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A Study Comparing the Efficacy and Safety of Valdecoxib Plus Parecoxib Versus Valdecoxib Plus Placebo for the Treatment of Pain After Coronary Artery Bypass Surgery
This study has been completed.
First Received: March 7, 2008   Last Updated: October 9, 2008   History of Changes
Sponsor: Pfizer
Information provided by: Pfizer
ClinicalTrials.gov Identifier: NCT00636064
  Purpose

The purpose of this study is to evaluate the efficacy and safety of parecoxib/valdecoxib therapy and placebo/valdecoxib therapy for the treatment of pain after coronary artery bypass surgery


Condition Intervention Phase
Pain
Drug: Parecoxib Sodium/Valdecoxib
Drug: Placebo/Valdecoxib
Other: Placebo/Placebo
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Investigator), Parallel Assignment, Safety/Efficacy Study
Official Title: A Double-Blind Multicenter Study of the Safety and Efficacy of Parecoxib Sodium/Valdecoxib and Placebo/Valdecoxib Compared to Placebo for Treatment of Post-Surgical Pain in Patients Who Have Coronary Bypass Graft Via Median Sternotomy

Resource links provided by NLM:


Further study details as provided by Pfizer:

Primary Outcome Measures:
  • Combined incidence of the number of patients with at least 1 confirmed clinically relevant adverse event (CRAE) [ Time Frame: Day 30 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Combined incidence of the number of patients with at least 1 reported CRAE and the combined incidence of the number of patients with specific reported CRAEs summarized according to the categories listed above [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Rate of supplemental analgesia consumed [ Time Frame: Days 1-10 ] [ Designated as safety issue: No ]
  • Vital signs [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Summed Pain Intensity (SPI) of sternotomy alone and overall body pain over 8 hours (SPI 8) [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
  • Opioid-related Symptoms Distress Scale (OR-SDS) [ Time Frame: Days 1-10 ] [ Designated as safety issue: No ]
  • Time to last Patient Controlled Analgesia (PCA) dose [ Designated as safety issue: No ]
  • Recovery measures (length of stay, intensive care unit/hospital recovery and eligibility for discharge) [ Designated as safety issue: No ]
  • Combined incidence of the number of patients with specific confirmed CRAEs in categories of cardiovascular thromboembolic CRAEs, renal CRAEs, upper gastrointestinal ulcer CRAEs, and wound healing complication CRAEs [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Adverse events [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Serious adverse events [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Clinical laboratory assessments [ Time Frame: Day 30 ] [ Designated as safety issue: No ]
  • Peak Pain Intensity (PPI) of sternotomy alone and overall body pain [ Time Frame: Days 1-10 ] [ Designated as safety issue: No ]
  • Patient's and Physician's Global Evaluation of Study Medication [ Time Frame: At time of transition from intravenous to oral medication and final visit/early termination ] [ Designated as safety issue: No ]
  • Modified Brief Pain Inventory-short form (mBPI-sf) [ Time Frame: Days 1-10 ] [ Designated as safety issue: No ]
  • SPI of sternotomy alone and overall body pain over 12 hours (SPI 12) and 24 hours (SPI 24) [ Time Frame: Days 1-10 ] [ Designated as safety issue: No ]

Enrollment: 1671
Study Start Date: January 2003
Study Completion Date: January 2004
Arms Assigned Interventions
A: Placebo Comparator Drug: Parecoxib Sodium/Valdecoxib
Parecoxib sodium 40 mg intravenous (IV) on the day after surgery (Day 1) following recovery from anesthesia, contingent on an acceptable postoperative status, verification of baseline eligibility, and lack of perioperative complications. A second dose of parecoxib sodium 20 mg IV was administered on Day 1. On the day following surgery, patients received parecoxib 20 mg IV at 8 am and each subsequent dose was administered at 12-hour intervals. After receiving at least 6 doses of IV parecoxib sodium, patients were transitioned to oral valdecoxib 20 mg taken at 12-hour intervals until the total treatment duration of 10 days had been completed.
B: Experimental Drug: Placebo/Valdecoxib
Patients received placebo matched to parecoxib sodium 40 mg IV on Day 1 following recovery from anesthesia, contingent on an acceptable postoperative status, verification of baseline eligibility, and lack of perioperative complications. A second dose of placebo matched to parecoxib sodium 20 mg IV was administered on Day 1. On the day following surgery, patients received placebo matched to parecoxib sodium 20 mg IV at 8 am and each subsequent dose was administered at 12-hour intervals. After receiving at least 6 doses of IV placebo, patients were transitioned to oral valdecoxib 20 mg taken at 12-hour intervals until the total treatment duration of 10 days had been completed.
C: Experimental Other: Placebo/Placebo
Patients received placebo matched to parecoxib sodium 40 mg IV on Day 1 following recovery from anesthesia, contingent on an acceptable postoperative status, verification of baseline eligibility, and lack of perioperative complications. A second dose of placebo matched to parecoxib sodium 20 mg IV was administered on Day 1. On the day following surgery, patients received placebo matched to parecoxib sodium 20 mg IV at 8 am and each subsequent dose was administered at 12-hour intervals. After receiving at least 6 doses of IV placebo, patients were transitioned to oral placebo matched to valdecoxib 20 mg taken at 12-hour intervals until the total treatment duration of 10 days had been completed.

