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. 2017 Aug 2;2017(8):CD012537. doi: 10.1002/14651858.CD012537.pub2
Study Treatment Adverse events Withdrawals
Bhettay 1978 Intervention group (N = 15): indomethacin (2 weeks) then cross‐over to ketoprofen (2 weeks)
Control group (N = 15): ketoprofen (2 weeks) then cross‐over to indomethacin (2 weeks)
Participants < 20 kg: ketoprofen 25 mg capsule twice daily; participants > 20 kg: ketoprofen capsules x 2 = 50 mg twice daily
Participants < 20 kg: indomethacin 25 mg capsule twice daily; participants > 20 kg: indomethacin capsules x 2 = 50 mg twice daily
Study duration: 5 weeks
Total adverse events occurring (may be more than 1 per participant):
ketoprofen: 9/30
indomethacin: 9/30
No. participants reporting an adverse event:
ketoprofen: 9/30
indomethacin: 9/30
Serious adverse events:
ketoprofen: 0/30
indomethacin: 0/30
Specific adverse events:
ketoprofen; indomethacin
loss of appetite: 1/30; 1/30
nausea: 1/30; 2/30
vomiting: 3/30; 2/30
abdominal pain: 3/30; 2/30
frank blood in stool: 0/30; 1/30
headache: 1/30; 1/30
Total all‐cause withdrawals:
ketoprofen: 0/30
indomethacin: 0/30
(1 disqualified for non‐compliance, not withdrawn)
Withdrawals due to adverse events:
ketoprofen: 0/30
indomethacin: 0/30
Brewer 1982 Intervention group (N = 50): fenoprofen 900 mg/m2/d increased to 1800 mg/m2/d, maximum 3200 mg/d
Control group (N = 49): aspirin 1500 mg/m2/d increased to 3000 mg/m2/d, maximum 5450 mg/d
Study duration: 12 weeks
Total adverse events occurring (may be more than 1 per participant):
fenoprofen: n = 78
aspirin: n = 90
No. participants reporting an adverse event:
fenoprofen: 28/49
aspirin: 40/50
Serious adverse events:
fenoprofen: 0/79
aspirin: 0/50
Specific adverse events:
fenoprofen (n = 49); aspirin (n = 50)
abdominal pain: 9; 10
stomach discomfort: 12; 9
diarrhoea: 4; 2
vomiting: 2; 9
nausea: 2; 3
nausea and vomiting: 0; 2
general gastrointestinal upset: 0; 2
constipation: 3; 8
anorexia: 2; 3
occult blood in stool: 0; 2
cramps, abdominal: 2; 3
diplopia: 5; 0
dizziness: 0; 2
headache: 4; 2
rash: 6; 2
fatigue: 0; 2
chills: 0; 2
hyperventilation:1; 2
SGOT increase: 0; 7
SGPT increase: 0; 6
Total all‐cause withdrawals:
fenoprofen: 2/49 (4%); noncompliance (1); difficulty swallowing tablet (1)
aspirin: 10/50 (20%); adverse effects (7); inefficacy (1); failed to co‐operate (1); wrong assignment chose to discontinue (1)
Withdrawals due to adverse events:
fenoprofen: 0/49 (0%)
aspirin: 7/50 (14%)
Foeldvari 2009 Intervention group (N = 77): celecoxib 50 mg/5 mL oral suspension (target dose approximately 3 mg/kg twice daily)
Intervention group (N = 82): celecoxib 100 mg/5 mL oral suspension (target dose approximately 6 mg/kg twice daily)
Control group (N = 83): naproxen 125 mg/5 mL oral suspension (target dose approximately 7.5 mg/kg twice daily)
Study duration: 12 weeks
Total adverse events occurring (may be more than 1 per participant):
celecoxib 3 mg/kg: 49/77 (63.6%)
celecoxib 6 mg/kg: 57/82 (69.5%)
naproxen 7.5 mg/kg: 60/83 (72.3%)
No. participants reporting an adverse event:
