ICES Report: The Changing Landscape for COX-2 Inhibitors: A Summary of Recent Events
Notice bibliographique
Résumé
The announcement on September 30, 2004 of the withdrawal of Merck & Co.’s Vioxx® (rofecoxib) from the international market sent shock waves throughout the medical community and instigated a public outcry over the current regulatory approach to monitoring drug safety (Horton 2004). The events leading up to the largest drug withdrawal in history certainly warrant discussion. Vioxx® belongs to a relatively new type of non-steroidal anti inflammatory drugs (NSAIDs) known as cyclooxygenase (COX)-2 inhibitors. NSAIDs are commonly used to manage pain and inflammation associated with acute conditions, such as sports injuries, and chronic conditions, such as arthritis. Approximately one in four elderly people use these drugs. While COX-2 inhibitors offer similar levels of pain relief relative to older, traditional NSAIDs, they are marketed as possessing lower rates of adverse gastrointestinal effects. The publication of a large randomized controlled trial in November 2000 convincingly demonstrated a favourable gastrointestinal adverse event profile associated with Vioxx® compared to a commonly used traditional NSAID, Naprosyn® (naproxen). A 50% relative risk reduction in serious gastrointestinal outcomes was observed among Vioxx® users relative to Naprosyn (Bombardier et al. 2000). However, in a secondary analysis of general safety, the same clinical trial also suggested a five fold increased risk of heart attack associated with Vioxx® relative to Naprosyn. Consequently, this prompted numerous systematic reviews and observational studies, the results of which further supported a possible adverse cardiovascular effect of Vioxx®, and were published long before Vioxx’s® withdrawal from the market. Despite this mounting evidence, Vioxx® was not withdrawn until the interim results of a second large randomized controlled trial demonstrated an associated increased cardiovascular risk with the drug; this withdrawal of Vioxx® occurred about four years after the first clinical trial suggested cardiovascular risk. Allegations that the cardiovascular risks associated with Vioxx® were suspected by Merck scientists well before the launch of Vioxx® – as early as 1996 (Lenzer 2004) – have cast serious doubts on the ethical conduct of the pharmaceutical industry and its relationship with the Food and Drug Administration (FDA) of the United States, the federal drug regulatory body. The Vioxx® withdrawal created a common state of confusion about alternative treatments for frustrated patients and prescribing physicians. At this point, the evidence supporting the use of alternative treatments to Vioxx® varies significantly. Alternatives to Vioxx® include treatment with other drugs marketed as COX-2 inhibitors in Canada, such as Celebrex® (celecoxib), BextraTM (valdecoxib) and Mobic® (meloxicam); traditional NSAIDs, such as Naprosyn® and Advil® (ibuprofen); topical NSAIDs, such as Pennsaid® (topical diclofenac) for limited joint pain; alternative therapies, such as Lakota®; and non-drug therapies, such as weight-bearing exercise, knee taping and acupuncture. A first choice for many physicians was to switch patients to Celebrex®, as the overwhelming majority of evidence from large comparative studies suggested no excess cardiovascular risk with exposure to commonly used doses.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».