Page last updated: 2024-11-07

parecoxib

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

Parecoxib is a non-steroidal anti-inflammatory drug (NSAID) that selectively inhibits cyclooxygenase-2 (COX-2). It is used to treat pain and inflammation. Parecoxib is a prodrug that is converted to its active form in the body. It is known for its rapid onset of action and long duration of effect. Parecoxib is typically administered orally or intravenously. Research focuses on its efficacy and safety in treating acute pain, osteoarthritis, and rheumatoid arthritis, as well as its potential for other therapeutic uses. '

parecoxib: structure in first source [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

parecoxib : An N-acylsulfonamide resulting from the formal condensation of valdecoxib with propionic acid. It is a prodrug for valdecoxib. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID119828
CHEMBL ID1206690
CHEBI ID73038
SCHEMBL ID9529
MeSH IDM0364955

Synonyms (67)

Synonym
chebi:73038 ,
sc-69124 ,
CHEMBL1206690
xapit
rayzon
pxb ,
parecoxib (usan/inn)
D03716
198470-84-7
propanamide, n-((4-(5-methyl-3-phenyl-4-isoxazolyl)phenyl)sulfonyl)-
n-((p-(5-methyl-3-phenyl-4-isoxazolyl)phenyl)sulfonyl)propionamide
sc 69124
parecoxib [usan:inn:ban]
parecoxib
DB08439
n-[4-(5-methyl-3-phenyl-1,2-oxazol-4-yl)phenyl]sulfonylpropanamide
unii-9tuw81y3ce
9tuw81y3ce ,
S4656
parecoxibum
n-{[4-(5-methyl-3-phenyl-1,2-oxazol-4-yl)phenyl]sulfonyl}propanamide
n-[4-(5-methyl-3-phenyl-1,2-oxazol-4-yl)benzenesulfonyl]propanamide
BRD-K13800121-236-01-7
gtpl2895
parecoxib [inn]
parecoxib [ema epar]
parecoxib [mi]
parecoxib [usan]
parecoxib [who-dd]
HY-17474
CS-1959
n-[[4-(5-methyl-3-phenyl-4-isoxazolyl) phenyl] sulfonyl] propanamide
TZRHLKRLEZJVIJ-UHFFFAOYSA-N
SCHEMBL9529
DTXSID1044229
AC-25842
FT-0697932
AKOS025401810
n-?[[4-?(5-?methyl-?3-?phenyl-?4-?isoxazolyl)?phenyl]?sulfonyl]?propanamide
J-523329
n-[4-(5-methyl-3-phenyl-oxazol-4-yl)phenyl]sulfonylpropanamde
parocoxib
vorth-p
valus-p
parecoxib, vetranal(tm), analytical standard
mfcd25976408
AS-72353
bdbm50506744
NCGC00378576-02
n-{[4-(5-methyl-3-phenylisoxazol-4-yl)phenyl]sulfonyl}propanamide
BCP07254
sc69124
Q347941
propanamide, n-[[4-(5-methyl-3-phenyl-4-isoxazolyl)phenyl]sulfonyl]-
n-((4-(5-methyl-3-phenylisoxazol-4-yl)phenyl)sulfonyl)propionamide
HMS3885L14
AMY42103
HMS3741C09
CCG-268299
NCGC00181773-05
EX-A1993
parecoxib 100 microg/ml in acetonitrile
A854884
propanamide, n-[[4-(5-methyl-3-phenyl-4-isoxazolyl)phenyl]sulfonyl]-; n-[[4-(5-methyl-3-phenyl-4-isoxazolyl)phenyl]sulfonyl]propanamide; parecoxib; sc 69124; valus-p; vorth-p
NCGC00181773-03
EN300-20600171
Z2588040125

Research Excerpts

Overview

Parecoxib (PX) is an injectable prodrug of valdecoxib (VX), which is a selective cyclo-oxyganase-2 (COX-2) inhibitor licensed for humans. It has been demonstrated to inhibit sepsis-induced systemic inflammation, but its role in sepsi-induced acute kidney injury has not been studied. Parecox ib sodium is a safe and effective drug in the perioperative analgesic management for TKA.

ExcerptReferenceRelevance
"Parecoxib is a selective COX-2-specific inhibitor, which has been demonstrated to inhibit sepsis-induced systemic inflammation, but its role in sepsis-induced acute kidney injury has not been studied. "( Parecoxib ameliorates renal toxicity and injury in sepsis-induced mouse model and LPS-induced HK-2 cells.
Chen, Q; Guo, Y; Min, S; Wu, B, 2022
)
3.61
"Parecoxib is an NSAID and the only parenterally administered selective cyclooxygenase (COX)-2 inhibitor."( Parecoxib expresses anti-metastasis effect through inhibition of epithelial-mesenchymal transition and the Wnt/β-catenin signaling pathway in human colon cancer DLD-1 cell line.
Chang, WL; Chen, CH; Liu, YW; Lu, FJ; Peng, JY; Wong, CH, 2022
)
2.89
"Parecoxib is a safe and efficient COX-2 inhibitor to NP cells, which could prevent NP cells apoptosis by suppressing ER stress."( Parecoxib prevents nucleus pulposus cells apoptosis by suppressing endoplasmic reticulum stress.
Cai, WJ; Gong, Q; Niu, JY; Qi, WL; Xu, L; Yang, CH; Zhao, CW; Zhao, WH, 2020
)
3.44
"Parecoxib sodium is a safe and effective drug in the perioperative analgesic management for TKA."( Role of Parecoxib Sodium in the Multimodal Analgesia after Total Knee Arthroplasty: A Randomized Double-blinded Controlled Trial.
Bian, YY; Jin, J; Lin, J; Peng, HM; Qian, WW; Wang, LC; Weng, XS, 2018
)
1.64
"Parecoxib is a selective cyclooxygenase (COX)-2 inhibitor widely used as an analgesia technique in perioperative period for its potent anti-inflammatory and analgesic effects. "( Effect of parecoxib in the treatment of postoperative cognitive dysfunction: A systematic review and meta-analysis.
Cai, YH; Hu, H; Hua, F; Huang, S, 2019
)
2.36
"Parecoxib (PX) is an injectable prodrug of valdecoxib (VX, which is a selective cyclo-oxyganase-2 (COX-2)) inhibitor licensed for humans. "( The pharmacokinetics and in vitro/ex vivo cyclooxygenase selectivity of parecoxib and its active metabolite valdecoxib in cats.
Briganti, A; Giorgi, M; Kim, TW; Re, G; Vercelli, C, 2014
)
2.08
"Parecoxib is a cox inhibitor that selectively inhibits cox-2."( Negative effect of parecoxib on bone mineral during fracture healing in rats.
Dimmen, S; Engebretsen, L; Madsen, JE; Nordsletten, L; Steen, H, 2008
)
1.4
"Parecoxib 40 mg is an effective and safe analgesic choice during the postoperative period in orthopedic surgery."( [Systematic review to assess the effectiveness and safety of parecoxib].
Escamilla-Núñez, A; Rendón-Macías, ME; Villasís-Keever, MA,
)
1.82
"Parecoxib is a recently described novel COX-2 inhibitor whose functional significance and neuroprotective mechanisms remain elusive. "( Delayed administration of parecoxib, a specific COX-2 inhibitor, attenuated postischemic neuronal apoptosis by phosphorylation Akt and GSK-3β.
Guo, Q; Wang, E; Wang, N; Xia, P; Ye, Z; Yuan, Y, 2012
)
2.12
"Parecoxib is an inactive pro-drug that is rapidly converted to valdecoxib, a selective cyclooxygenase (COX)-2 inhibitor registered for the management of post-operative pain in humans. "( Pharmacokinetics of intravenous and intramuscular parecoxib in healthy Beagles.
Del Carlo, S; Giorgi, M; Lavy, E; Manera, C; Saccomanni, G, 2012
)
2.07
"Parecoxib is a cyclooxygenase-2 selective inhibitor used in management of postoperative pain in adults. "( Development of a population pharmacokinetic model for parecoxib and its active metabolite valdecoxib after parenteral parecoxib administration in children.
Davies, K; Hullett, B; Ilett, KF; O'Halloran, SJ; Peirce, D; Salman, S, 2012
)
2.07
"Parecoxib is a parenteral cyclooxygenase-2 (COX-2) inhibitor intended for perioperative analgesia. "( Simultaneous assessment of drug interactions with low- and high-extraction opioids: application to parecoxib effects on the pharmacokinetics and pharmacodynamics of fentanyl and alfentanil.
Feldman, J; Ibrahim, AE; Karim, A; Kharasch, ED, 2003
)
1.98
"Parecoxib sodium is a novel selective COX-2 inhibitor under development for parenteral administration. "( Parecoxib for parenteral analgesia in postsurgical patients.
Amabile, CM; Spencer, AP, 2004
)
3.21
"Parecoxib sodium is an effective analgesic in the management of acute postoperative pain after laparotomy surgery."( A clinical trial demonstrates the analgesic activity of intravenous parecoxib sodium compared with ketorolac or morphine after gynecologic surgery with laparotomy.
Bajwa, ZH; Bikhazi, GB; Davis, DJ; Hubbard, RC; LeComte, D; Snabes, MC; Traylor, L, 2004
)
2
"Parecoxib 20 mg i.m. is an effective analgesic dose with an onset and magnitude of analgesic effect approaching that of ketorolac 30 mg i.m. "( The analgesic efficacy of intramuscular parecoxib sodium in postoperative dental pain.
Daniels, S; Desjardins, PJ; Hubbard, RC; Mehlisch, DR, 2004
)
2.03
"Parecoxib (Dynastat) is a parenteral cyclooxygenase-2 inhibitor available in Europe. "( Parecoxib: a shift in pain management?
Dalpiaz, AS; Peterson, D, 2004
)
3.21
"Parecoxib is a prodrug of valdecoxib, which is a potent and selective inhibitor of COX-2. "( Evaluation of intravenous parecoxib for the relief of acute post-surgical pain.
Jain, KK, 2000
)
2.05
"Parecoxib sodium is an injectable cyclooxygenase-2-specific inhibitor developed for the treatment of acute pain. "( A double-blind, randomized comparison of intramuscularly and intravenously administered parecoxib sodium versus ketorolac and placebo in a post-oral surgery pain model.
Daniels, SE; Grossman, EH; Hubbard, RC; Kuss, ME; Talwalker, S, 2001
)
1.98
"Parecoxib sodium is an injectable prodrug of the cyclooxygenase-2-specific inhibitor valdecoxib that has exhibited analgesic activity in previous trials."( Upper gastrointestinal safety evaluation of parecoxib sodium, a new parenteral cyclooxygenase-2-specific inhibitor, compared with ketorolac, naproxen, and placebo.
Goldstein, JL; Harris, SI; Hubbard, RC; Kuss, M, 2001
)
1.29

Effects

Parecoxib sodium (Pare) has been shown to exert protective effects against multiple I/R-induced tissue injuries. It has been adopted for use for postoperative analgesia following a range of surgical procedures.

ExcerptReferenceRelevance
"Parecoxib sodium (Pare) has been shown to exert protective effects against multiple I/R-induced tissue injuries."( Parecoxib sodium alleviates ischemia reperfusion-induced pulmonary injury via inhibiting ERK/NF-κB and further activating the HIF-1α pathway.
Guo, J; Yang, Y, 2022
)
2.89
"Parecoxib has been adopted for use for postoperative analgesia following a range of surgical procedures (orthopedic, general, gynecological, and dental surgery)."( The efficacy of parecoxib in improving pain after total knee or total hip arthroplasty: Systematic review and meta-analysis.
Ge, WK; Hong, C; Lin, SN; Liu, CJ; Xie, HY; Yu, M, 2022
)
1.79

Actions

Parecoxib plays a therapeutic effect on cerebral infarction by up-regulating the orexin neuron. Pare Coxib provided a lower pain and sedation scores and lesser meperidine consumption than tramadol for post-appendectomy pain.