no data
Serious adverse events:
celecoxib 3 mg/kg: 3/77
celecoxib 6 mg/kg: 2/82
naproxen 7.5 mg/kg: 0/83
Specific adverse events:
Significant AEs: skin and subcutaneous tissue disorders (celecoxib 6 mg; 6/82 (7.3%; P ≤ 0.10)
Others AEs: eye disorders; headache (reported most often); gastrointestinal disorders; general disorders and administration site conditions; infections and infestations; injury and poisoning; investigations; musculoskeletal, connective tissue, and bone disorders; nervous system disorders; respiratory, thoracic, and mediastinal disorders
Total all‐cause withdrawals:
celecoxib 3 mg/kg: 10/77
celecoxib 6 mg/kg: 11/82
naproxen 7.5 mg/kg: 9/83
Withdrawals due to adverse events:
celecoxib 3 mg/kg: 3/77
celecoxib 6 mg/kg: 7/82
naproxen 7.5 mg/kg: 3/83
Giannini 1990 Intervention group (N = 45): ibuprofen suspension (concentration 100 mg/5 mL) + placebo aspirin
Control group (N = 47): aspirin 200 mg tablet (participant weight 10 to 30 kg) or 300 mg capsules (participant weight > 30 kg) + placebo ibuprofen
Week 2: physician's option to increase dose to 40 mg/kg/day ibuprofen or 80 mg/kg/day aspirin, provided no significant side effects
Study duration: 12 weeks
Total adverse events occurring (may be more than 1 per participant):
ibuprofen: unclear
aspirin: unclear
No. participants reporting an adverse event:
ibuprofen: 40/45
aspirin: 44/47
Serious adverse events:
ibuprofen: 4/45
aspirin: 13/47
Specific adverse events:
ibuprofen; aspirin
abnormalities in liver function: 1/45; 22/47; P < 0.01
digestive system adverse effects: 19/45; 33/47
elevated liver enzyme values: 0/45; 5/47
abdominal pain: 0/45; 1/47
positive stool test result: 8/45; 15/47
positive faecal occult blood tests: 2/45; 1/47
Total all‐cause withdrawals:
ibuprofen: 1/45
aspirin: 9/47
Withdrawals due to adverse events:
ibuprofen: 0/45
aspirin: 6/47
Moran 1979 Intervention group (N = 23): naproxen 10 mg/kg/24 hrs given as a suspension in 2 divided doses
Control group (N = 23): aspirin soluble 80 mg/kg/day, divided into 4 doses
Study duration: 2 x 4 weeks
Total adverse events occurring (may be more than 1 per participant):
naproxen: 10/23
aspirin: 2/23
No. participants reporting an adverse event:
naproxen: 6/23
aspirin: 1/23
Serious adverse events:
naproxen: 0/23
aspirin: 0/23
Specific adverse events:
naproxen:
1 ‐ abdominal pain
aspirin:
1 ‐ abnormal liver test, nausea, tinnitus, and lassitude;
1 ‐ abnormal liver test;
1 ‐ vomiting
Total all‐cause withdrawals:
naproxen: 1/23 (abdominal pain)
aspirin: 3/23 (1 ‐ abnormal liver test, nausea, tinnitus, and lassitude; 1 ‐ abnormal liver test; 1 ‐ vomiting)
Withdrawals due to adverse events:
naproxen: 1/23
aspirin: 3/23
Reiff 2006 Intervention group (N = 209): (children) LD rofecoxib 0.3mg/kg/day maximum 12.5mg/day, or HD rofecoxib 0.6mg/kg/day maximum 25 mg/day; (adolescents) rofecoxib 12.5 or 25 mg daily
Control group (N = 101): (children) naproxen 15 mg/kg/day 5 mg oral suspension; (adolescents) 15 mg/kg/day maximum 1000 mg/day
Study duration: 12 weeks
