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diclofenac and Acute Pain

diclofenac has been researched along with Acute Pain in 40 studies

Diclofenac: A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.
diclofenac : A monocarboxylic acid consisting of phenylacetic acid having a (2,6-dichlorophenyl)amino group at the 2-position.

Acute Pain: Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.

Research Excerpts

ExcerptRelevanceReference
"Diclofenac is an effective and well-tolerated nonsteroidal anti-inflammatory drug (NSAID) frequently used in the treatment of acute pain."9.19Efficacy and safety of low dose subcutaneous diclofenac in the management of acute pain: a randomized double-blind trial. ( Dietrich, T; Gugliotta, B; Leeson, R; Petersen, B, 2014)
"To investigate in acute nonspecific low back pain (LBP) the effectiveness of spinal high-velocity low-amplitude (HVLA) manipulation compared with the nonsteroidal anti-inflammatory drug diclofenac and with placebo."9.17Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo. ( Muehlbauer, B; Schloemer, P; Timm, J; von Heymann, WJ, 2013)
" papaverine hydrochloride plus a diclofenac suppository were more effective than the diclofenac suppository alone for treating acute renal colic."9.16Treatment of loin pain suspected to be renal colic with papaverine hydrochloride: a prospective double-blind randomised study. ( Asgari, SA; Asli, MM; Aval, HB; Enshaei, A; Esmaeili, S; Farzan, A; Ghanaei, MM; Madani, AH; Maghsoudi, PA; Shakiba, M, 2012)
"The efficacy and safety of low-dose SoluMatrix diclofenac was evaluated in two randomized, placebo-controlled Phase III studies: a study in patients with acute pain following bunionectomy surgery and a study in patients with osteoarthritis pain of the hip or knee."8.91Low-dose SoluMatrix diclofenac : a review of safety across two Phase III studies in patients with acute and osteoarthritis pain. ( Altman, R; Daniels, S; Gibofsky, A; Imasogie, O; Young, C, 2015)
"We included randomised, double-blind studies that compared a single dose of analgesic plus caffeine with the same dose of the analgesic alone in the treatment of acute pain."8.90Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2014)
" No serious adverse events (SAEs) were registered, and the most commonly detected adverse events were skin reactions at the application site."7.30Efficacy and safety of Diclofenac sodium plaster in patients with acute pain of the limbs: a randomized, placebo and active-controlled, double-blind, parallel-group trial. ( Barbaro, B; Giordan, N; Gruber, G; Pabst, H; Picciotto, R, 2023)
" Adverse events (AEs) were recorded throughout the study."6.78Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study. ( Burnett, I; Giannetti, B; Hug, AM; Pabst, H; Predel, HG; Schaefer, A, 2013)
" Fifteen patients experienced a total of 19 adverse events (AEs), 17 of which were mild to moderate, and 2 of which were severe."6.76Effectiveness and safety of diclofenac epolamine topical patch 1.3% for the treatment of acute pain due to back strain: an open-label, uncontrolled study. ( Gimbel, J; Jacobs, D; Paterson, C; Pixton, G, 2011)
"Postoperative pain is common and may be severe."6.72Single-dose intravenous ketorolac for acute postoperative pain in adults. ( Ferguson, MC; McNicol, ED; Schumann, R, 2021)
"Diclofenac is a nonsteroidal anti-inflammatory drug, available as a potassium salt (immediate release) or sodium salt (enteric coated to suppress dissolution in the stomach)."6.52Single dose oral diclofenac for acute postoperative pain in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2015)
"A topical formulation of diclofenac (FLECTOR diclofenac epolamine topical system (FDETS)) is approved in adults for the treatment of acute pain due to minor strains, sprains, and contusions; however, its safety and efficacy have not been investigated in a pediatric population."5.51Safety and Efficacy of the FLECTOR (Diclofenac Epolamine) Topical System in Children with Minor Soft Tissue Injuries: A Phase IV Non-randomized Clinical Trial. ( Frangione, V; Hoehler, FK; Jones, C; Jones, CA; Ledesma, G; Wisman, PP, 2022)
" Concerning duration, while the identification of a safe temporal window is less defined, some studies reported an absence or a very low risk when the exposure is shorter than 30 days."5.43Safety and efficacy of low doses of diclofenac on acute pain in the emergency setting. ( Capaldi, L; Di Leo, M; Franceschi, F; Gabrielli, M; Gilardi, E; Merra, G; Migneco, A; Ojetti, V; Petruzziello, C; Santarelli, L; Saviano, L, 2016)
"Diclofenac is an effective and well-tolerated nonsteroidal anti-inflammatory drug (NSAID) frequently used in the treatment of acute pain."5.19Efficacy and safety of low dose subcutaneous diclofenac in the management of acute pain: a randomized double-blind trial. ( Dietrich, T; Gugliotta, B; Leeson, R; Petersen, B, 2014)
"Lower-dose diclofenac submicron particle capsules provided effective analgesia in this phase 3 clinical study in patients with acute pain and are a potentially promising option for the treatment of patients with acute pain."5.17Lower-dose diclofenac submicron particle capsules provide early and sustained acute patient pain relief in a phase 3 study. ( Argoff, C; Daniels, S; Gibofsky, A; Jensen, S; Silberstein, S; Young, CL, 2013)
"To investigate in acute nonspecific low back pain (LBP) the effectiveness of spinal high-velocity low-amplitude (HVLA) manipulation compared with the nonsteroidal anti-inflammatory drug diclofenac and with placebo."5.17Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo. ( Muehlbauer, B; Schloemer, P; Timm, J; von Heymann, WJ, 2013)
" papaverine hydrochloride plus a diclofenac suppository were more effective than the diclofenac suppository alone for treating acute renal colic."5.16Treatment of loin pain suspected to be renal colic with papaverine hydrochloride: a prospective double-blind randomised study. ( Asgari, SA; Asli, MM; Aval, HB; Enshaei, A; Esmaeili, S; Farzan, A; Ghanaei, MM; Madani, AH; Maghsoudi, PA; Shakiba, M, 2012)
"Topical NSAIDs, followed by oral NSAIDs and acetaminophen with or without diclofenac, showed the most convincing and attractive benefit-harm ratio for patients with acute pain from non-low back, musculoskeletal injuries."5.05Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries : A Systematic Review and Network Meta-analysis of Randomized Trials. ( Agarwal, A; Akbari-Kelachayeh, K; Ali, SH; Brar, S; Busse, JW; Chang, Y; Chen, E; Couban, R; Craigie, S; Culig, K; Das, A; Emary, P; Florez, ID; Goshua, A; Guyatt, GH; Hong, PJ; Lok, A; May, C; Morgan, RL; Noor, ST; Oparin, Y; Pozdnyakov, A; Ross, SA; Sadeghirad, B; Shergill, Y; Sivananthan, L; Yao, W; Zihayat, B, 2020)
"In acute musculoskeletal pain (strains and sprains) with assessment at about seven days, therapies were diclofenac Emulgel (78% Emulgel, 20% placebo; 2 studies, 314 participants, NNT 1."4.95Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews. ( Aldington, D; Bell, RF; Derry, S; Gaskell, H; Kalso, EA; Moore, RA; Phillips, T; Wiffen, PJ, 2017)
"The efficacy and safety of low-dose SoluMatrix diclofenac was evaluated in two randomized, placebo-controlled Phase III studies: a study in patients with acute pain following bunionectomy surgery and a study in patients with osteoarthritis pain of the hip or knee."4.91Low-dose SoluMatrix diclofenac : a review of safety across two Phase III studies in patients with acute and osteoarthritis pain. ( Altman, R; Daniels, S; Gibofsky, A; Imasogie, O; Young, C, 2015)
"We included randomised, double-blind studies that compared a single dose of analgesic plus caffeine with the same dose of the analgesic alone in the treatment of acute pain."4.90Caffeine as an analgesic adjuvant for acute pain in adults. ( Derry, CJ; Derry, S; Moore, RA, 2014)