ExcerptReferenceRelevance
"Parecoxib plays an important role in inhibition of human cancer. "( Parecoxib inhibits esophageal squamous cell carcinoma progression via the PDK1-AKT pathway.
Chen, CK; He, XH; Huang, HM; Huang, XY; Wu, SP; Zhang, YF, 2022
)
3.61
"Parecoxib could also suppress CHOP caused by COX-2 upregulation and apoptosis in NP cells."( Parecoxib prevents nucleus pulposus cells apoptosis by suppressing endoplasmic reticulum stress.
Cai, WJ; Gong, Q; Niu, JY; Qi, WL; Xu, L; Yang, CH; Zhao, CW; Zhao, WH, 2020
)
2.72
"Parecoxib plays a therapeutic effect on cerebral infarction by up-regulating the orexin neuron."( Study on the effects of parecoxib on hypothalamus orexin neuron of cerebral infarction rats.
Huo, ZF; Li, FT; Liu, J; Yao, CH; Yao, L, 2018
)
2.23
"Parecoxib may however increase perioperative blood loss."( Effects of parecoxib on analgesia benefit and blood loss following open prostatectomy: a multicentre randomized trial.
Dirkmann, D; Eikermann, M; Farhan, H; Groeben, H; Stahl, DL, 2015
)
1.53
"Parecoxib provided a lower pain and sedation scores and lesser meperidine consumption than tramadol for post-appendectomy pain."( Parecoxib versus tramadol for post-appendectomy pain.
Indrambarya, T; Sindhvananda, W; Sriprajittichai, P; Urusopone, P, 2005
)
2.49

Treatment

Parecoxib treatment significantly reduced urine output 24 h after release of BUO. Pretreatment with pare Coxib prior to I/R insult significantly reduced aminotransferases, and significantly improved liver histological status.

ExcerptReferenceRelevance
"Parecoxib pretreatment can mitigate the LIRI in rats by reducing oxidative stress, inhibiting inflammatory response and up-regulating HO-1 expression in lung tissue."( Parecoxib mitigates lung ischemia-reperfusion injury in rats by reducing oxidative stress and inflammation and up-regulating HO-1 expression.
Jin, X; Qin, J; Su, X; Zhao, J, 2021
)
3.51
"Parecoxib treatment provides additional benefits for pain control after hysterectomy."( The efficacy of parecoxib for pain control after hysterectomy: a meta-analysis of randomized controlled studies.
Li, P; Peng, J; Wu, Y; Zheng, X, 2021
)
2.41
"Parecoxib treatment increased the number of vascular smooth muscle cells (VSMC) and amount of collagen, while and decreased the number of macrophages in murine aortic walls."( Parecoxib improves atherosclerotic plaque stability by suppressing inflammation and inhibiting matrix metalloproteinases production.
Chen, L; Gong, C; Liang, F; Qi, Y; Tang, X; Xu, Y, 2021
)
2.79
"Parecoxib treatment to aged rats promoted mitochondrial biogenesis by upregulating PGC-1α/NRF-1/TFAM, enhancing mitochondrial fusion by decreasing Drp1 levels and increasing Mfn1 and OPA1 levels, and activated mitophagy by increasing PINK1/Parkin levels while reducing p62/SQSTM1 levels, thereby coordinating mitochondrial homeostasis via inhibiting the COX-2/PGE2 pathway."( Parecoxib alleviates the motor behavioral decline of aged rats by ameliorating mitochondrial dysfunction in the substantia nigra via COX-2/PGE2 pathway inhibition.
Cui, R; Ji, X; Kang, Y; Shi, G; Wang, Y; Yan, H; Zhang, G; Zhang, T; Zhao, H, 2021
)
2.79
"Parecoxib sodium pretreatment combined with dexmedetomidine could reduce the incidence of early postoperative cognitive dysfunction in elderly patients. "( Effect of parecoxib sodium pretreatment combined with dexmedetomidine on early postoperative cognitive dysfunction in elderly patients after shoulder arthroscopy: A randomized double blinded controlled trial.
Chen, G; Lu, J; Wu, C; Zhou, H; Zhou, Q; Zhu, Z, 2017
)
2.3
"Parecoxib sodium pretreatment can effectively improve the behaviors caused by neuropathic pain, and intrathecal injection is the most effective route of administration."( The Study of Different Approaches of Parecoxib Sodium Pretreatment on the Behavior of Rats with Neuropathic Pain.
Cui, W; Yu, X; Zhang, H, 2015
)
1.41
"Parecoxib treatment, in conjunction with supplemental analgesia given as needed, provided effective pain relief over 1 to 3 days in the bunionectomy model of postoperative analgesia. "( Multiple-day efficacy of parecoxib sodium treatment in postoperative bunionectomy pain.
Apfelbaum, JL; Brown, MT; Desjardins, PJ; Verburg, KM,
)
1.88
"Parecoxib-treated mice also exhibited greater fractional shortening in the PI group [22% vs."( Parecoxib inhibits apoptosis in acute myocardial infarction due to permanent coronary ligation but not due to ischemia-reperfusion.
Abbate, A; Hoke, NN; Houser, JE; Ownby, ED; Salloum, FN; Seropian, IM; Van Tassell, BW; Varma, A, 2009
)
2.52
"Parecoxib treatment significantly reduced urine output 24 h after release of BUO whereas urine osmolality and solute-free water reabsorption was comparable between saline- and parecoxib-treated BUO rats."( Cyclooxygenase 2 inhibition exacerbates AQP2 and pAQP2 downregulation independently of V2 receptor abundance in the postobstructed kidney.
Bae, EH; Frøkiaer, J; Jensen, AM; Kim, SW; Nielsen, S; Nørregaard, R; Schweer, H; Wang, G, 2010
)
1.08
"Parecoxib-treated, but not control animals, exhibited duodenal contractions, which were reduced by the nicotinic receptor antagonists mecamylamine and hexamethonium and by perfusion with 700 mOsm kg(-1) . "( The selective cyclooxygenase-2 inhibitor parecoxib markedly improves the ability of the duodenum to regulate luminal hypertonicity in anaesthetized rats.
Nylander, O; Sedin, J; Sjöblom, M, 2012
)
2.09
"Parecoxib treatment was associated with lower apoptotic rates (1.0 +/- 0.2 vs."( Protective effects of parecoxib, a cyclo-oxygenase-2 inhibitor, in postinfarction remodeling in the rat.
Abbate, A; Baldi, A; Biasucci, LM; Biondi-Zoccai, GG; Capogrossi, MC; Crea, F; Das, A; Kukreja, RC; Mellone, P; Ockaili, RA; Piro, M; Qureshi, IZ; Salloum, FN; Severino, A; Straino, S; Vetrovec, GW, 2007
)
1.38
"Pretreatment with parecoxib prior to I/R insult significantly reduced I/R-induced elevations of aminotransferases, and significantly improved the histological status of the liver. "( Pretreatment of parecoxib attenuates hepatic ischemia/reperfusion injury in rats.
Huang, WQ; Ma, Y; Xu, KQ; Zhang, T, 2015
)
1.1
"Pretreatment with parecoxib decreased endotoxin-stimulated PGE(2) formation."( COX-2 inhibition attenuates endotoxin-induced downregulation of organic anion transporters in the rat renal cortex.
Bucher, M; Höcherl, K; Schmidt, C, 2009
)
0.68
"Pretreatment with parecoxib or ketorolac reduced the postinfusion area of pinprick hyperalgesia (P < 0.001 and P = 0.001, respectively), compared to the remifentanil group."( Effects of COX inhibition on experimental pain and hyperalgesia during and after remifentanil infusion in humans.
Draegni, T; Heyerdahl, F; Lenz, H; Raeder, J; Schmelz, M; Stubhaug, A, 2011
)
0.69
"Treatment with parecoxib, higher dose or indomethacin significantly inhibited tumor growth."( Cyclooxygenase inhibitors decrease the growth and induce regression of human esophageal adenocarcinoma xenografts in nude mice.
Cebrián, C; Conde, B; Esquivias, P; Esteva, F; Jiménez, P; Lanas, A; Ortego, J; Piazuelo, E; Santander, S, 2012
)
0.72
"Pretreatment with parecoxib and lidocaine was effective in reducing the frequency and severity of pain with rocuronium injection whereas pretreatment with parecoxib 40 mg and lidocaine 40 mg were the most effective treatments."( Prevention of pain on injection of rocuronium: a comparison of lidocaine with different doses of parecoxib.
Liu, J; Xiang, Y; Zhang, Y, 2012
)
0.93
"Treatment with parecoxib and valdecoxib significantly reduced the cumulative MED requirements, the incidence of opioid-related adverse effects, and patient-days with CMEs."( Presurgical intravenous parecoxib sodium and follow-up oral valdecoxib for pain management after laparoscopic cholecystectomy surgery reduces opioid requirements and opioid-related adverse effects.
Chen, C; Cheung, RY; Gan, TJ; Hanna, DB; Joshi, GP; Zhao, SZ, 2004
)
0.98
"Pretreatment with parecoxib (20 mg/kg) almost doubled shear stress-induced platelet aggregation (188% vs. "( Cyclooxygenase-2 inhibitors enhance shear stress-induced platelet aggregation.
Borgdorff, P; Paulus, WJ; Tangelder, GJ, 2006
)
0.67
"The treatment with parecoxib (10 mg/kg) administered prior to the surgery and daily (2 mg/kg) for the subsequent 21 days, prevented the MPTP-treated rats from presenting decreased locomotor and exploratory behavior, increased immobility, and impairment while performing the cued version of the Morris water maze."( The COX-2 inhibitor parecoxib produces neuroprotective effects in MPTP-lesioned rats.
Andreatini, R; da Cunha, C; Lima, MM; Machado, HB; Reksidler, AB; Tufik, S; Vital, MA; Zanata, SM, 2007
)
0.98

Toxicity

Parecoxib, the inactive prodrug of the cyclooxygenase-2 selective inhibitor valdecoxib, was found to increase the risk of cardiovascular (CV) adverse events compared with placebo. The occurrence of adverse events showed no differences between perioperative pare Coxib administration and placebo control.

