Effects of Naproxcinod on Blood Pressure in Patients With Osteoarthritis - 06/08/11
![](/templates/common/images/mail.png)
![](/templates/common/images/entites/204e.gif)
Résumé |
Nonsteroidal anti-inflammatory drugs are associated with increases in blood pressure (BP), particularly in patients treated with antihypertensive therapy. Naproxcinod is a nitric oxide-donating cyclooxygenase inhibitor in development for osteoarthritis (OA). Thus, we characterized the effects of naproxcinod on BP in an integrated safety analysis of 3 pivotal trials of patients with OA of the hip or knee involving 2,734 patients. The changes from baseline in the systolic BP after 13 weeks of therapy with naproxcinod (375 and 750 mg), naproxen 500 mg (equipotent to naproxcinod 750 mg), or placebo twice daily were evaluated in all patients and in the subgroup taking renin-angiotensin system inhibitors. Heterogeneity testing showed no treatment-by-study interaction. The effects of naproxcinod 750 mg on the systolic BP was not different from placebo (mean change from baseline vs placebo −0.4 mm Hg, 95% confidence interval −1.6 to 0.8). Naproxen increased the systolic BP relative to placebo (mean change from baseline vs placebo +1.4 mm Hg, 95% confidence interval 0.1 to 2.7). In the renin-angiotensin system inhibitor–treated patients, the effect of naproxcinod 750 mg compared to naproxen 500 mg in the changes from baseline in the systolic BP was −4.3 mm Hg (95% confidence interval −8.5 to −0.0). In conclusion, naproxcinod had effects on BP similar to that of placebo in patients with OA. These results imply that naproxcinod would be less likely to alter systolic BP control in patients with OA than a conventional nonsteroidal anti-inflammatory drug, particularly in those treated with renin-angiotensin system inhibitor agents.
Le texte complet de cet article est disponible en PDF.Plan
This study was funded by Nicox, SA, Sophia-Antipolis, France. |
|
The principal author and co-authors contributed to the defined analytic plan reported and had access to all data derived from these analyses. The principal author wrote and edited the manuscript with input from the co-authors. The research physician (B.D.) and statistician (H.F.) from the sponsor participated in the design of the original 3 pivotal trials detailed in the report with authors W.B. White. and T.J. Schnitzer. |
Vol 107 - N° 9
P. 1338-1345 - mai 2011 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?