No
47
1217
26
20/40
Naproxen 500 mg bid
No
Low back pain
97
256
4
40
NA
Yes
108
Coats, 2004
71
293
4
40
NA
Yes
132
456
12
20/40
NA
Yes
133
485
12
Oct-20
NA
Yes
Cancer pain
40
235
12
40
NA
Yes
79
183
6
20
Diclofenac 75 mg bid
Yes
NA= Not applicable
*Trials with a placebo arm are indicated by a yes
╪Excludes patients who did not start treatment: 39 allocated to lumiracoxib, 24 to naproxen and 18 to ibuprofen.
Fig A. Comparison of effects of different COX 2 inhibitors versus placebo, subdivided by daily dose of each individual drug (posted as supplied by the authors)Fig B. Comparison of effects of different COX 2 inhibitors versus placebo, subdivided by regular aspirin use at trial entry (posted as supplied by the authors)
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