ExcerptReferenceRelevance
" Clinical adverse events were assessed by the principal investigator at each site from the time of the first dose through the 30-day postdosing period."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.57
" Although there were no differences between the groups in overall adverse events, serious adverse events occurred twice as frequently in parecoxib/valdecoxib-treated patients (19."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.77
" However, the 14-day treatment regimen also was associated with an increased incidence of serious adverse events overall and sternal wound infections in particular."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.57
" This study suggests that parecoxib, in a dose of 40 mg IM/IV, is an effective and safe option for the management of postoperative pain."( Efficacy and safety of the first parenteral selective COX-2 inhibitor, parecoxib sodium, in adult patients with postoperative pain.
Bajaj, P; Ballary, C; Desai, A; Dongre, N; Jagtap, SA; Jain, MM; Kadam, GS; Kale, S; Lall, AD; Naikawadi, AA; Neelakandan, RS; Ram, S; Samra, SS; Shah, RR; Vijayakrishnan, M; Vyas, D, 2003
)
0.85
"" For safety analysis, data on any reported adverse effects were extracted."( Patients' global evaluation of analgesia and safety of injected parecoxib for postoperative pain: a quantitative systematic review.
Eberhart, LH; Kranke, P; Morin, AM; Roewer, N, 2004
)
0.56
"Opioids are associated with numerous adverse effects."( Presurgical intravenous parecoxib sodium and follow-up oral valdecoxib for pain management after laparoscopic cholecystectomy surgery reduces opioid requirements and opioid-related adverse effects.
Chen, C; Cheung, RY; Gan, TJ; Hanna, DB; Joshi, GP; Zhao, SZ, 2004
)
0.63
"Treatment with parecoxib and valdecoxib significantly reduced the cumulative MED requirements, the incidence of opioid-related adverse effects, and patient-days with CMEs."( Presurgical intravenous parecoxib sodium and follow-up oral valdecoxib for pain management after laparoscopic cholecystectomy surgery reduces opioid requirements and opioid-related adverse effects.
Chen, C; Cheung, RY; Gan, TJ; Hanna, DB; Joshi, GP; Zhao, SZ, 2004
)
0.98
" Adverse event monitoring, physical examination and changes in laboratory tests, chest x-ray and ECG were used to evaluate safety."( Role of parecoxib in pre-emptive analgesia: comparison of the efficacy and safety of pre- and postoperative parecoxib in patients undergoing general surgery.
Bajaj, P; Baliga, VP; Ballary, CC; Desai, AA; Dongre, NA, 2004
)
0.76
" The frequency of predefined adjudicated postrandomization adverse events, including cardiovascular thromboembolism, renal dysfunction, gastroduodenal ulceration, and wound-healing complications, was assessed in each group."( Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery.
Boye, ME; Brown, MT; Joshi, GP; Langford, RM; Nussmeier, NA; Singla, NK; Verburg, KM; Whelton, AA, 2006
)
0.58
"Predefined adjudicated adverse events had similar frequencies among patients who received parecoxib and valdecoxib (2."( Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery.
Boye, ME; Brown, MT; Joshi, GP; Langford, RM; Nussmeier, NA; Singla, NK; Verburg, KM; Whelton, AA, 2006
)
0.8
"Studies of parecoxib, the inactive prodrug of the cyclooxygenase-2 selective inhibitor valdecoxib, and valdecoxib for postoperative pain relief in patients undergoing coronary artery bypass graft surgery revealed an increased risk of cardiovascular (CV) adverse events compared with placebo."( Cardiovascular safety of the cyclooxygenase-2 selective inhibitors parecoxib and valdecoxib in the postoperative setting: an analysis of integrated data.
Camu, F; Cheung, R; Joshi, GP; Pan, S; Schug, SA, 2009
)
0.98
"In the largest analysis of the CV risk of cyclooxygenase selective inhibitors or nonsteroidal antiinflammatory drugs for perioperative pain management, parecoxib and valdecoxib were not found to increase the risk of CV adverse events after noncardiac surgery."( Cardiovascular safety of the cyclooxygenase-2 selective inhibitors parecoxib and valdecoxib in the postoperative setting: an analysis of integrated data.
Camu, F; Cheung, R; Joshi, GP; Pan, S; Schug, SA, 2009
)
0.79
"Multimodal pain therapy including cyclo-oxygenase-2 inhibitors can result in optimal pain management with decreased opioid use and fewer opioid-related adverse events."( Reduction in opioid-related adverse events and improvement in function with parecoxib followed by valdecoxib treatment after non-cardiac surgery: a randomized, double-blind, placebo-controlled, parallel-group trial.
Chen, C; Chen, WH; Gan, TJ; Joshi, GP; Langford, RM; Mattera, MS; Revicki, DA; Zlateva, G, 2009
)
0.58
" Clinically meaningful opioid-related adverse events were assessed daily using the Opioid-Related Symptom Distress Scale (OR-SDS)."( Reduction in opioid-related adverse events and improvement in function with parecoxib followed by valdecoxib treatment after non-cardiac surgery: a randomized, double-blind, placebo-controlled, parallel-group trial.
Chen, C; Chen, WH; Gan, TJ; Joshi, GP; Langford, RM; Mattera, MS; Revicki, DA; Zlateva, G, 2009
)
0.58
"Patients receiving parecoxib/valdecoxib had less pain interference on physical functioning, required less opioid medication and experienced fewer clinically meaningful opioid-related adverse events than patients receiving placebo."( Reduction in opioid-related adverse events and improvement in function with parecoxib followed by valdecoxib treatment after non-cardiac surgery: a randomized, double-blind, placebo-controlled, parallel-group trial.
Chen, C; Chen, WH; Gan, TJ; Joshi, GP; Langford, RM; Mattera, MS; Revicki, DA; Zlateva, G, 2009
)
0.91
" Regarding safety, the frequency of adverse events with parecoxib was similar to the placebo or other analgesics."( [Systematic review to assess the effectiveness and safety of parecoxib].
Escamilla-Núñez, A; Rendón-Macías, ME; Villasís-Keever, MA,
)
0.62
"Parecoxib 40 mg is an effective and safe analgesic choice during the postoperative period in orthopedic surgery."( [Systematic review to assess the effectiveness and safety of parecoxib].
Escamilla-Núñez, A; Rendón-Macías, ME; Villasís-Keever, MA,
)
1.82
" Cyclooxygenase 2 inhibitors are a safe alternative in patients with AERD."( Safety of parecoxib in asthmatic patients with aspirin-exacerbated respiratory disease.
Bartra, J; Muñoz-Cano, R; Picado, C; Roca, J; Sánchez-López, J; Serrano, C; Valero, A, 2011
)
0.77
"The drug was well tolerated by all patients, with no adverse reactions."( Safety of parecoxib in asthmatic patients with aspirin-exacerbated respiratory disease.
Bartra, J; Muñoz-Cano, R; Picado, C; Roca, J; Sánchez-López, J; Serrano, C; Valero, A, 2011
)
0.77
"Although non-selective non-steroidal anti-inflammatory drugs (nsNSAIDs) and opioids are effective treatments for acute renal colic, they are associated with adverse events (AEs)."( Efficacy and safety of parecoxib in the treatment of acute renal colic: a randomized clinical trial.
Afif-Abdo, J; Araya, G; Cairoli, CE; Damiao, R; Glina, S; Novoa, R; Santa Maria, CF; Wajsbrot, D,
)
0.44
" The need for rescue analgesics and the incidence of adverse effects were considered as secondary outcome of the study."( Efficacy and safety of parecoxib/phloroglucinol combination therapy versus parecoxib monotherapy for acute renal colic: a randomized, double-blind clinical trial.
Fu, W; Li, Q; Li, WB; Wang, Y; Wu, X; Yan, JA; Yao, J; Zhou, Z, 2014
)
0.71
"Parecoxib sodium was effective and safe when used for postoperative analgesia in endo-nasal operation."( Safety and Efficacy Study of the Cyclooxygenase-2 Inhibitor Parecoxib Sodium Applied for Postoperative Analgesia After Endo-Nasal Operation.
Chen, H; Luo, A, 2016
)
2.12
"Perioperative parecoxib administration reduces postoperative pain, opioid consumption, and adverse events in adult patients."( Efficacy and safety of perioperative parecoxib for acute postoperative pain treatment in children: a meta-analysis.
Bu, X; Yang, L; Zuo, Y, 2015
)
1.05
" The hypothesis is that compared to placebo with opioids as rescue treatment, sequential use of parecoxib and celecoxib can achieve less morphine consumption over the postoperative 2 weeks, as well as better pain control, quicker functional recovery in the postoperative 6 weeks and less opioid-related adverse events during the 12-week recovery phase."( Efficacy and safety of Postoperative Intravenous Parecoxib sodium Followed by ORal CElecoxib (PIPFORCE) post-total knee arthroplasty in patients with osteoarthritis: a study protocol for a multicentre, double-blind, parallel-group trial.
Bian, Y; Feng, B; Jiang, J; Lin, J; Pei, F; Shen, B; Sun, T; Wang, W; Weng, X; Yan, S; Zhang, M; Zhuang, Q, 2016
)
0.91
"Treatment-emergent adverse event (TEAE) occurrence after day 3 was examined in a pooled analysis of three placebo-controlled trials of parecoxib following general or gynecologic surgery, or total hip arthroplasty."( Safety of parecoxib when used for more than 3 days for the management of postoperative pain.
Cheung, R; Essex, MN; Li, C; Xie, L, 2017
)
1.06
" The occurrence of adverse events showed no differences between perioperative parecoxib administration and placebo control."( Efficacy and Safety of Postoperative Pain Relief by Parecoxib Injection after Laparoscopic Surgeries: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Huang, JM; Jiang, WX; Li, HN; Lv, ZT; Nie, MB; Zhang, YN, 2018
)
0.96
"Perioperative parecoxib administration was effective in reducing the proportion of patients who required adjuvant pain relief after laparoscopic surgeries without significant adverse events compared with placebo."( Efficacy and Safety of Postoperative Pain Relief by Parecoxib Injection after Laparoscopic Surgeries: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
Huang, JM; Jiang, WX; Li, HN; Lv, ZT; Nie, MB; Zhang, YN, 2018
)
1.09
" There was no increased risk of adverse effects related to parecoxib."( The efficacy and safety of parecoxib for reducing pain and opioid consumption following total knee arthroplasty: A meta-analysis of randomized controlled trials.
Du, X; Gu, J, 2018
)
1.02
" Pain scores, pain intensity, and adverse events in each time interval were evaluated and compared among the 3 groups."( Effect and Safety of Prophylactic Parecoxib for Pain Control of Transarterial Chemoembolization in Liver Cancer: A Single-Center, Parallel-Group, Randomized Trial.
Guo, N; Kong, Y; Lai, J; Li, J; Li, X; Lyu, N; Zhao, M, 2022
)
1
"Parecoxib is superior to oxycodone and celecoxib for pain control with fewer adverse events."( Effect and Safety of Prophylactic Parecoxib for Pain Control of Transarterial Chemoembolization in Liver Cancer: A Single-Center, Parallel-Group, Randomized Trial.
Guo, N; Kong, Y; Lai, J; Li, J; Li, X; Lyu, N; Zhao, M, 2022
)
2.44

Pharmacokinetics

The final pharmacokinetic model gave a robust representation of parecoxib and valdecoxib disposition.

ExcerptReferenceRelevance
" Pharmacokinetic parameters were determined by noncompartmental analysis."( Effects of parecoxib, a parenteral COX-2-specific inhibitor, on the pharmacokinetics and pharmacodynamics of propofol.
Feldman, J; Ibrahim, A; Karim, A; Kharasch, ED; Park, S, 2002
)
0.7
" No significant differences were found in pharmacokinetic parameters (Cmax, clearance, elimination half-life, volume of distribution) or pharmacodynamic parameters (clinical endpoints [times to: loss of consciousness, apnea, return of response to voice], Bispectral Index scores, Digit-Symbol Substitution Test scores, memory, Visual Analog Scale scores, propofol EC(50))."( Effects of parecoxib, a parenteral COX-2-specific inhibitor, on the pharmacokinetics and pharmacodynamics of propofol.
Feldman, J; Ibrahim, A; Karim, A; Kharasch, ED; Park, S, 2002
)
0.7
" Pharmacokinetic variables were determined by noncompartmental analysis."( The influence of parecoxib, a parenteral cyclooxygenase-2 specific inhibitor, on the pharmacokinetics and clinical effects of midazolam.
Feldman, J; Ibrahim, A; Karim, A; Kharasch, E, 2002
)
0.65
" Pharmacokinetic parameters were determined by noncompartmental analysis."( Simultaneous assessment of drug interactions with low- and high-extraction opioids: application to parecoxib effects on the pharmacokinetics and pharmacodynamics of fentanyl and alfentanil.
Feldman, J; Ibrahim, AE; Karim, A; Kharasch, ED, 2003
)
0.54
" The half-life of valdecoxib was about 2 h, which was shorter than reported for humans, although the plasma concentrations following both routes of administration were likely to be effective for analgesia."( Pharmacokinetics of intravenous and intramuscular parecoxib in healthy Beagles.
Del Carlo, S; Giorgi, M; Lavy, E; Manera, C; Saccomanni, G, 2012
)
0.63
" This study aimed to provide pediatric pharmacokinetic information for parecoxib and its active metabolite valdecoxib."( Development of a population pharmacokinetic model for parecoxib and its active metabolite valdecoxib after parenteral parecoxib administration in children.
Davies, K; Hullett, B; Ilett, KF; O'Halloran, SJ; Peirce, D; Salman, S, 2012
)
0.86
" Population pharmacokinetic parameters were estimated using nonlinear mixed effects modeling."( Development of a population pharmacokinetic model for parecoxib and its active metabolite valdecoxib after parenteral parecoxib administration in children.
Davies, K; Hullett, B; Ilett, KF; O'Halloran, SJ; Peirce, D; Salman, S, 2012
)
0.63
"The final pharmacokinetic model gave a robust representation of parecoxib and valdecoxib disposition."( Development of a population pharmacokinetic model for parecoxib and its active metabolite valdecoxib after parenteral parecoxib administration in children.
Davies, K; Hullett, B; Ilett, KF; O'Halloran, SJ; Peirce, D; Salman, S, 2012
)
0.87

Compound-Compound Interactions

Preoperative intravenous infusion of dexmedetomidine combined with parecoxib sodium can not only calm and resist anxiety, but also better prevent stress response of endotracheal intubation.

