A Selective COX-2 Inhibitor Provides Pain Control But Hinders Healing Following Arthroscopic Rotator Cuff Repair
1 other identifier
interventional
180
0 countries
N/A
Brief Summary
Selective cyclooxygenase (COX)-2 inhibitors are commonly used analgesics that provide similar analgesia but reduced adverse effects compared to other analgesics. However, few studies have been conducted on postoperative pain and tendon-to-bone healing. Here, the investigators investigated the effect of a selective COX-2 inhibitor on analgesia and tendon-to-bone healing following arthroscopic rotator cuff repair.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Sep 2011
Longer than P75 for phase_4
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2015
CompletedFirst Submitted
Initial submission to the registry
July 21, 2016
CompletedFirst Posted
Study publicly available on registry
July 29, 2016
CompletedJuly 29, 2016
July 1, 2016
4.2 years
July 21, 2016
July 28, 2016
Conditions
Outcome Measures
Primary Outcomes (1)
Rotator cuff healing failure
Assessed by a musculoskeletal radiologist using MRI and ultrasonography
Day 730
Secondary Outcomes (6)
Pain VAS score
Day 0, Day 3, Day 14 Day 730
Medication satisfaction VAS score
Day 0, Day 3 and Day 14
Adverse effects
Day 3 and Day 14
Constant-Murley Shoulder score
Day 730
American Shoulder and Elbow Surgeons score
Day 730
- +1 more secondary outcomes
Study Arms (3)
Celecoxib
EXPERIMENTAL1 capsule of 200mg Celebrex twice a day for 14 days
Traditional NSAIDs
ACTIVE COMPARATOR1 tablet of 385mg Ibuprofen twice a day for 14 days
Opioid drug
ACTIVE COMPARATOR1 tablet of 50mg Tramadol twice a day for 14 days
Interventions
1 capsule of 200mg Celebrex PO(per oral) twice a day for 14 days
1 tablet of 385mg Ibuprofen PO(per oral) twice a day for 14 days
1 tablet of 50mg Tramadol PO(per oral) twice a day for 14 days
Eligibility Criteria
You may qualify if:
- Patients scheduled to undergo arthroscopic acromioplasty and rotator cuff repair for a partial or full thickness tear
- Age \< 80 years at time of diagnosis
- Patient willing and able to comply with the study prescriptions
- Patient able to give written informed consent before patient registration/randomisation
You may not qualify if:
- Patients with rotator cuff tear arthropathy
- Severe osteoarthritis (Samilson-Prieto grade II or higher)
- Rheumatoid arthritis
- Chronic renal failure (i.e., at high risk for the use of NSAIDs or opioid drugs)
- Liver failure
- Myocardial infarction or chronic heart failure
- Cerebral vascular disease
- Active gastric ulcer or bleeding
- Allergies to NSAIDs or opioid drugs
- Previous surgery on the same side
- Pregnant or breast feeding patients
- Those not willing to participate in the trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Oh JH, Seo HJ, Lee YH, Choi HY, Joung HY, Kim SH. Do Selective COX-2 Inhibitors Affect Pain Control and Healing After Arthroscopic Rotator Cuff Repair? A Preliminary Study. Am J Sports Med. 2018 Mar;46(3):679-686. doi: 10.1177/0363546517744219. Epub 2017 Dec 18.
PMID: 29253346DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Joo Han Oh, MD, PhD
Seoul National University Bundang Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
July 21, 2016
First Posted
July 29, 2016
Study Start
September 1, 2011
Primary Completion
November 1, 2015
Study Completion
November 1, 2015
Last Updated
July 29, 2016
Record last verified: 2016-07