  Eligibility

Ages Eligible for Study:   18 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Patients expected to receive in-hospital pain medication for pain after coronary artery bypass graft surgery for at least 3 full days and pain medication over a 10-day period
  • New York Heart Association Class I to III or cardiac ejection fraction of at least 35% before surgery
  • Body mass index of less than or equal to 40 kg/m2 and weight of >55 kg
  • Patients scheduled to undergo an isolated (bypass grafting only without valve replacement, significant aortic reconstruction, or ventriculoplasty) primary CABG surgery via median sternotomy, using cardiopulmonary bypass

Exclusion criteria:

  • Patient has undergone or is going to have emergency coronary artery bypass graft surgery or surgery without cardiopulmonary bypass procedure
  • Symptomatic peripheral vascular disease
  • Heart attack within 48 hours of surgery
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00636064

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Locations
United States, Alabama
Pfizer Investigational Site
Fairhope, Alabama, United States, 36532
Pfizer Investigational Site
Mobile, Alabama, United States, 36602
Pfizer Investigational Site
Mobile, Alabama, United States, 36607
Pfizer Investigational Site
Mobile, Alabama, United States, 36608
Pfizer Investigational Site
Mobile, Alabama, United States, 36604
United States, Arizona
Pfizer Investigational Site
Tucson, Arizona, United States, 85724
United States, Arkansas
Pfizer Investigational Site
Fayetteville, Arkansas, United States, 72703
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Springdale, Arkansas, United States, 72764
United States, California
Pfizer Investigational Site
Los Angeles, California, United States, 90095-1778
Pfizer Investigational Site
STANFORD, California, United States, 94305
Pfizer Investigational Site
San Francisco, California, United States, 94118-3110
Pfizer Investigational Site
San Francisco, California, United States, 94115
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Los Angeles, California, United States, 90033
Pfizer Investigational Site
Sacramento, California, United States, 95819
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Sacramento, California, United States, 95825
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Orange, California, United States, 92868
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San Francisco, California, United States, 94143-0648
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Santa Rosa, California, United States, 95404
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Santa Rosa, California, United States, 95403
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Anaheim, California, United States, 92801
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Anaheim, California, United States, 92805
United States, Colorado
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Fort Collins, Colorado, United States, 80524
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Fort Collins, Colorado, United States, 80528
United States, Connecticut
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New Haven, Connecticut, United States, 06504
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New Haven, Connecticut, United States, 06520
United States, District of Columbia
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Washington, District of Columbia, United States, 20010
United States, Florida
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SARASOTA, Florida, United States, 34239
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Sarasota, Florida, United States, 34239
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Melbourne, Florida, United States, 32901
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Melbourne, Florida, United States, 32901-3276
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Pensacola, Florida, United States, 32504
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Clearwater, Florida, United States, 33756
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St. Petersburg, Florida, United States, 33709
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Jacksonville, Florida, United States, 32216
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Hudson, Florida, United States, 34667
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Jacksonville, Florida, United States, 32216
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Pensacola, Florida, United States, 32514
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Tampa, Florida, United States, 33613
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Brandon, Florida, United States, 33511
United States, Georgia
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Atlanta, Georgia, United States, 30322
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Augusta, Georgia, United States, 30901
United States, Indiana
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Fort Wayne, Indiana, United States, 46804
United States, Iowa
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Iowa City, Iowa, United States, 52242
United States, Kansas
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Kansas City, Kansas, United States, 66160
United States, Maryland
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Towson, Maryland, United States, 21204
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Takoma Park, Maryland, United States, 20912
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Salisbury, Maryland, United States, 21801
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Baltimore, Maryland, United States, 21215
United States, Massachusetts
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Cambridge, Massachusetts, United States, 02138
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Boston, Massachusetts, United States, 02215
United States, Michigan
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Royal Oak, Michigan, United States, 48073
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Muskegon, Michigan, United States, 49444
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Detroit, Michigan, United States, 48202
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Livonia, Michigan, United States, 48150
United States, New York
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Rochester, New York, United States, 14621
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New York, New York, United States, 10029
United States, Ohio
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Sandusky, Ohio, United States, 44870
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Dayton, Ohio, United States, 45414
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Dayton, Ohio, United States, 45408
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Cincinnati, Ohio, United States, 45219
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Cincinnati, Ohio, United States, 45236