ExcerptReferenceRelevance
"We evaluated the efficacy of local or systemic parecoxib combined with lidocaine/clonidine IV regional analgesia in complex regional pain syndrome (CRPS) type 1 in a dominant upper limb."( The antinociceptive effect of local or systemic parecoxib combined with lidocaine/clonidine intravenous regional analgesia for complex regional pain syndrome type I in the arm.
Frade, LP; Lauretti, GR; Lima, ICPR; Pereira, NL, 2005
)
0.84
"we compared the clinical efficacy and safety between a new injectable cyclooxygenase-2 selective inhibitor, parecoxib, and an old nonselective, ketorolac combined with morphine in patient-controlled analgesia (PCA) for management of post-cesarean delivery pain."( Comparison of the efficacy of parecoxib versus ketorolac combined with morphine on patient-controlled analgesia for post-cesarean delivery pain management.
Cheu, NW; Chuang, FH; Liao, CH; Tan, TD; Wang, YR; Watts, MP; Wong, JO, 2010
)
0.86
" Morphine was basically used in PCA manner during the 3-day study course; and in Group K patients received an intravenous loading bolus of 30mg ketorolac post-operatively and then 90mg ketorolac combined with morphine in PCA fashion throughout the study course."( Comparison of the efficacy of parecoxib versus ketorolac combined with morphine on patient-controlled analgesia for post-cesarean delivery pain management.
Cheu, NW; Chuang, FH; Liao, CH; Tan, TD; Wang, YR; Watts, MP; Wong, JO, 2010
)
0.65
"To evaluate effect of parecoxib sodium pretreatment combined with dexmedetomidine on early postoperative cognitive dysfunction in elderly patients after shoulder arthroscopy."( Effect of parecoxib sodium pretreatment combined with dexmedetomidine on early postoperative cognitive dysfunction in elderly patients after shoulder arthroscopy: A randomized double blinded controlled trial.
Chen, G; Lu, J; Wu, C; Zhou, H; Zhou, Q; Zhu, Z, 2017
)
1.17
"Parecoxib sodium pretreatment combined with dexmedetomidine could reduce the incidence of early postoperative cognitive dysfunction in elderly patients."( Effect of parecoxib sodium pretreatment combined with dexmedetomidine on early postoperative cognitive dysfunction in elderly patients after shoulder arthroscopy: A randomized double blinded controlled trial.
Chen, G; Lu, J; Wu, C; Zhou, H; Zhou, Q; Zhu, Z, 2017
)
2.3
"To evaluate the effect and safety of phloroglucinol combined with parecoxib on cystospasm after transurethral resection of the prostate (TURP)."( [Phloroglucinol combined with parecoxib for cystospasm after transurethral resection of the prostate].
Cheng, SH; Ding, M; He, HT; Hu, SB; Li, L; Nian, YQ; Wang, YH, 2016
)
0.96
"Phloroglucinol combined with parecoxib is more effective and safer than phloroglucinol alone in relieving postoperative cystospasm after TURP."( [Phloroglucinol combined with parecoxib for cystospasm after transurethral resection of the prostate].
Cheng, SH; Ding, M; He, HT; Hu, SB; Li, L; Nian, YQ; Wang, YH, 2016
)
1.01
"Parenteral parecoxib and single-shot SNB both significantly reduced morphine requirements when used in combination with femoral nerve blockade after TKA."( Parenteral Parecoxib Provides a Similar Reduction in Opioid Requirement to Single-Shot Sciatic Nerve Block after Total Knee Arthroplasty when Combined with Continuous Femoral Nerve Block.
Chalacheewa, T; Finlayson, RJ; Saipimpong, S; Tontisirin, N; Tran, D, 2017
)
1.23
"The objective of this study was to investigate the effect of preintravenous injection of parecoxib, combined with transversus abdominis plane (TAP) block and postoperative patient-controlled intravenous analgesia (PCIA) pump, in strategy of enhanced recovery after surgery for patients with radical resection of colorectal cancer."( Effect of preintravenous injection of parecoxib, combined with transversus abdominis plane block in strategy of enhanced recovery after radical resection of colorectal cancer.
Feng, Z; Zheng, J; Zhu, J, 2018
)
0.97
"In this prospective study, 80 patients that underwent radical resection for colorectal cancer were randomly divided into four groups: (1) the parecoxib group, with preintravenous injection of parecoxib and postoperative PCIA after surgery; (2) the TAP group, with TAP block and postoperative PCIA; (3) the parecoxib + TAP group, with parecoxib combined with TAP block and postoperative PCIA; and (4) the control group, with only postoperative PCIA and preinjection of normal saline."( Effect of preintravenous injection of parecoxib, combined with transversus abdominis plane block in strategy of enhanced recovery after radical resection of colorectal cancer.
Feng, Z; Zheng, J; Zhu, J, 2018
)
0.95
"BACKGROUND This study aimed to investigate the effectiveness of perioperative parecoxib sodium combined with transversus abdominis plane (TAP) block on postoperative pain management following hepatectomy in patients with hepatocellular carcinoma (HCC)."( Effectiveness of Parecoxib Sodium Combined with Transversus Abdominis Plane Block for Pain Management After Hepatectomy for Hepatocellular Carcinoma: A Prospective Controlled Study.
Jia, WD; Li, YQ; Lv, JG; Qiao, XF; Zhou, H, 2019
)
1.08
"To explore the effect of local infiltration of ropivacaine combined with multimodal analgesia with parecoxib for perioperative pain management in patients undergoing pancreaticoduodenectomy."( [Efficacy of local infiltration of ropivacaine combined with multimodal analgesia with parecoxib for perioperative analgesia in patients undergoing pancreaticoduodenectomy].
Feng, H; Feng, J; Gao, M; Han, Q; Li, K; Xu, R, 2019
)
0.95
"In patients undergoing pancreaticoduodenectomy, local infiltration of ropivacaine combined with multimodal analgesia with ropivacaine can effectively relieve perioperative pain, reduce the use of relief analgesics, lower the incidence of adverse reactions, and promote the recovery after the surgery."( [Efficacy of local infiltration of ropivacaine combined with multimodal analgesia with parecoxib for perioperative analgesia in patients undergoing pancreaticoduodenectomy].
Feng, H; Feng, J; Gao, M; Han, Q; Li, K; Xu, R, 2019
)
0.74
"To investigate the effect of intravenous injection of dexmedetomidine combined with parecoxib sodium on sedation and anxiety and stress response of tracheal intubation in patients undergoing functional endoscopic sinus surgery."( The clinical effect of dexmedetomidine combined with parecoxib sodium on sedation, antianxiety and prevention of intubation stress in patients undergoing functional endoscopic sinus surgery: a randomised controlled trial.
Chen, J; Gu, X; Lu, Y; Tan, X; Wang, J; Zhang, L, 2020
)
1.03
"Preoperative intravenous infusion of dexmedetomidine combined with parecoxib sodium by functional nasal endoscopy can not only calm and resist anxiety, but also better prevent stress response of endotracheal intubation, which is a safe and effective way of preoperative medication."( The clinical effect of dexmedetomidine combined with parecoxib sodium on sedation, antianxiety and prevention of intubation stress in patients undergoing functional endoscopic sinus surgery: a randomised controlled trial.
Chen, J; Gu, X; Lu, Y; Tan, X; Wang, J; Zhang, L, 2020
)
1.04
"Propofol combined with remifentanil is the most common anesthesia method in laparoscopic hysteromyomectomy."( Effect of Parecoxib Sodium Combined with Dexmedetomidine on Analgesia and Postoperative Pain of Patients Undergoing Hysteromyomectomy.
Chen, Y; Hou, J; Liu, F; Wang, X; Wang, Z; Zhao, L; Zhao, Y, 2022
)
1.12
"To determine the effect of parecoxib sodium combined with dexmedetomidine on analgesia and postoperative pain of patients undergoing hysteromyomectomy."( Effect of Parecoxib Sodium Combined with Dexmedetomidine on Analgesia and Postoperative Pain of Patients Undergoing Hysteromyomectomy.
Chen, Y; Hou, J; Liu, F; Wang, X; Wang, Z; Zhao, L; Zhao, Y, 2022
)
1.42
" Among them, 35 patients treated with parecoxib sodium were assigned to the control group, while the rest 37 patients treated with parecoxib sodium combined with dexmedetomidine were assigned to the research group."( Effect of Parecoxib Sodium Combined with Dexmedetomidine on Analgesia and Postoperative Pain of Patients Undergoing Hysteromyomectomy.
Chen, Y; Hou, J; Liu, F; Wang, X; Wang, Z; Zhao, L; Zhao, Y, 2022
)
1.39
"Parecoxib sodium combined with dexmedetomidine can effectively control the postoperative pain of patients undergoing hysteromyomectomy, reduce the incidence of agitation, and effectively control serum cortisol and melatonin in them."( Effect of Parecoxib Sodium Combined with Dexmedetomidine on Analgesia and Postoperative Pain of Patients Undergoing Hysteromyomectomy.
Chen, Y; Hou, J; Liu, F; Wang, X; Wang, Z; Zhao, L; Zhao, Y, 2022
)
2.57
"Sufentanil combined with parecoxib sodium is a commonly used postoperative medication for cancer patients."( Sufentanil combined with parecoxib sodium inhibits proliferation and metastasis of HER2-positive breast cancer cells and regulates epithelial-mesenchymal transition.
Chen, X; Cui, J; Li, W; Li, X; Ma, H; Ma, N; Xu, S; You, X, 2023
)
1.52
"Functional assays indicated that sufentanil combined with parecoxib sodium induced blockade of HER2-positive breast cancer BT474 cells in the G1 phase of the cell cycle and inhibited cell proliferation, migration, angiogenesis, and invasion in vitro."( Sufentanil combined with parecoxib sodium inhibits proliferation and metastasis of HER2-positive breast cancer cells and regulates epithelial-mesenchymal transition.
Chen, X; Cui, J; Li, W; Li, X; Ma, H; Ma, N; Xu, S; You, X, 2023
)
1.46
"Sufentanil combined with parecoxib sodium inhibited HER2-positive breast cancer progression, including cell proliferation, cell cycle, migration, invasion, and angiogenesis, and regulated EMT."( Sufentanil combined with parecoxib sodium inhibits proliferation and metastasis of HER2-positive breast cancer cells and regulates epithelial-mesenchymal transition.
Chen, X; Cui, J; Li, W; Li, X; Ma, H; Ma, N; Xu, S; You, X, 2023
)
1.52
"This study aimed to investigate the effect of parecoxib sodium combined with perioperative psychological nursing on postoperative pain in elderly patients with hip fractures."( The effect of parecoxib sodium combined with perioperative psychological care on postoperative pain in elderly patients with hip fractures.
Ai, HY; Cheng, MY, 2023
)
1.53
"Perioperative psychological nursing combined with preemptive analgesia of parecoxib sodium has a significant positive effect on elderly patients with hip fractures after surgery."( The effect of parecoxib sodium combined with perioperative psychological care on postoperative pain in elderly patients with hip fractures.
Ai, HY; Cheng, MY, 2023
)
1.5