Total adverse events occurring (may be more than 1 per participant):
no data
No. participants reporting an adverse event:
LD rofecoxib: 21/109 (19.3%)
HD rofecoxib: 22/100 (22%)
naproxen: 28/101 (27.7%)
Serious adverse events:
LD rofecoxib: 0/109
HD rofecoxib: 0/100
naproxen: 0/101
Specific adverse events:
Most common AEs, > 5% in each group: (n) LD rofecoxib; HD rofecoxib; naproxen
abdominal pain: 7/109; 6/100; 13/101
headache: 6/109; 5/100; 13/101
upper abdominal pain: 7/109; 12/100; 7/101
nasopharyngitis: 11/109; 10/100; 1/101
pyrexia: 5/109; 4/100; 9/101
diarrhoea: 5/109; 7/100; 4/101
pharyngitis: 7/109; 3/100; 3/101
vomiting: 7/109; 3/100; 3/101
upper respiratory tract infection: 6/109; 6/100; 7/101
nausea: 3/109; 4/100; 6/101
Total all‐cause withdrawals:
LD rofecoxib: 10/109
HD rofecoxib: 5/100
naproxen: 10/101
Withdrawals due to adverse events:
LD rofecoxib: 3/109 (0.03%)
HD rofecoxib: 0/100 (0.0%)
naproxen: 3/101 (0.03%)
Ruperto 2005 Intervention group 1 (N = 73): LD meloxicam 0.125 mg/kg, 1 dose per day
Intervention group 2 (N = 74): HD meloxicam 0.25 mg/kg, 1 dose per day
Control group (N = 78): naproxen 5 mg/kg, twice per day
Study duration: 48 weeks
Total adverse events occurring (may be more than 1 per participant):
LD meloxicam: n = 209
HD meloxicam: n= 229
naproxen: n = 247
No. participants reporting an adverse event:
LD meloxicam: 54/73 (74%)
HD meloxicam: 59/74 (80%)
naproxen: 66/78 (85%)
Considered to be drug related:
LD meloxicam: 7/73 (10%)
HD meloxicam: 11/74 (15%)
naproxen: 10/78 (13%)
Serious adverse events:
LD meloxicam: 4/73 (5%)
HD meloxicam: 7/74 (9%)
naproxen: 10/78 (13%)
Specific adverse events:
LD meloxicam (n = 73); HD meloxicam (n = 74); naproxen (n = 79)
eye disorders: 5; 6; 8
gastrointestinal disorders: 28; 27; 25
pain diarrhoea, nausea, vomiting: 21; 19; 19
pharyngolaryngeal pain: 9; 5; 4
general disorders: 13; 14; 19
pyrexia: 11; 13; 14
infections and infestations: 30; 38; 39
nasopharyngitis: 4; 9; 7
physical examination: 9; 6; 4
musculoskeletal and connective tissue disorders: 11; 22; 10
nervous system disorders: 10; 11; 7
headache not otherwise specified: 9; 10; 5
respiratory, thoracic, and mediastinal disorders: 22; 19; 26
cough: 7; 9; 14
rhinitis not otherwise specified: 13; 11; 16
skin and subcutaneous tissue disorders: 4; 5; 13
eczema, erythema, pruritus, rash: 0; 3; 8
bleeding disorders (rectal haemorrhage, epistaxis, haematuria, haematoma, Henoch‐Schonlein purpura): 3; 2; 9
Total all‐cause withdrawals:
LD meloxicam: n = 15/73 (21%). LTFU (0); AE (7); lack of efficacy (2); other (4); others (2).
HD meloxicam: n = 11/74 (15%). LTFU (0); AE (3); lack of efficacy (1); other (5); others (2).
naproxen: n = 17/78 (22%). LTFU (0); AE (10); lack of efficacy (3); other (4); others (0).
Withdrawals due to adverse events:
LD meloxicam: 7/73 (9.6%)
HD meloxicam: 3/74 (4.1%)
naproxen: 10/78 (12.8%)
AE: adverse event; HD: high‐dose; LD: low‐dose; LTFU: long‐term follow‐up; N: number of participants; SGOT: serum glutamate‐oxaloacetic transaminase; SGPT: serum glutamate‐pyruvate transaminase