"Findings will provide timely information on the safety, efficacy, and optimal dosing of t-PA to treat moderate/severe COVID-19-induced ARDS, which can be rapidly adapted to a phase III trial (NCT04357730; FDA IND 149634)."4.21 ( Abbasi, S; Abd El-Wahab, A; Abdallah, M; Abebe, G; Aca-Aca, G; Adama, S; Adefegha, SA; Adidigue-Ndiome, R; Adiseshaiah, P; Adrario, E; Aghajanian, C; Agnese, W; Ahmad, A; Ahmad, I; Ahmed, MFE; Akcay, OF; Akinmoladun, AC; Akutagawa, T; Alakavuklar, MA; Álava-Rabasa, S; Albaladejo-Florín, MJ; Alexandra, AJE; Alfawares, R; Alferiev, IS; Alghamdi, HS; Ali, I; Allard, B; Allen, JD; Almada, E; Alobaid, A; Alonso, GL; Alqahtani, YS; Alqarawi, W; Alsaleh, H; Alyami, BA; Amaral, BPD; Amaro, JT; Amin, SAW; Amodio, E; Amoo, ZA; Andia Biraro, I; Angiolella, L; Anheyer, D; Anlay, DZ; Annex, BH; Antonio-Aguirre, B; Apple, S; Arbuznikov, AV; Arinsoy, T; Armstrong, DK; Ash, S; Aslam, M; Asrie, F; Astur, DC; Atzrodt, J; Au, DW; Aucoin, M; Auerbach, EJ; Azarian, S; Ba, D; Bai, Z; Baisch, PRM; Balkissou, AD; Baltzopoulos, V; Banaszewski, M; Banerjee, S; Bao, Y; Baradwan, A; Barandika, JF; Barger, PM; Barion, MRL; Barrett, CD; Basudan, AM; Baur, LE; Baz-Rodríguez, SA; Beamer, P; Beaulant, A; Becker, DF; Beckers, C; Bedel, J; Bedlack, R; Bermúdez de Castro, JM; Berry, JD; Berthier, C; Bhattacharya, D; Biadgo, B; Bianco, G; Bianco, M; Bibi, S; Bigliardi, AP; Billheimer, D; Birnie, DH; Biswas, K; Blair, HC; Bognetti, P; Bolan, PJ; Bolla, JR; Bolze, A; Bonnaillie, P; Borlimi, R; Bórquez, J; Bottari, NB; Boulleys-Nana, JR; Brighetti, G; Brodeur, GM; Budnyak, T; Budnyk, S; Bukirwa, VD; Bulman, DM; Burm, R; Busman-Sahay, K; Butcher, TW; Cai, C; Cai, H; Cai, L; Cairati, M; Calvano, CD; Camacho-Ordóñez, A; Camela, E; Cameron, T; Campbell, BS; Cansian, RL; Cao, Y; Caporale, AS; Carciofi, AC; Cardozo, V; Carè, J; Carlos, AF; Carozza, R; Carroll, CJW; Carsetti, A; Carubelli, V; Casarotta, E; Casas, M; Caselli, G; Castillo-Lora, J; Cataldi, TRI; Cavalcante, ELB; Cavaleiro, A; Cayci, Z; Cebrián-Tarancón, C; Cedrone, E; Cella, D; Cereda, C; Ceretti, A; Ceroni, M; Cha, YH; Chai, X; Chang, EF; Chang, TS; Chanteux, H; Chao, M; Chaplin, BP; Chaturvedi, S; Chaturvedi, V; Chaudhary, DK; Chen, A; Chen, C; Chen, HY; Chen, J; Chen, JJ; Chen, K; Chen, L; Chen, Q; Chen, R; Chen, SY; Chen, TY; Chen, WM; Chen, X; Chen, Y; Cheng, G; Cheng, GJ; Cheng, J; Cheng, YH; Cheon, HG; Chew, KW; Chhoker, S; Chiu, WN; Choi, ES; Choi, MJ; Choi, SD; Chokshi, S; Chorny, M; Chu, KI; Chu, WJ; Church, AL; Cirrincione, A; Clamp, AR; Cleff, MB; Cohen, M; Coleman, RL; Collins, SL; Colombo, N; Conduit, N; Cong, WL; Connelly, MA; Connor, J; Cooley, K; Correa Ramos Leal, I; Cose, S; Costantino, C; Cottrell, M; Cui, L; Cundall, J; Cutaia, C; Cutler, CW; Cuypers, ML; da Silva Júnior, FMR; Dahal, RH; Damiani, E; Damtie, D; Dan-Li, W; Dang, Z; Dasa, SSK; Davin, A; Davis, DR; de Andrade, CM; de Jong, PL; de Oliveira, D; de Paula Dorigam, JC; Dean, A; Deepa, M; Delatour, C; Dell'Aiera, S; Delley, MF; den Boer, RB; Deng, L; Deng, Q; Depner, RM; Derdau, V; Derici, U; DeSantis, AJ; Desmarini, D; Diffo-Sonkoue, L; Divizia, M; Djenabou, A; Djordjevic, JT; Dobrovolskaia, MA; Domizi, R; Donati, A; Dong, Y; Dos Santos, M; Dos Santos, MP; Douglas, RG; Duarte, PF; Dullaart, RPF; Duscha, BD; Edwards, LA; Edwards, TE; Eichenwald, EC; El-Baba, TJ; Elashiry, M; Elashiry, MM; Elashry, SH; Elliott, A; Elsayed, R; Emerson, MS; Emmanuel, YO; Emory, TH; Endale-Mangamba, LM; Enten, GA; Estefanía-Fernández, K; Estes, JD; Estrada-Mena, FJ; Evans, S; Ezra, L; Faria de, RO; Farraj, AK; Favre, C; Feng, B; Feng, J; Feng, L; Feng, W; Feng, X; Feng, Z; Fernandes, CLF; Fernández-Cuadros, ME; Fernie, AR; Ferrari, D; Florindo, PR; Fong, PC; Fontes, EPB; Fontinha, D; Fornari, VJ; Fox, NP; Fu, Q; Fujitaka, Y; Fukuhara, K; Fumeaux, T; Fuqua, C; Fustinoni, S; Gabbanelli, V; Gaikwad, S; Gall, ET; Galli, A; Gancedo, MA; Gandhi, MM; Gao, D; Gao, K; Gao, M; Gao, Q; Gao, X; Gao, Y; Gaponenko, V; Garber, A; Garcia, EM; García-Campos, C; García-Donas, J; García-Pérez, AL; Gasparri, F; Ge, C; Ge, D; Ge, JB; Ge, X; George, I; George, LA; Germani, G; Ghassemi Tabrizi, S; Gibon, Y; Gillent, E; Gillies, RS; Gilmour, MI; Goble, S; Goh, JC; Goiri, F; Goldfinger, LE; Golian, M; Gómez, MA; Gonçalves, J; Góngora-García, OR; Gonul, I; González, MA; Govers, TM; Grant, PC; Gray, EH; Gray, JE; Green, MS; Greenwald, I; Gregory, MJ; Gretzke, D; Griffin-Nolan, RJ; Griffith, DC; Gruppen, EG; Guaita, A; Guan, P; Guan, X; Guerci, P; Guerrero, DT; Guo, M; Guo, P; Guo, R; Guo, X; Gupta, J; Guz, G; Hajizadeh, N; Hamada, H; Haman-Wabi, AB; Han, TT; Hannan, N; Hao, S; Harjola, VP; Harmon, M; Hartmann, MSM; Hartwig, JF; Hasani, M; Hawthorne, WJ; Haykal-Coates, N; Hazari, MS; He, DL; He, P; He, SG; Héau, C; Hebbar Kannur, K; Helvaci, O; Heuberger, DM; Hidalgo, F; Hilty, MP; Hirata, K; Hirsch, A; Hoffman, AM; Hoffmann, JF; Holloway, RW; Holmes, RK; Hong, S; Hongisto, M; Hopf, NB; Hörlein, R; Hoshino, N; Hou, Y; Hoven, NF; Hsieh, YY; Hsu, CT; Hu, CW; Hu, JH; Hu, MY; Hu, Y; Hu, Z; Huang, C; Huang, D; Huang, DQ; Huang, L; Huang, Q; Huang, R; Huang, S; Huang, SC; Huang, W; Huang, Y; Huffman, KM; Hung, CH; Hung, CT; Huurman, R; Hwang, SM; Hyun, S; Ibrahim, AM; Iddi-Faical, A; Immordino, P; Isla, MI; Jacquemond, V; Jacques, T; Jankowska, E; Jansen, JA; Jäntti, T; Jaque-Fernandez, F; Jarvis, GA; Jatt, LP; Jeon, JW; Jeong, SH; Jhunjhunwala, R; Ji, F; Jia, X; Jia, Y; Jian-Bo, Z; Jiang, GD; Jiang, L; Jiang, W; Jiang, WD; Jiang, Z; Jiménez-Hoyos, CA; Jin, S; Jobling, MG; John, CM; John, T; Johnson, CB; Jones, KI; Jones, WS; Joseph, OO; Ju, C; Judeinstein, P; Junges, A; Junnarkar, M; Jurkko, R; Kaleka, CC; Kamath, AV; Kang, X; Kantsadi, AL; Kapoor, M; Karim, Z; Kashuba, ADM; Kassa, E; Kasztura, M; Kataja, A; Katoh, T; Kaufman, JS; Kaupp, M; Kehinde, O; Kehrenberg, C; Kemper, N; Kerr, CW; Khan, AU; Khan, MF; Khan, ZUH; Khojasteh, SC; Kilburn, S; Kim, CG; Kim, DU; Kim, DY; Kim, HJ; Kim, J; Kim, OH; Kim, YH; King, C; Klein, A; Klingler, L; Knapp, AK; Ko, TK; Kodavanti, UP; Kolla, V; Kong, L; Kong, RY; Kong, X; Kore, S; Kortz, U; Korucu, B; Kovacs, A; Krahnert, I; Kraus, WE; Kuang, SY; Kuehn-Hajder, JE; Kurz, M; Kuśtrowski, P; Kwak, YD; Kyttaris, VC; Laga, SM; Laguerre, A; Laloo, A; Langaro, MC; Langham, MC; Lao, X; Larocca, MC; Lassus, J; Lattimer, TA; Lazar, S; Le, MH; Leal, DB; Leal, M; Leary, A; Ledermann, JA; Lee, JF; Lee, MV; Lee, NH; Leeds, CM; Leeds, JS; Lefrandt, JD; Leicht, AS; Leonard, M; Lev, S; Levy, K; Li, B; Li, C; Li, CM; Li, DH; Li, H; Li, J; Li, L; Li, LJ; Li, N; Li, P; Li, T; Li, X; Li, XH; Li, XQ; Li, XX; Li, Y; Li, Z; Li, ZY; Liao, YF; Lin, CC; Lin, MH; Lin, Y; Ling, Y; Links, TP; Lira-Romero, E; Liu, C; Liu, D; Liu, H; Liu, J; Liu, L; Liu, LP; Liu, M; Liu, T; Liu, W; Liu, X; Liu, XH; Liu, Y; Liuwantara, D; Ljumanovic, N; Lobo, L; Lokhande, K; Lopes, A; Lopes, RMRM; López-Gutiérrez, JC; López-Muñoz, MJ; López-Santamaría, M; Lorenzo, C; Lorusso, D; Losito, I; Lu, C; Lu, H; Lu, HZ; Lu, SH; Lu, SN; Lu, Y; Lu, ZY; Luboga, F; Luo, JJ; Luo, KL; Luo, Y; Lutomski, CA; Lv, W; M Piedade, MF; Ma, J; Ma, JQ; Ma, JX; Ma, N; Ma, P; Ma, S; Maciel, M; Madureira, M; Maganaris, C; Maginn, EJ; Mahnashi, MH; Maierhofer, M; Majetschak, M; Malla, TR; Maloney, L; Mann, DL; Mansuri, A; Marelli, E; Margulis, CJ; Marrella, A; Martin, BL; Martín-Francés, L; Martínez de Pinillos, M; Martínez-Navarro, EM; Martinez-Quintanilla Jimenez, D; Martínez-Velasco, A; Martínez-Villaseñor, L; Martinón-Torres, M; Martins, BA; Massongo, M; Mathew, AP; Mathews, D; Matsui, J; Matsumoto, KI; Mau, T; Maves, RC; Mayclin, SJ; Mayer, JM; Maynard, ND; Mayr, T; Mboowa, MG; McEvoy, MP; McIntyre, RC; McKay, JA; McPhail, MJW; McVeigh, AL; Mebazaa, A; Medici, V; Medina, DN; Mehmood, T; Mei-Li, C; Melku, M; Meloncelli, S; Mendes, GC; Mendoza-Velásquez, C; Mercadante, R; Mercado, MI; Merenda, MEZ; Meunier, J; Mi, SL; Michels, M; Mijatovic, V; Mikhailov, V; Milheiro, SA; Miller, DC; Ming, F; Mitsuishi, M; Miyashita, T; Mo, J; Mo, S; Modesto-Mata, M; Moeller, S; Monte, A; Monteiro, L; Montomoli, J; Moore, EE; Moore, HB; Moore, PK; Mor, MK; Moratalla-López, N; Moratilla Lapeña, L; Moreira, R; Moreno, MA; Mörk, AC; Morton, M; Mosier, JM; Mou, LH; Mougharbel, AS; Muccillo-Baisch, AL; Muñoz-Serrano, AJ; Mustafa, B; Nair, GM; Nakanishi, I; Nakanjako, D; Naraparaju, K; Nawani, N; Neffati, R; Neil, EC; Neilipovitz, D; Neira-Borrajo, I; Nelson, MT; Nery, PB; Nese, M; Nguyen, F; Nguyen, MH; Niazy, AA; Nicolaï, J; Nogueira, F; Norbäck, D; Novaretti, JV; O'Donnell, T; O'Dowd, A; O'Malley, DM; Oaknin, A; Ogata, K; Ohkubo, K; Ojha, M; Olaleye, MT; Olawande, B; Olomo, EJ; Ong, EWY; Ono, A; Onwumere, J; Ortiz