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TerminatedNCT00746720Updated Dec 14, 2020

Modulation of the Surgical Inflammatory Response by Etoricoxib

A Phase 2 interventional study of Etoricoxib 60 mg and Placebo for Etoricoxib 60 mg in Pain, Osteoarthritis, Hip and Postoperative Pain, sponsored by University of Erlangen-Nürnberg Medical School. Terminated at 1 site in Germany. Open to participants aged 55 Years to 80 Years. Per ClinicalTrials.gov, last updated 2020-12-14.

Sponsored by University of Erlangen-Nürnberg Medical School · Phase 2, Interventional, and Treatment

Why this study was terminated
Patient recruitment difficulties
Phase
Phase 2
Study type
Interventional
Enrollment
23
Allocation
Randomized
Ages
55 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to test the hypothesis that orally administered etoricoxib (COX-2) modulates prostaglandin and cytokine synthesis in the central nervous system (CNS) and in the periphery in surgical patients and thus reduces pain and suffering.

Read the detailed description

This study will be a multiple centre, double-blind, placebo-controlled, randomized, parallel group study conducted in male and female adult patients undergoing elective primary single hip arthroplasty. In part 1 of the study 12 patients will be enrolled in the study and will be administrated 120 mg Etoricoxib or placebo orally on day one post surgery. The results from part 1 should help to adjust sampling time points (for blood, cerebrospinal fluid and hip drain fluid) if necessary. In part 2 of the study 40 patients will be enrolled and should receive 120 mg etoricoxib or placebo two hours before and 24 hours after surgery.

Primary end points will be the inflammatory mediators on peripheral and central levels. After surgical manipulation we expect increased mediators on both sides. It will be investigated if the medication could reduce the mediators compared to placebo and if the effect is related to pharmacokinetic parameters.

02

Conditions studied

  • Pain
  • Osteoarthritis, Hip
  • Postoperative Pain

Keywords

  • hip replacement
  • osteoarthritis
  • etoricoxib
  • pain
  • cerebrospinal fluid
  • pharmacokinetics
03

In context

Osteoarthritis

4,398 studies on the registry are indexed under Osteoarthritis; 582 are open to participants now.

This study's enrollment of 23 is below the median of 70 across 3,440 interventional studies indexed under Osteoarthritis.

Browse Osteoarthritis studies →

Lead sponsor

University of Erlangen-Nürnberg Medical School is the lead sponsor of 267 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
55 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Subject undergoing elective primary single hip arthroplasty
  • Subject diagnosed with Osteoarthritis / arthrosis
  • Subject has not taken non-steroidal anti-inflammatory drugs within 4 of their terminal half life times prior to enrollment
  • Subject capable of understanding and cooperating with the requirements of the study

Exclusion criteria

Exclusion Criteria:

  • Patients with renal insufficiency (serum creatinine >1.5 mg/dl)
  • Recent major trauma or systemic infection (within 3 months)
  • Use of corticosteroid medication or chronic opioids (within 3 months)
  • Any other condition likely to affect prostaglandin and cytokine levels
  • Participation in another clinical study or receipt of an investigational drug within 30 days
  • Hypersensitivity to any component of the etoricoxib and/or placebo tablets
  • Uncontrolled hypertension defined as systolic blood pressure >140 mm Hg and diastolic pressure >90 mm Hg at rest after two repeated measurements
  • Congestive heart failure (NYHA II-IV)
  • Cerebrovascular disease
  • Established ischemic heart disease (including patients who have recently undergone coronary artery bypass graft surgery or angioplasty)
  • Patients with any kind or severity of cirrhosis of the liver or cholestasis or elevated liver function enzymes (ALT or AST 3 fold) as a sign of clinical significant liver malfunction (corresponds to any Child-Pugh-Score ≥5)
  • Patients who have developed signs of asthma, acute rhinitis, nasal polyps, angioneurotic oedema or urticaria following the administration of aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs)
  • Pregnancy and lactation
  • Patients with active peptic ulcerations or active gastro-intestinal (GI) bleeding
  • Inflammatory bowel disease
  • Recent history (within the last year) of alcohol or other substance abuse
  • An employee of the sponsor or study site
  • Any neurological syndrome or any other condition leading to contra-indication to spinal anesthesia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
23 participants (actual)

Study arms

  • Experimental
    A, 1

    Study part 1 (n = 8)