United States, Oklahoma
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Tulsa, Oklahoma, United States, 74104
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Oklahoma City, Oklahoma, United States, 73112
United States, Oregon
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Portland, Oregon, United States, 97210
United States, Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15224
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Altoona, Pennsylvania, United States, 16601
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Pittsburgh, Pennsylvania, United States, 15212
United States, South Carolina
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Charleston, South Carolina, United States, 29401
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Charleston, South Carolina, United States, 29424
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Charleston, South Carolina, United States, 29425
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Charleston, South Carolina, United States, 29406
United States, Tennessee
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Memphis, Tennessee, United States, 38120
United States, Texas
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Houston, Texas, United States, 77030
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Houston, Texas, United States, 77030
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Amarillo, Texas, United States, 79106
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Irving, Texas, United States, 75061
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Fort Worth, Texas, United States, 76107
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Fort Worth, Texas, United States, 76107-2699
United States, Vermont
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Burlington, Vermont, United States, 05401
United States, Virginia
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Annandale, Virginia, United States, 22003
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Falls Church, Virginia, United States, 22042
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Fredericksburg, Virginia, United States, 22401
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Norfolk, Virginia, United States, 23507
United States, Washington
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Tacoma, Washington, United States, 98405
United States, Wisconsin
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Elkhorn, Wisconsin, United States, 53121
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Milwaukee, Wisconsin, United States, 53215
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Madison, Wisconsin, United States, 53792
Argentina
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Buenos Aires, Argentina, C1405DCS
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Buenos Aires, Argentina, 1118
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Buenos Aires, Argentina, 1416
Argentina, Pcia. de Buenos Aires
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Morón, Pcia. de Buenos Aires, Argentina, 1708
Australia, Queensland
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Auchenflower, Queensland, Australia, 4066
Australia, South Australia
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Ashford, South Australia, Australia, 5035
Australia, Victoria
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Clayton, Victoria, Australia, 3168
Austria
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Graz, Austria, 8036
Belgium
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Brussel, Belgium, 1090
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Bruxelles, Belgium, 1070
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Liege, Belgium, B-4000
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Genk, Belgium, 3600
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Edegem, Belgium, 2650
Canada, Alberta
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Edmonton, Alberta, Canada, T6G 2B7
Canada, British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
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Vancouver, British Columbia, Canada, V6Z 1Y6
Canada, Manitoba
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Winnipeg, Manitoba, Canada, R3A 1R9
Canada, Nova Scotia
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Halifax, Nova Scotia, Canada, B3H 3A7
Canada, Ontario
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Toronto, Ontario, Canada, M5G 2C4
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Toronto, Ontario, Canada, M4N 3M5
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London, Ontario, Canada, N6A 5A5
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Kingston, Ontario, Canada, K7L 5G2
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Kingston, Ontario, Canada, K7L 2V7
Canada, Quebec
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Montreal, Quebec, Canada, H1T 1C8
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Fleurimont, Quebec, Canada, J1H 5N4
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Montreal, Quebec, Canada, H3A 1A1
Canada, Saskatchewan
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Saskatoon, Saskatchewan, Canada, S7N 0W8
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Regina, Saskatchewan, Canada, S4P 0W5
Colombia
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Bogota, Colombia
Colombia, Cundinamarca
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Bogota, Cundinamarca, Colombia, 000
Colombia, Santander
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Floridablanca, Santander, Colombia, 000
Colombia, Valle
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Cali, Valle, Colombia, Nap
Czech Republic
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Prague, Czech Republic, 100 34
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Prague, Czech Republic, 128 00
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Prague, Czech Republic, 14220
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Prague 5, Czech Republic, 15500
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Prague, Czech Republic, 150 00
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Ceske Budejovice, Czech Republic, 370 87
Denmark
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Odense C, Denmark, 5000
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Kobenhavn, Denmark, 2100
Finland
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Kuopio, Finland, 70211
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Kuopio, Finland
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Oulu, Finland
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Turku, Finland, FIN-20520
Germany
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Goettingen, Germany, 37075
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Giessen, Germany, 35385
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Bonn, Germany, 53105
