Celebrex as Safe as Aleve and Motrin: Advisors

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Members of the FDA Arthritis Advisory Committee and Drug Safety and Risk Management Committee voted 15-5-1 that the post-marketing PRECISION study demonstrates that Pfizer’s Celebrex (celecoxib) has comparable cardiovascular safety with naproxen (Aleve) and ibuprofen (Motrin). If FDA accepts the recommendation, the study results will be added to the Celebrex labeling.

News accounts indicate that for more than a decade some doctors have been reluctant to prescribe Celebrex because it is similar to Vioxx, which was withdrawn from the market in 2004 due to safety concerns. Both drugs are Cox-2 inhibitors that act by blocking an enzyme involved in inflammation.

The PRECISION study involved more than 24,000 patients with osteoarthritis and rheumatoid arthritis. Participants took either Celebrex, prescription ibuprofen, or prescription naproxen. The study found no evidence that Celebrex posed any greater risk for heart attacks or strokes than the two NSAIDs.

Reports indicate that many committee members stressed that Celebrex isn’t completely safe. The study showed that it can increase the chance of cardiovascular complications. But it doesn’t appear to increase the odds of such complications as much as Vioxx did, or apparently even as much as prescription doses of ibuprofen or naproxen.

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