NCT07328022

Brief Summary

Phase III, multicenter, prospective, randomized, double-blind, parallel-group study to evaluate the efficacy and safety of a fixed-dose combination of etoricoxib/betamethasone compared with etoricoxib alone in patients with an acute episode of bursitis, tendinitis, or synovitis affecting the shoulder, elbow, knee, or ankle.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
89

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started May 2025

Shorter than P25 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 14, 2025

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 20, 2025

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 19, 2025

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

December 28, 2025

Completed
11 days until next milestone

First Posted

Study publicly available on registry

January 8, 2026

Completed
Last Updated

January 8, 2026

Status Verified

December 1, 2025

Enrollment Period

3 months

First QC Date

December 28, 2025

Last Update Submit

December 28, 2025

Conditions

Keywords

BursitisTendinitisSynovitisEtoricoxibBetamethasoneAcute Episode

Outcome Measures

Primary Outcomes (2)

  • Change in pain during active movement of the affected joint (VAS 100 mm) at Days 3, 7, 10, and 14 vs baseline, by treatment group.

    Pain intensity during active movement will be assessed using a 100-mm Visual Analog Scale (VAS) to determine whether the fixed-dose combination etoricoxib/betamethasone produces a greater reduction in pain compared with etoricoxib alone. Assessments will be obtained at baseline and at follow-up timepoints.

    Baseline and Days 3, 7, 10, and 14

  • Number of participants with adverse events, and comparison of adverse event frequency and intensity, by treatment group.

    Safety will be assessed by comparing adverse events occurring during the study between treatment groups. Adverse events will be summarized using frequencies and percentages and classified according to seriousness/gravity, severity, and causality.

    Up to 14 days

Secondary Outcomes (8)

  • Baseline sociodemographic, anthropometric, biochemical, and clinical characteristics, by treatment group.

    Baseline

  • Daily change in maximum pain during active movement of the affected joint (VAS 100 mm) over 14 days vs baseline, by treatment group.

    Daily through Day 14

  • Daily change in maximum pain at rest of the affected joint (VAS 100 mm) over 14 days vs baseline, by treatment group.

    Daily through Day 14

  • Clinical improvement using the Clinical Global Impression (CGI) scale at Days 7 and 14 vs baseline, by treatment group.

    Baseline, Day 7, and Day 14

  • Change in Patient Global Assessment of current condition at Days 7 and 14 vs baseline, by treatment group.

    Baseline, Day 7, and Day 14

  • +3 more secondary outcomes

Study Arms (2)

Etoricoxib + Betamethasone

EXPERIMENTAL

Administered orally, 1 tablet a day for 14 days.

Drug: Fixed Dose Etoricoxib + Betamethasone

Etoricoxib

ACTIVE COMPARATOR

Administered orally, 1 tablet a day for 14 days.

Drug: Monotherapy Etoricoxib

Interventions

One tablet of 90 mg / 0.25 mg a day, for 14 days

Etoricoxib + Betamethasone

One tablet aog 90 mg a day, for 14 days

Etoricoxib

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients willing and able to participate in the study and provide written informed consent.
  • Male or female.
  • Age ≥ 18 years at study entry.
  • Women of childbearing potential who use an acceptable contraceptive method (barrier, oral hormonal, injectable, subdermal), or women who are naturally postmenopausal or surgically sterile.
  • Clinical diagnosis of an acute episode of tendinitis, bursitis, or synovitis of the shoulder, elbow, knee, or ankle, with onset within 7 days prior to the first dose of study medication.
  • In the opinion of the Principal Investigator or treating physician, the participant is an appropriate candidate for treatment with the investigational product.

You may not qualify if:

