Table 1.
Reference year | Study name | Design | Treatment duration (years) | Follow-up colonoscopy | Subjects | Study group (n originally randomized) | Efficacy outcomes (n/N) | Safety outcomes (n/N) | High CV risk, n (%)a | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Advanced adenomas | Any adenomas | CRC | Mortality (any causes) | Serious adverse events | Renal-hypertensive disorders | Serious CV eventsa | ||||||||
Arber et al, 200623 | PreSAP | Multicenter, double-blind, placebo-controlled, RCT, parallel two-arm | 3 | At year 1, year 3, or both | Median age 61; 66% males | Celecoxib 400 mg once daily (n=933) | 42/840 | 270/840 | 6/933 | 11/933 | 186/933 | 193/933 | 23/933 | 575 (37) |
Placebo (n=628) | 56/557 | 264/557 | 1/628 | 7/628 | 106/628 | 96/628 | 12/628 | |||||||
Bertagnolli et al, 200624 | APC | Multicenter, double-blind, placebo-controlled, RCT, parallel three-arm | 3 | At year 1, year 3, or both | Median age 59; 68% males | Celecoxib 200 mg twice daily (n=685) | 44/613 | 252/613 | 0/685 | 8/685 | 139/685 | 164/685 | 20/685 | 962 (47) |
Celecoxib 400 mg twice daily (n=671) | 35/601 | 213/601 | 4/671 | 10/671 | 154/671 | 141/671 | 27/671 | |||||||
Placebo (n=679) | 99/608 | 354/608 | 3/679 | 6/679 | 127/679 | 130/679 | 8/679 | |||||||
Thompson et al, 201641 | Sel/Cel | Multicenter, double-blind, placebo-controlled, RCT, 2×2 factorial | 1b | Within 1 year of discontinuing interventionc | Mean age 63; 68% males | Celecoxib 400 mg once daily (n=414) | 3/119d | 34/123 | NA | NA | 104/414 | 55/414 | 35/414 | 418 (51) |
Placebo (n=410) | 12/119d | 50/121 | NA | NA | 93/410 | 43/410 | 38/410 |
Notes:
Adjudicated data from Solomon et al.;19
Study reported the median time for taking placebo and intervention, respectively, was 13.6 and 14.2 months;
Efficacy outcomes at different time intervals were reported after discontinuing intervention; as per our protocol, we have used data from subjects undergoing colonoscopy within 1 year of discontinuing intervention;
Advanced status uncertain for six participants. n= number of events; N= number of participants.
Abbreviations: APC, Adenoma Prevention with Celecoxib trial; CRC, colorectal cancer; CV, cardiovascular; PreSAP, Prevention of Colorectal Sporadic Adenomatous Polyps Study; RCT, randomized controlled trial; Sel/Cel, Selenium and Celecoxib (Sel/Cel) Trial; NA, not available.