ClinicalTrials.gg
CompletedNCT07328022Updated Jan 8, 2026

Efficacy and Safety of Etoricoxib/Betamethasone Combination in Acute Bursitis, Tendinitis and Synovitis

A Phase 3 interventional study of Fixed Dose Etoricoxib + Betamethasone and Monotherapy Etoricoxib in Bursitis, Tendinitis and Synovitis, sponsored by Laboratorios Silanes S.A. de C.V.. Completed at 1 site in Mexico. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-01-08.

Sponsored by Laboratorios Silanes S.A. de C.V. · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled May 2025, registered Dec 2025).
Phase
Phase 3
Study type
Interventional
Enrollment
89
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study 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.

Read the detailed description

This is a Phase III, multicenter, prospective, randomized, double-blind, parallel-group study to compare the efficacy and safety of a fixed-dose combination of etoricoxib/betamethasone versus etoricoxib alone in patients with an acute episode of bursitis, tendinitis, or synovitis of the shoulder, elbow, knee, or ankle. Eligible participants will be randomized to receive either etoricoxib/betamethasone 90 mg/0.25 mg once daily for 14 days (Group A) or etoricoxib 90 mg once daily for 14 days (Group B). The study includes three visits (Day 1 baseline, Day 7 ± 2, Day 14 ± 2) and two follow-up calls (Day 3 ± 2 and Day 10 ± 2); investigators will collect medical history, perform physical examinations focused on the affected region, and review laboratory and diagnostic assessments as applicable. Pain intensity in the affected joint will be assessed using a Visual Analog Scale (VAS) during active movement and at rest at each visit/call, and daily by patients in a trained Patient Diary completed in the afternoon at the same time each day. Outcomes include changes from baseline in maximum pain (movement and rest) over 14 days, clinical improvement at Days 7 and 14 using the Clinical Global Impression scale, patient and investigator global assessments, and safety based on adverse events summarized by treatment group; rescue medication use (paracetamol 500 mg) and treatment adherence will also be evaluated.

02

Conditions studied

  • Bursitis
  • Tendinitis
  • Synovitis

Keywords

  • Bursitis
  • Tendinitis
  • Synovitis
  • Etoricoxib
  • Betamethasone
  • Acute Episode
03

In context

Bursitis

383 studies on the registry are indexed under Bursitis; 111 are open to participants now.

This study's enrollment of 89 is above the median of 44 across 346 interventional studies indexed under Bursitis.

Browse Bursitis studies →

Lead sponsor

Laboratorios Silanes S.A. de C.V. is the lead sponsor of 45 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients willing and able to participate in the study and provide written .
  • Male or female.
  • Age ≥ 18 years at study entry.
  • Women of who use an acceptable method (barrier, oral hormonal, injectable, subdermal), or women who are naturally 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.
  • A score ≥ 40 mm on a 100-mm Visual Analog Scale (VAS) for maximum pain intensity during active movement, as reported by the patient at the time of study inclusion.
  • In the opinion of the Principal Investigator or treating physician, the participant is an appropriate candidate for treatment with the product.

Exclusion criteria

Exclusion Criteria:

  • Participation in another clinical study involving an 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.
  • Fever: axillary temperature > 37.5°C within 2 days prior to or at the time of study inclusion.-
  • Pregnant or breastfeeding patients.
  • to the study medications.
  • History of allergic reaction to NSAIDs (non-steroidal anti-inflammatory drugs), paracetamol (acetaminophen), or known 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 ( 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 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 ( A, B, and/or C).
  • History of acute renal failure or chronic kidney disease ( \< 30 mL/min/1.73 m²).
  • Significant history of known coagulation disorders (e.g., von Willebrand disease, hemophilia, vitamin K deficiency, etc.) or use of anticoagulants.
  • Oncology patients (except basal cell skin cancer or patients with cancer in remission) or patients with severe diseases that, in the investigator's opinion, have a poor prognosis or a of less than 1 year, as well as mental illnesses.
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Child-Pugh class

A score of how well the liver works in people with liver disease such as cirrhosis: class A is mild, B moderate and C severe.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
89 participants (actual)

Study arms

  • Experimental
    Etoricoxib + Betamethasone

    Administered orally, 1 tablet a day for 14 days.