  • Participation in another clinical study involving an investigational treatment, or participation in such a study within 4 weeks prior to study start.
  • Patients whose participation could be influenced (e.g., employment relationship with the study site or sponsor, vulnerable populations, etc.).
  • In the investigator's medical judgment, any disease that affects prognosis and prevents outpatient management, including but not limited to: terminal cancer, renal, cardiac, respiratory, or hepatic failure, mental illness, or scheduled surgical procedures or hospitalizations.
  • History or presence of any disease or condition that, in the investigator's opinion, could pose a risk to the patient or confound the efficacy and safety evaluation of the investigational product, such as significant degenerative disease or an infectious process in the joints of interest.
  • Pregnant or breastfeeding patients.
  • Contraindication to the study medications.
  • History of allergic reaction to NSAIDs (non-steroidal anti-inflammatory drugs), paracetamol (acetaminophen), or known hypersensitivity to the study medications.
  • Significant history of gastrointestinal disorders (e.g., gastric ulcer, Crohn's disease, ulcerative colitis, gastrointestinal bleeding, etc.).
  • History of congestive heart failure (NYHA Class II-IV), established ischemic heart disease, peripheral arterial disease and/or cerebrovascular disease (including patients who have recently undergone coronary revascularization procedures or angioplasty).
  • Treatment with corticosteroids within 1 month prior to study start.
  • Treatment with NSAIDs within 48 hours prior to study start, except for cardioprotective-dose aspirin.
  • Tendinitis or bursitis secondary to a systemic inflammatory disease, or synovitis secondary to hemophilia.
  • History of harmful alcohol and/or drug use causing adverse health and social effects.
  • Clinical suspicion of joint infection or another joint disease other than tendinitis, bursitis, or synovitis.
  • History of chronic hepatic impairment (Child-Pugh A, B, and/or C).
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Laboratorios Silanes, S.A. de C.V.

Mexico City, Mexico City, 11000, Mexico

Location

Related Publications (19)

  • Kelly AM. Does the clinically significant difference in visual analog scale pain scores vary with gender, age, or cause of pain? Acad Emerg Med. 1998 Nov;5(11):1086-90. doi: 10.1111/j.1553-2712.1998.tb02667.x.

    PMID: 9835471BACKGROUND
  • Bertin P, Behier JM, Noel E, Leroux JL. Celecoxib is as efficacious as naproxen in the management of acute shoulder pain. J Int Med Res. 2003 Mar-Apr;31(2):102-12. doi: 10.1177/147323000303100206.

    PMID: 12760313BACKGROUND
  • Pincus T, Swearingen CJ, Luta G, Sokka T. Efficacy of prednisone 1-4 mg/day in patients with rheumatoid arthritis: a randomised, double-blind, placebo controlled withdrawal clinical trial. Ann Rheum Dis. 2009 Nov;68(11):1715-20. doi: 10.1136/ard.2008.095539. Epub 2008 Dec 15.

    PMID: 19074913BACKGROUND
  • Pallay RM, Seger W, Adler JL, Ettlinger RE, Quaidoo EA, Lipetz R, O'Brien K, Mucciola L, Skalky CS, Petruschke RA, Bohidar NR, Geba GP. Etoricoxib reduced pain and disability and improved quality of life in patients with chronic low back pain: a 3 month, randomized, controlled trial. Scand J Rheumatol. 2004;33(4):257-66. doi: 10.1080/03009740410005728.

    PMID: 15370723BACKGROUND
  • Matsumoto AK, Melian A, Mandel DR, McIlwain HH, Borenstein D, Zhao PL, Lines CR, Gertz BJ, Curtis S; Etoricoxib Rheumatoid Arthritis Study Group. A randomized, controlled, clinical trial of etoricoxib in the treatment of rheumatoid arthritis. J Rheumatol. 2002 Aug;29(8):1623-30.

    PMID: 12180720BACKGROUND
  • Pisaniello HL, Fisher MC, Farquhar H, Vargas-Santos AB, Hill CL, Stamp LK, Gaffo AL. Efficacy and safety of gout flare prophylaxis and therapy use in people with chronic kidney disease: a Gout, Hyperuricemia and Crystal-Associated Disease Network (G-CAN)-initiated literature review. Arthritis Res Ther. 2021 Apr 28;23(1):130. doi: 10.1186/s13075-021-02416-y.

    PMID: 33910619BACKGROUND
  • (EMA), E.M.A., Guideline on clinical development of fixed combination medicinal products. 2017.

    BACKGROUND
  • Rice JB, White AG, Scarpati LM, Wan G, Nelson WW. Long-term Systemic Corticosteroid Exposure: A Systematic Literature Review. Clin Ther. 2017 Nov;39(11):2216-2229. doi: 10.1016/j.clinthera.2017.09.011. Epub 2017 Oct 19.

