Article ; Online: Co-crystal of Tramadol-Celecoxib Versus Tramadol or Placebo for Acute Moderate-to-Severe Pain After Oral Surgery: Randomized, Double-Blind, Phase 3 Trial (STARDOM1).
2024 Volume 41, Issue 3, Page(s) 1025–1045
Abstract: Introduction: Co-crystal of tramadol-celecoxib (CTC) is the first analgesic co-crystal for acute pain. This completed phase 3 multicenter, double-blind trial assessed the efficacy and safety/tolerability of CTC in comparison with that of tramadol in the ...
Abstract | Introduction: Co-crystal of tramadol-celecoxib (CTC) is the first analgesic co-crystal for acute pain. This completed phase 3 multicenter, double-blind trial assessed the efficacy and safety/tolerability of CTC in comparison with that of tramadol in the setting of moderate-to-severe pain up to 72 h after elective third molar extraction requiring bone removal. Methods: Adults (n = 726) were assigned randomly to five groups (2:2:2:2:1): orally administered twice-daily CTC 100 mg (44 mg rac-tramadol hydrochloride/56 mg celecoxib; n = 164), 150 mg (66/84 mg; n = 160) or 200 mg (88/112 mg; n = 160); tramadol 100 mg four times daily (n = 159); or placebo four times daily (n = 83). Participants in CTC groups also received twice-daily placebo. The full analysis set included all participants who underwent randomization. The primary endpoint was the sum of pain intensity differences over 0 to 4 h (SPID Results: All CTC doses were superior to placebo (P < 0.001) for primary and key secondary endpoints. All were superior to tramadol for SPID Conclusions: CTC demonstrated superior pain relief compared with tramadol or placebo, as well as an improved benefit/risk profile versus tramadol. Trial registration: ClinicalTrials.gov identifier, NCT02982161; EudraCT number, 2016-000592-24. |
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MeSH term(s) | Adult ; Humans ; Tramadol/adverse effects ; Celecoxib/therapeutic use ; Celecoxib/adverse effects ; Acute Pain/drug therapy ; Analgesics, Opioid/adverse effects ; Tooth Extraction/adverse effects ; Double-Blind Method ; Pain, Postoperative/drug therapy |
Chemical Substances | Tramadol (39J1LGJ30J) ; Celecoxib (JCX84Q7J1L) ; Analgesics, Opioid |
Language | English |
Publishing date | 2024-01-06 |
Publishing country | United States |
Document type | Randomized Controlled Trial ; Clinical Trial, Phase III ; Multicenter Study ; Journal Article |
ZDB-ID | 632651-1 |
ISSN | 1865-8652 ; 0741-238X |
ISSN (online) | 1865-8652 |
ISSN | 0741-238X |
DOI | 10.1007/s12325-023-02744-2 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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