Bibriesca, DM; Ou, X; Oza, AM; Ozturk, K; Özütemiz, C; Palacio-Pastrana, C; Palaparthi, A; Palevsky, PM; Pan, K; Pantanetti, S; Papachristou, DJ; Pariani, A; Parikh, CR; Parissis, J; Paroul, N; Parry, S; Patel, N; Patel, SM; Patel, VC; Pawar, S; Pefura-Yone, EW; Peixoto Andrade, BCO; Pelepenko, LE; Peña-Lora, D; Peng, S; Pérez-Moro, OS; Perez-Ortiz, AC; Perry, LM; Peter, CM; Phillips, NJ; Phillips, P; Pia Tek, J; Piner, LW; Pinto, EA; Pinto, SN; Piyachaturawat, P; Poka-Mayap, V; Polledri, E; Poloni, TE; Ponessa, G; Poole, ST; Post, AK; Potter, TM; Pressly, BB; Prouty, MG; Prudêncio, M; Pulkki, K; Pupier, C; Qian, H; Qian, ZP; Qiu, Y; Qu, G; Rahimi, S; Rahman, AU; Ramadan, H; Ramanna, S; Ramirez, I; Randolph, GJ; Rasheed, A; Rault, J; Raviprakash, V; Reale, E; Redpath, C; Rema, V; Remucal, CK; Remy, D; Ren, T; Ribeiro, LB; Riboli, G; Richards, J; Rieger, V; Rieusset, J; Riva, A; Rivabella Maknis, T; Robbins, JL; Robinson, CV; Roche-Campo, F; Rodriguez, R; Rodríguez-de-Cía, J; Rollenhagen, JE; Rosen, EP; Rub, D; Rubin, N; Rubin, NT; Ruurda, JP; Saad, O; Sabell, T; Saber, SE; Sabet, M; Sadek, MM; Saejio, A; Salinas, RM; Saliu, IO; Sande, D; Sang, D; Sangenito, LS; Santos, ALSD; Sarmiento Caldas, MC; Sassaroli, S; Sassi, V; Sato, J; Sauaia, A; Saunders, K; Saunders, PR; Savarino, SJ; Scambia, G; Scanlon, N; Schetinger, MR; Schinkel, AFL; Schladweiler, MC; Schofield, CJ; Schuepbach, RA; Schulz, J; Schwartz, N; Scorcella, C; Seeley, J; Seemann, F; Seinige, D; Sengoku, T; Seravalli, J; Sgromo, B; Shaheen, MY; Shan, L; Shanmugam, S; Shao, H; Sharma, S; Shaw, KJ; Shen, BQ; Shen, CH; Shen, P; Shen, S; Shen, Y; Shen, Z; Shi, J; Shi-Li, L; Shimoda, K; Shoji, Y; Shun, C; Silva, MA; Silva-Cardoso, J; Simas, NK; Simirgiotis, MJ; Sincock, SA; Singh, MP; Sionis, A; Siu, J; Sivieri, EM; Sjerps, MJ; Skoczen, SL; Slabon, A; Slette, IJ; Smith, MD; Smith, S; Smith, TG; Snapp, KS; Snow, SJ; Soares, MCF; Soberman, D; Solares, MD; Soliman, I; Song, J; Sorooshian, A; Sorrell, TC; Spinar, J; Staudt, A; Steinhart, C; Stern, ST; Stevens, DM; Stiers, KM; Stimming, U; Su, YG; Subbian, V; Suga, H; Sukhija-Cohen, A; Suksamrarn, A; Suksen, K; Sun, J; Sun, M; Sun, P; Sun, W; Sun, XF; Sun, Y; Sundell, J; Susan, LF; Sutjarit, N; Swamy, KV; Swisher, EM; Sykes, C; Takahashi, JA; Talmor, DS; Tan, B; Tan, ZK; Tang, L; Tang, S; Tanner, JJ; Tanwar, M; Tarazi, Z; Tarvasmäki, T; Tay, FR; Teketel, A; Temitayo, GI; Thersleff, T; Thiessen Philbrook, H; Thompson, LC; Thongon, N; Tian, B; Tian, F; Tian, Q; Timothy, AT; Tingle, MD; Titze, IR; Tolppanen, H; Tong, W; Toyoda, H; Tronconi, L; Tseng, CH; Tu, H; Tu, YJ; Tung, SY; Turpault, S; Tuynman, JB; Uemoto, AT; Ugurlu, M; Ullah, S; Underwood, RS; Ungell, AL; Usandizaga-Elio, I; Vakonakis, I; van Boxel, GI; van den Beucken, JJJP; van der Boom, T; van Slegtenhorst, MA; Vanni, JR; Vaquera, A; Vasconcellos, RS; Velayos, M; Vena, R; Ventura, G; Verso, MG; Vincent, RP; Vitale, F; Vitali, S; Vlek, SL; Vleugels, MPH; Volkmann, N; Vukelic, M; Wagner Mackenzie, B; Wairagala, P; Waller, SB; Wan, J; Wan, MT; Wan, Y; Wang, CC; Wang, H; Wang, J; Wang, JF; Wang, K; Wang, L; Wang, M; Wang, S; Wang, WM; Wang, X; Wang, Y; Wang, YD; Wang, YF; Wang, Z; Wang, ZG; Warriner, K; Weberpals, JI; Weerachayaphorn, J; Wehrli, FW; Wei, J; Wei, KL; Weinheimer, CJ; Weisbord, SD; Wen, S; Wendel Garcia, PD; Williams, JW; Williams, R; Winkler, C; Wirman, AP; Wong, S; Woods, CM; Wu, B; Wu, C; Wu, F; Wu, P; Wu, S; Wu, Y; Wu, YN; Wu, ZH; Wurtzel, JGT; Xia, L; Xia, Z; Xia, ZZ; Xiao, H; Xie, C; Xin, ZM; Xing, Y; Xing, Z; Xu, S; Xu, SB; Xu, T; Xu, X; Xu, Y; Xue, L; Xun, J; Yaffe, MB; Yalew, A; Yamamoto, S; Yan, D; Yan, H; Yan, S; Yan, X; Yang, AD; Yang, E; Yang, H; Yang, J; Yang, JL; Yang, K; Yang, M; Yang, P; Yang, Q; Yang, S; Yang, W; Yang, X; Yang, Y; Yao, JC; Yao, WL; Yao, Y; Yaqub, TB; Ye, J; Ye, W; Yen, CW; Yeter, HH; Yin, C; Yip, V; Yong-Yi, J; Yu, HJ; Yu, MF; Yu, S; Yu, W; Yu, WW; Yu, X; Yuan, P; Yuan, Q; Yue, XY; Zaia, AA; Zakhary, SY; Zalwango, F; Zamalloa, A; Zamparo, P; Zampini, IC; Zani, JL; Zeitoun, R; Zeng, N; Zenteno, JC; Zepeda-Palacio, C; Zhai, C; Zhang, B; Zhang, G; Zhang, J; Zhang, K; Zhang, Q; Zhang, R; Zhang, T; Zhang, X; Zhang, Y; Zhang, YY; Zhao, B; Zhao, D; Zhao, G; Zhao, H; Zhao, Q; Zhao, R; Zhao, S; Zhao, T; Zhao, X; Zhao, XA; Zhao, Y; Zhao, Z; Zheng, Z; Zhi-Min, G; Zhou, CL; Zhou, HD; Zhou, J; Zhou, W; Zhou, XQ; Zhou, Z; Zhu, C; Zhu, H; Zhu, L; Zhu, Y; Zitzmann, N; Zou, L; Zou, Y, 2022)
" No serious adverse events (SAEs) were registered, and the most commonly detected adverse events were skin reactions at the application site."3.30Efficacy and safety of Diclofenac sodium plaster in patients with acute pain of the limbs: a randomized, placebo and active-controlled, double-blind, parallel-group trial. ( Barbaro, B; Giordan, N; Gruber, G; Pabst, H; Picciotto, R, 2023)
"Pain intensity and muscle spasm, assessed respectively by the patient-reported visual analogue scale and investigator-performed finger-to-floor distance test, were determined prior to the injection as well as 1 and 3 h post-injection in 123 patients (per-protocol population)."3.30A randomized controlled trial evaluating the short-term efficacy of a single-administration intramuscular injection with the fixed combination of thiocolchicoside-diclofenac versus diclofenac monotherapy in patients with acute moderate-to-severe low back ( Avramidis, K; Iliopoulos, K; Koufaki, P; Mavragani, C; Tsagkalis, A; Tsilikas, S; Zintzaras, E, 2023)
" Overall incidence of treatment-emergent adverse events (TEAEs) was similar in the three groups (p = 0."2.87Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials. ( Chelly, JE; Lacouture, PG; Reyes, CRD, 2018)
" Data are limited regarding CV risks associated with short-term nonsteroidal anti-inflammatory drug use, including injectable formulations, although it has been suggested that even a single dose may increase CV adverse event (AE) risk."2.82Cardiovascular safety of hydroxypropyl-β-cyclodextrin-diclofenac in the management of acute postsurgical pain: a pooled analysis of 2 randomized, double-blind, placebo- and active comparator-controlled phase III clinical trials. ( Carr, DB; Daniels, SE; Gan, TJ; Lacouture, PG; Min, LH; Reyes, CR; Singla, N, 2016)
" Adverse events (AEs) were recorded throughout the study."2.78Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study. ( Burnett, I; Giannetti, B; Hug, AM; Pabst, H; Predel, HG; Schaefer, A, 2013)
" Fifteen patients experienced a total of 19 adverse events (AEs), 17 of which were mild to moderate, and 2 of which were severe."2.76Effectiveness and safety of diclofenac epolamine topical patch 1.3% for the treatment of acute pain due to back strain: an open-label, uncontrolled study. ( Gimbel, J; Jacobs, D; Paterson, C; Pixton, G, 2011)
"Postoperative pain is common and may be severe."2.72Single-dose intravenous ketorolac for acute postoperative pain in adults. ( Ferguson, MC; McNicol, ED; Schumann, R, 2021)
"Diclofenac is a nonsteroidal anti-inflammatory drug, available as a potassium salt (immediate release) or sodium salt (enteric coated to suppress dissolution in the stomach)."2.52Single dose oral diclofenac for acute postoperative pain in adults. ( Derry, S; Moore, RA; Wiffen, PJ, 2015)
"Aceclofenac is a popular analgesic, antipyretic, and nonsteroidal anti-inflammatory drug (NSAID) used for prolonged treatment (at least three months) in musculoskeletal disorders."1.48Aceclofenac-Galactose Conjugate: Design, Synthesis, Characterization, and Pharmacological and Toxicological Evaluations. ( Boatto, G; Burrai, L; Chegaev, K; Cristiano, C; De Caro, C; Gazzano, E; Lazzarato, L; Magliocca, S; Marabello, D; Marini, E; Nieddu, M; Riganti, C; Rimoli, MG; Rolando, B; Russo, R; Sodano, F, 2018)
" Concerning duration, while the identification of a safe temporal window is less defined, some studies reported an absence or a very low risk when the exposure is shorter than 30 days."1.43Safety and efficacy of low doses of diclofenac on acute pain in the emergency setting. ( Capaldi, L; Di Leo, M; Franceschi, F; Gabrielli, M; Gilardi, E; Merra, G; Migneco, A; Ojetti, V; Petruzziello, C; Santarelli, L; Saviano, L, 2016)