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Heidelberg, Germany, 69120
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Kiel, Germany, 24105
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Muenster, Germany, 48149
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Muenchen, Germany, 81377
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Hamburg, Germany, 20251
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Kassel, Germany, 34125
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Aachen, Germany, 52074
Ireland
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Dublin, Ireland
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Dublin, Ireland
Israel
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Haifa, Israel, 34362
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Jerusalem, Israel, 91004
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Ramat-Gan, Israel
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Tel Hashomer, Israel, 52651
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Petach-Tikva, Israel, 49261
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Holon, Israel, 58100
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Tel Aviv, Israel
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Beer Sheva, Israel
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Haifa, Israel
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Jerusalem, Israel, 91031
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Jerusalem, Israel, 91120
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Rehovot, Israel
Italy
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Pisa, Italy, 56125
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Milano, Italy, 20138
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Pavia, Italy, 27100
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Firenze, Italy, 50134
Mexico, DF
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Mexico City, DF, Mexico, 14050
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Mexico City, DF, Mexico, 06720
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Mexico City, DF, Mexico, 03100
Mexico, Mexico DF
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Mexico City, Mexico DF, Mexico, 07760
Mexico, Mexico, DF
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Mexico City, Mexico, DF, Mexico, 14000
Netherlands
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Eindhoven, Netherlands, 5623 EJ
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Zwolle, Netherlands, 8011 JW
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Breda, Netherlands, 4836 AE
Norway
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Feiring, Norway, 2093
Poland
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Bialystok, Poland, 15-276
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Warszawa, Poland, 02-097
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Krakow, Poland, 31-202
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Poznan, Poland, 61-848
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Szczecin, Poland, 70-111
Romania
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Bucharest, Romania, 771181
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Bucuresti, Romania, 7000
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Timisoara, Romania, 1900
Pfizer Investigational Site
Cluj-Napoca, Romania, 3400
Pfizer Investigational Site
Bucuresti, Romania, 71406
Pfizer Investigational Site
Bucharest, Romania, 7000
Russian Federation
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Moscow, Russian Federation, 123182
Pfizer Investigational Site
Moscow, Russian Federation, 119992
Singapore
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Singapore, Singapore, 168752
Slovakia
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Kosice, Slovakia, 040-11
Pfizer Investigational Site
Bratislava, Slovakia, 833 48
South Africa
Pfizer Investigational Site
Bloemfontein, South Africa, 9300
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Pretoria, South Africa, 0040
Pfizer Investigational Site
Pretoria, South Africa, 0002
South Africa, Free State
Pfizer Investigational Site
Bloemfontein, Free State, South Africa
South Africa, Gauteng
Pfizer Investigational Site
Pretoria, Gauteng, South Africa, 0084
Pfizer Investigational Site
Pretoria, Gauteng, South Africa, 0002
Pfizer Investigational Site
Pretoria, Gauteng, South Africa
South Africa, Gauteng Province
Pfizer Investigational Site
Johannesburg, Gauteng Province, South Africa
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Pretoria, Gauteng Province, South Africa, 0140
South Africa, KwaZulu Natal
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Durban, KwaZulu Natal, South Africa
South Africa, Pretoria
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Les Marais, Pretoria, South Africa, 0084
South Africa, Western Cape
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Parow, Western Cape, South Africa, 7500
Spain
Pfizer Investigational Site
Valencia, Spain, 46010
Pfizer Investigational Site
Barcelona, Spain, 08025
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Barcelona, Spain, 08907
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Madrid, Spain, 28046
Sweden
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Stockholm, Sweden, 171 76
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Uppsala, Sweden, SE 751 85
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Orebro, Sweden, SE-701 85
Switzerland
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Bern, Switzerland, 3010
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Geneve 14, Switzerland, 1211
United Kingdom
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Middlesbrough, United Kingdom, TS4 3BW
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Edinburgh, United Kingdom, Eh3 9YW
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Oxford, United Kingdom, OX3 9DU
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London, United Kingdom, SE1 7EH
Pfizer Investigational Site
Liverpool, United Kingdom
Pfizer Investigational Site
London, United Kingdom, E2 9JX
Sponsors and Collaborators
Pfizer
Investigators
Study Director: Pfizer CT.gov Call Center Pfizer
  More Information

Additional Information:
No publications provided

Responsible Party: Pfizer, Inc. ( Director, Clinical Trial Disclosure Group )
Study ID Numbers: PARA-0505-071, A3481015
Study First Received: March 7, 2008
Last Updated: October 9, 2008
ClinicalTrials.gov Identifier: NCT00636064     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Parecoxib
Molecular Mechanisms of Pharmacological Action
Physiological Effects of Drugs
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Pharmacologic Actions
Analgesics, Non-Narcotic
Sensory System Agents
Therapeutic Uses
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Peripheral Nervous System Agents
Valdecoxib
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on November 27, 2009