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Arthroplasty Inflammation Prophylaxis With Celecoxib

The recruitment status of this study is unknown because the information has not been verified recently.
Verified September 2007 by Zanbilowicz, Adam, DPM MS.
Recruitment status was  Not yet recruiting
Information provided by:
Zanbilowicz, Adam, DPM MS Identifier:
First received: September 20, 2007
Last updated: NA
Last verified: September 2007
History: No changes posted

This double blinded, placebo controlled, study seeks to determine the efficacy of preoperative anti-inflammatory therapy on the reduction of postoperative pain in knee arthroplasty surgery. Pre-emptive use of NSAIDS has demonstrated only modest reduction in post-operative pain in previous studies. However, the short duration of dosing in those studies did not capitalized on the anti-inflammatory properties of NSAIDS. Short-term use of NSAIDS only provides pain relief and does not address inflammation. Traditional NSAIDS cannot be used preoperatively due to platelet effects. Celecoxib, however, is both an analgesic and anti-inflammatory, but does not interfere with bleeding. It can therefore be safely used before surgery. This study hypothesizes that the use of celecoxib for seven days preoperatively reduces postoperative inflammation and consequently pain. A detailed Medline search has not identified any studies into the preoperative use of an NSAID at a dosing level that achieves anti-inflammatory effects.If effective in reducing postoperative pain, this research could lead to a new understanding of the role inflammation plays in orthopedic procedures and other elective procedures and thus improve patient outcomes in the future.

Condition Intervention
Postoperative Pain
Drug: Celecoxib

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: Preemptive Anti-Inflammatory Use of Celecoxib in Knee Arthroplasty Surgery: a Double Blinded, Placebo-Controlled Study.

Resource links provided by NLM:

Further study details as provided by Zanbilowicz, Adam, DPM MS:

Primary Outcome Measures:
  • Compare total pain rating in group receiving 7day celecoxib against in 1 dose celecoxib

Secondary Outcome Measures:
  • 1. Comparison of pain rating VRS "When you woke up following surgery," and at 24 hours and 48 hours postoperatively in the two study groups
  • Comparison of patient reported maximum pain on VRS in the study groups.

Estimated Enrollment: 200
  Show Detailed Description


Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Healthy patients undergoing knee arthroplasty

Exclusion Criteria:

Subjects will be excluded from the study for the following reasons:

  • Allergy to non-steroidal anti-inflammatory medications
  • Subjects must not be taking another NSAID while the study is conducted
  • Bleeding disorder
  • Impaired renal function (serum creatinine >1.2 x upper limit of normal)
  • Liver Disease (SGPT(ALT) or SGOT(AST) > 1.5x upper limit of normal)
  • Heart Disease
  • Ulcers
  • Taking an ACE inhibitor
  • Taking a diuretic
  • Must not be taking an NSAID on a daily basis during the study period
  • Pregnant or planning to start a pregnancy soon
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00533247

Contact: Adam Zanbilowicz, BA DPM MS 604-885-8803

Canada, British Columbia
Not yet recruiting
Vancouver, British Columbia, Canada
Contact: Adam Zanbilowicz, BA DPM MS    604-885-8803   
Sponsors and Collaborators
Zanbilowicz, Adam, DPM MS
Principal Investigator: Adam Zanbilowicz, BA DPM MS Vancouver Coastal Health
  More Information

No publications provided Identifier: NCT00533247     History of Changes
Other Study ID Numbers: PAC01
Study First Received: September 20, 2007
Last Updated: September 20, 2007
Health Authority: Canada: Health Canada
Canada: Ethics Approval by University of BC Office of Research Services

Keywords provided by Zanbilowicz, Adam, DPM MS:
Cox-2 Inhibitor
Pre-emptive Pain
Preoperative Pain
Pain Prophylaxis

Additional relevant MeSH terms:
Pain, Postoperative
Pathologic Processes
Postoperative Complications
Signs and Symptoms
Analgesics, Non-Narcotic
Anti-Inflammatory Agents
Anti-Inflammatory Agents, Non-Steroidal
Antirheumatic Agents
Central Nervous System Agents
Cyclooxygenase 2 Inhibitors
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Peripheral Nervous System Agents
Pharmacologic Actions
Physiological Effects of Drugs
Sensory System Agents
Therapeutic Uses processed this record on November 25, 2014