Research

Studies (40)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's27 (67.50)24.3611
2020's13 (32.50)2.80

Authors

AuthorsStudies
Amelin, AV1
Tereshchenko, NM1
Gotovchikov, AA1
Jones, CA1
Hoehler, FK1
Frangione, V1
Ledesma, G1
Wisman, PP1
Jones, C1
Slawson, DC1
Kiselev, DV1
Lavrukhin, VV1
Pabst, H2
Gruber, G1
Picciotto, R1
Barbaro, B1
Giordan, N1
Iliopoulos, K1
Koufaki, P1
Tsilikas, S1
Avramidis, K1
Tsagkalis, A1
Mavragani, C1
Zintzaras, E1
Marin, T1
Busse, JW1
Sadeghirad, B1
Oparin, Y1
Chen, E1
Goshua, A1
May, C1
Hong, PJ1
Agarwal, A1
Chang, Y1
Ross, SA1
Emary, P1
Florez, ID1
Noor, ST1
Yao, W1
Lok, A1
Ali, SH1
Craigie, S1
Couban, R1
Morgan, RL1
Culig, K1
Brar, S1
Akbari-Kelachayeh, K1
Pozdnyakov, A1
Shergill, Y1
Sivananthan, L1
Zihayat, B1
Das, A1
Guyatt, GH1
Nese, M1
Riboli, G1
Brighetti, G1
Sassi, V1
Camela, E1
Caselli, G1
Sassaroli, S1
Borlimi, R1
Aucoin, M1
Cooley, K1
Saunders, PR1
Carè, J1
Anheyer, D1
Medina, DN1
Cardozo, V1
Remy, D1
Hannan, N1
Garber, A1
Velayos, M1
Muñoz-Serrano, AJ1
Estefanía-Fernández, K1
Sarmiento Caldas, MC1
Moratilla Lapeña, L1
López-Santamaría, M1
López-Gutiérrez, JC1
Li, J1
Zhang, J1
Shen, S1
Zhang, B2
Yu, WW1
Toyoda, H1
Huang, DQ1
Le, MH1
Nguyen, MH1
Huang, R1
Zhu, L1
Wang, J6
Xue, L1
Liu, L2
Yan, X2
Huang, S1
Li, Y6
Xu, T1
Li, C2
Ji, F1
Ming, F1
Zhao, Y2
Cheng, J1
Wang, Y3
Zhao, H1
Hong, S1
Chen, K2
Zhao, XA1
Zou, L1
Sang, D1
Shao, H1
Guan, X1
Chen, X2
Chen, Y4
Wei, J1
Zhu, C1
Wu, C1
Moore, HB1
Barrett, CD1
Moore, EE1
Jhunjhunwala, R1
McIntyre, RC1
Moore, PK1
Hajizadeh, N1
Talmor, DS1
Sauaia, A1
Yaffe, MB1
Liu, C3
Lin, Y1
Dong, Y1
Wu, Y1
Bao, Y1
Yan, H2
Ma, J1
Fernández-Cuadros, ME1
Albaladejo-Florín, MJ1
Álava-Rabasa, S1
Usandizaga-Elio, I1
Martinez-Quintanilla Jimenez, D1
Peña-Lora, D1
Neira-Borrajo, I1
López-Muñoz, MJ1
Rodríguez-de-Cía, J1
Pérez-Moro, OS1
Abdallah, M1
Alsaleh, H1
Baradwan, A1
Alfawares, R1
Alobaid, A1
Rasheed, A1
Soliman, I1
Wendel Garcia, PD1
Fumeaux, T1
Guerci, P1
Heuberger, DM1
Montomoli, J2
Roche-Campo, F1
Schuepbach, RA1
Hilty, MP1
Poloni, TE1
Carlos, AF1
Cairati, M1
Cutaia, C1
Medici, V1
Marelli, E1
Ferrari, D1
Galli, A1
Bognetti, P1
Davin, A1
Cirrincione, A1
Ceretti, A1
Cereda, C1
Ceroni, M1
Tronconi, L1
Vitali, S1
Guaita, A1
Leeds, JS1
Raviprakash, V1
Jacques, T1
Scanlon, N1
Cundall, J1
Leeds, CM1
Riva, A1
Gray, EH1
Azarian, S1
Zamalloa, A1
McPhail, MJW1
Vincent, RP1
Williams, R1
Chokshi, S1
Patel, VC1
Edwards, LA1
Alqarawi, W1
Birnie, DH1
Golian, M1
Nair, GM1
Nery, PB1
Klein, A1
Davis, DR1
Sadek, MM1
Neilipovitz, D1
Johnson, CB1
Green, MS1
Redpath, C1
Miller, DC1
Beamer, P1
Billheimer, D1
Subbian, V1
Sorooshian, A1
Campbell, BS1
Mosier, JM1
Novaretti, JV1
Astur, DC1
Cavalcante, ELB1
Kaleka, CC1
Amaro, JT1
Cohen, M1
Huang, W1
Li, T1
Ling, Y1
Qian, ZP1
Zhang, YY1
Huang, D1
Xu, SB1
Liu, XH1
Xia, L1
Yang, Y3
Lu, SH1
Lu, HZ1
Zhang, R2
Ma, JX1
Tang, S1
Li, CM1
Wan, J1
Wang, JF1
Ma, JQ1
Luo, JJ1
Chen, HY2
Mi, SL1
Chen, SY1
Su, YG1
Ge, JB1
Milheiro, SA1
Gonçalves, J1
Lopes, RMRM1
Madureira, M1
Lobo, L1
Lopes, A1
Nogueira, F1
Fontinha, D1
Prudêncio, M1
M Piedade, MF1
Pinto, SN1
Florindo, PR1
Moreira, R1
Castillo-Lora, J1
Delley, MF1
Laga, SM1
Mayer, JM1
Sutjarit, N1
Thongon, N1
Weerachayaphorn, J1
Piyachaturawat, P1
Suksamrarn, A1
Suksen, K1
Papachristou, DJ1
Blair, HC1
Hu, Y1
Shen, P1
Zeng, N1
Wang, L3
Yan, D1
Cui, L1
Yang, K2
Zhai, C1
Yang, M1
Lao, X1
Sun, J1
Ma, N1
Wang, S1
Ye, W1
Guo, P1
Rahimi, S1
Singh, MP1
Gupta, J1
Nakanishi, I1
Ohkubo, K1
Shoji, Y1
Fujitaka, Y1
Shimoda, K1
Matsumoto, KI1
Fukuhara, K1
Hamada, H1
van der Boom, T1
Gruppen, EG1
Lefrandt, JD1
Connelly, MA1
Links, TP1
Dullaart, RPF1
Berry, JD1
Bedlack, R1
Mathews, D1
Agnese, W1
Apple, S1
Meloncelli, S1
Divizia, M1
Germani, G1
Adefegha, SA1
Bottari, NB1
Leal, DB1
de Andrade, CM1
Schetinger, MR1
Martínez-Velasco, A1
Perez-Ortiz, AC1
Antonio-Aguirre, B1
Martínez-Villaseñor, L1
Lira-Romero, E1
Palacio-Pastrana, C1
Zenteno, JC1
Ramirez, I1
Zepeda-Palacio, C1
Mendoza-Velásquez, C1
Camacho-Ordóñez, A1
Ortiz Bibriesca, DM1
Estrada-Mena, FJ1
Martin, BL1
Thompson, LC1
Kim, YH2
Snow, SJ1
Schladweiler, MC1
Phillips, P1
Harmon, M1
King, C1
Richards, J1
George, I1
Haykal-Coates, N1
Gilmour, MI1
Kodavanti, UP1
Hazari, MS1
Farraj, AK1
Shen, Z1
Zou, Y1
Gao, K1
Lazar, S1
Wurtzel, JGT1
Ma, P1
Goldfinger, LE1
Vukelic, M1
Laloo, A1
Kyttaris, VC1
Chen, R1
Chen, J2
Xun, J1
Hu, Z1
Huang, Q2
Steinhart, C1
Shen, Y1
Lu, H1
Mansuri, A1
Lokhande, K1
Kore, S1
Gaikwad, S1
Nawani, N1
Swamy, KV1
Junnarkar, M1
Pawar, S1
Shaheen, MY1
Basudan, AM1
Niazy, AA1
van den Beucken, JJJP1
Jansen, JA1
Alghamdi, HS1
Gao, Q2
Guo, X1
Cao, Y1
Jia, X1
Xu, S1
Lu, C2
Zhu, H2
Melku, M1
Abebe, G1
Teketel, A1
Asrie, F1
Yalew, A1
Biadgo, B1
Kassa, E1
Damtie, D1
Anlay, DZ1
Ahmed, MFE1
Ramadan, H1
Seinige, D1
Kehrenberg, C1
Abd El-Wahab, A1
Volkmann, N1
Kemper, N1
Schulz, J1
Hu, MY1
Wu, YN1
McEvoy, MP1
Wang, YF1
Cong, WL1
Liu, LP1
Li, XX1
Zhou, CL1
Chen, WM1
Wei, KL1
Tung, SY1
Shen, CH1
Chang, TS1
Yen, CW1
Hsieh, YY1
Chiu, WN1
Hu, JH1
Lu, SN1
Hung, CH1
Alakavuklar, MA1
Fuqua, C1
Luo, KL1
Underwood, RS1
Greenwald, I1
Elashiry, MM1
Elashiry, M1
Zeitoun, R1
Elsayed, R1
Tian, F1
Saber, SE1
Elashry, SH1
Tay, FR1
Cutler, CW1
O'Dowd, A1
Maciel, M1
Poole, ST1
Jobling, MG1
Rollenhagen, JE1
Woods, CM1
Sincock, SA1
McVeigh, AL1
Gregory, MJ1
Maves, RC1
Prouty, MG1
Holmes, RK1
Savarino, SJ1
Mor, MK1
Palevsky, PM1
Kaufman, JS1
Thiessen Philbrook, H1
Weisbord, SD1
Parikh, CR1
John, CM1
Phillips, NJ1
Jarvis, GA1
Zhu, Y1
Kilburn, S1
Kapoor, M1
Chaturvedi, S1
Shaw, KJ1
Chaturvedi, V1
Kong, X1
Zhang, T1
Xiao, H1
Feng, X1
Tu, H1
Feng, J1
Sabet, M1
Tarazi, Z1
Griffith, DC1
Nguyen, F1
Guan, P1
Guerrero, DT1
Kolla, V1
Naraparaju, K1
Perry, LM1
Soberman, D1
Pressly, BB1
Alferiev, IS1
Chorny, M1
Brodeur, GM1
Gao, X2
Cheng, YH1
Enten, GA1
DeSantis, AJ1
Gaponenko, V1
Majetschak, M1
Kim, DY1
Choi, MJ1
Ko, TK1
Lee, NH1
Kim, OH1
Cheon, HG1
Cai, H1
Yip, V1
Lee, MV1
Wong, S1
Saad, O1
Ma, S1
Ljumanovic, N1
Khojasteh, SC1
Kamath, AV1
Shen, BQ1
Cuypers, ML1
Chanteux, H1
Gillent, E1
Bonnaillie, P1
Saunders, K1
Beckers, C1
Delatour, C1
Dell'Aiera, S1
Ungell, AL1
Nicolaï, J1
Knapp, AK1
Chen, A1
Griffin-Nolan, RJ1
Baur, LE1
Carroll, CJW1
Gray, JE1
Hoffman, AM1
Li, X4
Post, AK1
Slette, IJ1
Collins, SL1
Luo, Y1
Smith, MD1
Temitayo, GI1
Olawande, B1
Emmanuel, YO1
Timothy, AT1
Kehinde, O1
Susan, LF1
Ezra, L1
Joseph, OO1
Lev, S1
Desmarini, D1
Liuwantara, D1
Sorrell, TC1
Hawthorne, WJ1
Djordjevic, JT1
Verso, MG1
Costantino, C1
Marrella, A1
Immordino, P1
Vitale, F1
Amodio, E1
Wang, YD1
Yao, WL1
Xin, ZM1
Han, TT1
Wang, ZG1
Chen, L1
Cai, C1
Zhang, Y4
Ba, D1
Wen, S1
Tian, Q1
Lv, W1
Cheng, G1
Li, N1
Yue, XY1
Chu, WJ1
Chen, Q1
Choi, ES1
Zhao, X3
Zhou, HD1
Sun, XF1
Sharma, S2
Chhoker, S1
Xie, C1
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Tan, ZK1
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Weinheimer, CJ1
Kovacs, A1
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Randolph, GJ1
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Mann, DL1
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Yu, W1
Ju, C1
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Martínez-Navarro, EM1
Cebrián-Tarancón, C1
Moratalla-López, N1
Lorenzo, C1
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Salinas, RM1
Bermúdez de Castro, JM1
Modesto-Mata, M1
Martín-Francés, L1
García-Campos, C1
Martínez de Pinillos, M1
Martinón-Torres, M1
Hasani, M1
Wu, F2
Warriner, K1
Kurz, M1
Gretzke, D1
Hörlein, R1
Turpault, S1
Atzrodt, J1
Derdau, V1
Yao, Y1
Ou, X1
Zhao, S1
Tian, B1
Jin, S1
Jiang, Z1
Zhou, Z1
Liu, M2
Jiang, GD1
Mou, LH1
Chen, JJ1
Li, ZY1
He, SG1
Reale, E1
Fustinoni, S1
Mercadante, R1
Polledri, E1
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Grant, PC1
Levy, K1
Lattimer, TA1
Depner, RM1
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Sato, J1
Merenda, MEZ1
Uemoto, AT1
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Carciofi, AC1
de Paula Dorigam, JC1
Ribeiro, LB1
Vasconcellos, RS1
Waller, SB1
Peter, CM1
Hoffmann, JF1
Cleff, MB1
Faria de, RO1
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Ahmad, A1
Khan, ZUH1
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Alqahtani, YS1
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Deng, L1
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Xia, Z1
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Boulleys-Nana, JR1
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Adidigue-Ndiome, R1
Alexandra, AJE1
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Clinical Trials (9)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-label, Prospective, Uncontrolled Study of the Safety and Local Tolerability of the Diclofenac Epolamine Patch (Flector Patch) in Pediatric Patients With Minor Soft Tissue Injuries[NCT02132247]Phase 4104 participants (Actual)Interventional2014-05-31Completed
An Open-Label, Multiple-Dose, Multiple-Day, Non-Randomized, Single-Arm Safety Study Of Repeat-Doses Of DIC075V (Intravenous Diclofenac Sodium) In Patients With Acute Post-Operative Pain[NCT00726388]Phase 31,050 participants (Actual)Interventional2008-09-15Completed
Randomized, Double-Blind, Active- and Placebo-Controlled Study of the Efficacy and Safety of Repeated Dosing of DIC075V Relative To Parenteral Ketorolac and Placebo in Patients With Acute Post-Op Pain After Abdominal or Pelvic Surgery[NCT00448110]Phase 3331 participants (Actual)Interventional2006-05-31Completed
Randomized, Double-Blind, Active-and Placebo-Controlled Study of the Analgesic Efficacy and Safety of Repeated Dosing of DIC075V Versus Parenteral Ketorolac and Placebo in Acute Post-Operative Pain After Elective Orthopedic Surgery[NCT00507026]Phase 3277 participants (Actual)Interventional2007-07-25Completed
Randomized, Placebo-controlled Crossover Trial Evaluating Topical Lidocaine Patch(es) for Mechanical Neck Pain.[NCT04378959]76 participants (Actual)Interventional2021-02-01Completed
A Randomized, Double-blind, Placebo-controlled, Multi-center Parallel Group Phase IV Study to Evaluate the Efficacy and Safety of Diclofenac 1.16% Gel in Subjects With Acute Neck Pain[NCT01335724]Phase 472 participants (Actual)Interventional2011-04-30Completed
A Randomized Double-blinded Trial Comparing the Clinical Efficacy and Pharmacokinetic Parameters of Oral Diclofenac and Intramuscular Diclofenac in Patients With Acute Limb Injuries[NCT03472339]Phase 4300 participants (Anticipated)Interventional2018-01-15Recruiting
The Effects of Spinal Manipulative Therapy on Postactivation Potentiation[NCT02848456]20 participants (Actual)Interventional2014-08-31Completed
The Influence of the Sacroiliac Joint Manipulation on Changes in the Values of the Center of Pressure in the Process of Maintaining Static Body Balance[NCT04387032]59 participants (Actual)Interventional2019-06-15Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Dermatologic Assessment at the Patch Application Site

