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Safety and Efficacy of Celecoxib Versus Diclofenac in the Treatment of Ankylosing Spondylitis

Primary Purpose

Spondylitis, Ankylosing

Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
Celecoxib
Celecoxib
Diclofenac
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Spondylitis, Ankylosing

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Diagnosis of ankylosing spondylitis defined according to modified New York criteria, and with axial involvement
  • Requiring daily treatment with nonsteroidal anti-inflammatory drugs during the previous 30 days

Exclusion Criteria:

  • Patients with inflammatory enterophathy, and with extra-articular manifestations
  • Patients with known vertebral compression
  • Received corticosteroids 6 weeks prior to the baseline visit; patients on stable dose of prednisolone equivalents ≤ 10 mg/ day for at least 14 days before randomization were permitted

Sites / Locations

  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
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  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
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  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

A

B

C

Arm Description

Outcomes

Primary Outcome Measures

Change from baseline in global pain intensity as assessed by visual analog scale (VAS)
Responder rates, defined as 50% improvement in VAS from baseline

Secondary Outcome Measures

Patient's and physician's global assessment of disease activity
Spinal pain
Short Form-12
Adverse events
Physical evaluation
Laboratory tests
Nocturnal pain
Composite Bath Ankylosing Spondylitis Disease Activity Index
Bath Ankylosing Spondylitis Metrology Index
Change from baseline in C-reactive protein measurement
Responder rates, defined as 50% improvement in VAS from baseline
Mobility parameters
Change from baseline in Assessments in Ankylosing Spondylitis 20 score
Change from baseline in global pain intensity
Bath Ankylosing Spondylitis Functional Index

Full Information

First Posted
March 28, 2008
Last Updated
April 7, 2008
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT00648141
Brief Title
Safety and Efficacy of Celecoxib Versus Diclofenac in the Treatment of Ankylosing Spondylitis
Official Title
A 12-Week Symptomatic Effect Evaluation to Compare Celecoxib 200 mg QD, Celecoxib 200 mg BID and Diclofenac 75 mg SR BID in Patients With Ankylosing Spondylitis
Study Type
Interventional

2. Study Status

Record Verification Date
March 2008
Overall Recruitment Status
Completed
Study Start Date
January 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
January 2005 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To compare the safety and efficacy of once-daily and twice-daily celecoxib versus diclofenac for the treatment of ankylosing spondylitis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Spondylitis, Ankylosing