Bioavailability

ExcerptReferenceRelevance
" The absolute bioavailability of parecoxib was 66%."( Pharmacokinetics of intravenous and intramuscular parecoxib in healthy Beagles.
Del Carlo, S; Giorgi, M; Lavy, E; Manera, C; Saccomanni, G, 2012
)
0.91
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51

Dosage Studied

Parecoxib sodium is a selective cyclooxygenase-2 (COX-2) inhibitor. We randomly assigned 62 patients scheduled for total hip arthroplasty to the following IV dosing schedule: placebo at induction, at wound closure, and 12 h after induction (control)

ExcerptRelevanceReference
" Modified cassette, or "cocktail," dosing is useful for assessing drug interactions in humans."( Simultaneous assessment of drug interactions with low- and high-extraction opioids: application to parecoxib effects on the pharmacokinetics and pharmacodynamics of fentanyl and alfentanil.
Feldman, J; Ibrahim, AE; Karim, A; Kharasch, ED, 2003
)
0.54
" The modified Brief Pain Inventory questionnaire used in the oral dosing period detected significant improvements in the parecoxib/valdecoxib treatment group in 6 of 8 domains tested (eg, current pain, worst pain, and mood) beginning on day 4 and continuing for at least 4 days."( Efficacy and safety of the cyclooxygenase 2 inhibitors parecoxib and valdecoxib in patients undergoing coronary artery bypass surgery.
Alston, RP; Duke, PC; Feneck, RO; Hsu, PH; Hubbard, RC; Mangano, DT; Nussmeier, NA; Ott, E; Saidman, LJ; Snabes, MC, 2003
)
0.77
"To review the pharmacology, pharmacokinetics, clinical efficacy and safety studies, adverse effects, drug interactions, and dosage and administration of parecoxib sodium, a selective cyclooxygenase-2 (COX-2) inhibitor."( Parecoxib for parenteral analgesia in postsurgical patients.
Amabile, CM; Spencer, AP, 2004
)
1.96
" After a 2-day washout, patients randomized to treatment period II received a full analgesic dosage of parecoxib 40 mg bid intravenously (IV) for 6 days (n = 18), with concomitant UFH (same regimen as treatment period I) on day 5 (n = 18)."( Parecoxib sodium, an injectable COX-2-specific inhibitor, does not affect unfractionated heparin-regulated blood coagulation parameters.
Hubbard, RC; Noveck, RJ, 2004
)
1.98
" as an initial dosing option for postoperative pain management in countries in which it is approved."( The analgesic efficacy of intramuscular parecoxib sodium in postoperative dental pain.
Daniels, S; Desjardins, PJ; Hubbard, RC; Mehlisch, DR, 2004
)
0.59
"We randomly assigned 62 patients scheduled for total hip arthroplasty to the following IV dosing schedule: 1) placebo at induction, at wound closure, and 12 h after induction (control); 2) parecoxib 40 mg at induction, placebo at wound closure, and parecoxib 40 mg 12 h after induction (pre); or, 3) placebo at induction, parecoxib 40 mg at wound closure, and parecoxib 40 mg 12 h after induction (post)."( The influence of timing of administration on the analgesic efficacy of parecoxib in orthopedic surgery.
Belbachir, A; Chauvin, M; Cherif, K; Fletcher, D; Jaber, A; Jamal, A; Martinez, V; Ozier, Y; Sessler, DI, 2007
)
0.76
"This multicenter, multiple-dose, randomized, double-blind, parallel-group study compared the analgesic efficacy and safety of two dosing regimens of parecoxib sodium (parecoxib) versus placebo after total hip arthroplasty."( A multiple-day regimen of parecoxib sodium 20 mg twice daily provides pain relief after total hip arthroplasty.
Brown, MT; Gimbel, JS; Halder, AM; Snabes, M; Verburg, KM; Viscusi, ER, 2008
)
0.85
"To determine the analgesic efficacy of 1-day and multiple-day dosing regimens of parecoxib sodium (parecoxib) after bunionectomy in 2 randomized placebo-controlled studies."( Multiple-day efficacy of parecoxib sodium treatment in postoperative bunionectomy pain.
Apfelbaum, JL; Brown, MT; Desjardins, PJ; Verburg, KM,
)
0.66
" Agents such as celecoxib, which are highly COX-2 specific and have shown excellent efficacy in relieving inflammation and associated pain, unfortunately exhibit only modest aqueous solubility, thus restricting dosing options."( [Selective inhibitors of cyclooxygenase-2 (COX-2), celecoxib and parecoxib: a systematic review].
Mateos, JL, 2010
)
0.6
" Piritramide dosage and incidence of side effects were not reduced."( Efficacy of intravenous paracetamol compared to dipyrone and parecoxib for postoperative pain management after minor-to-intermediate surgery: a randomised, double-blind trial.
Brodner, G; Cosanne, I; Ellger, B; Freise, H; Gogarten, W; Hahnenkamp, K; Huppertz-Thyssen, M; Van Aken, H; Wempe, C, 2011
)
0.61
"To observe the effect of parecoxib on morphine dosage in patient-controlled analgesia (PCA) following thoracoscope-assisted thoracotomy."( [Effects of parecoxib on morphine dosage in postoperative patient-controlled analgesia following thoracoscope-assisted thoracotomy].
Gu, MN; Hou, XM; Liu, GW; Liu, XJ; Xiao, JF, 2011
)
1.05
"The application of parecoxib may reduce the dosage of morphine in PCA following thoracoscope-assisted thoracotomy and results in good analgesic effect without affecting the patients respiratory function and sputum elimination."( [Effects of parecoxib on morphine dosage in postoperative patient-controlled analgesia following thoracoscope-assisted thoracotomy].
Gu, MN; Hou, XM; Liu, GW; Liu, XJ; Xiao, JF, 2011
)
1.08
" Collagen and U46619 caused in vivo thrombus formation with the former, but not latter, sensitive to oral dosing with aspirin."( Thrombosis is reduced by inhibition of COX-1, but unaffected by inhibition of COX-2, in an acute model of platelet activation in the mouse.
Armstrong, PC; Emerson, M; Kirkby, NS; Mitchell, JA; Warner, TD; Zain, ZN, 2011
)
0.37
" Innovative new oral and intra-articular pharmaceutically engineered dosage forms are examined."( What's new in NSAID pharmacotherapy: oral agents to injectables.
Atkinson, TJ; Fudin, J; Jahn, HL; Kubotera, N; Rennick, AL; Rhorer, M, 2013
)
0.39
"5%) injection into the upper lip to characterize the dose-response curve of each individual drug in the orofacial pain test in mice."( Synergism between tramadol and parecoxib in the orofacial formalin test.
Aragon-Martinez, OH; Castañeda-Santana, DI; de la Rosa-Coronado, M; Isiordia-Espinoza, MA; Zapata-Morales, JR, 2015
)
0.7
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (4)

RoleDescription
cyclooxygenase 2 inhibitorA cyclooxygenase inhibitor that interferes with the action of cyclooxygenase 2.
non-narcotic analgesicA drug that has principally analgesic, antipyretic and anti-inflammatory actions. Non-narcotic analgesics do not bind to opioid receptors.
non-steroidal anti-inflammatory drugAn anti-inflammatory drug that is not a steroid. In addition to anti-inflammatory actions, non-steroidal anti-inflammatory drugs have analgesic, antipyretic, and platelet-inhibitory actions. They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins.
prodrugA compound that, on administration, must undergo chemical conversion by metabolic processes before becoming the pharmacologically active drug for which it is a prodrug.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
isoxazolesOxazoles in which the N and O atoms are adjacent.
N-sulfonylcarboxamideA mixed diacylamine resulting from the formal condensation of the nitrogen of a carboxamide with a sulphonic acid.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (8)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
cytochrome P450 family 3 subfamily A polypeptide 4Homo sapiens (human)Potency30.11160.01237.983543.2770AID1645841
GVesicular stomatitis virusPotency6.74120.01238.964839.8107AID1645842
Interferon betaHomo sapiens (human)Potency6.74120.00339.158239.8107AID1645842
HLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)Potency6.74120.01238.964839.8107AID1645842
Inositol hexakisphosphate kinase 1Homo sapiens (human)Potency6.74120.01238.964839.8107AID1645842
cytochrome P450 2C9, partialHomo sapiens (human)Potency6.74120.01238.964839.8107AID1645842
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Prostaglandin G/H synthase 2Homo sapiens (human)IC50 (µMol)0.00500.00010.995010.0000AID1530304
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (131)

