This study is a population-based cohort of patients with ankylosing spondylitis (AS) from general medical practices in the UK, France, and Germany with a nested case control component to assess associations between drug exposures of interest and clinical outcomes relevant to patients using cyclooxygenase-2 (COX-2) inhibitors / nonsteroidal anti-inflammatory drugs (NSAIDS). The main objective of the study is to describe in European participants with AS: 1) the use of etoricoxib 2) characteristics of those who use etoricoxib. 3) the safety profile of etoricoxib and other anti-inflammatory therapies with respect to specific clinical outcomes of interest relative to non-use of these medications and relative to each other.
Study Type
OBSERVATIONAL
Enrollment
27,381
Cox-2 inhibitor
Cox-2 inhibitor
Non-selective NSAID
No anti-inflammatory prescription
Incidence rate of gastrointestinal ulcer, perforation or bleeding
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of fatal or non-fatal acute myocardial infarction or unstable angina pectoris
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of fatal or non-fatal ischemic stroke, or transient ischemic attack
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of fatal or non-fatal hemorrhagic stroke
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of deep venous thrombosis, pulmonary embolism, or peripheral arterial embolism or thrombosis
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of acute renal impairment or failure
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of hypertension
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of congestive heart failure or left ventricular dysfunction
Time frame: First incident event for a given patient through 31-December-2017
Incidence rate of sudden or unexplained death
Time frame: First incident event for a given patient through 31-December-2017
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