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
458 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Title
B
Arm Type
Experimental
Arm Title
C
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Celecoxib
Intervention Description
200 mg oral capsule once daily for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Celecoxib
Intervention Description
200 mg oral capsule twice daily for 12 weeks
Intervention Type
Drug
Intervention Name(s)
Diclofenac
Intervention Description
75 mg oral capsule twice daily for 12 weeks
Primary Outcome Measure Information:
Title
Change from baseline in global pain intensity as assessed by visual analog scale (VAS)
Time Frame
Week 12
Title
Responder rates, defined as 50% improvement in VAS from baseline
Time Frame
Week 12
Secondary Outcome Measure Information:
Title
Patient's and physician's global assessment of disease activity
Time Frame
Weeks 1, 2, 6, and 12
Title
Spinal pain
Time Frame
Weeks 1, 2, 6, and 12
Title
Short Form-12
Time Frame
Weeks 1, 2, 6, and 12
Title
Adverse events
Time Frame
Week 12
Title
Physical evaluation
Time Frame
Week 12
Title
Laboratory tests
Time Frame
Week 12
Title
Nocturnal pain
Time Frame
Weeks 1, 2, 6, and 12
Title
Composite Bath Ankylosing Spondylitis Disease Activity Index
Time Frame
Weeks 1, 2, 6, and 12
Title
Bath Ankylosing Spondylitis Metrology Index
Time Frame
Weeks 1, 2, 6, and 12
Title
Change from baseline in C-reactive protein measurement
Time Frame
Week 12
Title
Responder rates, defined as 50% improvement in VAS from baseline
Time Frame
Weeks 1, 2, and 6
Title
Mobility parameters
Time Frame
Weeks 1, 2, 6, and 12
Title
Change from baseline in Assessments in Ankylosing Spondylitis 20 score
Time Frame
Weeks 1, 2, 6, and 12
Title
Change from baseline in global pain intensity
Time Frame
Weeks 1, 2, and 6
Title
Bath Ankylosing Spondylitis Functional Index
Time Frame
Weeks 1, 2, 6, and 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of ankylosing spondylitis defined according to modified New York criteria, and with axial involvement Requiring daily treatment with nonsteroidal anti-inflammatory drugs during the previous 30 days Exclusion Criteria: Patients with inflammatory enterophathy, and with extra-articular manifestations Patients with known vertebral compression Received corticosteroids 6 weeks prior to the baseline visit; patients on stable dose of prednisolone equivalents ≤ 10 mg/ day for at least 14 days before randomization were permitted
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Pfizer Investigational Site
City
Aachen
ZIP/Postal Code
52064
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bad Aibling
ZIP/Postal Code
83043
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bad Iburg
ZIP/Postal Code
49186
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bad Muender
ZIP/Postal Code
31848
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
10559
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
10777
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
12200
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
12247
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
13125
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
14059
Country
Germany
Facility Name
Pfizer Investigational Site
City
Berlin
ZIP/Postal Code
D-10098
Country
Germany
Facility Name
Pfizer Investigational Site
City
Bonn
ZIP/Postal Code
53179
Country
Germany
Facility Name
Pfizer Investigational Site
City
Celle / OT Klein Hehlen
ZIP/Postal Code
29223
Country
Germany
Facility Name
Pfizer Investigational Site
City
Chemnitz
ZIP/Postal Code
09130
Country
Germany
Facility Name
Pfizer Investigational Site
City
Darmstadt
ZIP/Postal Code
64295
Country
Germany
Facility Name
Pfizer Investigational Site
City
Dresden
Country
Germany
Facility Name
Pfizer Investigational Site
City
Duesseldorf
ZIP/Postal Code
40211
Country
Germany
Facility Name
Pfizer Investigational Site
City
Elmshorn
ZIP/Postal Code
25335
Country
Germany
Facility Name
Pfizer Investigational Site
City
Erlangen
ZIP/Postal Code
91056
Country
Germany
Facility Name
Pfizer Investigational Site
City
Halle
ZIP/Postal Code
06128
Country
Germany
Facility Name
Pfizer Investigational Site
City
Hannover
ZIP/Postal Code
30161
Country
Germany
Facility Name
Pfizer Investigational Site
City
Heidelberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Pfizer Investigational Site
City
Hildesheim
ZIP/Postal Code
31134
Country
Germany
Facility Name
Pfizer Investigational Site
City
Hofheim
ZIP/Postal Code
65719
Country
Germany
Facility Name
Pfizer Investigational Site
City
Hoyerswerda
ZIP/Postal Code
02977
Country
Germany
Facility Name
Pfizer Investigational Site
City
Koeln
ZIP/Postal Code
51107
Country
Germany
Facility Name
Pfizer Investigational Site
City
Leipzig
ZIP/Postal Code
04107
Country
Germany
Facility Name
Pfizer Investigational Site
City
Leverkusen
ZIP/Postal Code
51373
Country
Germany
Facility Name
Pfizer Investigational Site
City
Magdeburg
ZIP/Postal Code
39104
Country
Germany
Facility Name
Pfizer Investigational Site
City
Mannheim
ZIP/Postal Code
68165
Country
Germany
Facility Name
Pfizer Investigational Site
City
Muenchen
ZIP/Postal Code
80336
Country
Germany
Facility Name
Pfizer Investigational Site
City
Neubrandenburg
ZIP/Postal Code
17033
Country
Germany
Facility Name
Pfizer Investigational Site
City
Oldenburg
ZIP/Postal Code
26121
Country
Germany
Facility Name
Pfizer Investigational Site
City
Osnabrueck
ZIP/Postal Code
49074
Country
Germany
Facility Name
Pfizer Investigational Site
City
Pirna
ZIP/Postal Code
01796
Country
Germany
Facility Name
Pfizer Investigational Site
City
Ratingen
ZIP/Postal Code
D40882
Country
Germany
Facility Name
Pfizer Investigational Site
City
Regensburg
Country
Germany
Facility Name
Pfizer Investigational Site
City
Remscheid
ZIP/Postal Code
42897
Country
Germany
Facility Name
Pfizer Investigational Site
City
Rheine
ZIP/Postal Code
48431
Country
Germany
Facility Name
Pfizer Investigational Site
City
Rostock
ZIP/Postal Code
18059
Country
Germany
Facility Name
Pfizer Investigational Site
City
Saarbruecken
ZIP/Postal Code
66111
Country
Germany
Facility Name
Pfizer Investigational Site
City
Seesen
ZIP/Postal Code
38723
Country
Germany
Facility Name
Pfizer Investigational Site
City
Surwold
ZIP/Postal Code
26903
Country
Germany
Facility Name
Pfizer Investigational Site
City
Tuebingen
ZIP/Postal Code
72076
Country
Germany
Facility Name
Pfizer Investigational Site
City
Villingen-Schwenningen
ZIP/Postal Code
78054
Country
Germany
Facility Name
Pfizer Investigational Site
City
Weener
ZIP/Postal Code
26826
Country
Germany
Facility Name
Pfizer Investigational Site
City
Winsen/Luhe
ZIP/Postal Code
21423
Country
Germany

12. IPD Sharing Statement

Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=COXA-0508-243&StudyName=Safety%20and%20Efficacy%20of%20Celecoxib%20Versus%20Diclofenac%20in%20the%20Treatment%20of%20Ankylosing%20Spondylitis
Description
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Safety and Efficacy of Celecoxib Versus Diclofenac in the Treatment of Ankylosing Spondylitis

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