None - 0; Faint redness - 1; Moderate redness - 2; Intense redness - 3; Redness with edema or papules - 4; Redness with weeping vesicles, blisters or bullae - 5; Redness with extension of effect beyond margin of contact site - 6. (NCT02132247)
Timeframe: Up to 2 weeks, depending upon pain resolution

,
InterventionUnits on a scale (Mean)
Day1-2Day 3-4Day 5-7Day 8-11Day 12-15
Flector Patch/Age 12-160.040.060.000.060.00
Flector Patch/Age 6-110.100.040.110.000.00

Investigator Assessment of the Global Response to Therapy on a 5-point Scale

5-point scale: No clinical improvement in pain intensity and/or functional performance - 1; Slight clinical improvement in pain intensity and/or functional performance - 2; Moderate clinical improvement in pain intensity and/or functional performance - 3; Marked clinical improvement in pain intensity and/or functional performance - 4; Restoration of normal functional performance in the absence of any pain - 5. (NCT02132247)
Timeframe: Up to 2 weeks, depending upon pain resolution

,
InterventionParticipants (Count of Participants)
No clinical improvementSlight clinical improvementModerate clinical improvementMarked clinical improvementNormal function with no pain
Flector Patch/Age 12-16102940
Flector Patch/Age 6-11102247

Patient Assessment of Pain on a 6-point Scale

"Wong-Baker FACES Scale 6-point scale:~No Hurt - 0; Hurts Little Bit - 1; Hurts Little More - 2; Hurts Even More - 3; Hurts Whole Lot - 4; Hurts Worst - 5." (NCT02132247)
Timeframe: Up to 2 weeks, depending upon pain resolution

,
Interventionunits on a scale (Mean)
BaselineFinal Visit
Flector Patch/Age 12-163.580.27
Flector Patch/Age 6-113.370.12

Plasma Concentration of Diclofenac

(NCT02132247)
Timeframe: Day 2 and either Day 4, 7 or 14, depending upon pain resolution

,
Interventionng/mL (Mean)
24-hourFinal Visit
Flector Patch/Age 12-161.461.11
Flector Patch/Age 6-111.832.49

Change From Baseline in Heart Rate at Clinic Follow-up Visit

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

InterventionBeats per minute (Mean)
DIC075V2.4

Change From Baseline in Heart Rate at Study Discharge/Early Termination

Change from baseline in heart rate in beats per minute was reported. The heart rate was assessed after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

InterventionBeats per minute (Mean)
DIC075V3.8

Change From Baseline in Respiratory Rate at Clinic Follow-up Visit

Respiratory rate was measured after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

InterventionBreaths per minute (Mean)
DIC075V1.0

Change From Baseline in Respiratory Rate at Study Discharge/Early Termination

Respiratory rate was measured after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

InterventionBreaths per minute (Mean)
DIC075V1.3

Number of Participants Who Took at Least 1 Concomitant Medication

Concomitant medications were medications that were taken concurrently on or after first dose of study drug. (NCT00726388)
Timeframe: Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

InterventionParticipants (Count of Participants)
DIC075V971

Number of Participants With Abnormal Urinalysis Findings

Urine parameters included gravity, glucose, protein, and bilirubin. Abnormalities were judged by the investigator. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing) up to study discharge/early termination (maximum up to Day 5)

InterventionParticipants (Count of Participants)
DIC075V2

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Baseline

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing)

InterventionParticipants (Count of Participants)
DIC075V14

Number of Participants With Clinically Significant Electrocardiogram (ECG) Abnormalities at Study Discharge/Early Termination

12-lead ECG parameters were evaluated. Clinically significant abnormal ECG findings were based on investigator's discretion. (NCT00726388)
Timeframe: Study discharge/early termination (maximum up to Day 5)

InterventionParticipants (Count of Participants)
DIC075V13

Change From Baseline in Blood Pressure at Clinic Follow-up Visit

Change from baseline in SBP and DBP in mmHg was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

InterventionmmHg (Mean)
SBPDBP
DIC075V0.24.4

Change From Baseline in Blood Pressure at Study Discharge/Early Termination

Change from baseline in systolic blood pressure (SBP) and diastolic blood pressure (DBP) in millimeter of mercury (mmHg) was reported. The blood pressure was assessed after the participant had taken rest for 5 minutes. (NCT00726388)
Timeframe: Baseline (Day 1, immediately before dosing), Study discharge/early termination (maximum up to 5 days)