Processvia Protein(s)Taxonomy
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell activation involved in immune responseInterferon betaHomo sapiens (human)
cell surface receptor signaling pathwayInterferon betaHomo sapiens (human)
cell surface receptor signaling pathway via JAK-STATInterferon betaHomo sapiens (human)
response to virusInterferon betaHomo sapiens (human)
positive regulation of autophagyInterferon betaHomo sapiens (human)
cytokine-mediated signaling pathwayInterferon betaHomo sapiens (human)
natural killer cell activationInterferon betaHomo sapiens (human)
positive regulation of peptidyl-serine phosphorylation of STAT proteinInterferon betaHomo sapiens (human)
cellular response to interferon-betaInterferon betaHomo sapiens (human)
B cell proliferationInterferon betaHomo sapiens (human)
negative regulation of viral genome replicationInterferon betaHomo sapiens (human)
innate immune responseInterferon betaHomo sapiens (human)
positive regulation of innate immune responseInterferon betaHomo sapiens (human)
regulation of MHC class I biosynthetic processInterferon betaHomo sapiens (human)
negative regulation of T cell differentiationInterferon betaHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIInterferon betaHomo sapiens (human)
defense response to virusInterferon betaHomo sapiens (human)
type I interferon-mediated signaling pathwayInterferon betaHomo sapiens (human)
neuron cellular homeostasisInterferon betaHomo sapiens (human)
cellular response to exogenous dsRNAInterferon betaHomo sapiens (human)
cellular response to virusInterferon betaHomo sapiens (human)
negative regulation of Lewy body formationInterferon betaHomo sapiens (human)
negative regulation of T-helper 2 cell cytokine productionInterferon betaHomo sapiens (human)
positive regulation of apoptotic signaling pathwayInterferon betaHomo sapiens (human)
response to exogenous dsRNAInterferon betaHomo sapiens (human)
B cell differentiationInterferon betaHomo sapiens (human)
natural killer cell activation involved in immune responseInterferon betaHomo sapiens (human)
adaptive immune responseInterferon betaHomo sapiens (human)
T cell activation involved in immune responseInterferon betaHomo sapiens (human)
humoral immune responseInterferon betaHomo sapiens (human)
positive regulation of T cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
adaptive immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class I via ER pathway, TAP-independentHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of T cell anergyHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
defense responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
detection of bacteriumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-12 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of interleukin-6 productionHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protection from natural killer cell mediated cytotoxicityHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
innate immune responseHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
regulation of dendritic cell differentiationHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
antigen processing and presentation of endogenous peptide antigen via MHC class IbHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
prostaglandin biosynthetic processProstaglandin G/H synthase 2Homo sapiens (human)
angiogenesisProstaglandin G/H synthase 2Homo sapiens (human)
response to oxidative stressProstaglandin G/H synthase 2Homo sapiens (human)
embryo implantationProstaglandin G/H synthase 2Homo sapiens (human)
learningProstaglandin G/H synthase 2Homo sapiens (human)
memoryProstaglandin G/H synthase 2Homo sapiens (human)
regulation of blood pressureProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of cell population proliferationProstaglandin G/H synthase 2Homo sapiens (human)
response to xenobiotic stimulusProstaglandin G/H synthase 2Homo sapiens (human)
response to nematodeProstaglandin G/H synthase 2Homo sapiens (human)
response to fructoseProstaglandin G/H synthase 2Homo sapiens (human)
response to manganese ionProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of vascular endothelial growth factor productionProstaglandin G/H synthase 2Homo sapiens (human)
cyclooxygenase pathwayProstaglandin G/H synthase 2Homo sapiens (human)
bone mineralizationProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of prostaglandin biosynthetic processProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of fever generationProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of synaptic plasticityProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of synaptic transmission, dopaminergicProstaglandin G/H synthase 2Homo sapiens (human)
prostaglandin secretionProstaglandin G/H synthase 2Homo sapiens (human)
response to estradiolProstaglandin G/H synthase 2Homo sapiens (human)
response to lipopolysaccharideProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of peptidyl-serine phosphorylationProstaglandin G/H synthase 2Homo sapiens (human)
response to vitamin DProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to heatProstaglandin G/H synthase 2Homo sapiens (human)
response to tumor necrosis factorProstaglandin G/H synthase 2Homo sapiens (human)
maintenance of blood-brain barrierProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of protein import into nucleusProstaglandin G/H synthase 2Homo sapiens (human)
hair cycleProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of apoptotic processProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of nitric oxide biosynthetic processProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of cell cycleProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of vasoconstrictionProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of smooth muscle contractionProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of smooth muscle contractionProstaglandin G/H synthase 2Homo sapiens (human)
decidualizationProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of smooth muscle cell proliferationProstaglandin G/H synthase 2Homo sapiens (human)
regulation of inflammatory responseProstaglandin G/H synthase 2Homo sapiens (human)
brown fat cell differentiationProstaglandin G/H synthase 2Homo sapiens (human)
response to glucocorticoidProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of calcium ion transportProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of synaptic transmission, glutamatergicProstaglandin G/H synthase 2Homo sapiens (human)
response to fatty acidProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to mechanical stimulusProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to lead ionProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to ATPProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to hypoxiaProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to non-ionic osmotic stressProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to fluid shear stressProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of transforming growth factor beta productionProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of cell migration involved in sprouting angiogenesisProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of fibroblast growth factor productionProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of brown fat cell differentiationProstaglandin G/H synthase 2Homo sapiens (human)
positive regulation of platelet-derived growth factor productionProstaglandin G/H synthase 2Homo sapiens (human)
cellular oxidant detoxificationProstaglandin G/H synthase 2Homo sapiens (human)
regulation of neuroinflammatory responseProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of intrinsic apoptotic signaling pathway in response to osmotic stressProstaglandin G/H synthase 2Homo sapiens (human)
cellular response to homocysteineProstaglandin G/H synthase 2Homo sapiens (human)
response to angiotensinProstaglandin G/H synthase 2Homo sapiens (human)
negative regulation of transcription by RNA polymerase IINuclear receptor subfamily 4 group A member 2Homo sapiens (human)
response to hypoxiaNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
neuron migrationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
response to amphetamineNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
DNA-templated transcriptionNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
transcription by RNA polymerase IINuclear receptor subfamily 4 group A member 2Homo sapiens (human)
adult locomotory behaviorNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
post-embryonic developmentNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
central nervous system projection neuron axonogenesisNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
habenula developmentNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
intracellular receptor signaling pathwayNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
cellular response to oxidative stressNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
regulation of dopamine metabolic processNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
dopamine biosynthetic processNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
neuron maturationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
negative regulation of neuron apoptotic processNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
regulation of respiratory gaseous exchangeNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
fat cell differentiationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
positive regulation of transcription by RNA polymerase IINuclear receptor subfamily 4 group A member 2Homo sapiens (human)
neuron apoptotic processNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
general adaptation syndromeNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
canonical Wnt signaling pathwayNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
cellular response to corticotropin-releasing hormone stimulusNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
dopaminergic neuron differentiationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
midbrain dopaminergic neuron differentiationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
negative regulation of apoptotic signaling pathwayNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
regulation of transcription by RNA polymerase IINuclear receptor subfamily 4 group A member 2Homo sapiens (human)
central nervous system neuron differentiationNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
inositol phosphate metabolic processInositol hexakisphosphate kinase 1Homo sapiens (human)
phosphatidylinositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
negative regulation of cold-induced thermogenesisInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol phosphate biosynthetic processInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (36)

Processvia Protein(s)Taxonomy
cytokine activityInterferon betaHomo sapiens (human)
cytokine receptor bindingInterferon betaHomo sapiens (human)
type I interferon receptor bindingInterferon betaHomo sapiens (human)
protein bindingInterferon betaHomo sapiens (human)
chloramphenicol O-acetyltransferase activityInterferon betaHomo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
signaling receptor bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peptide antigen bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
TAP bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
protein-folding chaperone bindingHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
peroxidase activityProstaglandin G/H synthase 2Homo sapiens (human)
prostaglandin-endoperoxide synthase activityProstaglandin G/H synthase 2Homo sapiens (human)
protein bindingProstaglandin G/H synthase 2Homo sapiens (human)
enzyme bindingProstaglandin G/H synthase 2Homo sapiens (human)
heme bindingProstaglandin G/H synthase 2Homo sapiens (human)
protein homodimerization activityProstaglandin G/H synthase 2Homo sapiens (human)
metal ion bindingProstaglandin G/H synthase 2Homo sapiens (human)
oxidoreductase activity, acting on single donors with incorporation of molecular oxygen, incorporation of two atoms of oxygenProstaglandin G/H synthase 2Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
DNA bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nuclear receptor activityNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
protein bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
beta-catenin bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
zinc ion bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nuclear retinoid X receptor bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
protein heterodimerization activityNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
sequence-specific double-stranded DNA bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nuclear glucocorticoid receptor bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
inositol-1,3,4,5,6-pentakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol heptakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
protein bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
ATP bindingInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 1-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol hexakisphosphate 3-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol 5-diphosphate pentakisphosphate 5-kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
inositol diphosphate tetrakisphosphate kinase activityInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (32)

Processvia Protein(s)Taxonomy
extracellular spaceInterferon betaHomo sapiens (human)
extracellular regionInterferon betaHomo sapiens (human)
Golgi membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
endoplasmic reticulumHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
Golgi apparatusHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
cell surfaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
ER to Golgi transport vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
secretory granule membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
phagocytic vesicle membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
early endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
recycling endosome membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular exosomeHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
lumenal side of endoplasmic reticulum membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
MHC class I protein complexHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
extracellular spaceHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
external side of plasma membraneHLA class I histocompatibility antigen, B alpha chain Homo sapiens (human)
nuclear inner membraneProstaglandin G/H synthase 2Homo sapiens (human)
nuclear outer membraneProstaglandin G/H synthase 2Homo sapiens (human)
cytoplasmProstaglandin G/H synthase 2Homo sapiens (human)
endoplasmic reticulumProstaglandin G/H synthase 2Homo sapiens (human)
endoplasmic reticulum lumenProstaglandin G/H synthase 2Homo sapiens (human)
endoplasmic reticulum membraneProstaglandin G/H synthase 2Homo sapiens (human)
caveolaProstaglandin G/H synthase 2Homo sapiens (human)
neuron projectionProstaglandin G/H synthase 2Homo sapiens (human)
protein-containing complexProstaglandin G/H synthase 2Homo sapiens (human)
neuron projectionProstaglandin G/H synthase 2Homo sapiens (human)
cytoplasmProstaglandin G/H synthase 2Homo sapiens (human)
nucleusNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nucleoplasmNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
cytoplasmNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nuclear speckNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
chromatinNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
protein-containing complexNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
transcription regulator complexNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
nucleusNuclear receptor subfamily 4 group A member 2Homo sapiens (human)
fibrillar centerInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
cytosolInositol hexakisphosphate kinase 1Homo sapiens (human)
nucleusInositol hexakisphosphate kinase 1Homo sapiens (human)
cytoplasmInositol hexakisphosphate kinase 1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (32)

Assay IDTitleYearJournalArticle
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID626164Dissociation constant, pKa of the compound2011Bioorganic & medicinal chemistry letters, Nov-15, Volume: 21, Issue:22
A double prodrug system for colon targeting of benzenesulfonamide COX-2 inhibitors.
AID1416918Dissociation constant, pKa of compound2018MedChemComm, Mar-01, Volume: 9, Issue:3
Novel valdecoxib derivatives by ruthenium(ii)-promoted 1,3-dipolar cycloaddition of nitrile oxides with alkynes - synthesis and COX-2 inhibition activity.
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID1416917Solubility of compound in normal saline2018MedChemComm, Mar-01, Volume: 9, Issue:3
Novel valdecoxib derivatives by ruthenium(ii)-promoted 1,3-dipolar cycloaddition of nitrile oxides with alkynes - synthesis and COX-2 inhibition activity.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID1885213Inverse agonist activity at Gal4-fused Nurr1 (unknown origin)2022Journal of medicinal chemistry, 07-28, Volume: 65, Issue:14
Medicinal Chemistry and Chemical Biology of Nurr1 Modulators: An Emerging Strategy in Neurodegeneration.
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID1885214Inverse agonist activity at Gal4-fused Nurr1 (unknown origin) assessed as remaining activity relative to control2022Journal of medicinal chemistry, 07-28, Volume: 65, Issue:14
Medicinal Chemistry and Chemical Biology of Nurr1 Modulators: An Emerging Strategy in Neurodegeneration.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID1530304Inhibition of recombinant human COX2 expressed in baculovirus infected Sf9 insect cells using arachidonic acid as substrate preincubated for 10 mins followed by substrate addition and measured after 10 mins by ELISA2019European journal of medicinal chemistry, Jan-01, Volume: 161Quantitative and systems pharmacology 4. Network-based analysis of drug pleiotropy on coronary artery disease.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1446798Prodrug activation in rat assessed as half life for valdecoxib formation2017Journal of medicinal chemistry, 07-13, Volume: 60, Issue:13
Opportunities and Challenges for Fatty Acid Mimetics in Drug Discovery.
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1347160Primary screen NINDS Rhodamine qHTS for Zika virus inhibitors2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1347159Primary screen GU Rhodamine qHTS for Zika virus inhibitors: Unlinked NS2B-NS3 protease assay2020Proceedings of the National Academy of Sciences of the United States of America, 12-08, Volume: 117, Issue:49
Therapeutic candidates for the Zika virus identified by a high-throughput screen for Zika protease inhibitors.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (419)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's169 (40.33)29.6817
2010's190 (45.35)24.3611
2020's60 (14.32)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 74.37

