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. Author manuscript; available in PMC: 2014 Sep 11.
Published in final edited form as: Cochrane Database Syst Rev. 2012 Mar 14;3:CD004233. doi: 10.1002/14651858.CD004233.pub3
Methods RCT, DB single oral dose, 6 parallel groups
Medication administered when baseline pain reached a moderate to severe intensity
Pain assessed at 0, 15, 30, 45, 60, and 90 mins, then at 2, 3, 4, 5, 6, 7, 8, 10, 12, and 24 h
Participants Impacted third molar extraction
Mean age 22 years
N = 304
M = 111, F = 193
Interventions Celecoxib 400 mg, n = 51
Placebo, n = 52
CS-706 also tested at 10, 50, 100, 200 mg
Outcomes PI: std 4-point scale
PR: std 5-point scale
PGE: std 5-point scale
Time to use of rescue medication
Number of participants using rescue medication
Notes Oxford Quality Score: R1, DB2, W1
Participants asked to refrain from rescue medication for 1.5 h
Risk of bias
Bias Authors’ judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not described
Allocation concealment (selection bias) Low risk Investigator, all study staff and related personnel were unaware of treatment assignment
Blinding (performance bias and detection bias)
All outcomes
Low risk Double-dummy method. Matching tablets for CS-706 and corresponding placebo. Celecoxib and corresponding placebo capsules differed in markings, so participant blindfolded and treatment administered by a third party
Incomplete outcome data (attrition bias)
All outcomes
Unclear risk Participants accounted for; analysis appropriate for relevant time interval
Other bias Unclear risk Small treatment group size (50 to 51 participants)