InterventionmmHg (Mean)
SBPDBP
DIC075V-2.2-0.5

Number of Participants With Clinically Significant Physical Examination Abnormalities at Clinic Follow-up Visit

Physical examination included the assessment of general appearance, skin; HEENT; neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion. (NCT00726388)
Timeframe: Clinic follow-up visit (4-10 days after last dose, maximum up to 15 days)

InterventionParticipants (Count of Participants)
General appearanceSkinHEENTNeck/ThyroidOral CavityLymph NodesCardiovascularLungsBreastsAbdomenGenitourinaryNeurologicJoints/Extremities
DIC075V8132100550121541

Number of Participants With Clinically Significant Physical Examination Abnormalities at Screening

Physical examination included the assessment of general appearance, skin; head, ears, eyes, nose, and throat (HEENT); neck/thyroid; oral cavity; lymph nodes; cardiovascular; lungs; abdomen; genitourinary; neurologic and joints/extremities. Clinically significant physical examination findings were based on investigator's discretion. (NCT00726388)
Timeframe: Screening (0 to 21 days prior to surgery)

InterventionParticipants (Count of Participants)
General AppearanceSkinHEENTNeck/ThyroidOral CavityLymph NodesCardiovascularLungsBreastsAbdomenGenitourinaryNeurologicJoints/Extremities
DIC075V837120300293210295

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

An adverse event (AE) was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. TEAEs were events between first dose of study drug and up to 37 days after last dose that were absent before treatment or that worsened relative to pretreatment state. An SAE was an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. TEAEs included SAEs and all non-SAEs that occurred during the study. (NCT00726388)
Timeframe: Day 1 of dosing up to maximum of 37 days after last dose (maximum up to 42 days)

InterventionParticipants (Count of Participants)
TEAEsSAEs
DIC075V82373

Number of Participants With Wound Assessment at Study Discharge/Early Termination

"Wound assessment had 6 questions, completed by investigator/sub-investigator. Question related to extent of healing; extent and degree of inflammation and extent of drainage had options: much better than expected, better than expected, normal, slower than expected, and much slower than expected. Question related to separation of surgical incision had options: no separation, barely detectible separation, localized separation, mostly separated, and complete separation (dehiscence). Question related to infection at surgical site had options: definitely, no infection, possibly infected, probably infected, certainly infected, and abscess/gross cellulitis. Question related to prescription of postoperative systemic antibiotics had options: no, yes for prophylaxis, and yes for infection. Every question there was category Not Done for participants with no wound assessment other than the reason 'missing' and category Missing, where participants were missing for wound assessment." (NCT00726388)
Timeframe: Study discharge/early termination (maximum up to Day 5)

InterventionParticipants (Count of Participants)
Extent of healing: Much better than expectedExtent of healing: Better than expectedExtent of healing: NormalExtent of healing: Slower than expectedExtent of healing: Much slower than expectedExtent of healing: Not doneExtent of healing: MissingExtent and degree of Inflammation: Much better than expectedExtent and degree of inflammation: Better than expectedExtent and degree of Inflammation: NormalExtent and degree of Inflammation: Slower than expectedExtent and degree of Inflammation: Much slower than expectedExtent and degree of inflammation: Not doneExtent and degree of inflammation: MissingExtent of drainage: Much better than expectedExtent of drainage: Better than expectedExtent of drainage: NormalExtent of drainage: Slower than expectedExtent of drainage: Much slower than expectedExtent of drainage: Not doneExtent of drainage: MissingSeparation of Incision: No separationSeparation of Incision: Barely detectable separationSeparation of incision: Localized separationSeparation of incision: Mostly separatedSeparation of incision: Complete separationSeparation of incision: Not doneSeparation of incision: MissingInfection at surgical site: Definitely, No infectionInfection at surgical site: Possibly infectedInfection at surgical site: Probably infectedInfection at surgical site: Certainly infectedInfection at surgical site: Abscess or gross cellulitisInfection at surgical site: Not doneInfection at surgical site: MissingPostoperative systemic antibiotics: NoPostoperative systemic antibiotics: Yes, for prophylaxisPostoperative systemic antibiotics: Yes, for infectionPostoperative systemic antibiotics: Not donePostoperative systemic antibiotics: Missing
DIC075V401547271103365021465711033678195633291332809873500337921121103336732621332

Sum of the Pain Intensity Differences (SPID) Over 120 Hours

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. SPIDs was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 120 hours ranges from -12000 to 12000. A higher value indicates a better pain reduction. (NCT00507026)
Timeframe: Over 120 hours post first dose

Interventionmm*hours (Mean)
Diclofenac (DIC075V)4835.6
Ketorolac4359.1
Placebo1840.5

Sum of the Pain Intensity Differences (SPID) Over 24 Hours

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, pain intensity difference (PID) is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. SPIDs was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 24 hours ranges from -2400 to 2400. A higher value indicates a better pain reduction. (NCT00507026)
Timeframe: Over 24 hours post first dose

Interventionmm*hours (Mean)
Diclofenac (DIC075V)577.0
Ketorolac563.2
Placebo28.0

Sum of the Pain Intensity Differences (SPID) Over 48 Hours

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. SPIDs was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 48 hours ranges from -4800 to 4800. A higher value indicates a better pain reduction. (NCT00507026)
Timeframe: Over 48 hours post first dose

Interventionmm*hours (Mean)
Diclofenac (DIC075V)1527.5
Ketorolac1371.8
Placebo400.4

Sum of the Pain Intensity Differences (SPID) Over 72 Hours

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. SPIDs was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 72 hours ranges from -7200 to 7200. A higher value indicates a better pain reduction. (NCT00507026)
Timeframe: Over 72 hours post first dose

Interventionmm*hours (Mean)
Diclofenac (DIC075V)2592.1
Ketorolac2312.1
Placebo836.8

Sum of the Pain Intensity Differences (SPID) Over 96 Hours

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). A positive difference is indicative of improvement. SPIDs was calculated by multiplying the PID score at each post-dose time point by the duration (in hours) since the preceding time point and then summing these values over the specific time period. SPID over 96 hours ranges from -9600 to 9600. A higher value indicates a better pain reduction. (NCT00507026)
Timeframe: Over 96 hours post first dose

Interventionmm*hours (Mean)
Diclofenac (DIC075V)3711.3
Ketorolac3331.9
Placebo1337.8

Time From Administration of Study Drug to Administration of Rescue Medication

Time from administration of study drug to administration of rescue medication were censored at time of last pain assessment for participants who did not receive rescue medication. Rescue medication was additional pain medication, available to participants if they did not receive pain relief from the study drug. Rescue medication available during this study was IV morphine. (NCT00507026)
Timeframe: Maximum up to 5 days

InterventionMinutes (Median)
Diclofenac (DIC075V)220.0
Ketorolac137.0
Placebo51.0

Time to Meaningful Relief

Participants were instructed to stop the second stopwatch at the onset of meaningful pain relief after first dose. Event times of participants not reporting meaningful relief were censored at 6 hours; event times of participants who withdrew or were administered rescue medication were censored at time of withdrawal or rescue. Kaplan-Meier estimate was used for analysis. (NCT00507026)
Timeframe: Within 6 hours of first dose on Day 1

InterventionMinutes (Median)
Diclofenac (DIC075V)41.6
Ketorolac42.5
PlaceboNA

Time to Perceptible Relief

Participants were instructed to stop the first stopwatch at the onset of perceptible pain relief after first dose. Event times of participants not reporting perceptible relief were censored at 6 hours; event times of participants who withdrew or were administered rescue medication were censored at time of withdrawal or rescue. Kaplan-Meier estimate was used for analysis. (NCT00507026)
Timeframe: Within 6 hours of first dose on Day 1

InterventionMinutes (Median)
Diclofenac (DIC075V)10.0
Ketorolac14.4
Placebo15.0

Cumulative Amount of Rescue Medication

In this outcome measure, cumulative amount of rescue medication used over 0-24, 0-48, 0-72, 0-96, and 0-120 hours were reported. Rescue medication was additional pain medication, available to participants if they did not receive pain relief from the study drug. Rescue medication available during this study was IV morphine. (NCT00507026)
Timeframe: 0-24, 0-48, 0-72, 0-96 and 0-120 hours

,,
Interventionmg (Mean)
0-24 hours0-48 hours0-72 hours0-96 hours0-120 hours
Diclofenac (DIC075V)9.411.111.711.811.8
Ketorolac11.515.518.018.118.1
Placebo16.019.020.520.520.5

Number of Participants According to Frequency of Use of Rescue Medication

In this outcome measure, number of participants are reported according to number of times they received rescue medication. Rescue medication was additional pain medication, available to participants if they did not receive pain relief from the study drug. Rescue medication available during this study was IV morphine. Only those categories with at least one nonzero value are reported. (NCT00507026)
Timeframe: 0-24, 0-48, 0-72, 0-96 and 0-120 hours post first dose

,,
InterventionParticipants (Count of Participants)
0 - 24 Hours: 00 - 24 Hours: 10 - 24 Hours: 20 - 24 Hours: 30 - 24 Hours: 40 - 24 Hours: 50 - 24 Hours: 60 - 24 Hours: 70 - 24 Hours: 80 - 24 Hours: 90 - 24 Hours: 110 - 24 Hours: 120 - 24 Hours: 130 - 24 Hours: 140 - 24 Hours: 150-48 hours: 00-48 hours: 10-48 hours: 20-48 hours: 30-48 hours: 40-48 hours: 50-48 hours: 60-48 hours: 70-48 hours: 80-48 hours: 90-48 hours: 100-48 hours: 110-48 hours: 120-48 hours: 130-48 hours: 140-48 hours: 150-48 hours: 170-48 hours: 200-72 hours: 00-72 hours: 10-72 hours: 20-72 hours: 30-72 hours: 40-72 hours: 50-72 hours: 60-72 hours: 70-72 hours: 80-72 hours: 90-72 hours: 100-72 hours: 110-72 hours: 120-72 hours: 130-72 hours: 140-72 hours: 150-72 hours: 170-72 hours: 190-72 hours: 200-72 hours: 210-96 hours: 00-96 hours: 10-96 hours: 20-96 hours: 30-96 hours: 40-96 hours: 50-96 hours: 60-96 hours: 70-96 hours: 80-96 hours: 90-96 hours: 100-96 hours: 110-96 hours: 120-96 hours: 130-96 hours: 140-96 hours: 150-96 hours: 170-96 hours: 190-96 hours: 200-96 hours: 210-120 hours: 00-120 hours: 10-120 hours: 20-120 hours: 30-120 hours: 40-120 hours: 50-120 hours: 60-120 hours: 70-120 hours: 80-120 hours: 90-120 hours: 100-120 hours: 110-120 hours: 120-120 hours: 130-120 hours: 140-120 hours: 150-120 hours: 170-120 hours: 190-120 hours: 200-120 hours: 21
Diclofenac (DIC075V)392626198973231110038232414117863423110000382322151168443532100000038232215116753353310000003823221511675335331000000
Ketorolac176984335211100016510523243421210000165105222421421102100016510522242133110210001651052224213221021000
Placebo476119937443211114761038583505311111476103576299023120111476103567290231220111476103567290231220111

Pain Intensity Differences (PID) Over Time

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). PID score range at any post dose (post baseline) evaluation time point was -100 to 100. A positive difference score is indicative of improvement. (NCT00507026)
Timeframe: Baseline (0 hour), 5, 10, 15, 30, 45 minutes post first dose, 1, 2, 3, 5, 6, 9, 12, 15, 18, 21, 24, 48, 72, 96, 120 hours post first dose

Interventionmm (Mean)
At 5 minutesAt 10 minutesAt 15 minutesAt 30 minutesAt 45 minutesAt 1 hourAt 2 hoursAt 3 hoursAt 5 hoursAt 6 hoursAt 9 hoursAt 12 hoursAt 15 hoursAt 18 hoursAt 21 hoursAt 24 hoursAt 48 hoursAt 72 hoursAt 120 hours
Placebo1.22.42.22.6-1.2-4.2-7.8-8.9-7.3-6.1-1.81.41.18.78.812.919.420.320.9

Pain Intensity Differences (PID) Over Time

Pain intensity was measured on VAS (from 0 mm to 100 mm: 0 = no pain, 100 = worst possible pain). For each post dose time point, PID is derived by subtracting the pain intensity at the post dose time point from the baseline intensity score (baseline score - post-baseline score). PID score range at any post dose (post baseline) evaluation time point was -100 to 100. A positive difference score is indicative of improvement. (NCT00507026)
Timeframe: Baseline (0 hour), 5, 10, 15, 30, 45 minutes post first dose, 1, 2, 3, 5, 6, 9, 12, 15, 18, 21, 24, 48, 72, 96, 120 hours post first dose

,
Interventionmm (Mean)
At 5 minutesAt 10 minutesAt 15 minutesAt 30 minutesAt 45 minutesAt 1 hourAt 2 hoursAt 3 hoursAt 5 hoursAt 6 hoursAt 9 hoursAt 12 hoursAt 15 hoursAt 18 hoursAt 21 hoursAt 24 hoursAt 48 hoursAt 72 hoursAt 96 hoursAt 120 hours
Diclofenac (DIC075V)5.29.113.417.718.518.717.313.510.812.623.623.428.530.236.331.842.947.046.846.9
Ketorolac3.25.59.816.718.419.716.914.715.112.521.323.723.230.139.127.535.541.043.042.9

Participant Global Evaluation Over Time

Participants global evaluation of study medication was accessed on a scale ranging from scale 0 to 4 where 0= poor, 1= fair, 2= good, 3= very good, 4= excellent where higher score represented better outcome. (NCT00507026)
Timeframe: 0-24, 0-48, 0-120 hours post-dose

,,
InterventionUnits on a scale (Mean)
0-24 Hours0-48 Hours0-120 Hours
Diclofenac (DIC075V)2.62.92.9
Ketorolac2.42.62.6
Placebo1.11.91.3

Percentage of Participants Attaining Greater Than or Equal to (>=) 30 Percent (%) Reduction From Baseline in Pain Intensity

Pain intensity was measured on a 0 to 100 mm VAS, larger values indicate greater pain intensity. In this outcome measure, percentage of participants attaining >= 30 % reduction in pain intensity from baseline to specified time points was reported. (NCT00507026)
Timeframe: Baseline (0 hour), 5, 30 minutes post first dose, 1, 24, 48, 72, 90, 120 hours post first dose

,,
InterventionPercentage of participants (Number)
At 5 minutesAt 30 minutesAt 1 hourAt 24 hoursAt 48 hoursAt 72 hoursAt 90 hoursAt 120 hours
Diclofenac (DIC075V)13.843.444.862.175.280.080.080.7
Ketorolac10.035.041.756.763.371.775.075.0
Placebo8.325.015.331.0941.741.743.143.1

Total Pain Relief (TOTPAR)

Pain relief values at specified time points were measured on a 0 to 100 mm VAS, where higher values indicate greater pain relief. TOTPAR over specified time interval was calculated as area under pain relief curve over specified time intervals using trapezoidal approximation. For 0-24 hours score range was 0-2400, for 0-48 hours score range was 0- 4800, for 0-96 hours score range was 0-9600 and for 0-120 hours score range was 0-12000. Higher TOTPAR values indicated more relief. (NCT00507026)
Timeframe: 0-24, 0-48, 0-72, 0-96 and 0-120 hours post first dose

,,
Interventionmm*hours (Mean)
0-24 hours0-48 hours0-72 hours0-96 hours0-120 hours
Diclofenac (DIC075V)1177.62768.34471.06252.28042.5
Ketorolac1065.42453.83983.65575.77178.0
Placebo484.71327.92214.63159.44105.4

Visual Analog Pain Relief Values Over the Time

Pain relief values at specified time points were measured on a 0 to 100 mm VAS, where higher values indicate greater pain relief. (NCT00507026)
Timeframe: 5, 10, 15, 30, 45 minutes post first dose, 1, 2, 3, 5, 6, 9, 12, 15, 18, 21, 24, 48, 72, 96, 120 hours post first dose

,,
Interventionmm (Mean)
At 5 minutesAt 10 minutesAt 15 minutesAt 30 minutesAt 45 minutesAt 1 hourAt 2 hoursAt 3 hoursAt 5 hoursAt 6 hoursAt 9 hoursAt 12 hoursAt 15 hoursAt 18 hoursAt 21 hoursAt 24 hoursAt 48 hoursAt 72 hoursAt 96 hoursAt 120 hours
Diclofenac (DIC075V)21.927.133.539.741.640.035.333.528.836.749.551.655.756.663.659.769.474.474.674.6
Ketorolac17.923.627.233.933.337.833.229.531.033.939.446.345.953.663.253.460.864.867.066.9
Placebo15.319.021.623.119.917.110.18.08.012.617.521.621.428.327.432.538.238.839.439.4

Neck Disability Index

"Neck Disability Index total score. Minimum = 0 Best. Maximum = 50 Worst" (NCT01335724)
Timeframe: 96h

InterventionTotal Score (Mean)
Diclofenac Diethylamine 1.16% Gel2.8
Placebo Gel14.6

Pain at Rest

"Pain at Rest on a 100 mm visual analog scale. Minimum score =0 mm no pain. Maximum score =100 mm extreme pain." (NCT01335724)
Timeframe: 96h

Interventionmm (Mean)
Diclofenac Diethylamine 1.16% Gel1.2
Placebo Gel19.2

Pain on Movement

"Pain on movement on a 100 mm visual analog scale. Minimum score =0 mm no pain. Maximum score =100 mm extreme pain." (NCT01335724)
Timeframe: 48 h

Interventionmm (Mean)
Diclofenac Diethylamine 1.16% Gel19.5
Placebo Gel56.9

Reviews

11 reviews available for diclofenac and Acute Pain

ArticleYear
Management of Acute Pain From Non-Low Back, Musculoskeletal Injuries : A Systematic Review and Network Meta-analysis of Randomized Trials.
    Annals of internal medicine, 2020, 11-03, Volume: 173, Issue:9

    Topics: Acetaminophen; Acute Pain; Administration, Oral; Administration, Topical; Analgesics, Opioid; Anti-I

2020
    Zeitschrift fur Gesundheitswissenschaften = Journal of public health, 2022, Volume: 30, Issue:2

    Topics: 3T3-L1 Cells; A Kinase Anchor Proteins; Acetates; Achilles Tendon; Acute Kidney Injury; Acute Pain;

2022
Single-dose intravenous ketorolac for acute postoperative pain in adults.
    The Cochrane database of systematic reviews, 2021, 05-17, Volume: 5

    Topics: Acute Pain; Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Bias; Diclofenac; Hu

2021
Topical analgesics for acute and chronic pain in adults - an overview of Cochrane Reviews.
    The Cochrane database of systematic reviews, 2017, 05-12, Volume: 5

    Topics: Acute Pain; Adult; Analgesics; Arthritis, Rheumatoid; Capsaicin; Chronic Pain; Diclofenac; Humans; K

2017
Single-dose intravenous diclofenac for acute postoperative pain in adults.
    The Cochrane database of systematic reviews, 2018, 08-28, Volume: 8

    Topics: Acute Pain; Adult; Analgesics, Opioid; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans;

2018
Caffeine as an analgesic adjuvant for acute pain in adults.
    The Cochrane database of systematic reviews, 2014, Dec-11, Issue:12

    Topics: Acetaminophen; Acute Pain; Adolescent; Adult; Aged; Analgesics; Caffeine; Chemotherapy, Adjuvant; Di

2014
Low-dose SoluMatrix diclofenac : a review of safety across two Phase III studies in patients with acute and osteoarthritis pain.
    Expert opinion on drug safety, 2015, Volume: 14, Issue:8

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Clinical Trials, Phase III as Topic; Diclofenac

2015
Single dose oral diclofenac for acute postoperative pain in adults.
    The Cochrane database of systematic reviews, 2015, Jul-07, Issue:7

    Topics: Acute Pain; Administration, Oral; Adult; Anti-Inflammatory Agents, Non-Steroidal; Chemistry, Pharmac

2015
Topical NSAIDs for Acute Musculoskeletal Pain in Adults.
    American family physician, 2016, Jul-01, Volume: 94, Issue:1

    Topics: Acute Pain; Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Ib

2016
Diclofenac Sodium Bolus Injection (Dyloject(TM)): A Review in Acute Pain Management.
    Drugs, 2016, Volume: 76, Issue:12

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; beta-Cyclode

2016
Lumiracoxib for acute postoperative dental pain: a systematic review of randomized clinical trials.
    Sao Paulo medical journal = Revista paulista de medicina, 2011, Volume: 129, Issue:5

    Topics: Acute Pain; Anti-Inflammatory Agents; Cyclooxygenase 2 Inhibitors; Diclofenac; Humans; Pain, Postope

2011

Trials

17 trials available for diclofenac and Acute Pain

ArticleYear
Safety and Efficacy of the FLECTOR (Diclofenac Epolamine) Topical System in Children with Minor Soft Tissue Injuries: A Phase IV Non-randomized Clinical Trial.
    Clinical drug investigation, 2022, Volume: 42, Issue:1

    Topics: Acute Pain; Administration, Topical; Adolescent; Anti-Inflammatory Agents, Non-Steroidal; Child; Dic

2022
Efficacy and safety of Diclofenac sodium plaster in patients with acute pain of the limbs: a randomized, placebo and active-controlled, double-blind, parallel-group trial.
    European review for medical and pharmacological sciences, 2023, Volume: 27, Issue:7