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index74.37 (24.57)
Research Supply Index6.43 (2.92)
Research Growth Index6.91 (4.65)
Search Engine Demand Index125.73 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (74.37)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials186 (42.66%)5.53%
Reviews37 (8.49%)6.00%
Case Studies5 (1.15%)4.05%
Observational1 (0.23%)0.25%
Other207 (47.48%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (47)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Effect of Intravenous Dynastat on Postoperative Sore Throat: A Randomized Double-blinded Controlled Trial [NCT03915561]Phase 2140 participants (Anticipated)Interventional2019-03-01Recruiting
A Multicenter, Randomised, Double-blinded, Placebo-controlled Trial Comparing the Efficacy and Safety of Intravenous Parecoxib Sodium on Morphine Patient-controlled Epidural Analgesia After Gynecologic Surgery [NCT01566669]294 participants (Actual)Interventional2009-06-30Completed
A Multicentre, Double-Blind, Placebo-Controlled Study of the Recovery Benefits Following Treatment With a Cox-2 Regimen in Patients Undergoing Elective Laparoscopic Intra-Peritoneal Abdominal Surgery [NCT00651300]Phase 391 participants (Actual)Interventional2003-04-30Terminated(stopped due to See Detailed Description field.)
[NCT02408146]80 participants (Anticipated)Interventional2014-01-31Recruiting
Accelerated Recovery Following Opioid-free Anaesthesia in Supratentorial Craniotomy [NCT05681429]44 participants (Anticipated)Interventional2023-01-01Not yet recruiting
COX-2 Inhibitor Versus Glucocorticoid Versus Both Combined [NCT01361789]Phase 493 participants (Actual)Interventional2004-01-31Completed
Can Preemptive Analgesia With Parecoxib Reduce Post-operative Ipsilateral Shoulder Pain? A Double-blinded, Randomized, Placebo-controlled Trial. [NCT01288924]Phase 2160 participants (Actual)Interventional2011-02-28Completed
A Randomized Two-parallel Group Controlled Trial Comparing the Effects of 20mg Parecoxib as an Adjunct to 0.75% Ropivacaine in Ultrasound-guided Supraclavicular Block for Upper Limb Surgery [NCT03480165]Phase 386 participants (Actual)Interventional2016-06-20Completed
A Study to Evaluate Efficacy and Safety of Postoperative Intravenous Parecoxib Sodium Followed by Oral Celecoxib Post Total Knee Arthroplasty in Osteoarthritis Patients [NCT02198924]Phase 4246 participants (Actual)Interventional2014-12-31Completed
Parecoxib vs Paracetamol in the Treatment of Acute Renal Colic Due to Ureteric Calculi: Randomized Controlled Trial [NCT03704623]Phase 4200 participants (Actual)Interventional2019-05-01Completed
COMBINATION OF CONTINUOUS FEMORAL BLOCK AND INTRAVENOUS PARECOXIB FOR POSTOPERATIVE ANALGESIA AFTER TOTAL KNEE ARTHROPLASTY. A DOUBLE BLIND PROSPECTIVE STUDY. [NCT02185924]Phase 2/Phase 390 participants (Actual)Interventional2009-01-31Completed
A Randomized, Phase IV Study Exploring the Role of Parecoxib Sodium for Postoperative Pain Management in Open Hepatectomy [NCT02204878]Phase 4100 participants (Anticipated)Interventional2014-07-31Recruiting
Effects of Parecoxib on Emergence Delirium and Postoperative Pain in Elderly Patients Undergoing Abdominal Surgery After General Anesthesia [NCT01221025]Phase 4900 participants (Anticipated)Interventional2010-09-30Recruiting
An Open Label,Multicentre, Randomized Trial to Determine the Efficacy of Periarticular Parecoxib Sodium In A Multimodal Cocktail vs Intravenous Parecoxib Sodium for Pain Management in Total Knee Arthroplasty [NCT01311804]Phase 3125 participants (Anticipated)Interventional2011-04-30Not yet recruiting
The Correlation of COX-2 Expression in Human Polymorphonuclear Leukocytes/Macrophages and Postoperative Pain [NCT01186159]Phase 490 participants (Actual)Interventional2010-11-30Completed
Perioperative Pain-control With Parecoxib in Uniportal Video-assisted Thoracoscopic Surgery. [NCT05150431]Phase 458 participants (Actual)Interventional2021-12-15Completed
Modulation of Remifentanil-induced Analgesia and Postinfusion Hyperalgesia by Parecoxib or Ketorolac in Humans [NCT00785863]Phase 416 participants (Actual)Interventional2008-12-31Completed
Parecoxib vs. Dexketoprofen in Combination With Acetaminophen as Additional Analgesia in Patients With Neuraxial Morphine for the Management of Pain After Cesarean Section. A Randomized, Double Blind, Controlled Trial. [NCT04847024]380 participants (Actual)Interventional2019-07-01Completed
Study of the Effect of Dipyrone, Ibuprofen, Paracetamol and Parecoxib on the Platelet Aggregation [NCT00763997]80 participants (Actual)Interventional2004-02-29Completed
A Multicenter, Open Label Trial To Evaluate Analgesic Effect Of Intravenous And Subsequent Oral Therapy With Parecoxib/Valdecoxib (Bextra® IM/IV And Bextra®) 40 Mg/Day For Treatment Of Post-Laparoscopic Surgery Pain [NCT00660855]Phase 44 participants (Actual)Interventional2004-06-30Terminated(stopped due to See Detailed Description.)
Early Parecoxib Usage to Decreases Narcotic Requirement and Length of Stay After Traumatic Rib Fracture [NCT02749409]Phase 317 participants (Actual)Interventional2016-08-08Terminated(stopped due to Case numbers not enough, however, the funding is over)
Non-Steroidal Anti-inflammatory Drugs (NSAIDS) vs. Tramadol in Pain Management After Transnasal Transsphenoidal Surgery Among Patients With Pituitary Adenomas: A Prospective Randomized Controlled Trial [NCT04611685]202 participants (Anticipated)Interventional2020-10-31Recruiting
Tumor Hospital of Guangxi Medical University, China [NCT02569905]Phase 4166 participants (Actual)Interventional2014-04-30Completed
Sun Yat-sen University Cancer Center [NCT02552745]200 participants (Actual)Observational2014-10-31Completed
Parecoxib as an Adjuvant to Scalp Nerve Blocks for Relief of Post-craniotomy Pain [NCT04034836]Phase 4132 participants (Anticipated)Interventional2019-10-12Recruiting
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 [NCT00636064]Phase 31,671 participants (Actual)Interventional2003-01-31Completed
[NCT01393925]126 participants (Actual)Interventional2011-07-31Completed
A Double-Blind, Double-Dummy, Randomized, Multicenter Study Comparing The Analgesic Efficacy And Safety Of Parecoxib 40mg I.V. To Ketoprofen 100mg I.V. In Renal Colic [NCT00553605]Phase 4340 participants (Actual)Interventional2007-06-30Completed
Randomized, Double-Blind Study Of The Morphine-Sparing Efficacy And Safety Of Parecoxib Sodium 40 Mg IV Followed By 20 Mg IV Every 12 Hours In The Treatment Of Pain Following Radical Prostatectomy [NCT00346268]Phase 4105 participants (Actual)Interventional2006-12-31Terminated(stopped due to See termination reason in detailed description.)
Effect of COX-2 Selective Inhibitors on Postoperative Insulin Resistance, Tramadol PCA and Early Postoperative Enteral Nutrition in Patients After Gastrointestinal Laparoscopic Surgery [NCT01930318]Phase 4164 participants (Anticipated)Interventional2013-08-31Recruiting
Perioperative Parecoxib Administration for Pain Management After Total Knee Arthroplasty and Total Hip Arthroplasty-A Randomized, Placebo-controlled Trial [NCT02272660]Phase 474 participants (Actual)Interventional2014-10-31Completed
Efficacy and Tolerance of Parecoxib for Prevention of Catheter-related Bladder Discomfort in Patients Undergoing Catheterization After TURBT: A Prospective, Randomized, Placebo-controlled, Double-blind Study [NCT02729935]Phase 460 participants (Actual)Interventional2016-03-31Completed
A Double-Blind Comparative Multicenter Study Of The Efficacy And Safety Of Parecoxib IV/IM 40 Mg Vs Placebo On Reducing Opioids Consumption Following Sub Muscular Breast Augmentation Surgery [NCT00435747]Phase 40 participants (Actual)InterventionalWithdrawn
Comparing the Efficacy of Parecoxib and Ketorolac as Preemptive Analgesia in Patients Undergoing Posterior Lumbar Spinal Fusion [NCT01859585]Phase 496 participants (Actual)Interventional2011-03-31Completed
Phase Four Study of Intravenous Parecoxib on Post-craniotomy Pain [NCT00455117]Phase 4130 participants (Actual)Interventional2006-09-30Completed
A Prospective, Randomized, Double-Blind, Placebo-Controlled, Multi-Center Study Of Morphine-Sparing Effect And Safety Of Parecoxib Administered Intravenously For The Treatment Of Postoperative Pain Following Orthopedic Or Gynecological Surgery [NCT00143169]Phase 3220 participants Interventional2004-09-30Completed
A Multicenter Single-Blind, Single Dose Efficacy and Safety Pilot Study Comparing Intramuscular Parecoxib and Diclofenac in Renal Colic [NCT00139646]Phase 350 participants Interventional2002-04-30Terminated(stopped due to See Detailed Description)
Efficiacy of the Selctive COX-2-inhibitor Parecoxibe on the Pathological Low Pressure Pain Threshold (PPT) of Patients With Complex Regional Pain Syndrome (CRPS) [NCT01523379]0 participants Expanded AccessNo longer available
Effect of Perioperative Electroacupuncture With Tramadol and Ketamine on Postoperative Analgesia in Prostatectomy: a Randomized Placebo-controlled Trial [NCT01526525]Phase 470 participants (Actual)Interventional2009-07-31Completed
NSAID With IV-PCA Morphine is an Alternative to Thoracic Epidural Analgesia in Post-thoracotomy Pain [NCT01541137]30 participants (Actual)Interventional2004-03-31Completed
Preemptive Analgesic Efficacy of Parecoxib for Reducing Postoperative Pain in Gynecological [NCT06140238]Phase 4178 participants (Anticipated)Interventional2023-09-10Recruiting
Effect of Parecoxib on the Change of Shoulder Pain Threshold After Gynecological Laparoscopies [NCT01843010]Phase 4140 participants (Actual)Interventional2013-05-31Completed
Regional Scalp Block Versus IV Parecoxib for Post-operative Cranioplasty Surgery Pain: A Comparison of Pain Score. [NCT05442411]Phase 158 participants (Actual)Interventional2021-03-09Completed
Study of Parecoxib Versus Celecoxib Versus Oxycodone on Perioperative Pain Control of Transcatheter Chemoembolization Procedure for Patients With Hepatocelullar Carcinoma [NCT03059238]Phase 3213 participants (Actual)Interventional2016-09-30Completed
The Efficacy of Intraoperative Parecoxib Combined With Paracetamol for Reducing Opioid Consumption in Patients Undergoing Breast Cancer Surgery Under General Anesthesia: A Prospective Randomized Controlled Trial [NCT05757388]60 participants (Anticipated)Interventional2023-03-28Recruiting
The Effect of Doctor-nurse-patient Cooperative Analgesic Linkage Program on Movement Evoked Pain After Laparotomy for Patients With Hepatobiliary and Pancreatic Disease [NCT03823846]80 participants (Anticipated)Interventional2017-11-01Recruiting
The Influence of Epigenetic Modification in OPRM1 on Postoperative Analgesia and Side Effect Induced by μ-opioid Receptor Agonists [NCT03135795]Phase 4100 participants (Anticipated)Interventional2017-02-06Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00346268 (10) [back to overview]Amount of Blood Loss
NCT00346268 (10) [back to overview]Cumulative Amount of Morphine Administered in the First 24 Hours Following Surgery
NCT00346268 (10) [back to overview]Cumulative Amount of Morphine Administered in the First 48 Hours Following Surgery
NCT00346268 (10) [back to overview]Time to Last Administration of Morphine
NCT00346268 (10) [back to overview]Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Interference Composite Score
NCT00346268 (10) [back to overview]Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Severity Composite Score
NCT00346268 (10) [back to overview]Number of Participants With Blood Loss Requiring Red Blood Cell (RBC) Transfused Units
NCT00346268 (10) [back to overview]Number of Participants With Rating of Global Evaluation of Study Medication
NCT00346268 (10) [back to overview]Opiate Related Symptom Distress Scale (OR-SDS) Questionnaire: Overall Composite Score
NCT00346268 (10) [back to overview]Pain Intensity Score
NCT00553605 (10) [back to overview]Mean Pain Intensity Difference at 120 Min (mPID120min)
NCT00553605 (10) [back to overview]Mean Pain Intensity Difference at 30 Minutes (mPID30min)
NCT00553605 (10) [back to overview]Number of Participants With Response in Pain Intensity
NCT00553605 (10) [back to overview]Number of Participants With Use of Rescue Medication (RM)
NCT00553605 (10) [back to overview]Time-weighted Sum of Pain Relief Score Over 120 Min (TOTPAR120min)
NCT00553605 (10) [back to overview]Number of Participants With Pain Relief (PR)
NCT00553605 (10) [back to overview]Patient's Global Evaluation of Study Medication
NCT00553605 (10) [back to overview]Physician's Global Evaluation of Study Medication
NCT00553605 (10) [back to overview]Time-specific Pain Intensity (PI) VAS Score
NCT00553605 (10) [back to overview]Time-specific Pain Intensity Difference (PID) at Minute 15, 30, 45, 60, 90 and 120