    Drug: Etoricoxib 60 mg

  • Placebo comparator
    A, 2

    Study part 1 (n = 4)

    Drug: Placebo for Etoricoxib 60 mg

  • Experimental
    B, 1

    Study part 2 (n = 20)

    Drug: Etoricoxib 60 mg

  • Placebo comparator
    B, 2

    Study part 2 (n = 20)

    Drug: Placebo for Etoricoxib 60 mg

Interventions

  • DrugEtoricoxib 60 mg

    film coated tablet 60 mg (orally), 120 mg (= 2 tablets a 60 mg) once daily, on day one post surgery

    Also known as: Arcoxia 60 mg, MK0663

  • DrugPlacebo for Etoricoxib 60 mg

    film coated tablet (orally), two tablets once daily, on day one post surgery

    Also known as: Matching Placebo

  • DrugEtoricoxib 60 mg

    film coated tablet (orally), 120 mg (= 2 tablets a 60 mg) once daily, two hours before and 24 hours after surgery

    Also known as: Arcoxia 60 mg, MK0663

  • DrugPlacebo for Etoricoxib 60 mg

    film coated tablet (orally), 2 tablets once daily, two hours before and 24 hours after surgery

    Also known as: Matching Placebo

06

What researchers measure

Primary outcomes

  1. To test the hypothesis that orally administered etoricoxib (COX-2 inhibitor) modulates prostaglandin and cytokine synthesis in the central nervous system (CNS) and in the periphery in surgical patients.

    Time frame: within 24 hours post dosing (study part 1) and within 48 hour post dosing (study part 2)

Secondary outcomes

  1. To determine the CSF (cerebrospinal fluid), plasma and tissue pharmacokinetics of orally administered etoricoxib.

    Time frame: within 24 hours post dosing (study part 1) and within 48 hours post dosing (study part 2)

  2. To correlate the prostaglandin and cytokine response to clinical outcome parameters after hip arthroplasty.

    Time frame: within 4 days post dosing (study part 1 and 2)

  3. To assess the safety (via clinical laboratory tests and adverse events) of a single dose of 120 mg Etoricoxib for one day (Part1) or for two days (Part2) and placebo.

    Time frame: within 4 days post dosing (study part 1 and 2)

07

Study locations

1 site
  • HELIOS Klinikum Berlin
    Berlin, D-13125, Germany
08

References and documents

Publications

  • Buvanendran A, Kroin JS, Berger RA, Hallab NJ, Saha C, Negrescu C, Moric M, Caicedo MS, Tuman KJ. Upregulation of prostaglandin E2 and interleukins in the central nervous system and peripheral tissue during and after surgery in humans. Anesthesiology. 2006 Mar;104(3):403-10. doi: 10.1097/00000542-200603000-00005. Erratum In: Anesthesiology. 2006 Apr;104(4):900. PubMed 16508385 ↗
  • Renner B, Zacher J, Buvanendran A, Walter G, Strauss J, Brune K. Absorption and distribution of etoricoxib in plasma, CSF, and wound tissue in patients following hip surgery--a pilot study. Naunyn Schmiedebergs Arch Pharmacol. 2010 Feb;381(2):127-36. doi: 10.1007/s00210-009-0482-0. Epub 2010 Jan 6. PubMed 20052461 ↗
  • Renner B, Walter G, Strauss J, Fromm MF, Zacher J, Brune K. Preoperative administration of etoricoxib in patients undergoing hip replacement causes inhibition of inflammatory mediators and pain relief. Eur J Pain. 2012 Jul;16(6):838-48. doi: 10.1002/j.1532-2149.2011.00062.x. Epub 2011 Dec 19. PubMed 22337568 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 14, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00746720
Lead sponsor
University of Erlangen-Nürnberg Medical School
Collaborators
HELIOS Kliniken GmbH, Rush University Medical Center, Merck Sharp & Dohme LLC
Responsible party
Sponsor
First posted
Sep 4, 2008
Start date
May 2006
Primary completion
Jul 2009
Completion
Dec 2010
Last update
Dec 14, 2020

Study contacts

Kay Brune, MD, PhD
study director · University of Erlangen-Nürnberg
Josef Zacher, MD, PhD
principal investigator · Helios Klinikum Berlin-Buch
Martin Fromm, MD, PhD
principal investigator · University of Erlangen-Nürnberg
Asokumar Buvanendran, MD
principal investigator · Rush University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Dec 2020. You cannot join it, but the record below documents what was studied.

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