    PMID: 29055500BACKGROUND
  • la Torre LF, Franco-Gonzalez DL, Brennan-Bourdon LM, Molina-Frechero N, Alonso-Castro AJ, Isiordia-Espinoza MA. Analgesic Efficacy of Etoricoxib following Third Molar Surgery: A Meta-analysis. Behav Neurol. 2021 Sep 8;2021:9536054. doi: 10.1155/2021/9536054. eCollection 2021.

    PMID: 34539935BACKGROUND
  • Watson DJ, Bolognese JA, Yu C, Krupa D, Curtis S. Use of gastroprotective agents and discontinuations due to dyspepsia with the selective cyclooxygenase-2 inhibitor etoricoxib compared with non-selective NSAIDs. Curr Med Res Opin. 2004 Dec;20(12):1899-908. doi: 10.1185/030079904X12681.

    PMID: 15701208BACKGROUND
  • Petri M, Hufman SL, Waser G, Cui H, Snabes MC, Verburg KM. Celecoxib effectively treats patients with acute shoulder tendinitis/bursitis. J Rheumatol. 2004 Aug;31(8):1614-20.

    PMID: 15290743BACKGROUND
  • Maquirriain J, Kokalj A. Management of acute Achilles tendinopathy: effect of etoricoxib on pain control and leg stiffness. Georgian Med News. 2013 Sep;(222):36-43.

    PMID: 24099813BACKGROUND
  • Becker DE. Basic and clinical pharmacology of glucocorticosteroids. Anesth Prog. 2013 Spring;60(1):25-31; quiz 32. doi: 10.2344/0003-3006-60.1.25.

    PMID: 23506281BACKGROUND
  • Han, S., Clinical pharmacology review for primary health care providers: II. Steroids. Transl Clin Pharmacol., 2015.

    BACKGROUND
  • Gómez Valdés, A., Y. Mendoza Cabrera, and L. Escalante Cambeaux, Sinovitis de rodilla, su tratamiento en el área terapéutica de la Facultad de Cultura Física "Nancy Uranga Romagoza". Podium. Revista de Ciencia y Tecnología en la Cultura Física, 2018. 13: p. 274-286.

    BACKGROUND
  • Tak PP, Breedveld FC. Current perspectives on synovitis. Arthritis Res. 1999;1(1):11-6. doi: 10.1186/ar4. Epub 1999 Oct 26. No abstract available.

    PMID: 11094407BACKGROUND
  • Miranda H, Viikari-Juntura E, Martikainen R, Riihimaki H. A prospective study on knee pain and its risk factors. Osteoarthritis Cartilage. 2002 Aug;10(8):623-30. doi: 10.1053/joca.2002.0796.

    PMID: 12479384BACKGROUND
  • van der Windt DA, Koes BW, Boeke AJ, Deville W, De Jong BA, Bouter LM. Shoulder disorders in general practice: prognostic indicators of outcome. Br J Gen Pract. 1996 Sep;46(410):519-23.

    PMID: 8917870BACKGROUND
  • Green S, Buchbinder R, Hetrick S. Physiotherapy interventions for shoulder pain. Cochrane Database Syst Rev. 2003;2003(2):CD004258. doi: 10.1002/14651858.CD004258.

    PMID: 12804509BACKGROUND

MeSH Terms

Conditions

BursitisTendinopathySynovitis

Interventions

EtoricoxibBetamethasone

Condition Hierarchy (Ancestors)

Joint DiseasesMusculoskeletal DiseasesMuscular DiseasesTendon InjuriesWounds and Injuries

Intervention Hierarchy (Ancestors)

SulfonesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsSteroids, Fluorinated

Study Officials

  • Marco Antonio Cordova Martinez, MD

    Unidad de Medicina Especializada SMA SC

    PRINCIPAL INVESTIGATOR
  • Pedro Abraham Garza Alvarez, MD

    IECSI Clinical Research

    PRINCIPAL INVESTIGATOR
  • Juan Luis Torres Mendez, MD

    Clinical Research Institute S.C.

    PRINCIPAL INVESTIGATOR
  • Yazmin Adriana Guerra Lopez, MD

    Centro de Investigación Clínica de México S. de R.L. de C.V

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 28, 2025

First Posted

January 8, 2026

Study Start

May 14, 2025

Primary Completion

August 20, 2025

Study Completion

November 19, 2025

Last Updated

January 8, 2026

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations