Arthritis, RheumatoidPhase 4PRECISIONNCT00346216
Prospective Randomized Evaluation Of Celecoxib Integrated Safety Vs Ibuprofen Or Naproxen
A Phase 4 study testing celecoxib, Ibuprofen and Naproxen in people with Arthritis, Rheumatoid, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 1,066 sites in 13 countries.
Trial summary
To answer the question of overall benefit: risk of celecoxib when compared to two most commonly prescribe traditional (non-selective) nonsteroidal anti-inflammatory drugs (NSAIDs) in the treatment of arthritis pain. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Arthritis, Rheumatoid
- What is being tested?
- celecoxib, Ibuprofen and Naproxen
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24,081 participants
- Where
- 1,066 sitesin 13 countries
- Study dates
- 4 Oct 2006to 12 Apr 2016
- Phase
- Phase 4
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects with osteoarthritis or rheumatoid Arthritis with or at risk of developing cardiovascular disease and who require and eligible for chronic, daily therapy with an NSAID to control arthritis sign and symptoms.
Who cannot join
- Subjects have had a recent cardiovascular event, unstable cardiovascular conditions, or any major surgery (cardiac or non-cardiac) within 3 months prior to randomization;
- Subjects with medical or laboratory abnormality that would make the subject inappropriate for entry into this trial
- Subjects require treatment with aspirin > 325 mg /day
- Subjects with known hypersensitivity to celecoxib, ibuprofen, naproxen, aspirin or esomeprazole, etc.
Trial locations and contacts
1,066 sites in 13 countries.
495 sites in 13 countries
United States300 sites
Odyssey Research/Sanford Clinic - Aberdeen
Aberdeen, South Dakota, 57401
Sanford Clinic - Aberdeen
Aberdeen, South Dakota, 57401
Daystar Clinical Research
Akron, Ohio, 44313
Carol M. Johnson MD, LLC
Alabaster, Alabama, 35007
Alliance Medical Center
Alliance, Nebraska, 69301
Cody Medical Associates
Alliance, Nebraska, 69301
University Orthopedics Center
Altoona, Pennsylvania, 16602
Amarillo Medical Specialists, LLP
Amarillo, Texas, 79106
Pharma Tex Research, LLC
Amarillo, Texas, 79106
Anaheim Family Medical Center
Anaheim, California, 92804
Advanced Research Center
Anaheim, California, 92805
Community Clinical Research Center
Anderson, Indiana, 46011
Anderson Heart
Anderson, South Carolina, 29621
AnMed Health
Anderson, South Carolina, 29621
Heartland Research Associates LLC
Arkansas City, Kansas, 67005
Family Health Care Association
Arlington, Texas, 76013
South Arlington Primary Care Associates PA
Arlington, Texas, 76017
DCT - Anchor, LLC dba Discovery Clinical Trials
Arlington, Texas, 76018
Advanced Arthritis & Rheumatology Center
Artesia, California, 90701
Darrell E. Gorman, MD
Arvada, Colorado, 80005
Asheville Arthritis & Osteoporosis, PA
Asheville, North Carolina, 28803
Howard L. Feinberg, D.O.
Ashland, Kentucky, 41101
Integrated Medical Research, PC
Ashland, Oregon, 97520
The Kaufmann Clinic
Atlanta, Georgia, 30308
Piedmont Heart Institute
Atlanta, Georgia, 30309
Arthritis and Rheumatology of Georgia
Atlanta, Georgia, 30342
Atlanta Center for Clinical Research, Corp.
Atlanta, Georgia, 30342
Atlanta Vascular Research Foundation
Atlanta, Georgia, 30342
Executive Health and Research Associates
Atlanta, Georgia, 30342
Medical Specialist of the Palm Beaches
Atlantis, Florida, 33462
Maine Research Associates
Auburn, Maine, 04210
Southern Clinical Research and Management, Inc. (SCRAM)
Augusta, Georgia, 30904
Masters of Clinical Research, Inc.
Augusta, Georgia, 30909
Aurora Denver Cardiology Associates
Aurora, Colorado, 80012
AMR Sakeena Research
Aurora, Illinois, 60506
DCT-AACT, LLC dba Discovery Clinical Trials
Austin, Texas, 78758
South Florida Medical Research
Aventura, Florida, 33180
American Health Network of Indiana, LLC
Avon, Indiana, 46123
Primary Care Cardiology Research
Ayer, Massachusetts, 01432
Bina Akamdar MD
Azusa, California, 91702
Kenneth F. Solinsky, MD
Babylon, New York, 11702-2516
Amelia Medical Plaza
Bainbridge, Georgia, 39819
Bainbridge Medical Associates
Bainbridge, Georgia, 39819
Chesapeake CardioVascular Associates
Baltimore, Maryland, 21204
Midatlantic Cardiovascular Associates
Baltimore, Maryland, 21204
Midatlantic Cardiovascular Associates, PA
Baltimore, Maryland, 21208
Health Trends Research, LLC
Baltimore, Maryland, 21209
One Heart, LLC
Baltimore, Maryland, 21215
Chesapeake CardioVascular Associates
Baltimore, Maryland, 21218
Midatlantic Cardiovascular Associates, Pa
Baltimore, Maryland, 21229
Saint Agnes HealthCare Incorporated
Baltimore, Maryland, 21229
Stephen R Smith, MD FACP
Baltimore, Maryland, 21234-4607
MidAtlantic Cardiovascular Associates, PA
Baltimore, Maryland, 21237
Peter A. Holt
Baltimore, Maryland, 21239
Great Lakes Research Group, Incorporated
Bay City, Michigan, 48706
Southeast Texas Cardiology Associates
Beaumont, Texas, 77702
Southeast Texas Clinical Research Center
Beaumont, Texas, 77702
Tri-State Medical Group
Beaver, Pennsylvania, 15009
Rheumatology and Pulmonary Clinic
Beckley, West Virginia, 25801
Kaner Medical Group PA
Bedford, Texas, 76021
Nexxus Research Group, LLC
Bedford, Texas, 76021
Texas Orthopedic Specialists, PLLC
Bedford, Texas, 76021
Midatlantic Cardiovascular Associates PA
Bel Air, Maryland, 21014
Rx for Life, Inc
Bell, California, 90201
Bellevue Family Practice/Clinical Research Advantage, Inc.
Bellevue, Nebraska, 68005
Professional Clinical Research-Benzonia
Benzonia, Michigan, 49616
Orthopaedics West
Bessemer, Alabama, 35022
East Penn Rheumatology Associates, PC
Bethlehem, Pennsylvania, 18015
Southern Maine Health Care
Biddeford, Maine, 04005
The Center for Clinical Trials
Biloxi, Mississippi, 39531
Central Alabama Research
Birmingham, Alabama, 35209
Simon Williamson Clinic/Clinical Research Advantage, Inc.
Birmingham, Alabama, 35211
Achieve Clinical Research, LLC
Birmingham, Alabama, 35216
Alabama Clinical Therapeutics, LLC
Birmingham, Alabama, 35235
Cahaba Research Inc.
Birmingham, Alabama, 35242
Arthur I Davida, MD PC
Bloomingdale, Illinois, 60108
RASF - Clinical Research Center
Boca Raton, Florida, 33486
Orthopedic Health Care Clinic
Boise, Idaho, 83702
Sonora Clinical Research, LLC
Boise, Idaho, 83702
Eagle's View Family Medicine
Boise, Idaho, 83713-0997
Chandler Family Practice
Bossier City, Louisiana, 71111
Graves Gilbert Clinic
Bowling Green, Kentucky, 42101-1759
Graves Gilbert Clinic
Bowling Green, Kentucky, 42101
Orthopedic Research Institute
Boynton Beach, Florida, 33472
Clinical Research of Brandon, LLC
Brandon, Florida, 33511
Connecticut Clinical Research, LLC
Bridgeport, Connecticut, 06606
Connecticut Gastroenterology Institute
Bristol, Connecticut, 06010
Holston Medical Group
Bristol, Tennessee, 37620
Internal Medicine & Pediatric Associates of Bristol
Bristol, Tennessee, 37620
PMG Research of Bristol
Bristol, Tennessee, 37620
LifeLine Research Institute
Brooklyn, New York, 11214
Buckingham Family Medicine
Buckingham, Pennsylvania, 18912
Highline Medical Center Laboratory
Burien, Washington, 98166
Burke Internal Medicine & Research
Burke, Virginia, 22015
Burke Internal Medicine
Burke, Virginia, 22015
Kernodle Clinic Inc.
Burlington, North Carolina, 27215
Cadillac Clinical Research
Cadillac, Michigan, 49601
Abdul Bari MD Inc
Cairo, Georgia, 39828
Southern Clinical Research Management and Consulting
Cairo, Georgia, 39828
Calabash Medical Center
Calabash, North Carolina, 28467
Camp Hill Clinical Research Center
Camp Hill, Pennsylvania, 17011
Internal Medicine Research Association
Campbellsville, Kentucky, 42718
Cape Girardeau Physicians Associates
Cape Girardeau, Missouri, 63703
Clinical Research Advantage Inc., /Cassidy Medical Group-Carlsbad
Carlsbad, California, 92008
Capitol Interventional Cardiology
Carmichael, California, 95608
Northern California Research
Carmichael, California, 95608
MedicalEdge Healthcare Group, PA, dba Leading Edge Research, PA
Carrollton, Texas, 75007
PMG Research of Raleigh, LLC d/b/a PMG Research of Cary
Cary, North Carolina, 27518
Physician's Clinic of Iowa, PC
Cedar Rapids, Iowa, 52403
Clinical Research Advantage Inc./ Warner Family Practice, PC
Chandler, Arizona, 85224
Chapel Hill Family Medicine
Chapel Hill, North Carolina, 27514
Thurston Arthritis Reaserch Ctr
Chapel Hill, North Carolina, 27599
Low Country Rheumatology, PA/Low Country Research Center
Charleston, South Carolina, 29406-9333
Clinical Trials of South Carolina
Charleston, South Carolina, 29406
St. Andrews Medical
Charleston, South Carolina, 29407
Mid Carolina Cardiology Research
Charlotte, North Carolina, 28204
Presbyterian Novant Heart and Wellness
Charlotte, North Carolina, 28204
Arthritis and Osteoporosis Consultants of the Carolinas
Charlotte, North Carolina, 28207-1198
PMG Research of Charlotte
Charlotte, North Carolina, 28209-3734
Barat Research Group, Inc.
Charlotte, North Carolina, 28262
Sensenbrenner Primary Care
Charlotte, North Carolina, 28277
Shah Associates MD, LLC
Charlotte Hall, Maryland, 20622
Center for Arthritis and Rheumatic Diseases
Chesapeake, Virginia, 23320-4985
Bayview Physicians oa Cardiovascular Associates, Ltd
Chesapeake, Virginia, 23320
David Ramstad, MD, MPH and Associates
Chesapeake, Virginia, 23320
Cardiac Wellness Consultants
Chicago, Illinois, 60611
Chicago Peripheral Nerve Center
Chicago, Illinois, 60611
ICCT Research International Incorporated
Chicago, Illinois, 60611
Claude Mandel Medical Center
Chicago, Illinois, 60617
Butler Medical Associates
Chicora, Pennsylvania, 16025
Family Healthcare of Chipley
Chipley, Florida, 32428
Health First Clinical Research Group, Inc.
Chipley, Florida, 32428
Southern Family Healthcare and Health First Research Group Inc.
Chipley, Florida, 32428
CFP Research, Inc.
Cincinnati, Ohio, 45242
Mountain State Clinical Research
Clarksburg, West Virginia, 26301
Florida Research & Testing, LLC
Clearwater, Florida, 33755
Alba Clinical Research
Clearwater, Florida, 33756
Appletree Medical
Clearwater, Florida, 33756
Innovative Research of West Florida, Inc.
Clearwater, Florida, 33756
Clinical Research of West Florida
Clearwater, Florida, 33765
Rapid Medical Research, Inc.
Cleveland, Ohio, 44122
Cleveland Clinic
Cleveland, Ohio, 44195
New Jersey Physicians, LLC
Clifton, New Jersey, 07012
Clifton-Wallington Medical Group
Clifton, New Jersey, 07013
Rameshwar N. Mathur, MD, PA
Cocoa, Florida, 32927
Coeur D'Alene Arthritis Clinic
Coeur d'Alene, Idaho, 83814
Perkiomen Valley Family Practice, PC
Collegeville, Pennsylvania, 19426-3626
Prentiss Family Medicine
Colleyville, Texas, 76034
Rheumatology Associates, Ltd
Colmar, Pennsylvania, 18915
Azmi Emil Farag, MD
Colorado Springs, Colorado, 80918
Lynn Institute of the Rockies
Colorado Springs, Colorado, 80920
Colorado Springs Health Partners- East/Clinical Research Advantage
Colorado Springs, Colorado, 80922
Cardiovascular Specialists, LLC
Columbia, Maryland, 21044-2914
Johns Hopkins University
Columbia, Maryland, 21044
Neem Research Group Inc.
Columbia, South Carolina, 29201
Columbia Arthritis Center Pa
Columbia, South Carolina, 29204
MedTrial
Columbia, South Carolina, 29204
The Ohio State University
Columbus, Ohio, 43210-1228
Feldman Family Practice
Columbus, Ohio, 43213
MidWest Cardiology Research Foundation
Columbus, Ohio, 43214
Riverside Methodist Hospital
Columbus, Ohio, 43214
Remington-Davis Incorporated
Columbus, Ohio, 43215
Midtowne Family Practice Centre
Columbus, Ohio, 43228
Office of J. Miller Oppy, MD, Youghiogheny Primary Care Practice
Connellsville, Pennsylvania, 15425
Carlos B. Everett, MD
Corpus Christi, Texas, 78405
Discovery Clinical Research
Corpus Christi, Texas, 78411
Ridge Family Practice, PC/Clinical Research Advantage, Inc.
Council Bluffs, Iowa, 51503
New England Center for Clinical Research
Cranston, Rhode Island, 02920
Nature Coast Clinical Research, LLC
Crystal River, Florida, 34429
The Osteoporosis & Clinical Trials Center
Cumberland, Maryland, 21502
Partners in Clinical Research
Cumberland, Rhode Island, 02864
Texas Health Physicians Group
Dallas, Texas, 75220
Soltero Cardiovascular Research Center/Baylor University Medical Center
Dallas, Texas, 75226
Arthritis Care and Diagnostic Center, P.A.
Dallas, Texas, 75231
Medical Specialists Associated
Dallas, Texas, 75231
Metroplex Clinical Research Center
Dallas, Texas, 75231
SouthWest Rheumatology, P.A.
Dallas, Texas, 75231
DCT - Genesis Neighborhood Research, LLC dba Discovery Clinical Trials
Dallas, Texas, 75254
Danville Internal Medicine, Inc.
Danville, Virginia, 24541
Danville Orthopedic Clinic
Danville, Virginia, 24541
Midwest Cardiovascular Research Foundation
Davenport, Iowa, 52803
PriMed Clinical Research
Dayton, Ohio, 45419
Atlantic Institute of Clinical Research
Daytona Beach, Florida, 32114
International Medical Research
Daytona Beach, Florida, 32117
Omega Research Consultants, LLC
DeBary, Florida, 32713
Physicians Research Alliance, LLC
DeBary, Florida, 32713
Deerfield Beach Cardiology Associates
Deerfield Beach, Florida, 33442
Doctors Medical Center of Walton County
DeFuniak Springs, Florida, 32435
Avail Clinical Research, LLC
DeLand, Florida, 32720
Florida Research Associates, LLC/Florida Orthopaedic Associates, P.A.
DeLand, Florida, 32720
Cohen Medical Associates, PA
Delray Beach, Florida, 33446
Mountain View Clinical Research, Inc.
Denver, Colorado, 80209
Office of Jerrold V Flatt
Des Moines, Iowa, 50316
Clark Family Medicine & Emerald Coast Research Group
Destin, Florida, 32540
SJS Clinical Research, Inc
Destin, Florida, 32541
Livernois Family Medical Services
Detroit, Michigan, 48221
Brandywine Clinical Research
Downingtown, Pennsylvania, 19335
Medical Associates Clinic, PC
Dubuque, Iowa, 52002
North Georgia Rheumatology Group, PC
Duluth, Georgia, 30096
St. Luke's Hospital Association of Duluth, DBA St Luke's Rheumatology Assoc.
Duluth, Minnesota, 55805
St. Luke's Hospital Association of Duluth, Inc.
Duluth, Minnesota, 55805
St. Luke's Hospital Association of Duluth
Duluth, Minnesota, 55805
Altoona Center for Clinical Research
Duncansville, Pennsylvania, 16635
Robert W. Levin MD
Dunedin, Florida, 34698
Lee Medical Associates
Dunkirk, New York, 14048
Duke Health Center at Pickett Road
Durham, North Carolina, 27705
CTL Research
Eagle, Idaho, 83616
Office of Dr. Susan Courtnage
Eaton Rapids, Michigan, 48827
Riverside Clinical Research
Edgewater, Florida, 32132
Anderson and Collins, Clinical Research Inc.
Edison, New Jersey, 08817
Drs. Collins and Uthappa
Edison, New Jersey, 08817
Rajendra K. Marwah, MD
El Paso, Texas, 79902
Central Jersey Health Care
Elizabeth, New Jersey, 07202
Center for Arthritis and Osteoporosis
Elizabethtown, Kentucky, 42701
Clinical Research Advantage, Inc./ Skyline Medical Center, PC
Elkhorn, Nebraska, 68022
AMS Research
Elmira, New York, 14905
CORE Orthopaedic Medical Center
Encinitas, California, 92024
Regional Clinical Research, Inc.
Endwell, New York, 13760
Andron Medical Associates
Englewood, New Jersey, 07631-2507
HWC Women's Research Center
Englewood, Ohio, 45322
Saint Vincent Consultant in Cardiovascular Diseases, LLC
Erie, Pennsylvania, 16502
Arthritis Associates
Erie, Pennsylvania, 16508
Center for Assessment and Research of Erie
Erie, Pennsylvania, 16508
Stan F. Slabic, M.D.
Erie, Pennsylvania, 16509
Arthritis Medical Clinic of North County, Inc.
Escondido, California, 92025
Lane Medical Research Group
Eugene, Oregon, 97401
Oregon Medical Group Adult Medicine Clinic
Eugene, Oregon, 97401
Oregon Medical Group Clinical Research
Eugene, Oregon, 97401
Kaner Medical Group, PA
Euless, Texas, 76039
Windy City Orthopedics and Sports Medicine
Evanston, Illinois, 60202
Robert D. Barnes, MD, LLC
Evansville, Indiana, 47710
Clinical Research Advantage, Inc.
Evansville, Indiana, 47714
Destiny Clinical Research, LLC
Evansville, Indiana, 47714
Clinical Research Advantage/Family Medicine Associates
Evansville, Indiana, 47725
Med Investigations, Inc.
Fair Oaks, California, 95628
Cleveland Clinic Fairview Cardiovascular Medicine
Fairview Park, Ohio, 44126
Genesis Clinical Research & Consulting
Fall River, Massachusetts, 02720
NECCR Internal Medicine and Cardiology Associates, LLC
Fall River, Massachusetts, 02720
Phase III Clinical Research
Fall River, Massachusetts, 02720
Seven Corners Medical Research Center
Falls Church, Virginia, 22044
Plains Clinical Research Center
Fargo, North Dakota, 58104
Fayetteville Diagnostic Clinic Limited
Fayetteville, Arkansas, 72703
Parkway Medical Group
Fayetteville, Tennessee, 37334
AMH Feasterville Family HealthCare Center
Feasterville, Pennsylvania, 19053
Fleming Island Center for Clinical Research
Fleming Island, Florida, 32003
McLaren Regional Medical Center-Research Dept.
Flint, Michigan, 48532
Clinical Research Associates, LLC
Florence, South Carolina, 29501
Patterson Medical Clinic / d.b.a. Prime Care Research Associates
Florissant, Missouri, 63031
Saint Luke's Medical Clinic
Fort Collins, Colorado, 80525
Invesclinic
Fort Lauderdale, Florida, 33308
M&O Clinical Research, LLC
Fort Lauderdale, Florida, 33316
Maxine Hamilton, MD PA
Fort Lauderdale, Florida, 33316
Holy Cross Medical Group Northridge Internal Medicine
Fort Lauderdale, Florida, 33334
Clinical Physiology Associates
Fort Myers, Florida, 33912
Emerald Coast Mood & Memory
Fort Walton Beach, Florida, 32547
White-Wilson Medical Center, PA
Fort Walton Beach, Florida, 32547
The Medical Group of Texas
Fort Worth, Texas, 76104
Texas Health Physicians Group
Fort Worth, Texas, 76107
T & R Clinic, P. A.
Fort Worth, Texas, 76117
American Health Network of Indiana, LLC
Franklin, Indiana, 46131
Prestige Clinical Research
Franklin, Ohio, 45005
TriPhase Research, Ltd.
Franklin, Ohio, 45005
Arthritis Treatment Center
Frederick, Maryland, 21702
Clinical Research Advantage, Inc./Prairie Fields Family Medicine, PC
Fremont, Nebraska, 68025
Valley Research
Fresno, California, 93720
Cardiology West
Gainesville, Florida, 32605
Florida Research Network, LLC
Gainesville, Florida, 32605
Southeastern Integrated Medical, PL
Gainesville, Florida, 32607
Shands at the University of Florida
Gainesville, Florida, 32610
University of Florida
Gainesville, Florida, 32610
United Osteoporosis Centers
Gainesville, Georgia, 30501
Holzer Clinic, Inc
Gallipolis, Ohio, 45631
Rheumatology-UTMB
Galveston, Texas, 77555
Towngate Plaza Medical Center
Garland, Texas, 75041
Internal Medicine Center of Northwest Indiana, P.C.
Gary, Indiana, 46409
Stern Cardiovascular Foundation, inc.
Germantown, Tennessee, 38138
ArthroCare, Arthritis Care & Research P.C.
Gilbert, Arizona, 85234
Clinical Research Advantage Inc., /Thunderbird Internal Medicine
Glendale, Arizona, 85306-4652
Arizona Center for Clinical Research
Glendale, Arizona, 85306
Clinical Research Advantage, Inc./ Lenzmeier Family Medicine
Glendale, Arizona, 85308
New West Physicians
Golden, Colorado, 80401
Internal Medicine Associates, PC
Grand Island, Nebraska, 68803
ProCare Clinical Trials
Grand Prairie, Texas, 75052
Grand Valley Medical Specialist, PLC
Grand Rapids, Michigan, 49506
Spectrum Health Medical Group-Rheumatology
Grand Rapids, Michigan, 49506
Michigan Medical Cardiovascular PC
Grand Rapids, Michigan, 49546
Beacon Medical Group Rheumatology
Granger, Indiana, 46530
The Spine & Joint Center
Greenbelt, Maryland, 20770
Creekside Clinical Research
Greenbrae, California, 94904
American Health Network of IN, LLC
Greenfield, Indiana, 46140-2834
Bland Clinic, PA
Greensboro, North Carolina, 27401
Medication Management, LLC
Greensboro, North Carolina, 27408
Westmoreland Neurology Associates, Incorporated
Greensburg, Pennsylvania, 15601
Physicians East P. A.
Greenville, North Carolina, 27834
Physicians East, PA
Greenville, North Carolina, 27834
Palmetto Clinical Trial Services, LLC
Greenville, South Carolina, 29601
Paris View Family Practice
Greenville, South Carolina, 29601
John Milas
Greer, South Carolina, 29650
Radiant Research, Inc
Greer, South Carolina, 29650
DeGarmo Institute of Medical Research
Greer, South Carolina, 29651
Canada67 sites
Office of Dr. Rohit Nagpal
Brampton, Ontario, L6R 3A5
Aggarwal and Associates Ltd.
Brampton, Ontario, L6T 3J1
Aviva Clinical Trial Group Inc.
Burlington, Ontario, L7M 4Y1
South Calgary Medical Clinic - Sunpark Professional Center
Calgary, Alberta, T2X 3X7
Centre de sante et de services sociaux de Chicoutimi
Chicoutimi, Quebec, G7H 5H6
ECOGENE-21 / Centre de sante et de services sociaux de Chicoutimi
Chicoutimi, Quebec, G7H 7P2
Corunna Medical Research Center
Corunna, Ontario, N0N 1G0
Clinique de Medicine Familiale de Cowansville
Cowansville, Quebec, J2K 2X9
Allin Clinic
Edmonton, Alberta, T5K 2A2
Dr. MPJ Senaratne Professional Corporation
Edmonton, Alberta, T6K 4C1
C & L Research
Fort Erie, Ontario, L2A 1Z3
Office of Dr. Swaran K. Syan
Greater Sudbury, Ontario, P3C 5K7
MSHJ Research Associates, Inc.
Halifax, Nova Scotia, B3K 0A4
Office of Dr. Jonathan D. Adachi
Hamilton, Ontario, L8N 1Y2
Medical Arts Health Research Group
Kelowna, British Columbia, V1Y 3G8
Office of Dr. John Mutrie
Kitchener, Ontario, N2E 4H9
KW Musculoskeletal Research Inc.
Kitchener, Ontario, N2M 5N6
Centre de recherche clinique Adapra Inc.
L'Ancienne-Lorette, Quebec, G2E 2X1
East London Medical Centre
London, Ontario, N5W 3C6
London East Medical Centre
London, Ontario, N5W 6A2
Office of Dr. Gordon Schacter
London, Ontario, N5Y 5K7
Office of Dr. William Blake Bowler
London, Ontario, N6A 3H5
Office of Dr. Robert G. Luton
London, Ontario, N6A 5G6
Malton Medical Centre
Mississauga, Ontario, L4T 4J2
G.A. Research Associates Ltd/Ltee
Moncton, New Brunswick, E1G 1A7
Centre de Recherche Hochelaga/ Clinique Medicale Hochelaga
Montreal, Quebec, H1L 2N9
Recherche Medicale Appliquee Informatics (AMIR) Inc.
Montreal, Quebec, H3N 1S4
Commonwealth Medical Clinic
Mount Pearl, Newfoundland and Labrador, A1N 1W7
The Arthritis Program Research Group Inc.
Newmarket, Ontario, L3Y 3R7
SKDS Research Inc.
Newmarket, Ontario, L3Y 5G8
Office of Dr. Azim M. Velji
Niagara Falls, Ontario, L2E 7H1
AIM Health Group Trainyards Health and Wellness Centre
Ottawa, Ontario, K1G 0Z3
Paradise Medical Clinic
Paradise, Newfoundland and Labrador, A1L 1C6
The Medical Arts Health Research Group
Penticton, British Columbia, V2A 5C8
Kells Medical Research Group, Inc.
Pointe-Claire, Quebec, H9R 4S3
Recherche Clinique Sigma, Inc.
Québec, Quebec, G1G 3Y8
Le Manoir de l'Atrium
Québec, Quebec, G1H 7L3
Institut Universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, G1V 4G5
Eric N. Grant Professional Corporation
Quispamis, New Brunswick, E2E 4J8
Clinique Services Sante Rosemere
Rosemère, Quebec, J7A 1K7
Office of Dr. Brian N. Craig
Saint John, New Brunswick, E2K 2T8
St-Jerome Medical Research Inc.
Saint-Jérôme, Quebec, J7Z 5T3
Centre Medical des Carrieres
Saint-Marc-des-Carrieres, Quebec, G0A 4B0
London Road Diagnostic Clinic & Medical Center
Sarnia, Ontario, N7T 4X3
London Road Diagnostic Clinic & Medical Centre
Sarnia, Ontario, N7T 4X3
Downtown Medical Specialists
Saskatoon, Saskatchewan, S7L 0Y7
White Hills Medical Clinic
St. John's, Newfoundland and Labrador, A1A 3R5
Nexus Clinic Research
St. John's, Newfoundland and Labrador, A1A 5E8
The Clinical Trials Centre
St. John's, Newfoundland and Labrador, A1C 2H5
Topsail Road Medical Clinic
St. John's, Newfoundland and Labrador, A1E 2E2
Ocean West Research Clinic Inc.
Surrey, British Columbia, V3S 2N6
Keele Medical Place
Toronto, Ontario, M3M 3E5
Prime Health Clinical Research
Toronto, Ontario, M4S 1Y2
Office of Dr. Ira Bernstein
Toronto, Ontario, M6A 3B5
Office of Dr. Subodh Kanani
Toronto, Ontario, M8V 3X8
Manna Research
Toronto, Ontario, M9W 4L6
Centre de Recherche Musculo-Squelettique
Trois-Rivières, Quebec, G8Z 1Y2
Colchester Research Group
Truro, Nova Scotia, B2N 1L2
Prohealth Clinical Research Inc.
Vancouver, British Columbia, V5Z 4E1
Office of Dr. Milton F. Baker
Victoria, British Columbia, V8P 5P6
The Medical Arts Health Research Group
West Vancouver, British Columbia, V7T 2Z3
Cardiology and Research
Westmount, Quebec, H3Z 2M6
North Walkerville Orthopaedic Associates
Windsor, Ontario, N8W 1E6
Research Office
Windsor, Ontario, N8W 1E6
Clinical Research and Arthritis Centre
Windsor, Ontario, N8X 5A6
Rivergrove Medical Clinic
Winnipeg, Manitoba, R2V 4W3
Manitoba Clinic
Winnipeg, Manitoba, R3A 1M3
Brazil33 sites
Centro de Ensino e Pesquisa Hospital Sao Lucas
Aracaju, Sergipe, 49015-400
Hopsital das Clinicas da Universidade Federal de Minas Gerais
Belo Horizonte, Minas Gerais, 30150-260
Hospital e Maternidade Angelina Caron, Sala Pesquisa Clinica
Campina Grande do Sul, Paraná, 83430-000
Hospital e Maternidade Celso Pierro - Puc Campinas
Campinas, São Paulo, 13059-740
PUC Campinas
Campinas, São Paulo, 13059-740
Hospital das Clinicas da UNICAMP
Campinas, São Paulo, 13083-888
CEPEME-CERHFAC Centro de Estudos e Pesquisas Medicas
Curitiba, Paraná, 80030-220
Centro de Estudos do Hospital de Clínicas da UFPR
Curitiba, Paraná, 80060-240
CIP - Centro Internacional de Pesquisas
Goiânia, Goiás, 74110-120
Via Medica - Centro Clinico
Goiânia, Goiás, 74223-130
Hospital Sao Salvador - Medicos Reunidos Ltda.
Goiania-GO, 74110-020
CMIP - Centro Mineiro de Pesquisa
Juiz de Fora, Minas Gerais, 36010-570
CLINCOR - Clinica de Exames Cardiologicos e Ecografia S/C Ltda
Maceió, Alagoas, 57021-500
Hospital do Coracao de Alagoas
Maceió, Alagoas, 57052-580
Hospital das Clinicas da Faculdade de Medicina de Marilia
Marília, São Paulo, 17519-030
Ambulatorio de Especialidades Mario Covas
Marilia/SP, 17519-000
Centro de Pesquisa Clinica
Porto Alegre, Rio Grande do Sul, 90035-903
Associação Hospitalar Moinhos de Vento (AHMV) / CMIC
Porto Alegre, Rio Grande do Sul, 90560-030
Hospital São Lucas - Pontificia
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital Nossa Senhora da Conceicao
Porto Alegre, RS, 91350-200
Hospital das Clinicas da UFPE
Recife - Pernambuco, 52679-420
Hospital Universitário Clementino Fraga Filho - UFRJ
Rio de Janeiro, Rio de Janeiro, 21941-913
CCBR Brasil Centro de Pesquisas e Analises Clinicas Ltda
Rio de Janeiro, Rio de Janeiro, 22271-100
Hospital Ipanema Plus
Rio de Janeiro, Rio de Janeiro, 22411-001
Clinica de Reumatologia do Centro Médico BarraShopping
Rio de Janeiro, Rio de Janeiro, 22649-900
Hospital Dos Servidores Do Estado do Rio de Janeiro
Rio de Janeiro, 20221-903
Faculdade de Medicina DO ABC
Santo André, 09060-650
Hospital de Base - Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
CPCLIN - Centro de Pesquisas Clínicas
São Paulo, São Paulo, 01244-030
Hospital Alemao Oswaldo Cruz
São Paulo, São Paulo, 01323-903
Setor de Lip., Arterosc. e BioVasc. - Disc. de Cardiologia
São Paulo, São Paulo, 04039-030
CEPIC - Centro Paulista de Investigacao Clínica
São Paulo, São Paulo, 04266-010
IMA Brasil - Instituto de Medicina Avancada
São Paulo, São Paulo, 05437-010
Ukraine19 sites
Municipal Medical Institution "City Clinical Hospital #3", Department of Rheumatology
Chernivtsi, 58022
MI Dnipropetrovsk Regional Clinical Hospital named after I.I Mechnikov
Dnipropetrovsk, 49005
State Institution "Dnipropetrovsk Medical Academy of MOH, Ukraine
Dnipropetrovsk, 49005
Rheumatology Department, MMI "City Clinical Hospital #5", DNMU n.a. M.Gorkyy,
Donetsk, 83001
Donetsk National Med University, Chair of Propaedeutics and Internal Medicine
Donetsk, 83003
Municipal Establishment of Health Care
Kharkiv, 61002
City Clinical Hospital # 8, Dept of Cardiology and Functional Diagnostics
Kharkiv, 61178
City Clinical Hospital #1
Kyiv, 02091
National Scientific Center "The Strazhesko Institute of Cardiology"
Kyiv, 03680
State Institution "Republican clinical hospital of MOH of Ukraine"
Kyiv, 04053
Family Medicine Department of NMAPE named after PL Shupyk,
Kyiv, 04107
Lutsk City Clinical Hospital
Lutsk, 43024
Municipal City Clinical Hospital #5
Lviv, 79013
Center of Reconstructive and Regenerative Medicine (University clinic) of
Odesa, 65009
CRI "Clinical Territorial Medical Association "University Clinic",
Simferopol, Autonomous Republic of Crimea, 95017
Treatment-and-Diagnostic Center LLC "Desna" Ltd
Ternopil, 46010
Municipal Institution "Zaporizhzhya City Multiple Discipline Clinical Hospital #9"
Zaporizhzhya, 69065
Municipal enterprise " City Hospital # 7",
Zaporizhzhya, 69118
Zhytomyr Regional Clinical Hospital n.a. O.F. Gerbachevs'kyy/ Rheumatology Center
Zhytomyr, 10003
Costa Rica16 sites
Centro Medico San Rafael
Alajuela
Centro de Reumatologia y Osteoporosis
Cartago, 30101
Clínica Garzona
Cartago
Clinica San Agustin
Desamparados Centro, Provincia de San José, 0000
Hospital CIMA San Jose
Escazú, Provincia de San José
Hospital Hotel La Catolica
Guadalupe, Provincia de San José
Clinica de Especialidades Medicas Drs. Saenz Castro
Heredia
Clínica Monte Sión
Heredia
Clínica San Antonio
Heredia
Clínica Vía San Juan
La Union de Tres Rios, Cartago Province, 30303
Consultorio Privado Dr. Alberto Lainez Ventosilla
Moravia, Provincia de San José, 0000
Centro Medico San Jose
San José
Edificio Panda
San José
Hospital Clinica Biblica
San José
Hospital Clínica Biblica
San José
Oficina Privada
San José
Australia12 sites
Wesley Medical Centre
Auchenflower, Queensland, 4066
Hunter Clinical Research
Broadmeadow, New South Wales, 2292
Australian Clinical Research Organisation
Caboolture, Queensland, 4510
Rheumatology Department
Cairns, Queensland, 4870
Monash Medical Centre, Department of Rheumatology
Clayton, Victoria, 3168
Rheumatology Department
Heidelberg West, Victoria, 3081
AusTrials Pty Ltd
Kippa-Ring, Queensland, 4021
Emeritus Research
Malvern East, Victoria, 3145
Core Research Group
Milton, Queensland, 4064
The Goatcher Clinical Research Unit
Shenton Park, Western Australia, 6008
AusTrials Pty Ltd
Sherwood, Queensland, 4075
The Colin Bayliss Research and Teaching Unit
Victoria Park, Western Australia, 6979
Mexico11 sites
Instituto Jalisciense de Investigación Clínica SA de CV
Guadalajara, Jalisco, 44160
Centro de Estudios de Investigacion Basica y Clinica SC.
Guadalajara, Jalisco, 44690
Hospital Regional ISSSTE
León, Guanajuato, 37520
Centro Medico Toluca
Metepec, State of Mexico, 52140
Comite Mexicano para la Prevencion de la Osteoporosis, A.C.
México, D.F., 06100
Instituto Mexicano de Investigación Clínica, S.A. de C.V
México, D.F., 06700
CIF-BIOTEC, Medica Sur
Mexico City, Mexico City, 14050
Clinicos Asociados BOCM, S.C.
Mexico City, 03300
Unidad de Investigacion Dr. Mario Alvizouri Muñoz Ac Del Hospital General Dr. Miguel Silva
Morelia, Michoacán, 58000
Hospital Central "Dr. Ignacio Morones Prieto" Unidad Regional de Reumatologia y Osteoporosis
San Luis Potosí City, San Luis Potosí, 78240
Centro de Investigacion del Noroeste SC
Tijuana, Estado de Baja California, 22010
Taiwan11 sites
Buddhist Tzu Chi Dailin General Hospital
Chia-Yi County, Taiwan, 62247
Chang Gung Medical Foundation-Linkou Branch
Gueishan Township, Taoyuan County, 333
Chung-Ho Memorial Hospital, Kaoshiung Medical University Hospital
Kaohsiung City, 807
Tri-Service General Hospital
Neihu District, Taipei CITY, 114
Chang Gung Memorial Hospital-Kaohsiung branch, Section of Allergy, Immunology
Nio Sung Township, Kaohsiung County, 833
Chung Shan Medical University Hospital
Taichung, 402
Taichung Veterans General Hospital
Taichung, 40705
Chi-Mei Medical Center
Tainan, YUNG KANG, 71004
National Taiwan University Hospital
Taipei, 10018
Tri-service General Hospital
Taipei, 100
Taipei Veterans General Hospital
Taipei, 112
Philippines8 sites
Chong Hua Hospital
Cebu City, 6000
De La Salle Health Sciences Institute
Dasmariñas, Cavite, 4114
Southern Philippines Medical Center
Davao City, 8000
Mary Mediatrix Medical Center
Lipa City, Batangas, 4217
Jose R. Reyes Memorial Medical Center
Manila, 1003
Chinese General Hospital and Medical Center
Manila, 1014
Hospital Research Unit, University of Santo Tomas Hospital
Manila, 1015
St. Luke's Medical Center
Quezon City, 1102
Colombia7 sites
Fundacion Cardioinfantil
Bogota, Cundinamarca, 0
Clinica Colsanitas Sa
Bogota, Cundinamarca
Fundacion Valle del Lili
Cali, 760032
Fundacion Cardiovascular de Colombia
Floridablanca, Santander Department
Hospital Pablo Tobon Uribe - Unidad de Investigaciones
Medellín, Antioquia, 050034
Reumalab S.A.S.
Medellín, Antioquia, 0
IPS Rodrigo Botero S.A.S.
Medellín, Antioquia
Peru6 sites
Clinica San Felipe
Lima, 11
Centro de Investigaciones Medical
Lima, L29
Clinica San Juan Bautista
Lima, Lima 36
IPC - Centro de Salud Integral S.A.
San Isidro, Lima region, L 27
Centro Empresarial - Altavista Polo 4
Santiago de Surco, Lima region, 00033
Instituto de Ginecologia y Reproducción & Cirugia Minimamente Invasiva
Santiago de Surco, Lima region, 00033
Hong Kong4 sites
Centre for Assessment and Treatment of Rheumatic Diseases, Department of Medicine and Geriatrics
New Territories, NT
Department of Medicine, Queen Mary Hospital
Pokfulam
Prince of Wales Hospital
Shatin, NEW Territories
Department of Medicine, North District Hospital
Sheung Shui, NT
About this study
Official title: A Randomized, Double Blind, Parallel-group Study Of Cardiovascular Safety In Osteoarthritis Or Rheumatoid Arthritis Patients With Or At High Risk For Cardiovascular Disease Comparing Celecoxib With Naproxen And Ibuprofen
To answer the question of overall benefit: risk of celecoxib when compared to two most commonly prescribe traditional (non-selective) nonsteroidal anti-inflammatory drugs (NSAIDs) in the treatment of arthritis pain. For this purpose, patients with osteoarthritis or rheumatoid arthritis with or at risk of developing cardiovascular disease will be recruited. The cardiovascular, gastrointestinal and renal safety and symptomatic benefit in each treatment group will be assessed accordingly.
- Conditions
- Arthritis, Rheumatoid
- Medical subject headings
- Arthritis, Rheumatoid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
celecoxibDrug
100 to 200 mg twice daily, taken by mouth
IbuprofenDrug
ibuprofen 600 mg to 800 mg three times daily, taken by mouth
NaproxenDrug
naproxen 375mg to 500 mg twice daily, taken by mouth
| Study group | Role | What they receive |
|---|---|---|
| celecoxib | Experimental | subject receives celecoxib and dummy (placebo) ibuprofen and naproxen Receives: Drug: celecoxib |
| ibuprofen | Active comparator | subject receives ibuprofen and dummy (placebo) celecoxib and naproxen Receives: Drug: Ibuprofen |
| naproxen | Active comparator | subject receives naproxen and dummy (placebo) celecoxib and ibuprofen Receives: Drug: Naproxen |
What is being measured
The primary outcome is the main question the study is designed to answer.
The First Occurrence of Antiplatelet Trialists Collaboration (APTC) Composite Endpoint, Confirmed by the Clinical Events Committee (CEC).
APTC events are defined as a composite of any of the following events: Death due to CV causes (including cardiac, cerebrovascular, venous thromboembolic, haemorrhagic, other vascular, or unknown cause); Non-fatal MI; Non-fatal stroke (including intracranial hemorrhages, stroke of ischemic or unknown etiology).
Measured: Intent to Treat (ITT) Population - 30 months; Modified ITT (MITT) Population - 42 months
Secondary outcomes (3)
The First Occurrence of a Major Adverse Cardiovascular Events (MACE)
MACE defined as the composite of CV death (including hemorrhagic death), non-fatal MI, non-fatal stroke, hospitalization for UA, revascularization or hospitalization for TIA
Measured: ITT Population - 30 months; MITT Population - 42 months
The First Occurrence of Clinically Significant Gastrointestinal Events (CSGIE)
CSGIE include: Gastroduodenal (GD) hemorrhage, Gastric outlet obstruction, Gastroduodenal, small bowel or large bowel perforation, Large bowel hemorrhage, Small bowel hemorrhage, Acute GI hemorrhage of unknown origin, including presumed small bowel hemorrhage, Symptomatic gastric or duodenal ulcer
Measured: ITT Population - 30 months; MITT Population - 42 months
Change From Baseline in Patient's Assessment of Arthritis Pain (VAS)
VAS question "How much pain do you have" was graded on a scale from 0 to 100 with 0 indicating "No pain" and 100 indicating "Worst possible pain".
Measured: ITT and MITT Population - Baseline to 42 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jun 2006 (estimated)
- Study start4 Oct 2006
- Primary completion12 Apr 2016
- Study completion12 Apr 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for Arthritis, RheumatoidStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 24,081 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- The Cleveland Clinic
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00346216
- Sponsor's protocol ID
- A3191172
- Other IDs
- 2004-002441-13, PRECISION TRIAL, 2004
- Acronym
- PRECISION
- Status last verified
- Mar 2021
- First submitted
- 28 Jun 2006
- Last updated
- 3 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Agarwal N, St John J, Sunder V, Sarraju A, Laffin LJ. Association of Systolic Blood Pressure Time in Target Range With Cardiovascular Events Among PRECISION Participants. J Clin Hypertens (Greenwich). 2025 Jul;27(7):e70009. doi: 10.1111/jch.70009.
PubMed 40627752Obeid S, Libby P, Husni E, Wang Q, Wisniewski LM, Davey DA, Wolski KE, Xia F, Bao W, Walker C, Ruschitzka F, Nissen SE, Luscher TF. Cardiorenal risk of celecoxib compared with naproxen or ibuprofen in arthritis patients: insights from the PRECISION trial. Eur Heart J Cardiovasc Pharmacother. 2022 Sep 3;8(6):611-621. doi: 10.1093/ehjcvp/pvac015.
PubMed 35234840Chirikov VV, Walker C, Stephens JM, Schepman P, Chambers R, Bakir M, Poorman GW, Haider S, Farghaly M. Evaluating the Cost-Effectiveness of Celecoxib versus Ibuprofen and Naproxen in Patients with Osteoarthritis in United Arab Emirates Based on the PRECISION Trial. Clinicoecon Outcomes Res. 2021 May 19;13:409-420. doi: 10.2147/CEOR.S280556. eCollection 2021.
PubMed 34040400Bao W, Gaffney M, Pressler ML, Fayyad R, Wisemandle W, Beckerman B, Wolski KE, Nissen SE. Strengthening the interpretability of clinical trial results by assessing the effect of informative censoring on the primary estimand in PRECISION. Clin Trials. 2020 Oct;17(5):535-544. doi: 10.1177/1740774520934747. Epub 2020 Jul 9.
PubMed 32643966Solomon DH, Shao M, Wolski K, Nissen S, Husni ME, Paynter N. Derivation and Validation of a Major Toxicity Risk Score Among Nonsteroidal Antiinflammatory Drug Users Based on Data From a Randomized Controlled Trial. Arthritis Rheumatol. 2019 Aug;71(8):1225-1231. doi: 10.1002/art.40870. Epub 2019 Jun 12.
PubMed 30801994Reed GW, Abdallah MS, Shao M, Wolski K, Wisniewski L, Yeomans N, Luscher TF, Borer JS, Graham DY, Husni ME, Solomon DH, Libby P, Menon V, Lincoff AM, Nissen SE. Effect of Aspirin Coadministration on the Safety of Celecoxib, Naproxen, or Ibuprofen. J Am Coll Cardiol. 2018 Apr 24;71(16):1741-1751. doi: 10.1016/j.jacc.2018.02.036.
PubMed 29673465Solomon DH, Husni ME, Wolski KE, Wisniewski LM, Borer JS, Graham DY, Libby P, Lincoff AM, Luscher TF, Menon V, Yeomans ND, Wang Q, Bao W, Berger MF, Nissen SE; PRECISION Trial Investigators. Differences in Safety of Nonsteroidal Antiinflammatory Drugs in Patients With Osteoarthritis and Patients With Rheumatoid Arthritis: A Randomized Clinical Trial. Arthritis Rheumatol. 2018 Apr;70(4):537-546. doi: 10.1002/art.40400.
PubMed 29266879Ruschitzka F, Borer JS, Krum H, Flammer AJ, Yeomans ND, Libby P, Luscher TF, Solomon DH, Husni ME, Graham DY, Davey DA, Wisniewski LM, Menon V, Fayyad R, Beckerman B, Iorga D, Lincoff AM, Nissen SE. Differential blood pressure effects of ibuprofen, naproxen, and celecoxib in patients with arthritis: the PRECISION-ABPM (Prospective Randomized Evaluation of Celecoxib Integrated Safety Versus Ibuprofen or Naproxen Ambulatory Blood Pressure Measurement) Trial. Eur Heart J. 2017 Nov 21;38(44):3282-3292. doi: 10.1093/eurheartj/ehx508.
PubMed 29020251Nissen SE, Yeomans ND, Solomon DH, Luscher TF, Libby P, Husni ME, Graham DY, Borer JS, Wisniewski LM, Wolski KE, Wang Q, Menon V, Ruschitzka F, Gaffney M, Beckerman B, Berger MF, Bao W, Lincoff AM; PRECISION Trial Investigators. Cardiovascular Safety of Celecoxib, Naproxen, or Ibuprofen for Arthritis. N Engl J Med. 2016 Dec 29;375(26):2519-29. doi: 10.1056/NEJMoa1611593. Epub 2016 Nov 13.
PubMed 27959716
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double Blind, Parallel-group Study Of Cardiovascular Safety In Osteoarthritis Or Rheumatoid Arthritis Patients With Or At High Risk For Cardiovascular Disease Comparing Celecoxib With Naproxen And Ibuprofen
- ClinicalTrials.gov ID
- NCT00346216
- Acronym / sponsor ID
- PRECISION / A3191172
- Conditions
- Arthritis, Rheumatoid
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24,081 participants (actual)
- Lead sponsor
- Pfizer's Upjohn has merged with Mylan to form Viatris Inc.Industry (pharma, biotech, devices)
- Collaborators
- The Cleveland Clinic
- Study start
- 4 Oct 2006 (actual)
- Primary completion
- 12 Apr 2016 (actual)
- Study completion
- 12 Apr 2016 (actual)
- First posted
- 29 Jun 2006 (estimated)
- Results
- Posted 1 May 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To answer the question of overall benefit: risk of celecoxib when compared to two most commonly prescribe traditional (non-selective) nonsteroidal anti-inflammatory drugs (NSAIDs) in the treatment of arthritis pain. For this purpose, patients with osteoarthritis or rheumatoid arthritis with or at risk of developing cardiovascular disease will be recruited. The cardiovascular, gastrointestinal and renal safety and symptomatic benefit in each treatment group will be assessed accordingly.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| celecoxib | Experimental | Drug: celecoxibsubject receives celecoxib and dummy (placebo) ibuprofen and naproxen |
| ibuprofen | Active comparator | Drug: Ibuprofensubject receives ibuprofen and dummy (placebo) celecoxib and naproxen |
| naproxen | Active comparator | Drug: Naproxensubject receives naproxen and dummy (placebo) celecoxib and ibuprofen |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Subjects with osteoarthritis or rheumatoid Arthritis with or at risk of developing cardiovascular disease and who require and eligible for chronic, daily therapy with an NSAID to control arthritis sign and symptoms.
Key exclusion criteria (4 listed)
- Subjects have had a recent cardiovascular event, unstable cardiovascular conditions, or any major surgery (cardiac or non-cardiac) within 3 months prior to randomization;
- Subjects with medical or laboratory abnormality that would make the subject inappropriate for entry into this trial
- Subjects require treatment with aspirin > 325 mg /day
- Subjects with known hypersensitivity to celecoxib, ibuprofen, naproxen, aspirin or esomeprazole, etc.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| celecoxib100 to 200 mg twice daily, taken by mouth | Drug | celecoxib |
| Ibuprofenibuprofen 600 mg to 800 mg three times daily, taken by mouth | Drug | ibuprofen |
| Naproxennaproxen 375mg to 500 mg twice daily, taken by mouth | Drug | naproxen |
Primary outcome
The First Occurrence of Antiplatelet Trialists Collaboration (APTC) Composite Endpoint, Confirmed by the Clinical Events Committee (CEC).
Time frame: Intent to Treat (ITT) Population - 30 months; Modified ITT (MITT) Population - 42 months
APTC events are defined as a composite of any of the following events: Death due to CV causes (including cardiac, cerebrovascular, venous thromboembolic, haemorrhagic, other vascular, or unknown cause); Non-fatal MI; Non-fatal stroke (including intracranial hemorrhages, stroke of ischemic or unknown etiology).
3 secondary outcomes
The First Occurrence of a Major Adverse Cardiovascular Events (MACE)
Time frame: ITT Population - 30 months; MITT Population - 42 months
The First Occurrence of Clinically Significant Gastrointestinal Events (CSGIE)
Time frame: ITT Population - 30 months; MITT Population - 42 months
Change From Baseline in Patient's Assessment of Arthritis Pain (VAS)
Time frame: ITT and MITT Population - Baseline to 42 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40627752Agarwal N, St John J, Sunder V, Sarraju A, Laffin LJ. Association of Systolic Blood Pressure Time in Target Range With Cardiovascular Events Among PRECISION Participants. J Clin Hypertens (Greenwich). 2025 Jul;27(7):e70009. doi: 10.1111/jch.70009.
- Derived from this study: PubMed 35234840Obeid S, Libby P, Husni E, Wang Q, Wisniewski LM, Davey DA, Wolski KE, Xia F, Bao W, Walker C, Ruschitzka F, Nissen SE, Luscher TF. Cardiorenal risk of celecoxib compared with naproxen or ibuprofen in arthritis patients: insights from the PRECISION trial. Eur Heart J Cardiovasc Pharmacother. 2022 Sep 3;8(6):611-621. doi: 10.1093/ehjcvp/pvac015.
- Derived from this study: PubMed 34040400Chirikov VV, Walker C, Stephens JM, Schepman P, Chambers R, Bakir M, Poorman GW, Haider S, Farghaly M. Evaluating the Cost-Effectiveness of Celecoxib versus Ibuprofen and Naproxen in Patients with Osteoarthritis in United Arab Emirates Based on the PRECISION Trial. Clinicoecon Outcomes Res. 2021 May 19;13:409-420. doi: 10.2147/CEOR.S280556. eCollection 2021.
- Derived from this study: PubMed 32643966Bao W, Gaffney M, Pressler ML, Fayyad R, Wisemandle W, Beckerman B, Wolski KE, Nissen SE. Strengthening the interpretability of clinical trial results by assessing the effect of informative censoring on the primary estimand in PRECISION. Clin Trials. 2020 Oct;17(5):535-544. doi: 10.1177/1740774520934747. Epub 2020 Jul 9.
- Derived from this study: PubMed 30801994Solomon DH, Shao M, Wolski K, Nissen S, Husni ME, Paynter N. Derivation and Validation of a Major Toxicity Risk Score Among Nonsteroidal Antiinflammatory Drug Users Based on Data From a Randomized Controlled Trial. Arthritis Rheumatol. 2019 Aug;71(8):1225-1231. doi: 10.1002/art.40870. Epub 2019 Jun 12.
- Derived from this study: PubMed 29673465Reed GW, Abdallah MS, Shao M, Wolski K, Wisniewski L, Yeomans N, Luscher TF, Borer JS, Graham DY, Husni ME, Solomon DH, Libby P, Menon V, Lincoff AM, Nissen SE. Effect of Aspirin Coadministration on the Safety of Celecoxib, Naproxen, or Ibuprofen. J Am Coll Cardiol. 2018 Apr 24;71(16):1741-1751. doi: 10.1016/j.jacc.2018.02.036.
- Derived from this study: PubMed 29266879Solomon DH, Husni ME, Wolski KE, Wisniewski LM, Borer JS, Graham DY, Libby P, Lincoff AM, Luscher TF, Menon V, Yeomans ND, Wang Q, Bao W, Berger MF, Nissen SE; PRECISION Trial Investigators. Differences in Safety of Nonsteroidal Antiinflammatory Drugs in Patients With Osteoarthritis and Patients With Rheumatoid Arthritis: A Randomized Clinical Trial. Arthritis Rheumatol. 2018 Apr;70(4):537-546. doi: 10.1002/art.40400.
- Derived from this study: PubMed 29020251Ruschitzka F, Borer JS, Krum H, Flammer AJ, Yeomans ND, Libby P, Luscher TF, Solomon DH, Husni ME, Graham DY, Davey DA, Wisniewski LM, Menon V, Fayyad R, Beckerman B, Iorga D, Lincoff AM, Nissen SE. Differential blood pressure effects of ibuprofen, naproxen, and celecoxib in patients with arthritis: the PRECISION-ABPM (Prospective Randomized Evaluation of Celecoxib Integrated Safety Versus Ibuprofen or Naproxen Ambulatory Blood Pressure Measurement) Trial. Eur Heart J. 2017 Nov 21;38(44):3282-3292. doi: 10.1093/eurheartj/ehx508.
- Derived from this study: PubMed 27959716Nissen SE, Yeomans ND, Solomon DH, Luscher TF, Libby P, Husni ME, Graham DY, Borer JS, Wisniewski LM, Wolski KE, Wang Q, Menon V, Ruschitzka F, Gaffney M, Beckerman B, Berger MF, Bao W, Lincoff AM; PRECISION Trial Investigators. Cardiovascular Safety of Celecoxib, Naproxen, or Ibuprofen for Arthritis. N Engl J Med. 2016 Dec 29;375(26):2519-29. doi: 10.1056/NEJMoa1611593. Epub 2016 Nov 13.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
1,066 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing celecoxib, Ibuprofen and Naproxen in people with Arthritis, Rheumatoid, run by Pfizer's Upjohn has merged with Mylan to form Viatris Inc. at 1,066 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1,066 sites in United States, Canada, Brazil, Ukraine, Costa Rica and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 May 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The First Occurrence of Antiplatelet Trialists Collaboration (APTC) Composite Endpoint, Confirmed by the Clinical Events Committee (CEC). (time frame: Intent to Treat (ITT) Population - 30 months; Modified ITT (MITT) Population - 42 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00346216, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2021.