Amount of Blood Loss

Calculated as: ([Hb g/dL]pra + RBCUduring48)-[Hb g/dL]at 48, where [Hb g/dL]pra=blood hemoglobin concentration preoperatively in grams per deciliter (g/dL), [Hb g/dL]at 48=blood hemoglobin concentration 48 hours after skin closure, and RBCUduring48=number of red blood cell units (RBCU) substituted during and after prostatectomy until 48 hours after skin closure. (NCT00346268)
Timeframe: 48 hours post surgery

Interventiong/dL (Mean)
Parecoxib and Morphine4.34
Placebo and Morphine4.41

[back to top]

Cumulative Amount of Morphine Administered in the First 24 Hours Following Surgery

Total cumulative amount of morphine administered (PCA and/or bolus) in the first 24 hours after the application of the last surgical stitch after prostatectomy. (NCT00346268)
Timeframe: 24 hours post surgery

InterventionmL (Mean)
Parecoxib and Morphine28.84
Placebo and Morphine36.40

[back to top]

Cumulative Amount of Morphine Administered in the First 48 Hours Following Surgery

Total cumulative amount of morphine administered (PCA and/or bolus) in the first 48 hours after the application of the last surgical stitch after prostatectomy. (NCT00346268)
Timeframe: 48 hours post surgery

InterventionmL (Mean)
Parecoxib and Morphine42.13
Placebo and Morphine57.03

[back to top]

Time to Last Administration of Morphine

Time from last surgical stitch after prostatectomy to last administration of morphine (PCA and/or bolus). (NCT00346268)
Timeframe: baseline (end of surgery) to 48 hours post surgery

Interventionhours (Median)
Parecoxib and Morphine46.5
Placebo and Morphine46.5

[back to top]

Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Interference Composite Score

mBPI-sf: participant-rated 11-point Likert rating scale ranging from 0 (does not interfere) to 10 (completely interferes) with functional activities (general activity, mood, walking ability, relations with other people, sleep, coughing, deep breathing, and concentration) in past 24 hours. (NCT00346268)
Timeframe: 24 and 48 hours post surgery

,
Interventionscores on a scale (Mean)
24 hours post surgery (n=49, 50)48 hours post surgery (n=43, 48)
Parecoxib and Morphine1.161.00
Placebo and Morphine2.321.79

[back to top]

Modified Brief Pain Inventory-Short Form (mBPI-sf): Pain Severity Composite Score

mBPI-sf: participant-rated 11-point Likert rating scale ranging from 0 (no pain) to 10 (pain as bad as you can imagine). Pain severity index=the mean of item scores 2 to 5 (pain at its worst in past 24 hours, pain at its least in past 24 hours, average pain level, and pain right now). (NCT00346268)
Timeframe: 24 and 48 hours post surgery

,
Interventionscores on a scale (Mean)
24 hours post surgery (n=49, 50)48 hours post surgery (n=43, 48)
Parecoxib and Morphine2.081.60
Placebo and Morphine2.782.31

[back to top]

Number of Participants With Blood Loss Requiring Red Blood Cell (RBC) Transfused Units

(NCT00346268)
Timeframe: 48 hours post surgery

,
Interventionparticipants (Number)
1 RBC transfused unit2 RBC transfused units
Parecoxib and Morphine14
Placebo and Morphine11

[back to top]

Number of Participants With Rating of Global Evaluation of Study Medication

"Participants asked, How would you rate the study medication you received for pain since your surgery? choices included: Poor, Fair, Good, and Excellent." (NCT00346268)
Timeframe: 48 hours post surgery

,
Interventionparticipants (Number)
PoorFairGoodExcellent
Parecoxib and Morphine131927
Placebo and Morphine353111

[back to top] [back to top]

Pain Intensity Score

"Pain intensity assessed immediately prior and 30 minutes after administration (admin) of study medication, participants categorized their pain intensity at rest and at movement on 0-4 numeric rating scale (NRS):0 (minimum intensity) to 4 (maximum intensity).~Movement defined as sitting up from a lying into a sitting position in bed." (NCT00346268)
Timeframe: 12, 24, 36, and 48 hours post surgery

,
Interventionscores on a scale (Mean)
At rest, prior to admin, 12 hours post surgeryAt rest, post admin, 12 hours post surgeryAt movement, prior to admin, 12 hours post surgeryAt movement, post admin, 12 hours post surgeryAt rest, prior to admin, 24 hours post surgeryAt rest, post admin, 24 hours post surgeryAt movement, prior to admin, 24 hours post surgeryAt movement, post admin, 24 hours post surgeryAt rest, prior to admin, 36 hours post surgeryAt rest, post admin, 36 hours post surgeryAt movement, prior to admin, 36 hours post surgeryAt movement, post admin, 36 hours post surgeryAt rest, prior to admin, 48 hours post surgeryAt rest, post admin, 48 hours post surgeryAt movement, prior to admin, 48 hours post surgeryAt movement, post admin, 48 hours post surgery
Parecoxib and Morphine1.310.532.121.161.000.532.121.450.860.451.591.040.670.291.470.88
Placebo and Morphine1.690.792.631.581.440.672.631.901.040.592.121.510.820.292.311.41

[back to top]

Mean Pain Intensity Difference at 120 Min (mPID120min)

"mPID score was obtained by summation of product of length of the interval and difference in pain intensity (PI) divided by summation of length of the interval. Summation was done from zero to 120 minutes. Difference in pain intensity was obtained by subtracting the Pain Intensity Visual Analogue Scale (PI-VAS) at Minute 120 from baseline PI-VAS score. PI-VAS assessed with response to the question How much pain are you having right now? on a 100 millimeter (mm) line, with 0 mm=no pain, 100 mm= worst possible pain. mPID score ranged from -100 to 100. Positive score= improved response in pain." (NCT00553605)
Timeframe: Minute 120

Interventionmm (Least Squares Mean)
Parecoxib51.608
Ketoprofen51.697

[back to top]

Mean Pain Intensity Difference at 30 Minutes (mPID30min)

"mPID score was obtained by summation of product of length of the interval and difference in pain intensity (PI) divided by summation of length of the interval. Summation was done from zero to 30 minutes. Difference in pain intensity was obtained by subtracting the Pain Intensity Visual Analogue Scale (PI-VAS) at Minute 30 from baseline PI-VAS score. PI-VAS assessed with response to the question How much pain are you having right now? on a 100 millimeter (mm) line, with 0 mm=no pain, 100 mm= worst possible pain. mPID score ranged from -100 to 100. Positive score= improved response in pain." (NCT00553605)
Timeframe: Minute 30

Interventionmm (Least Squares Mean)
Parecoxib34.147
Ketoprofen35.266

[back to top]

Number of Participants With Response in Pain Intensity

"PI-VAS assessed with response to the question How much pain are you having right now? on a 100 mm line, with 0 mm=no pain, 100 mm= worst possible pain. Responders were those who had a decreased in VAS of at least 20 mm." (NCT00553605)
Timeframe: Minute 30

Interventionparticipants (Number)
Parecoxib132
Ketoprofen124

[back to top]

Number of Participants With Use of Rescue Medication (RM)

Rescue medications included intravenous 0.1 to 0.2 mg/kilogram (kg) of morphine or 1 mg/kg of pethidine or muscle relaxants. (NCT00553605)
Timeframe: Up to Minute 120

Interventionparticipants (Number)
Parecoxib26
Ketoprofen25

[back to top]

Time-weighted Sum of Pain Relief Score Over 120 Min (TOTPAR120min)

TOTPAR: time-weighted sum of Pain Relief (PR) over 120 min. TOTPAR score range was 0 (worst) to 480 (best). PR was assessed on a 5-point categorical pain relief rating scale wherein 0=No relief to 4=Complete relief. (NCT00553605)
Timeframe: Baseline through Minute 120

Interventionunits on a scale (Least Squares Mean)
Parecoxib362.42
Ketoprofen352.29

[back to top]

Number of Participants With Pain Relief (PR)

PR was assessed on a 5-point categorical pain relief rating scale wherein 0= None, 1= a little, 2= Some, 3= a lot and 4= Complete relief. (NCT00553605)
Timeframe: Minute 30, 120

,
Interventionparticipants (Number)
Minute 30: none (n= 171, 162)Minute 30: a little (n= 171, 162)Minute 30: some (n= 171, 162)Minute 30: a lot (n= 171, 162)Minute 30: complete (n= 171, 162)Minute 120: none (n= 146, 139)Minute 120: a little (n= 146, 139)Minute 120: some (n= 146, 139)Minute 120: a lot (n= 146, 139)Minute 120: complete (n= 146, 139)
Ketoprofen9194465251484680
Parecoxib102135743110164089

[back to top]

Patient's Global Evaluation of Study Medication

"Participants' response to the question How would you rate the study medication you received for pain? on a 4-point categorical scale, 1=Poor, 2= Fair, 3=Good, 4=Excellent was evaluated." (NCT00553605)
Timeframe: Minute 30, 120

,
Interventionparticipants (Number)
Minute 30: poorMinute 30: fairMinute 30: goodMinute 30: excellentMinute 120: poorMinute 120: fairMinute 120: goodMinute 120: excellent
Ketoprofen101766705164696
Parecoxib122176638164998

[back to top]

Physician's Global Evaluation of Study Medication

"Physicians' response to the question How would you rate the study medication the patient received for pain? on a 4-point categorical scale, 1=Poor, 2= Fair, 3=Good, 4=Excellent was evaluated." (NCT00553605)
Timeframe: Minute 30, 120

,
Interventionparticipants (Number)
Minute 30: poorMinute 30: fairMinute 30: goodMinute 30: excellentMinute 120: poorMinute 120: fairMinute 120: goodMinute 120: excellent
Ketoprofen112363668154595
Parecoxib1122697081445104

[back to top]

Time-specific Pain Intensity (PI) VAS Score

"PI-VAS assessed with response to the question How much pain are you having right now? on a 100 mm line, with 0 mm=no pain, 100 mm= worst possible pain." (NCT00553605)
Timeframe: Baseline, Minute 15, 30, 45, 60, 90, 120

,
Interventionmm (Mean)
Baseline (n= 173, 164)Minute 15 (n= 173, 164)Minute 30 (n= 172, 162)Minute 45 (n= 163, 156)Minute 60 (n= 156, 152)Minute 90 (n= 151, 144)Minute 120 (n= 147, 139)
Ketoprofen76.9950.9533.6523.1517.5312.278.02
Parecoxib77.1450.4234.1321.7514.629.807.68

[back to top]

Time-specific Pain Intensity Difference (PID) at Minute 15, 30, 45, 60, 90 and 120

"PID score was obtained by subtracting the PI-VAS at each time point from baseline PI score. PI-VAS assessed with response to the question How much pain are you having right now? on a 100 mm line, with 0 mm=no pain, 100 mm= worst possible pain. PID score ranged from -100 to 100. Positive score= improved response in pain." (NCT00553605)
Timeframe: Baseline, Minute 15, 30, 45, 60, 90, 120

,
Interventionmm (Mean)
Minute 15 (n= 173, 164)Minute 30 (n= 172, 162)Minute 45 (n= 163, 156)Minute 60 (n= 156, 152)Minute 90 ( n= 151, 144)Minute 120 (n= 147, 139)
Ketoprofen26.0443.2253.5559.3464.3368.51
Parecoxib26.7242.8954.3761.3565.9968.07

[back to top]