    Drug: Fixed Dose Etoricoxib + Betamethasone

  • Active comparator
    Etoricoxib

    Administered orally, 1 tablet a day for 14 days.

    Drug: Monotherapy Etoricoxib

Interventions

  • DrugFixed Dose Etoricoxib + Betamethasone

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

  • DrugMonotherapy Etoricoxib

    One tablet aog 90 mg a day, for 14 days

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline and Days 3, 7, 10, and 14

  2. 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.

    Time frame: Up to 14 days

Secondary outcomes

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

    Descriptive summary of participant characteristics at baseline by randomized group.

    Time frame: Baseline

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

    Patients will record daily VAS scores to estimate the magnitude of change from baseline in maximum pain during active movement throughout treatment.

    Time frame: Daily through Day 14

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

    Patients will record daily VAS scores at rest to estimate the magnitude of change from baseline throughout treatment

    Time frame: Daily through Day 14

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

    Clinical improvement will be evaluated using CGI (severity/improvement categories) at follow-up and compared with baseline by treatment group.

    Time frame: Baseline, Day 7, and Day 14

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

    The Patient Global Assessment will be recorded and changes from baseline will be described by treatment group.

    Time frame: Baseline, Day 7, and Day 14

  6. Proportion of patients by category on the Patient Global Assessment at Days 7 and 14 vs baseline, by treatment group.

    Changes in the proportion of patients reporting feeling very well, well, fair, poor, or very poor will be summarized by group.

    Time frame: Baseline, Day 7, and Day 14

  7. Change in Investigator Global Assessment at Days 7 and 14 vs baseline, by treatment group.

    The Investigator Global Assessment will be recorded and changes from baseline will be described by treatment group.

    Time frame: Baseline, Day 7, and Day 14

  8. Proportion of patients by category on the Investigator Global Assessment at Days 7 and 14 vs baseline, by treatment group.

    Changes in the proportion of participants classified as very well, well, fair, poor, or very poor by the investigator will be summarized by group.

    Time frame: Baseline, Day 7, and Day 14

07

Study locations

1 site
  • Laboratorios Silanes, S.A. de C.V.
    Mexico City, Mexico City 11000, Mexico
08

References and documents

Publications

  • 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. PubMed 9835471 ↗
  • 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. PubMed 12760313 ↗
  • 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. PubMed 19074913 ↗
  • 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. PubMed 15370723 ↗
  • 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. PubMed 12180720 ↗
  • 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. PubMed 33910619 ↗
  • (EMA), E.M.A., Guideline on clinical development of fixed combination medicinal products. 2017.
  • 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. PubMed 29055500 ↗
  • 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. PubMed 34539935 ↗
  • 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. PubMed 15701208 ↗
  • 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. PubMed 15290743 ↗
  • 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. PubMed 24099813 ↗
  • 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. PubMed 23506281 ↗
  • Han, S., Clinical pharmacology review for primary health care providers: II. Steroids. Transl Clin Pharmacol., 2015.
  • 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.
  • 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. PubMed 11094407 ↗
  • 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. PubMed 12479384 ↗
  • 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. PubMed 8917870 ↗
  • Green S, Buchbinder R, Glazier R, Forbes A. Interventions for shoulder pain. Cochrane Database Syst Rev. 2000;(2):CD001156. doi: 10.1002/14651858.CD001156. PubMed 10796418 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2025 to primary completion in Aug 2025, 3 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 28, 2025
First posted
Jan 8, 2026
StartActual
May 14, 2025
Primary completionActual
Aug 20, 2025
CompletionActual
Nov 19, 2025
Last update
Jan 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07328022
Responsible party
Sponsor
First posted
Jan 8, 2026
Start date
May 14, 2025
Primary completion
Aug 20, 2025
Completion
Nov 19, 2025
Last update
Jan 8, 2026

Study contacts

Marco Antonio Cordova Martinez, MD
principal investigator · Unidad de Medicina Especializada SMA SC
Pedro Abraham Garza Alvarez, MD
principal investigator · IECSI Clinical Research
Juan Luis Torres Mendez, MD
principal investigator · Clinical Research Institute S.C.
Yazmin Adriana Guerra Lopez, MD
principal investigator · Centro de Investigación Clínica de México S. de R.L. de C.V

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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