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans; Soft T

2023
A randomized controlled trial evaluating the short-term efficacy of a single-administration intramuscular injection with the fixed combination of thiocolchicoside-diclofenac versus diclofenac monotherapy in patients with acute moderate-to-severe low back
    BMC musculoskeletal disorders, 2023, Jun-10, Volume: 24, Issue:1

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans; Inject

2023
    Zeitschrift fur Gesundheitswissenschaften = Journal of public health, 2022, Volume: 30, Issue:2

    Topics: 3T3-L1 Cells; A Kinase Anchor Proteins; Acetates; Achilles Tendon; Acute Kidney Injury; Acute Pain;

2022
A randomized controlled trial of ibuprofen versus ketorolac versus diclofenac for acute, nonradicular low back pain.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2021, Volume: 28, Issue:11

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans; Ibupro

2021
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Safety of Injectable HPβCD-Diclofenac in Older Patients with Acute Moderate-to-Severe Postoperative Pain: A Pooled Analysis of Three Phase III Trials.
    Drugs & aging, 2018, Volume: 35, Issue:3

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Age Factors; Aged; Anti-Inflammatory Agents, Non-Ster

2018
Intramuscular versus oral diclofenac for acute pain in adults with acute musculoskeletal injuries presenting to the ED setting: a prospective, double-blind, double-dummy, randomised controlled trial.
    Emergency medicine journal : EMJ, 2019, Volume: 36, Issue:7

    Topics: Acute Pain; Administration, Oral; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal;

2019
Efficacy and safety of low dose subcutaneous diclofenac in the management of acute pain: a randomized double-blind trial.
    Pain practice : the official journal of World Institute of Pain, 2014, Volume: 14, Issue:4

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Adolescent; Adult; Aged; Analysis of Variance; Anti-I

2014
Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study.
    BMC musculoskeletal disorders, 2013, Aug-21, Volume: 14

    Topics: Acute Pain; Administration, Cutaneous; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroi

2013
Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study.
    BMC musculoskeletal disorders, 2013, Aug-21, Volume: 14

    Topics: Acute Pain; Administration, Cutaneous; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroi

2013
Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study.
    BMC musculoskeletal disorders, 2013, Aug-21, Volume: 14

    Topics: Acute Pain; Administration, Cutaneous; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroi

2013
Efficacy and safety of diclofenac diethylamine 1.16% gel in acute neck pain: a randomized, double-blind, placebo-controlled study.
    BMC musculoskeletal disorders, 2013, Aug-21, Volume: 14

    Topics: Acute Pain; Administration, Cutaneous; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroi

2013
Lower-dose diclofenac submicron particle capsules provide early and sustained acute patient pain relief in a phase 3 study.
    Postgraduate medicine, 2013, Volume: 125, Issue:5

    Topics: Acute Pain; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Bli

2013
[Effect of nonsteroidal anti-inflammatory drugs on the indicators of cardiovascular risk in patients with acute nonspecific back pain].
    Terapevticheskii arkhiv, 2015, Volume: 87, Issue:12

    Topics: Acute Pain; Aged; Anti-Inflammatory Agents, Non-Steroidal; Back Pain; Cardiovascular Diseases; Cyclo

2015
Cardiovascular safety of hydroxypropyl-β-cyclodextrin-diclofenac in the management of acute postsurgical pain: a pooled analysis of 2 randomized, double-blind, placebo- and active comparator-controlled phase III clinical trials.
    Journal of clinical anesthesia, 2016, Volume: 31

    Topics: 2-Hydroxypropyl-beta-cyclodextrin; Acute Pain; Adolescent; Adult; Aged; Anti-Inflammatory Agents, No

2016
Effectiveness and safety of diclofenac epolamine topical patch 1.3% for the treatment of acute pain due to back strain: an open-label, uncontrolled study.
    The Physician and sportsmedicine, 2011, Volume: 39, Issue:1

    Topics: Acute Pain; Administration, Topical; Adolescent; Adult; Aged; Anti-Inflammatory Agents, Non-Steroida

2011
Effectiveness of diclofenac, ketorolac and etoricoxib in the treatment of acute pain from ankle fracture.
    Proceedings of the Western Pharmacology Society, 2010, Volume: 53

    Topics: Acute Pain; Adult; Ankle Injuries; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind

2010
Treatment of loin pain suspected to be renal colic with papaverine hydrochloride: a prospective double-blind randomised study.
    BJU international, 2012, Volume: 110, Issue:3

    Topics: Acute Disease; Acute Pain; Adolescent; Adult; Analgesics; Anti-Inflammatory Agents, Non-Steroidal; D

2012
A novel injectable formulation of diclofenac compared with intravenous ketorolac or placebo for acute moderate-to-severe pain after abdominal or pelvic surgery: a multicenter, double-blind, randomized, multiple-dose study.
    Anesthesia and analgesia, 2012, Volume: 115, Issue:5

    Topics: Abdomen; Acute Pain; Adult; Chemistry, Pharmaceutical; Diclofenac; Dose-Response Relationship, Drug;

2012
A novel injectable formulation of diclofenac compared with intravenous ketorolac or placebo for acute moderate-to-severe pain after abdominal or pelvic surgery: a multicenter, double-blind, randomized, multiple-dose study.
    Anesthesia and analgesia, 2012, Volume: 115, Issue:5

    Topics: Abdomen; Acute Pain; Adult; Chemistry, Pharmaceutical; Diclofenac; Dose-Response Relationship, Drug;

2012
A novel injectable formulation of diclofenac compared with intravenous ketorolac or placebo for acute moderate-to-severe pain after abdominal or pelvic surgery: a multicenter, double-blind, randomized, multiple-dose study.
    Anesthesia and analgesia, 2012, Volume: 115, Issue:5

    Topics: Abdomen; Acute Pain; Adult; Chemistry, Pharmaceutical; Diclofenac; Dose-Response Relationship, Drug;

2012
A novel injectable formulation of diclofenac compared with intravenous ketorolac or placebo for acute moderate-to-severe pain after abdominal or pelvic surgery: a multicenter, double-blind, randomized, multiple-dose study.
    Anesthesia and analgesia, 2012, Volume: 115, Issue:5

    Topics: Abdomen; Acute Pain; Adult; Chemistry, Pharmaceutical; Diclofenac; Dose-Response Relationship, Drug;

2012
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
    Spine, 2013, Apr-01, Volume: 38, Issue:7

    Topics: Absenteeism; Acetaminophen; Acute Pain; Adolescent; Adult; Ambulatory Care; Anti-Inflammatory Agents

2013
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
    Spine, 2013, Apr-01, Volume: 38, Issue:7

    Topics: Absenteeism; Acetaminophen; Acute Pain; Adolescent; Adult; Ambulatory Care; Anti-Inflammatory Agents

2013
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
    Spine, 2013, Apr-01, Volume: 38, Issue:7

    Topics: Absenteeism; Acetaminophen; Acute Pain; Adolescent; Adult; Ambulatory Care; Anti-Inflammatory Agents

2013
Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo.
    Spine, 2013, Apr-01, Volume: 38, Issue:7

    Topics: Absenteeism; Acetaminophen; Acute Pain; Adolescent; Adult; Ambulatory Care; Anti-Inflammatory Agents

2013

Other Studies

13 other studies available for diclofenac and Acute Pain

ArticleYear
[Clinical experience with the use of a fixed combination of diclofenac and orphenadrine in the treatment of acute pain syndrome].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2021, Volume: 121, Issue:8

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Orphenadrine; Pain Measurem

2021
Ibuprofen, Ketorolac, and Diclofenac Are Equivalent for the Treatment of Acute, Nonradicular Low Back Pain.
    American family physician, 2022, 05-01, Volume: 105, Issue:5

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Double-Blind Method; Humans; Ibupro

2022
[The use of a fixed combination of diclofenac and orphenadrine in the treatment of acute pain syndrome in patients with discogenic lumbosacral radiculopathy and lumboischialgia].
    Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova, 2023, Volume: 123, Issue:3

    Topics: Acute Pain; Back Pain; Diclofenac; Humans; Orphenadrine; Radiculopathy

2023
Single-dose intravenous diclofenac for acute postoperative pain in adults: A Cochrane review summary.
    International journal of nursing studies, 2021, Volume: 113

    Topics: Acute Pain; Administration, Oral; Adult; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans

2021
Topical NSAIDs for acute local pain relief:
    Drug development and industrial pharmacy, 2021, Volume: 47, Issue:6

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Ibuprofen; Pharmaceutical P

2021
[Topical NSAIDs: ineffective or undervalued?]
    Nederlands tijdschrift voor geneeskunde, 2021, 05-19, Volume: 165

    Topics: Acute Pain; Administration, Topical; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans; Mu

2021
Aceclofenac-Galactose Conjugate: Design, Synthesis, Characterization, and Pharmacological and Toxicological Evaluations.
    Molecular pharmaceutics, 2018, 08-06, Volume: 15, Issue:8

    Topics: Acute Pain; Administration, Oral; Animals; Anti-Inflammatory Agents, Non-Steroidal; Biological Avail

2018
Antinociceptive synergy between diclofenac and morphine after local injection into the inflamed site.
    Pharmacological reports : PR, 2013, Volume: 65, Issue:2

    Topics: Acute Pain; Analgesics, Opioid; Animals; Anti-Inflammatory Agents, Non-Steroidal; Behavior, Animal;

2013
Low dose diclofenac (Zorvolex) for pain.
    The Medical letter on drugs and therapeutics, 2014, Mar-03, Volume: 56, Issue:1437

    Topics: Acute Pain; Administration, Oral; Anti-Inflammatory Agents, Non-Steroidal; Diclofenac; Humans

2014
Investigation of mucus obtained from different fish species on the acute pain induced with scalpel incision in paw of rats.
    Experimental animals, 2016, Volume: 65, Issue:1

    Topics: Acute Pain; Analgesics; Animals; Antioxidants; Cyclooxygenase 2; Diclofenac; Fishes; Gene Expression

2016
Safety and efficacy of low doses of diclofenac on acute pain in the emergency setting.
    European review for medical and pharmacological sciences, 2016, Volume: 20, Issue:20

    Topics: Acute Pain; Anti-Inflammatory Agents, Non-Steroidal; Cardiovascular Diseases; Diclofenac; Humans; Ri

2016
Assessing carrageenan-induced locomotor activity impairment in rats: comparison with evoked endpoint of acute inflammatory pain.
    European journal of pain (London, England), 2012, Volume: 16, Issue:6

    Topics: Acute Pain; Adrenergic Uptake Inhibitors; Amines; Amphetamine; Analgesics; Analgesics, Opioid; Anima

2012
Preemptive analgesic effect of diclofenac: experimental study in rats.
    Middle East journal of anaesthesiology, 2011, Volume: 21, Issue:3

    Topics: Acute Pain; Animals; Anti-Inflammatory Agents, Non-Steroidal; Behavior, Animal; Diclofenac; Formalde

2011